A 66-year-old female patient was admitted to the Emergency Surgery Department of Shaanxi Provincial People’s Hospital in November 2019 due to sudden high fever accompanied by skin redness and pain in the whole abdomen and perineum. After systemic anti-infection and local drainage of perineum area, the patient was discharged with improved symptoms. However, the symptoms recurred 12 days later and the patient was admitted to emergency surgery again. After the treatment, the effect was poor, and the drainage volume was maintained at 100-150 ml/d. Multidisciplinary consultation was organized and after detailed medical history questioning by plastic surgeons, it was confirmed that the patient had received polyacrylamide gel (PAAG) injection for breast augmentation 30 years ago and was therefore transferred to plastic surgery for systematic treatment. According to the patient’s clinical manifestations, bilateral breast and abdominal wall imaging result and medical history, PAAG was diagnosed as chronic non-specific inflammation of the whole abdominal wall and perineum after breast augmentation. PAAG was removed by infra mammary fold incision, combined with liposuction tube vacuum suction and whole abdominal fascial space debridement and lavage drainage. Pathological examination of capsule tissue after the operation showed foreign body granulomatous inflammation, consistent with chronic non-specific inflammatory changes after PAAG injection. The patient recovered well after surgery and was discharged 7 days later. During the 6-year follow-up, the patient no longer experienced related symptoms and accepted the current breast shape. The patient is currently under continuous follow-up observation. The treatment process of this patient indicates that a detailed medical history, comprehensive physical examination, and clear diagnosis are key prerequisites for ensuring correct treatment. Ultrasound and MRI are important methods for assessing the residual and distribution of fillers. For injection augmentation surgeries, regular follow-ups after surgery are necessary.

A 66-year-old female patient was admitted to the Emergency Surgery Department of Shaanxi Provincial People’s Hospital in November 2019 due to sudden high fever accompanied by skin redness and pain in the whole abdomen and perineum. After systemic anti-infection and local drainage of perineum area, the patient was discharged with improved symptoms. However, the symptoms recurred 12 days later and the patient was admitted to emergency surgery again. After the treatment, the effect was poor, and the drainage volume was maintained at 100-150 ml/d. Multidisciplinary consultation was organized and after detailed medical history questioning by plastic surgeons, it was confirmed that the patient had received polyacrylamide gel (PAAG) injection for breast augmentation 30 years ago and was therefore transferred to plastic surgery for systematic treatment. According to the patient’s clinical manifestations, bilateral breast and abdominal wall imaging result and medical history, PAAG was diagnosed as chronic non-specific inflammation of the whole abdominal wall and perineum after breast augmentation. PAAG was removed by infra mammary fold incision, combined with liposuction tube vacuum suction and whole abdominal fascial space debridement and lavage drainage. Pathological examination of capsule tissue after the operation showed foreign body granulomatous inflammation, consistent with chronic non-specific inflammatory changes after PAAG injection. The patient recovered well after surgery and was discharged 7 days later. During the 6-year follow-up, the patient no longer experienced related symptoms and accepted the current breast shape. The patient is currently under continuous follow-up observation. The treatment process of this patient indicates that a detailed medical history, comprehensive physical examination, and clear diagnosis are key prerequisites for ensuring correct treatment. Ultrasound and MRI are important methods for assessing the residual and distribution of fillers. For injection augmentation surgeries, regular follow-ups after surgery are necessary.

Objective: To explore the correlation between malocclusion and body image issues in college students. Methods: A total of 1 851 students in three universities in Jingmen were selected by using stratified cluster sampling method. Angle s classification of malocclusion was used to determine the number of three types of malocclusions. Body image issues were self reported and its relationship with different types of malocclusions was explored. Results: The proportions of Classes Ⅰ, Ⅱ and Ⅲ malocclusion in college students with malocclusion were 71.21%, 16.32%, and 12.47%, respectively. The detection rates of body image issues among students with Classes Ⅰ,Ⅱ and III malocclusions were 36.64%, 54.78% and 65.83%, respectively. No significant difference were found in the detection rates of sexual organ issues and gender issues in college students with different types of malocclusions( χ 2= 0.75, 0.53, P >0.05). There were significant differences in the detection rates of appearance troubles (27.59%, 33.12%, 50.83% ) and stature troubles ( 24.09% , 31.21%, 44.17%) in students with Classes Ⅰ, Ⅱ and Ⅲ malocclusions( χ 2=5.62, 2.89, P <0.05). Conclusion The prevalence of body image issues in college students increases with severity of malocclusions. Appearance and stature troubles are issues mostly concerned among college students. Psychological evaluation for students with Class Ⅲ malocclusion should be especially emphasized when administrating orthodontic treatment.

OBJECTIVETo investigate the expression of myeloid-related protein complex (MRP-8/14) in children with acute Kawasaki Disease (KD).

METHODSA total of 41 children with acute KD and 40 age- and sex-matched control children with upper respiratory tract infection were recruited. Serum levels of MRP-8/MRP-14 complex were measured by ELISA, messenger ribonucleic acid (mRNA) abundance of MRP-8 and MRP-14 in circulating granulocytes and monocytes was determined by RT-PCR, and the number of circulating endothelial cells was determined by flow cytometry.

RESULTSWhen the analysis was stratified according to the presence or absence of coronary artery ectasia in the KD patient group, serum levels of MRP-8/MRP-14 complex, MRP-8 and MRP-14 mRNA abundance in granulocytes, and the number of circulating endothelial cells were all significantly higher in KD patients with coronary artery ectasia than in KD patients without coronary artery ectasia (P<0.05). Serum levels of MRP-8/MRP-14 complex were positively correlated with the number of endothelial cells in the circulation (r=0.69, P<0.05).

CONCLUSIONSSerum levels of MRP-8/MRP-14 complex are elevated in a positive association with the number of circulating endothelial cells in KD children with coronary artery ectasia, suggesting a causative role in the development of coronary artery lesions.

Acute Disease ; Calgranulin A ; blood ; genetics ; physiology ; Calgranulin B ; blood ; genetics ; physiology ; Child, Preschool ; Coronary Artery Disease ; etiology ; Endothelial Cells ; pathology ; Female ; Humans ; Infant ; Male ; Mucocutaneous Lymph Node Syndrome ; blood ; complications ; pathology ; RNA, Messenger ; analysis