MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Hong Kong Med J' source. Mon, 15 Mar 2010 14:47:15 +0100 http://www.medworm.com/index.php?rid=3240454&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124566%26dopt%3DAbstract Authors: Wong TW PMID: 20124566 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240454 Mon, 01 Feb 2010 00:00:00 +0100 3240454 http://www.medworm.com/index.php?rid=3240453&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124567%26dopt%3DAbstract CONCLUSION. Most ketamine abusers presented acutely with transient central nervous system depression, abdominal pain, or lower urinary tract symptoms. Clinicians should be alert to the typical age-group, signs and symptoms of such abusers presenting in an acute medical setting. PMID: 20124567 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240453 Mon, 01 Feb 2010 00:00:00 +0100 3240453 http://www.medworm.com/index.php?rid=3240452&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124568%26dopt%3DAbstract CONCLUSIONS. A more focused utilisation of preoperative imaging in females of reproductive age and patients at the extremes of age is suggested. Long-term follow-up should be offered to patients with granulomatous appendicitis and neoplastic appendiceal diseases. PMID: 20124568 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240452 Mon, 01 Feb 2010 00:00:00 +0100 3240452 http://www.medworm.com/index.php?rid=3240451&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124569%26dopt%3DAbstract CONCLUSION. Postpartum haemorrhage and pregnancy-associated hypertension were the most common causes of admission to our Intensive Care Unit. Overall mortality was low. Long-term health-related quality of life in discharged patients was lower than the norm of the Hong Kong population. Appropriate antenatal care is important in preventing obstetric complications. Continued psychosocial follow-up of discharged patients has to be implemented. PMID: 20124569 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240451 Mon, 01 Feb 2010 00:00:00 +0100 3240451 http://www.medworm.com/index.php?rid=3240450&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124570%26dopt%3DAbstract CONCLUSION. Pulmonary valve replacement for severe pulmonary regurgitation after tetralogy of Fallot repair is a safe procedure. However, the indications for such an operation in asymptomatic patients remain controversial. Further studies are required to better delineate the timing of pulmonary valve replacement in this patient group. PMID: 20124570 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240450 Mon, 01 Feb 2010 00:00:00 +0100 3240450 http://www.medworm.com/index.php?rid=3240449&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124571%26dopt%3DAbstract CONCLUSIONS. Robot-assisted radical prostatectomy offered the benefits of a minimally invasive operation with less blood loss, shorter catheter time and hospital stay, and earlier continence. It has therefore become the preferred surgical option in our institution. PMID: 20124571 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240449 Mon, 01 Feb 2010 00:00:00 +0100 3240449 http://www.medworm.com/index.php?rid=3240448&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124572%26dopt%3DAbstract CONCLUSION. Bites from Chinese cobra result in serious local complications with extensive tissue necrosis and minimal neurotoxic symptoms. There is an apparent trend of favourable outcomes following the early administration of antivenom to patients without early signs of irreversible tissue damage. Further research is needed to evaluate the effectiveness of early antivenom use in Chinese cobra bites in order to minimise extent of tissue damage. PMID: 20124572 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240448 Mon, 01 Feb 2010 00:00:00 +0100 3240448 http://www.medworm.com/index.php?rid=3240447&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124573%26dopt%3DAbstract We present a patient with magnetic resonance imaging-negative, non-lesional, neocortical epilepsy. Magnetoencephalography was used for re-evaluation of the epileptogenic zone and this enabled subsequent surgical removal of the epileptic focus. The role of magnetoencephalography in epilepsy surgery is discussed in this report. PMID: 20124573 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240447 Mon, 01 Feb 2010 00:00:00 +0100 3240447 http://www.medworm.com/index.php?rid=3240446&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124574%26dopt%3DAbstract Authors: Chan WS, Poon WL, Cho DH, Chiu SSh, Luk SH This paper assesses the feasibility of transcatheter embolisation of arteriovenous shunts in patients with hepatocellular carcinoma, and reviews available embolic agents, based on our experience and a literature review. From 2001 to 2007, 11 patients with unresectable hepatocellular carcinoma and significant arteriovenous shunts underwent transcatheter embolisation of liver arteriovenous shunts. The age range was 36 to 80 years. A total of 17 embolisations were performed using different embolic agents including absolute ethanol (n=11), histoacryl (n=1), coils (n=2), and polyvinyl alcohol particles (n=1). We reviewed the degree of shunt occlusion and the clinical outcomes. There were 15 arteriovenous shunts. Nine (60%) were arterioport... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240446 Mon, 01 Feb 2010 00:00:00 +0100 3240446 http://www.medworm.com/index.php?rid=3240445&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124575%26dopt%3DAbstract We report the first imported case of chronic Q fever with multi-organ involvement seen in Hong Kong. Although the disease is found worldwide, its chronic form is very rare in our locality. Familiarity with the clinical presentation, useful diagnostic tools, and appropriate treatment is necessary for the prevention of the serious morbidity and mortality associated with chronic Q fever. To the best of our knowledge, this article represents the first comprehensive review to compare the local experience with Q fever with international data, and establishes a management approach for this unusual infectious disease while suggesting possible explanations for its exceptionally low incidence in this locality. PMID: 20124575 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240445 Mon, 01 Feb 2010 00:00:00 +0100 3240445 http://www.medworm.com/index.php?rid=3240444&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124576%26dopt%3DAbstract We report on a girl with P450 oxidoreductase deficiency who presented with virilisation at birth. There was transient maternal virilisation during pregnancy as well. She was initially diagnosed with congenital adrenal hyperplasia caused by 21-hydroxylase deficiency and/or aromatase deficiency. At 1 year of age, skeletal abnormalities suggestive of Antley-Bixler syndrome were detected. Molecular analysis of the fibroblast growth factor receptor 2 (FGFR2) gene was normal but POR gene analysis showed that she was homozygous for an R457H missense mutation. The diagnosis, P450 oxidoreductase deficiency, was confirmed. Results of her endocrine studies and urinary steroid profiling are also presented. PMID: 20124576 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240444 Mon, 01 Feb 2010 00:00:00 +0100 3240444 http://www.medworm.com/index.php?rid=3240443&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124577%26dopt%3DAbstract We report a case of orbital myiasis from the species Chrysomya bezziana complicating squamous cell carcinoma of the eyelid. Magnetic resonance imaging of the orbit is useful for delineating the extent of the infestation and identifying residual maggots. In extensive orbital myiasis, exenteration is needed to prevent intracranial extension of tissue destruction. PMID: 20124577 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240443 Mon, 01 Feb 2010 00:00:00 +0100 3240443 http://www.medworm.com/index.php?rid=3240442&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124578%26dopt%3DAbstract We describe a female adult patient who presented with acute retention of urine and vague abdominal discomfort. A provisional diagnosis of ovarian tumour was made after cross-sectional imaging. At laparotomy a very large retroperitoneal mass was biopsied and found to be a schwannoma after pathological examination. The clinical, radiological, and pathological features of this disease are discussed in this report. PMID: 20124578 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240442 Mon, 01 Feb 2010 00:00:00 +0100 3240442 http://www.medworm.com/index.php?rid=3240441&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124579%26dopt%3DAbstract Authors: Chang KC, Samartzis D, Luk KD, Cheung KM PMID: 20124579 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240441 Mon, 01 Feb 2010 00:00:00 +0100 3240441 http://www.medworm.com/index.php?rid=3240440&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124580%26dopt%3DAbstract Authors: Cheung YF, Tang KW, Chan PY, Wong YW, Cheung FC, Chan JH, Leung SC, Li PC PMID: 20124580 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240440 Mon, 01 Feb 2010 00:00:00 +0100 3240440 http://www.medworm.com/index.php?rid=3240439&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124581%26dopt%3DAbstract Authors: Chan AK, Baker R, Lam TP, Kwong MB, Chan LW, Hong TT PMID: 20124581 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240439 Mon, 01 Feb 2010 00:00:00 +0100 3240439 http://www.medworm.com/index.php?rid=3240438&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124582%26dopt%3DAbstract Authors: Fung KP, Lau SP PMID: 20124582 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240438 Mon, 01 Feb 2010 00:00:00 +0100 3240438 http://www.medworm.com/index.php?rid=3240437&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124583%26dopt%3DAbstract Authors: Lee AC PMID: 20124583 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240437 Mon, 01 Feb 2010 00:00:00 +0100 3240437 http://www.medworm.com/index.php?rid=3240436&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124584%26dopt%3DAbstract Authors: Poon WT, Lai CF, Lui MC, Chan AY, Mak TW PMID: 20124584 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240436 Mon, 01 Feb 2010 00:00:00 +0100 3240436 http://www.medworm.com/index.php?rid=3240435&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20124585%26dopt%3DAbstract Authors: Wiwanitkit V PMID: 20124585 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3240435 Mon, 01 Feb 2010 00:00:00 +0100 3240435 http://www.medworm.com/index.php?rid=3071580&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966343%26dopt%3DAbstract Authors: Lo JY PMID: 19966343 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071580 Tue, 01 Dec 2009 00:00:00 +0100 3071580 http://www.medworm.com/index.php?rid=3071579&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966344%26dopt%3DAbstract CONCLUSIONS. We noted a dramatic increase in the prevalence of group B Streptococcus colonisation in the Hong Kong pregnant population at their booking visit. Professional women had a higher colonisation rate compared to other groups. PMID: 19966344 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071579 Tue, 01 Dec 2009 00:00:00 +0100 3071579 http://www.medworm.com/index.php?rid=3071578&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966345%26dopt%3DAbstract CONCLUSIONS. Clinical pregnancy and ongoing pregnancy rates of frozen-thawed embryo transfer cycles were 35% and 30%, respectively. Higher pregnancy rates were associated with younger maternal age (<=35 years), blastomere numbers of 4 or more, and no blastomere lysis after thawing. PMID: 19966345 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071578 Tue, 01 Dec 2009 00:00:00 +0100 3071578 http://www.medworm.com/index.php?rid=3071577&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966346%26dopt%3DAbstract CONCLUSION. Notwithstanding recommendations from international guidelines, simple aspiration and intercostal tube drainage with small-bore catheters were not commonly employed in the management of hospitalised patients with the various types of pneumothoraces in Hong Kong. PMID: 19966346 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071577 Tue, 01 Dec 2009 00:00:00 +0100 3071577 http://www.medworm.com/index.php?rid=3071576&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966347%26dopt%3DAbstract CONCLUSIONS. In Hong Kong, initial consultation to bonesetters was common. A relatively long delay in between symptom onset and diagnosis of osteosarcoma was encountered. The public and medical practitioners should be made aware of this disease, especially in adolescents. PMID: 19966347 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071576 Tue, 01 Dec 2009 00:00:00 +0100 3071576 http://www.medworm.com/index.php?rid=3071575&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966348%26dopt%3DAbstract CONCLUSION. End-tidal carbon dioxide partial pressure did not show significant correlation or concordance with arterial carbon dioxide partial pressure, especially when supplemental oxygen was used. End-tidal carbon dioxide partial pressure currently cannot replace arterial blood gas measurement as a tool for monitoring arterial carbon dioxide partial pressure. Possible reasons for the discrepancy with previous studies include small sample size in previous studies, lack of research facilities in service settings, and publication bias against negative studies. PMID: 19966348 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071575 Tue, 01 Dec 2009 00:00:00 +0100 3071575 http://www.medworm.com/index.php?rid=3071574&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966349%26dopt%3DAbstract CONCLUSIONS. According to our data, first trimester screening has become one of the most common screening strategies for Down's syndrome in Hong Kong, but there is a need to assess the quality of such prenatal screening for aneuploidy to ensure its efficacy. PMID: 19966349 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071574 Tue, 01 Dec 2009 00:00:00 +0100 3071574 http://www.medworm.com/index.php?rid=3071573&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966350%26dopt%3DAbstract CONCLUSIONS. Microsurgical intussusception vasoepididymostomy is a viable option for couples with male factor infertility due to obstructive azoospermia. Reasonable patency outcomes were achieved in the present series of cases. Individualised counselling, with expectations based on anticipated surgical outcomes, should be offered to couples before resorting to assisted reproduction. PMID: 19966350 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071573 Tue, 01 Dec 2009 00:00:00 +0100 3071573 http://www.medworm.com/index.php?rid=3071572&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966351%26dopt%3DAbstract CONCLUSION. The guidelines from the American Association of Orthopaedic Surgeons seem to have an all-encompassing policy when it comes to providing prophylactic antibiotics. Nonetheless, physicians must still exercise their judgement and customise the treatment to each patient. The benefits of prophylactic antibiotics must be balanced against the risks of drug side-effects and the emergence of antibiotic resistance. PMID: 19966351 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071572 Tue, 01 Dec 2009 00:00:00 +0100 3071572 http://www.medworm.com/index.php?rid=3071571&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966352%26dopt%3DAbstract Authors: Tiu SC, Chan AO, Taylor NF, Lee CY, Loung PY, Choi CH, Shek CC It has been suggested that urinary steroid profiling may be used to provide information aiding the diagnosis and monitoring of adrenocortical carcinoma. Nonetheless, the abnormal patterns suggestive of adrenal malignancy are not well defined. We retrospectively studied the urinary steroid profiles of five patients with adrenocortical carcinoma at presentation and at follow-up, and compared these results with those from 76 patients with benign adrenocortical adenoma and 172 healthy controls. Three abnormal patterns of urinary steroid excretion were identified in patients with adrenocortical carcinoma at presentation and/or follow-up of residual disease: (1) hypersecretion in multiple steroid axes; (2) excretion of u... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071571 Tue, 01 Dec 2009 00:00:00 +0100 3071571 http://www.medworm.com/index.php?rid=3071570&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966353%26dopt%3DAbstract Authors: Ling SK, Cheng SC, Yen CH Stonefish envenomation is a common marine sting. Although stonefish injuries are commonly sustained during maritime activities, this local delicacy can also be considered a regional occupational hazard for chefs. The availability and consumption of stonefish in local restaurants has increased the risk of acute carpal tunnel syndrome after a stonefish injury. This case report describes acute carpal tunnel syndrome following stonefish envenomation. An excellent recovery was achieved after surgical decompression of the carpal tunnel syndrome. Standard management of stonefish injuries should therefore take into account the possibility that this orthopaedic emergency may complicate the injury. PMID: 19966353 [PubMed - in process] (Source: Hong Kong Med... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071570 Tue, 01 Dec 2009 00:00:00 +0100 3071570 http://www.medworm.com/index.php?rid=3071569&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966354%26dopt%3DAbstract Authors: But WM, Lee SH, Chan AO, Lau GT Pompe disease (acid maltase deficiency, glycogen storage disease type II) is a rare progressive autosomal recessive disorder caused by a deficiency of lysosomal hydrolase acid alpha-glucosidase. Historically, infantile-onset Pompe disease presents with cardiomegaly, hepatomegaly, weakness and hypotonia leading to death caused by cardiorespiratory failure in the first year of life. Enzyme replacement therapy has recently become available and has been shown to be effective in prolonging survival and improving respiratory performance. In this article, we report a case of infantile-onset Pompe disease successfully managed with enzyme replacement therapy during the critical period. We would like to highlight the occurrence of sudden cardiac arrest in... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071569 Tue, 01 Dec 2009 00:00:00 +0100 3071569 http://www.medworm.com/index.php?rid=3071568&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966355%26dopt%3DAbstract Authors: Lau KK, Chan KW, Lok CM, Lam AW, Lee HH, Luk WF, Mak CM, Ching CK, Lo J, Li SM, Chan AY A patient who was given metoclopramide for vomiting and diarrhoea developed circulatory collapse with his blood pressure dropping to 50/20 mm Hg. A gastrinoma was diagnosed histologically. The extent of the tumour was defined by octreotide scanning and magnetic resonance imaging. Metoclopramide was again given for colicky abdominal pain and the patient developed circulatory collapse a second time. A laparotomy involving extensive resection of the tumour was performed. The MEN1 mutation was not detected in blood or tumour tissue. Follow-up octreotide scanning did not show any residual tumour. Possible causes for the circulatory collapse are discussed. Our case is probably the first patient w... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071568 Tue, 01 Dec 2009 00:00:00 +0100 3071568 http://www.medworm.com/index.php?rid=3071567&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966356%26dopt%3DAbstract We report a case of a 50-year-old patient whose ruptured middle cerebral artery aneurysm was treated with endovascular coiling, which was complicated by occlusion of the inferior M2 trunk during the procedure. An emergency craniotomy was performed to enable coil retrieval, evacuation of the thrombus and clipping of the aneurysm. All the middle cerebral artery branches were recanalised and the patient recovered with no neurological deficits. Our experience suggests that an emergency salvage operation for thrombosis after endovascular coiling is a treatment option offering a good clinical outcome. PMID: 19966356 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071567 Tue, 01 Dec 2009 00:00:00 +0100 3071567 http://www.medworm.com/index.php?rid=3071566&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966357%26dopt%3DAbstract We report a case of a man who presented with fever, septicaemia, and a left apical lung opacity on chest radiography. His positron emission tomography and plain computed tomography scans showed increased uptake by the left apical lung opacity together with a huge anterior mediastinal mass, suggestive of lung cancer with mediastinal lymph node involvement, and a right upper lobe shadow. After an initial futile bronchoscopy, an endobronchial ultrasound-guided transbronchial needle aspiration of the mediastinal node was planned but a contrast computed tomographic scan of the thorax revealed no significantly enlarged mediastinal lymph nodes. The differential diagnoses of these findings, together with the limitations of positron emission tomography and plain computed tomography, are discussed. ... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071566 Tue, 01 Dec 2009 00:00:00 +0100 3071566 http://www.medworm.com/index.php?rid=3071565&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966358%26dopt%3DAbstract Authors: Pua U PMID: 19966358 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071565 Tue, 01 Dec 2009 00:00:00 +0100 3071565 http://www.medworm.com/index.php?rid=3071564&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966359%26dopt%3DAbstract Authors: Lee VY, Liu DT, Leung GY, Luo Y, Lam PT PMID: 19966359 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071564 Tue, 01 Dec 2009 00:00:00 +0100 3071564 http://www.medworm.com/index.php?rid=3071563&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19966360%26dopt%3DAbstract Authors: Koshy G, Thomas N, Rajaratnam S, Simha A, Thomas M, Viswabandya A, Nagaraj C PMID: 19966360 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=3071563 Tue, 01 Dec 2009 00:00:00 +0100 3071563 http://www.medworm.com/index.php?rid=2996412&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801706%26dopt%3DAbstract Authors: Fong JK PMID: 19801706 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996412 Thu, 01 Oct 2009 00:00:00 +0100 2996412 http://www.medworm.com/index.php?rid=2996411&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801707%26dopt%3DAbstract Authors: PMID: 19801707 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996411 Thu, 01 Oct 2009 00:00:00 +0100 2996411 http://www.medworm.com/index.php?rid=2996410&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801708%26dopt%3DAbstract Authors: Chan SW, Chien WT, Tso S PMID: 19801708 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996410 Thu, 01 Oct 2009 00:00:00 +0100 2996410 http://www.medworm.com/index.php?rid=2996409&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801709%26dopt%3DAbstract Authors: Chiu TW, Lee KC, Lam TH, Lau MC PMID: 19801709 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996409 Thu, 01 Oct 2009 00:00:00 +0100 2996409 http://www.medworm.com/index.php?rid=2996408&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801710%26dopt%3DAbstract Authors: Wong SY PMID: 19801710 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996408 Thu, 01 Oct 2009 00:00:00 +0100 2996408 http://www.medworm.com/index.php?rid=2996407&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801711%26dopt%3DAbstract Authors: Huang JD, Sun HZ, Tanner JA, Watt RM PMID: 19801711 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996407 Thu, 01 Oct 2009 00:00:00 +0100 2996407 http://www.medworm.com/index.php?rid=2996406&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801712%26dopt%3DAbstract Authors: Fielding R, Leung GM, Lam WW, Jiang CQ, Sitthi-Amorn C, Ahn LV, Lu YM, Zhang WS PMID: 19801712 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996406 Thu, 01 Oct 2009 00:00:00 +0100 2996406 http://www.medworm.com/index.php?rid=2996405&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801713%26dopt%3DAbstract Authors: Peiris JS, Cheung CY PMID: 19801713 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996405 Thu, 01 Oct 2009 00:00:00 +0100 2996405 http://www.medworm.com/index.php?rid=2996404&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801714%26dopt%3DAbstract Authors: Khoo US, Chan KY, Ching JC, Chan VS, Ip YC, Yam L, Chu CM, Lai ST, So KM, Wong TY, Chung PH, Tam P, Yip SP, Sham P, Leung GM, Lin CL, Peiris JS PMID: 19801714 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996404 Thu, 01 Oct 2009 00:00:00 +0100 2996404 http://www.medworm.com/index.php?rid=2996403&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801715%26dopt%3DAbstract Authors: Lam CL, Wong W, Fong DY PMID: 19801715 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996403 Thu, 01 Oct 2009 00:00:00 +0100 2996403 http://www.medworm.com/index.php?rid=2996402&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801716%26dopt%3DAbstract Authors: Woo J, Hui E, Chan PK, Ip M, Hui DS PMID: 19801716 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996402 Thu, 01 Oct 2009 00:00:00 +0100 2996402 http://www.medworm.com/index.php?rid=2996401&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801717%26dopt%3DAbstract Authors: To KF, Chan PK PMID: 19801717 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996401 Thu, 01 Oct 2009 00:00:00 +0100 2996401 http://www.medworm.com/index.php?rid=2996400&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801718%26dopt%3DAbstract Authors: Schooling CM, Wong LC, Chau J, Cheung A, Ho A, McGhee SM PMID: 19801718 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2996400 Thu, 01 Oct 2009 00:00:00 +0100 2996400 http://www.medworm.com/index.php?rid=2867666&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801687%26dopt%3DAbstract Authors: Zimmern RL PMID: 19801687 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867666 Wed, 30 Sep 2009 23:00:00 +0100 2867666 http://www.medworm.com/index.php?rid=2867665&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801688%26dopt%3DAbstract CONCLUSIONS. Genetic testing has replaced conventional biochemical and radiological modalities to identifying multiple endocrine neoplasia 2A carriers, in order to offer them prophylactic thyroidectomy. Chinese multiple endocrine neoplasia 2A patients with codon 634 mutation seem to have less aggressive forms of medullary thyroid carcinoma, for whom prophylactic thyroidectomy can be considered at the age of 8 years. PMID: 19801688 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867665 Wed, 30 Sep 2009 23:00:00 +0100 2867665 http://www.medworm.com/index.php?rid=2867664&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801689%26dopt%3DAbstract CONCLUSIONS. Clinically integrated undergraduate evidence-based medicine training produced an educationally important improvement in evidence-based medicine knowledge. Student performance in the adapted Fresno test to some extent reflected their overall academic performance in the senior clerkship. Loss of evidence-based medicine knowledge, which might have occurred soon after small-group training, is a concern that warrants future assessment. PMID: 19801689 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867664 Wed, 30 Sep 2009 23:00:00 +0100 2867664 http://www.medworm.com/index.php?rid=2867663&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801690%26dopt%3DAbstract CONCLUSIONS. In real-life clinical practice, survival of patients with inoperable hepatocellular carcinoma remains grave despite treatment. Patients with Child-Pugh grade A cirrhosis or with low pretreatment alpha-fetoprotein level are more suitable for this form of treatment. The procedure should be performed with superselective cannulation and embolisation with gelfoam. PMID: 19801690 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867663 Wed, 30 Sep 2009 23:00:00 +0100 2867663 http://www.medworm.com/index.php?rid=2867662&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801691%26dopt%3DAbstract CONCLUSION. Increased airway inflammation as revealed by exhaled nitric oxide concentration was found in obese non-asthmatic children. Weight-for-height z-score as an indicator of childhood obesity correlated with exhaled nitric oxide concentration and spirometric parameters in children without asthma. Nonetheless, concomitant obesity does not influence exhaled nitric oxide concentration in asthmatic children. Further studies are needed to identify the pathophysiologic mechanisms for such associations. PMID: 19801691 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867662 Wed, 30 Sep 2009 23:00:00 +0100 2867662 http://www.medworm.com/index.php?rid=2867661&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801692%26dopt%3DAbstract CONCLUSION. Computer-assisted navigation can give a better alignment than the conventional technique, but the tourniquet time was significantly longer. Computer-assisted navigation surgery can help the surgeon in determining limb alignment during the operation. PMID: 19801692 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867661 Wed, 30 Sep 2009 23:00:00 +0100 2867661 http://www.medworm.com/index.php?rid=2867660&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801693%26dopt%3DAbstract CONCLUSION. Onyx embolisation of cerebral arteriovenous malformations is feasible in Hong Kong. Careful patient and target selection are important. PMID: 19801693 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867660 Wed, 30 Sep 2009 23:00:00 +0100 2867660 http://www.medworm.com/index.php?rid=2867659&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801694%26dopt%3DAbstract Authors: Kwan TK, Ma ES, Chan YY, Wan TS, Liu HS, Sim JP, Yeung YM, Lie AK, Yip SF Imatinib is the standard treatment for chronic myeloid leukaemia. BCR-ABL kinase domain mutation is the commonest mechanism implicated in imatinib resistance. In in-vitro studies, kinase domain mutations are variably resistant to second-line agents. We performed BCR-ABL kinase domain mutational studies in 25 patients in five institutions who failed imatinib and were treated with either nilotinib or dasatinib, to see if their mutational status would predict their clinical responses. Kinase domain mutations involving 11 amino acid substitutions were found in 12 (48%) patients. Most patients showed single kinase domain mutations. There was some concordance between reported drug sensitivity patterns and pati... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867659 Wed, 30 Sep 2009 23:00:00 +0100 2867659 http://www.medworm.com/index.php?rid=2867658&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801695%26dopt%3DAbstract This report focuses on the diagnosis of Kearns-Sayre syndrome in a Chinese girl who presented initially with short stature, delayed puberty, insidious onset of ptosis and later with typical features of Kearns-Sayre syndrome including complete heart block. Genetic analysis disclosed a novel 7.2 kilobases deletion in muscle tissue. Mitochondrial diseases have heterogeneous phenotypes and mutational analysis has proven to be an effective tool for confirming the diagnosis. PMID: 19801695 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867658 Wed, 30 Sep 2009 23:00:00 +0100 2867658 http://www.medworm.com/index.php?rid=2867657&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801696%26dopt%3DAbstract We report a patient with isolated left ventricular non-compaction diagnosed by echocardiography and cardiac magnetic resonance imaging. She developed refractory congestive heart failure and subsequently underwent successful heart transplantation. This type of cardiomyopathy is thought to be caused by the arrest of normal embryogenesis of the endocardium and myocardium. The spectrum of clinical, radiological, and pathological abnormalities is discussed. PMID: 19801696 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867657 Wed, 30 Sep 2009 23:00:00 +0100 2867657 http://www.medworm.com/index.php?rid=2867656&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801697%26dopt%3DAbstract We report the first fatality caused by novel influenza A (H1N1) infection despite having the diagnosis confirmed and being given antiviral treatment after hospitalisation. This patient was also the first with influenza A (H1N1) to be supported with extracorporeal membrane oxygenation in Hong Kong. Although extracorporeal membrane oxygenation is an effective means of supporting patients with refractory hypoxaemia on high mechanical ventilatory support, it is labour-intensive and technically demanding. We also discuss the challenges faced when managing this case. PMID: 19801697 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867656 Wed, 30 Sep 2009 23:00:00 +0100 2867656 http://www.medworm.com/index.php?rid=2867655&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801698%26dopt%3DAbstract We report a case of a 52-year-old worker who fell from a height, suffering lower limb injuries, including a Hoffa fracture with comminution, and had problems with malunion during the postoperative period. Clinicians should be aware that rehabilitation programmes need to be tailored to the method of fixation used to manage this uncommon fracture pattern. PMID: 19801698 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867655 Wed, 30 Sep 2009 23:00:00 +0100 2867655 http://www.medworm.com/index.php?rid=2867654&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801699%26dopt%3DAbstract We report a case where duplex ultrasonography and dynamic magnetic resonance arteriography was used to diagnose popliteal artery entrapment. We used a posterior surgical approach to give the best view of the anatomic structures compressing the popliteal artery. Compression had not yet damaged the arterial wall, therefore operative decompression of the artery by resection of the aberrant muscle was sufficient. The result was complete recovery, with absence of symptoms and with patency verified by Doppler examination. We conclude that emergency physicians who encounter young patients with progressive lower limb arterial insufficiency should be aware of the possibility of popliteal artery entrapment. Early diagnosis using physical examination, history taking, and imaging is necessary. The tre... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867654 Wed, 30 Sep 2009 23:00:00 +0100 2867654 http://www.medworm.com/index.php?rid=2867653&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801700%26dopt%3DAbstract Authors: Chu BC, Tam VT Cat-scratch disease is a clinical syndrome that usually presents as a self-limiting illness featuring regional lymphadenopathy, fever, and small skin lesions in association with a cat scratch or bite. It is caused by the Gram-negative bacillus Bartonella henselae, which commonly affects children and young adults. Ocular bartonellosis is the most common atypical manifestation of cat-scratch disease. It can present with a wide spectrum of ocular diseases including neuroretinitis, Parinaud's oculoglandular syndrome, and other forms of intra-ocular inflammation. This case report describes cat-scratch disease neuroretinitis in a 10-year-old girl who presented with typical signs, including optic disc swelling and a macular star, preceded by pyrexia of unknown origin a... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867653 Wed, 30 Sep 2009 23:00:00 +0100 2867653 http://www.medworm.com/index.php?rid=2867652&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801701%26dopt%3DAbstract We present a case of a 17-year-old man with first-episode schizophrenia who developed olanzapine-induced hepatitis, cholestasis, and splenomegaly, all of which were reversed after ceasing olanzapine. Clinicians prescribing olanzapine should be aware of this possible hepatotoxicity. Patient education, vigilance from clinicians, and careful clinical examination can help detect this complication early. PMID: 19801701 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867652 Wed, 30 Sep 2009 23:00:00 +0100 2867652 http://www.medworm.com/index.php?rid=2867651&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801702%26dopt%3DAbstract Authors: Chan AP, Sieh KM, Leung SM, Cheung KY, Fung KY PMID: 19801702 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867651 Wed, 30 Sep 2009 23:00:00 +0100 2867651 http://www.medworm.com/index.php?rid=2867650&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801703%26dopt%3DAbstract Authors: Yu YL, Kan D PMID: 19801703 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867650 Wed, 30 Sep 2009 23:00:00 +0100 2867650 http://www.medworm.com/index.php?rid=2867649&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801704%26dopt%3DAbstract Authors: Shankar PR, Jha N, Shrestha RK, Bajracharya O, Thapa HS PMID: 19801704 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867649 Wed, 30 Sep 2009 23:00:00 +0100 2867649 http://www.medworm.com/index.php?rid=2867648&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19801705%26dopt%3DAbstract Authors: Mascitelli L, Pezzetta F, Goldstein MR PMID: 19801705 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2867648 Wed, 30 Sep 2009 23:00:00 +0100 2867648 http://www.medworm.com/index.php?rid=2672144&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652228%26dopt%3DAbstract Authors: Yip AY, Chow LW PMID: 19652228 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672144 Fri, 31 Jul 2009 23:00:00 +0100 2672144 http://www.medworm.com/index.php?rid=2672143&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652229%26dopt%3DAbstract CONCLUSION. Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications. PMID: 19652229 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672143 Fri, 31 Jul 2009 23:00:00 +0100 2672143 http://www.medworm.com/index.php?rid=2672142&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652230%26dopt%3DAbstract CONCLUSION. Infrainguinal bypass and percutaneous transluminal angioplasty are complementary. For TransAtlantic Inter-Society Consensus A and B lesions, percutaneous transluminal angioplasty should be offered first. For American Society of Anesthesiologists class 4 patients, percutaneous transluminal angioplasty should be considered first, regardless of the TransAtlantic Inter-Society Consensus class. PMID: 19652230 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672142 Fri, 31 Jul 2009 23:00:00 +0100 2672142 http://www.medworm.com/index.php?rid=2672141&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652231%26dopt%3DAbstract CONCLUSIONS. Our data showed a high point prevalence of candidaemia in the Intensive Care Unit. Albicans was still the predominant species. Candidaemia occurred early during Intensive Care Unit stay, and a significant proportion of patients did not have prior fungal colonisation. Candidaemia in the Intensive Care Unit was associated with high morbidity and mortality. Many patients did not receive appropriately early anti-fungal therapy, and endured higher mortality than in the remainder. PMID: 19652231 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672141 Fri, 31 Jul 2009 23:00:00 +0100 2672141 http://www.medworm.com/index.php?rid=2672140&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652232%26dopt%3DAbstract CONCLUSIONS. The pattern of ruptured intracranial aneurysms in the Hong Kong Chinese population was different from western and Japanese populations. Although the distribution of locations for ruptured aneurysms was similar, Hong Kong Chinese had a larger proportion of small aneurysms sized 5 mm or less. The prevalence of multiple aneurysms in Hong Kong is comparable to that in the Japanese population, but lower than that in the western populations. PMID: 19652232 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672140 Fri, 31 Jul 2009 23:00:00 +0100 2672140 http://www.medworm.com/index.php?rid=2672139&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652233%26dopt%3DAbstract CONCLUSIONS. A single fixed dose of radioactive iodine is a simple, safe, and effective treatment for hyperthyroidism. High basal free thyroxine concentration and large goitre size are associated with higher chance of relapse. Higher radioiodine doses may be considered to improve the cure rate. PMID: 19652233 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672139 Fri, 31 Jul 2009 23:00:00 +0100 2672139 http://www.medworm.com/index.php?rid=2672138&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652234%26dopt%3DAbstract CONCLUSIONS. Computed tomography-guided aspiration is not superior to the key-hole approach for treating spontaneous putaminal haemorrhage in terms of favourable outcomes, mortality, and morbidity. However, it could be the first-choice approach for those with bleeds of 50 mL or less, while the key-hole approach may be more suitable for those with larger haematomas. PMID: 19652234 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672138 Fri, 31 Jul 2009 23:00:00 +0100 2672138 http://www.medworm.com/index.php?rid=2672137&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652235%26dopt%3DAbstract CONCLUSION. In our series, limb lengthening of up to 40% of the initial length of the bone segment can be achieved without significant long-term sequelae. However, the procedures were complex and prolonged, and required a special psychological approach directed at both parents and the patients. Complications are quite common, for which patients have to be well prepared before starting the procedures. PMID: 19652235 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672137 Fri, 31 Jul 2009 23:00:00 +0100 2672137 http://www.medworm.com/index.php?rid=2672136&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652236%26dopt%3DAbstract We report a case of complicated myocardial rupture after a single bolus injection of contrast medium during a computed tomographic study in an elderly woman with acute myocardial infarction, which led to cardiac tamponade and rapid death. Although rare, this should alert us to the need for cautious use of contrast medium in patients with acute myocardial infarction. PMID: 19652236 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672136 Fri, 31 Jul 2009 23:00:00 +0100 2672136 http://www.medworm.com/index.php?rid=2672135&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652237%26dopt%3DAbstract We report a case of primary hepatic peripheral T-cell lymphoma in a patient with hepatitis B virus-related cirrhosis. This patient presented with a solitary hepatic lesion with computed tomography and magnetic resonance imaging features that did not resemble hepatocellular carcinoma. Subsequent biopsy of the lesion revealed that it was a peripheral T-cell lymphoma. The patient was successfully treated with multi-agent chemotherapy followed by radiofrequency ablation. Although hepatocellular carcinoma is the most frequently encountered primary hepatic tumour in patients with hepatitis B virus-related cirrhosis, primary hepatic lymphoma should also be borne in mind. Nevertheless, primary hepatic lymphoma is a rare entity, and has no proven association with chronic hepatitis B infection. ... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672135 Fri, 31 Jul 2009 23:00:00 +0100 2672135 http://www.medworm.com/index.php?rid=2672134&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652238%26dopt%3DAbstract Authors: Cheung WI, Leung VK, Luk IS, Loke TK, Chan JC, Chau TN Tuberculosis usually affects the respiratory system, but it may present atypically involving multiple systems, extrapulmonary systems, and manifest as a protein disorder. Here we report a case of splenic tuberculosis associated with monoclonal gammopathy of undetermined significance, and pericarditis. The diagnosis, confirmed by a plugged biopsy of the spleen, precluded the need for splenectomy in this patient and allowed prompt initiation of treatment, thereby avoiding the complications of tuberculous pericarditis and splenic infection. PMID: 19652238 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672134 Fri, 31 Jul 2009 23:00:00 +0100 2672134 http://www.medworm.com/index.php?rid=2672133&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652239%26dopt%3DAbstract Authors: Chan AP, Lo CK, Lam HY, Fung KY Triceps tendon rupture is a rare condition. The usual mechanism of injury is a fall on an outstretched hand, although direct contact injuries have also been reported to cause this injury. A 67-year-old woman presented with injuries caused by direct impact to her right elbow after a fall. X-rays of the elbow demonstrated the cardinal clinical 'gap' and 'flake' signs. It is necessary to be aware of this injury and perform a careful examination at the time of the initial presentation, as the signs of this injury are usually subtle. Most reported primary repairs have been performed with non-absorbable transosseous sutures. In this case report, we show how using suture anchors for reattachment is a technically feasible alternative operative method pr... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672133 Fri, 31 Jul 2009 23:00:00 +0100 2672133 http://www.medworm.com/index.php?rid=2672132&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652240%26dopt%3DAbstract We report a case where early use of aggressive treatment to manage a post-strabismus surgery infection led to a good outcome. PMID: 19652240 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672132 Fri, 31 Jul 2009 23:00:00 +0100 2672132 http://www.medworm.com/index.php?rid=2672131&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652241%26dopt%3DAbstract We report a case where a patient with an orbital venous malformation presented with enophthalmos. Since many underlying orbital pathologies, including orbital metastases, can cause enophthalmos, it is important to investigate patients properly. Computed tomographic imaging of the orbit remains the most useful tool in the management of patients with enophthalmos. PMID: 19652241 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672131 Fri, 31 Jul 2009 23:00:00 +0100 2672131 http://www.medworm.com/index.php?rid=2672130&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652242%26dopt%3DAbstract We present a case of obscure gastro-intestinal bleeding due to small bowel angiodysplasia in a 68-year-old woman with severe aortic valve stenosis. The diagnosis was confirmed and subsequently managed using single-balloon enteroscopy. PMID: 19652242 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672130 Fri, 31 Jul 2009 23:00:00 +0100 2672130 http://www.medworm.com/index.php?rid=2672129&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652243%26dopt%3DAbstract Authors: Chan KY, Ching CK, Mak CM, Lam CW, Chan AY Hereditary spastic paraplegias are a heterogeneous group of chronic central motor system disorders, characterised by progressive lower limb spasticity. Hereditary spastic paraplegia is clinically classified into pure and complicated forms, by the absence or presence of additional neurological or extra-neurological features. Hereditary spastic paraplegias follow all modes of inheritance and the pure-form autosomal dominant type is the one most commonly reported. Spastic paraplegia 4, autosomal dominant (SPG4, MIM#182601) and spastic paraplegia 3, autosomal dominant (SPG3A, MIM#182600), account for most autosomal dominant hereditary spastic paraplegias. Using DNA mutation analysis, the authors identified an SPG3A missense mutation (p.R2... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672129 Fri, 31 Jul 2009 23:00:00 +0100 2672129 http://www.medworm.com/index.php?rid=2672128&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652244%26dopt%3DAbstract We report an unusual malignant tumour affecting an unusual site. Epithelioid haemangioendothelioma was formerly considered a tumour of intermediate malignancy but has been reclassified as fully malignant. It is important to be aware of this clinical entity as the best hope of cure is timely radical resection. There is a paucity of evidence concerning the efficacy of alternative treatments because the tumour is very rare. PMID: 19652244 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672128 Fri, 31 Jul 2009 23:00:00 +0100 2672128 http://www.medworm.com/index.php?rid=2672127&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652245%26dopt%3DAbstract Authors: Lee DH, Leung TW, Yu SC, Chan JW, Wong LK PMID: 19652245 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672127 Fri, 31 Jul 2009 23:00:00 +0100 2672127 http://www.medworm.com/index.php?rid=2672126&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652246%26dopt%3DAbstract Authors: Siu DY, Wong GK, Ho SS, Yu SC, Lam YH, Poon WS PMID: 19652246 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672126 Fri, 31 Jul 2009 23:00:00 +0100 2672126 http://www.medworm.com/index.php?rid=2672125&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19652247%26dopt%3DAbstract Authors: Yu YL PMID: 19652247 [PubMed - as supplied by publisher] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2672125 Fri, 31 Jul 2009 23:00:00 +0100 2672125 http://www.medworm.com/index.php?rid=2535931&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494368%26dopt%3DAbstract Authors: Lam KS PMID: 19494368 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535931 Sun, 31 May 2009 23:00:00 +0100 2535931 http://www.medworm.com/index.php?rid=2535929&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494369%26dopt%3DAbstract Authors: Woo PC PMID: 19494369 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535929 Sun, 31 May 2009 23:00:00 +0100 2535929 http://www.medworm.com/index.php?rid=2535927&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494370%26dopt%3DAbstract CONCLUSION: General practitioners should be alert to the presence of co-morbidities when managing patients with osteoarthritis of the knee. PMID: 19494370 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535927 Sun, 31 May 2009 23:00:00 +0100 2535927 http://www.medworm.com/index.php?rid=2535925&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494371%26dopt%3DAbstract CONCLUSIONS: Diabetes mellitus was not a predictor of early and mid-term mortality after coronary artery bypass graft surgery in our Chinese population. Furthermore, diabetes did not affect angina recurrence or intervention free-survival up to 4 years. PMID: 19494371 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535925 Sun, 31 May 2009 23:00:00 +0100 2535925 http://www.medworm.com/index.php?rid=2535923&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494372%26dopt%3DAbstract CONCLUSION: Preoperative anaesthesia assessment by telephone is an effective means of preoperative assessment in selected patients undergoing ambulatory breast surgery. PMID: 19494372 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535923 Sun, 31 May 2009 23:00:00 +0100 2535923 http://www.medworm.com/index.php?rid=2535921&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494373%26dopt%3DAbstract CONCLUSION: 'Prophylactic' antibiotic treatment for Chinese cobra bites may be beneficial, owing to the multiple pathogenic bacteria in its oral cavity and the higher risk of ensuing necrosis. The regimen of levofloxacin plus amoxicillin/clavulanate appears promising for this purpose, but further study is required to confirm its clinical utility in patients. PMID: 19494373 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535921 Sun, 31 May 2009 23:00:00 +0100 2535921 http://www.medworm.com/index.php?rid=2535919&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494374%26dopt%3DAbstract CONCLUSION: Charcot foot was uncommon in this population. Late presentation was common and might be related to superimposed infection; such patients were prone to recurrent ulcers. PMID: 19494374 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535919 Sun, 31 May 2009 23:00:00 +0100 2535919 http://www.medworm.com/index.php?rid=2535917&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494375%26dopt%3DAbstract CONCLUSION: These illegal products pose a severe and continued threat to society and therefore deserve widespread vigilance, so that such products can be eradicated at their source. PMID: 19494375 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535917 Sun, 31 May 2009 23:00:00 +0100 2535917 http://www.medworm.com/index.php?rid=2535915&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494376%26dopt%3DAbstract We report a patient who had simultaneous onset of membranoproliferative glomerulonephritis and thrombotic thrombocytopenic purpura. She did not improve after 48 plasmapheresis sessions. A 6-week course of weekly intravenous doses of rituximab was then given. This achieved complete remission of her nephrotic syndrome and improvement in her renal function, so plasmapheresis was ceased. She had a low ADAMTS13 antigen level and a positive ADAMTS13 antibody, both of which reverted to normal after treatment with rituximab. This coincided with a rise in her hepatitis C virus RNA and liver transaminases. Liver biopsies did not reveal active fibrosis. Her hepatitis C virus RNA titre dropped afterwards, and she had no relapses of her thrombotic thrombocytopenic purpura and nephrotic syndrome, for mo... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535915 Sun, 31 May 2009 23:00:00 +0100 2535915 http://www.medworm.com/index.php?rid=2535913&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494377%26dopt%3DAbstract We report on a case of diffuse alveolar haemorrhage in a Chinese woman due to methimazole-induced antineutrophil cytoplasmic antibodies. A literature search for anti-thyroid drugs associated with antineutrophil cytoplasmic antibody-induced diffuse alveolar haemorrhages is reviewed. Diffuse alveolar haemorrhage is a rare complication of thiourea agents and the treatment often requires corticosteroids or other immunosuppressants, together with withdrawal of the causative agent. PMID: 19494377 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535913 Sun, 31 May 2009 23:00:00 +0100 2535913 http://www.medworm.com/index.php?rid=2535911&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494378%26dopt%3DAbstract Authors: Chan TC, Luk JK, Liu A, Chiu PK, Chan FH, Chu LW A mentally incapacitated 82-year-old man with no relatives was managed by a geriatrician-led multidisciplinary team when medical staff realised he was at risk of being exploited. They initiated a series of protective measures including an emergency guardianship application. The Guardianship Board appointed the Director of Social Welfare as his public guardian. This case illustrates that hospital staff should be alert to potential elder abuse to ensure timely protection of potential victims. PMID: 19494378 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535911 Sun, 31 May 2009 23:00:00 +0100 2535911 http://www.medworm.com/index.php?rid=2535909&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494379%26dopt%3DAbstract We report a case of hereditary spastic paraplegia. This 38-year-old Chinese man has had lower limb weakness and spasticity for 10 years. He has normal cognition, no sensory deficits, ataxia or cataracts. There is a strong family history of spastic paraplegia. His paternal grandmother, great uncle, father, and elder brother all had weakness and spasticity. A genetic analysis showed that our patient was heterozygous for the mutation p.P361L in SPG4. He was diagnosed with spastic paraplegia type 4, autosomal dominant (SPG4, MIM#182601). About 40% of cases of hereditary spastic paraplegia are due to mutations in SPG4 encoding for spastin, while 10% are due to mutations in SPG3A encoding for atlastin. To date, 38 hereditary spastic paraplegia loci and 16 hereditary spastic paraplegia-related ge... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535909 Sun, 31 May 2009 23:00:00 +0100 2535909 http://www.medworm.com/index.php?rid=2535907&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494380%26dopt%3DAbstract We report a case of a 40-year-old woman with fibromatosis of the neck requiring an emergency operation for acute upper airway obstruction. Gross residual tumour was left behind but excellent tumour shrinkage was achieved by using weekly low-dose methotrexate and vinblastine. Despite the use of newer agents such as imatinib, cytotoxic chemotherapy remains an efficacious treatment for inoperable fibromatosis. PMID: 19494380 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535907 Sun, 31 May 2009 23:00:00 +0100 2535907 http://www.medworm.com/index.php?rid=2535905&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494381%26dopt%3DAbstract This report has been made to highlight the diagnostic relevance of a good history and clinical examination. This is particularly important in a developing country where diagnostic radiological investigations are expensive. PMID: 19494381 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535905 Sun, 31 May 2009 23:00:00 +0100 2535905 http://www.medworm.com/index.php?rid=2535903&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494382%26dopt%3DAbstract Authors: Law SC, Wong JC, Cheung HY, Chung CC, Li MK Argon plasma coagulation is increasingly used in endoscopic haemostasis. This case report illustrates the potential for thermal injury at a staple line remote from the area of argon plasma coagulation treatment as a result of electrical arcing. Increasing numbers of colorectal anastomosis and reconstruction procedures are now being performed using stapling techniques and the use of argon plasma coagulation in these patients has become a common situation in clinical practice. Information about this potential danger should be well disseminated to endoscopists and surgeons to avoid preventable complications. The presence of a staple line nearby should be considered a contra-indication for argon plasma coagulation. PMID: 19494382 [Pu... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535903 Sun, 31 May 2009 23:00:00 +0100 2535903 http://www.medworm.com/index.php?rid=2535901&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494383%26dopt%3DAbstract Authors: Lam JC, Ho CT, Poon TL, Kwok HY, Wong CK, Chiu SW, Ip MS A 38-year-old man had been tetraplegic and ventilator-dependent after sustaining a traumatic cervical spine fracture at the C1/C2 level in 1991, at the age of 22 years. He had been bedbound and mechanically ventilated since then. A multidisciplinary management team approached him in 2003 and helped him to become ambulatory and independent in his daily activities of living. We successfully implanted the diaphragm pacing stimulation system in this patient in 2004. Diaphragm pacing by phrenic nerve stimulation is well accepted in western countries, and has been in clinical application for children and adults for decades. Its use facilitates ambulation and improves the quality of life of tetraplegic individuals with chronic ... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535901 Sun, 31 May 2009 23:00:00 +0100 2535901 http://www.medworm.com/index.php?rid=2535899&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494384%26dopt%3DAbstract Authors: Hui AC, Tsui IW, Chan DP PMID: 19494384 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535899 Sun, 31 May 2009 23:00:00 +0100 2535899 http://www.medworm.com/index.php?rid=2535897&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494385%26dopt%3DAbstract Authors: Cocks RA PMID: 19494385 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535897 Sun, 31 May 2009 23:00:00 +0100 2535897 http://www.medworm.com/index.php?rid=2535896&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494386%26dopt%3DAbstract Authors: Suen DT, Kwong A PMID: 19494386 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535896 Sun, 31 May 2009 23:00:00 +0100 2535896 http://www.medworm.com/index.php?rid=2535895&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494387%26dopt%3DAbstract Authors: Cattermole GN, Graham CA, Rainer TH PMID: 19494387 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535895 Sun, 31 May 2009 23:00:00 +0100 2535895 http://www.medworm.com/index.php?rid=2535894&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494388%26dopt%3DAbstract Authors: Au WY, Lie AK, Liang R PMID: 19494388 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535894 Sun, 31 May 2009 23:00:00 +0100 2535894 http://www.medworm.com/index.php?rid=2535893&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494389%26dopt%3DAbstract Authors: Lu DP As of 1981, allogeneic bone marrow transplantation (allo-BMT) was applied in an acute leukaemia patient with success. Since then, the number of BMT has been increasing gradually, especially since the 1990s. Approximately 2000 BMTs per year have been performed in recent years in more than 100 BMT units in mainland China. A recent survey of 12 major BMT units indicates that the predominant types of transplantation performed are identical sibling (38.6%), related mismatched/haploidentical (19.4%), unrelated (17.2%), and autologous (24.5%). The indications of major disease entities are acute myeloid leukaemia (32.8%), acute lymphoblastic leukaemia (20%), chronic myeloid leukaemia (CML) [18.9%], and lymphoid malignancy (13.5%). The number of transplants from unrelated donor o... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535893 Sun, 31 May 2009 23:00:00 +0100 2535893 http://www.medworm.com/index.php?rid=2535892&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494390%26dopt%3DAbstract In conclusion, HSCT has become a routine therapy for major medical centres in Taiwan. Our unique experiences in the past decades also contributed to the progress of HSCT. With the establishment of professional association and patient supportive groups, we hope we can fully improve our daily practice and clinical as well as basic research in HSCT. PMID: 19494390 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535892 Sun, 31 May 2009 23:00:00 +0100 2535892 http://www.medworm.com/index.php?rid=2535891&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494391%26dopt%3DAbstract Authors: Lie AK, Au WY, Liang R The first case of haematopoietic stem cell transplant (HSCT) was performed at the Bone Marrow Transplant Center, Queen Mary Hospital (QMH) in 1990. Since then three more transplant centres have been established: Prince of Wales Hospital (1991) mainly in paediatric transplant, Queen Elizabeth Hospital (1995) and Tuen Mun Hospital (2006) in adult autologous transplant. Up to the end of 2008, a little over 2000 transplants have been performed in Hong Kong, and QMH takes up about 85% of the total number of cases. A unified HSCT registry in Hong Kong is desirable and is yet to be established. At QMH, by the end of 2008, a total of 1708 transplant procedures have been performed with 83% (1417) being first-time transplants and the rest (291, 17%) are repeat tra... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535891 Sun, 31 May 2009 23:00:00 +0100 2535891 http://www.medworm.com/index.php?rid=2535890&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494392%26dopt%3DAbstract Authors: Huang H, Lai XY Unrelated donor (URD) is an acceptable source of stem cell grafts for adults. With the growth in available URD, improved human leukocyte antigen (HLA) typing technology and better understanding of HLA matching, the number of URD haematopoietic stem cell transplantation (URD-HSCT) is increasing dramatically in recent years. Peripheral blood stem cells have surpassed bone marrow as the preferred stem cell source for URD-HSCT, and more unrelated cord blood transplantations have been successfully performed in adults. Majority of URD transplants are for haematological malignancies, and acute leukaemia has become the most common disease, while the percentage of older patients receiving URD transplants is increasing. Clinical advances in URD-HSCT have greatly improved... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535890 Sun, 31 May 2009 23:00:00 +0100 2535890 http://www.medworm.com/index.php?rid=2535889&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494393%26dopt%3DAbstract Authors: Wu T, Lu DP Human leukocyte antigen (HLA)-mismatched/haploidentical blood and marrow transplants (haplo-BMT) from family donors have been intensively studied because of the decreasing family size in mainland China, and also because the Chinese Marrow Donor Program is still not big enough. The protocol for unmanipulated haplo-BMT has been designated as 'GIAC' by Dr DP Lu--'G' represents granulocyte colony-stimulating factor mobilisation; 'I' stands for immunosuppression during pre-conditioning being prolonged and intensified; 'A' stands for the use of antithymocyte globulin; 'C' means combined use of bone marrow and peripheral blood as the graft. Haplo-BMT with GIAC regimen has been shown to be feasible for many applications as reported in 2004. Under this protocol, haplo-BMT h... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535889 Sun, 31 May 2009 23:00:00 +0100 2535889 http://www.medworm.com/index.php?rid=2535888&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494394%26dopt%3DAbstract Authors: Tang JL, Yao M, Lu MY, Ko BS, Lin DT, Lin KH, Chen YC Between 1993 and July 2008, a total of 354 leukaemic patients received either allogeneic bone marrow transplantation (BMT) [n = 180] or peripheral blood stem cell transplantation (PBSCT) [n = 174] from human leukocyte antigen-matched sibling donors. Graft-versus-host disease (GVHD) prophylaxis consisted of cyclosporin A and methotrexate. When comparing with BMT group, patients in the PBSCT group received much higher nucleated cells and CD34+ cells, and had much faster recovery of the neutrophil and platelet counts. The probability of developing acute GVHD was slightly higher in PBSCT patients (P = 0.02). The probability of chronic GVHD (cGVHD) in PBSCT was much higher in PBSCT (70 +/- 5.4%, extensive 48 +/- 6.5%) than in BM... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535888 Sun, 31 May 2009 23:00:00 +0100 2535888 http://www.medworm.com/index.php?rid=2535887&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494395%26dopt%3DAbstract Authors: Au WY, So JC, Ma SK, Lie AK Deficiency in glucose-6-phosphate dehydrogenase (G6PD), an X-linked recessive red cell enzymopathy, is endemic in Southern Chinese. Universal screening of newborn is done in Hong Kong, Taiwan and Singapore, among other places. In Hong Kong, 4.8% of males are affected and seven common G6PD alleles account for over 99% of all defects. Male hemizygotes suffer from severe deficiency, while female heterozygotes may also be affected. Deficiency of G6PD may affect haematopoietic stem cell transplantation (HSCT) recipients and donors, before and after HSCT. Female patients with clonal erythropoiesis (eg myelodysplasia/myeloproliferative diseases) will have the male population incidence of G6PD. Quantitative enzyme level screening is prudent for donors and r... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535887 Sun, 31 May 2009 23:00:00 +0100 2535887 http://www.medworm.com/index.php?rid=2535886&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494396%26dopt%3DAbstract Authors: Li CK, Lee V, Shing MM, Leung TF Beta thalassaemia major is a common hereditary haematological disease in southern Chinese. Advances in transfusion and iron chelation improve survival but haematopoietic stem cell transplantation (HSCT) is still the only curative treatment. Due to repeated blood transfusion and iron overload, thalassaemia patients undergoing HSCT are at a higher risk of graft rejection and transplant-related mortality. The prognostic factors identified to be affecting transplant outcome include hepatomegaly, hepatic fibrosis, and compliance to chelation therapy. Patients can be classified into three classes and conditioning regimens are modified according to the risk. Early stage patients have 85 to 90% chance of disease-free survival, whereas advance stage onl... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535886 Sun, 31 May 2009 23:00:00 +0100 2535886 http://www.medworm.com/index.php?rid=2535885&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494397%26dopt%3DAbstract In conclusion, in HBV-endemic areas, the war between HBV and HSCT recipients continued even though several anti-HBV agents and molecular detection techniques are available. It deserves additional effort to overcome and also presents a chance to elucidate underlying mechanisms of HBV immunity, which are not easily studied in non-HSCT setting. PMID: 19494397 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535885 Sun, 31 May 2009 23:00:00 +0100 2535885 http://www.medworm.com/index.php?rid=2535884&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494398%26dopt%3DAbstract Authors: Hong JL The Data Bank of Chinese Hematopoietic Stem Cell Donors (Chinese Marrow Donor Program, CMDP) is operated under the guidance of Red Cross Society of China. It is in charge of the administration of propagation, organisation, mobilisation of volunteers, and the standardisation of human leukocyte antigen (HLA) typing, preliminary search, clinical transplantation, and all related activities in unrelated stem cell transplantation in China. The Advisor Committee--composed by experts in the fields of haematopoietic stem cell transplantation (HSCT), HLA typing, legislation, information technology and ethics--guides the development of the CMDP. The budget of CMDP mainly comes from funds of National Charity Lottery and other charities. Up to the end of 2008, 31 branch registries ... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535884 Sun, 31 May 2009 23:00:00 +0100 2535884 http://www.medworm.com/index.php?rid=2535883&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19494399%26dopt%3DAbstract Authors: Yang KL, Chang CY, Lin S, Shyr MH, Lin PY Since its inception in October 1993, the world-renowned Buddhist Tzu Chi Marrow Donor Registry has facilitated more than 1800 cases of stem cell donations for patients in 27 countries to date. Under the auspices of the Buddhist Tzu Chi Stem Cells Center (BTCSCC), the Registry (> 310,000 donors) offers, on average, one case of stem cell donation every day to national or international transplantation community. The accomplishment of the Registry stems from the philosophy and spirit of giving without reward that was inspired by its founder Dharma Master Cheng Yen, the Samaritan devotions of selfless voluntary stem cell donors and the efforts from a dedicated network of volunteer workers. Demographically speaking, slightly less than one... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535883 Sun, 31 May 2009 23:00:00 +0100 2535883 http://www.medworm.com/index.php?rid=2535882&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509429%26dopt%3DAbstract Authors: Lam WW, Fielding R, Chan M, Or A PMID: 19509429 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535882 Sun, 31 May 2009 23:00:00 +0100 2535882 http://www.medworm.com/index.php?rid=2535881&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509430%26dopt%3DAbstract Authors: Mak SS, Yeo W, Lee YM, Tse SM, Ho FP, Zee B, Chan E PMID: 19509430 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535881 Sun, 31 May 2009 23:00:00 +0100 2535881 http://www.medworm.com/index.php?rid=2535880&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509431%26dopt%3DAbstract Authors: Nicholls JM, Peiris JS, Chan KH, Poon LM, Beh SL PMID: 19509431 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535880 Sun, 31 May 2009 23:00:00 +0100 2535880 http://www.medworm.com/index.php?rid=2535879&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509432%26dopt%3DAbstract Authors: Nicholls JM, Peiris JS, Guan Y PMID: 19509432 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535879 Sun, 31 May 2009 23:00:00 +0100 2535879 http://www.medworm.com/index.php?rid=2535878&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509433%26dopt%3DAbstract Authors: Peiris JS, Poon LM, Nicholls JM, Guan Y PMID: 19509433 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535878 Sun, 31 May 2009 23:00:00 +0100 2535878 http://www.medworm.com/index.php?rid=2535877&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509434%26dopt%3DAbstract Authors: Sung RY, Chan PK, Choi KC, Li AM, Nelson EA PMID: 19509434 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535877 Sun, 31 May 2009 23:00:00 +0100 2535877 http://www.medworm.com/index.php?rid=2535876&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509435%26dopt%3DAbstract Authors: He ML, Zheng BJ, Chen Y, Wong KL, Huang JD, Lin MC, Yuen KY, Sung JJ, Kung HF PMID: 19509435 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535876 Sun, 31 May 2009 23:00:00 +0100 2535876 http://www.medworm.com/index.php?rid=2535875&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509436%26dopt%3DAbstract Authors: Cheung BK, Chan MM, Yim HC, Chan LL, Li JC, Lee DC, Lau AS PMID: 19509436 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535875 Sun, 31 May 2009 23:00:00 +0100 2535875 http://www.medworm.com/index.php?rid=2535874&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509437%26dopt%3DAbstract Authors: Liu KP PMID: 19509437 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535874 Sun, 31 May 2009 23:00:00 +0100 2535874 http://www.medworm.com/index.php?rid=2535873&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19509438%26dopt%3DAbstract Authors: Hui-Chan CW, Ng SS, Mak MK PMID: 19509438 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535873 Sun, 31 May 2009 23:00:00 +0100 2535873 http://www.medworm.com/index.php?rid=2535872&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19554752%26dopt%3DAbstract Authors: Wong V, Collins RA, Johnson JM PMID: 19554752 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2535872 Sun, 31 May 2009 23:00:00 +0100 2535872 http://www.medworm.com/index.php?rid=2312040&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342731%26dopt%3DAbstract Authors: Lai PB PMID: 19342731 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312040 Wed, 01 Apr 2009 04:00:00 +0100 2312040 http://www.medworm.com/index.php?rid=2312027&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342732%26dopt%3DAbstract CONCLUSIONS. A seasonal variation and relationship to atmospheric pressure change in aneurysmal subarachnoid haemorrhage was noted in the current study carried out in Hong Kong. The mechanism linking atmospheric pressure change and aneurysmal rupture remained to be explored. PMID: 19342732 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312027 Wed, 01 Apr 2009 04:00:00 +0100 2312027 http://www.medworm.com/index.php?rid=2312022&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342733%26dopt%3DAbstract CONCLUSION. Treatment for vaginal trichomoniasis is recommended if Trichomonas vaginalis is detected in a Pap smear. PMID: 19342733 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312022 Wed, 01 Apr 2009 04:00:00 +0100 2312022 http://www.medworm.com/index.php?rid=2312019&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342734%26dopt%3DAbstract CONCLUSION. Breast conservation treatment is a reasonable option for many suitably selected young Chinese women. PMID: 19342734 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312019 Wed, 01 Apr 2009 04:00:00 +0100 2312019 http://www.medworm.com/index.php?rid=2312016&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342735%26dopt%3DAbstract CONCLUSION. Through a multidisciplinary weight management programme and various bariatric procedures, favourable results can be achieved in Chinese patients with severe obesity. PMID: 19342735 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312016 Wed, 01 Apr 2009 04:00:00 +0100 2312016 http://www.medworm.com/index.php?rid=2312012&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342736%26dopt%3DAbstract CONCLUSIONS. Reference values for percentage body fat of Chinese children and adolescents are provided. Caution needs to be exercised however, given that readings obtained at different times of the day vary and data obtained by different makes and models of bioelectrical impedance analysis machines may not be interchangeable. PMID: 19342736 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312012 Wed, 01 Apr 2009 04:00:00 +0100 2312012 http://www.medworm.com/index.php?rid=2312011&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342737%26dopt%3DAbstract CONCLUSION. Scan-directed unilateral neck exploration is a safe alternative form of treatment for patients with primary hyperparathyroidism, with a cure rate similar to conventional therapy. PMID: 19342737 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312011 Wed, 01 Apr 2009 04:00:00 +0100 2312011 http://www.medworm.com/index.php?rid=2312010&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342738%26dopt%3DAbstract CONCLUSIONS. The RIFLE classification allows an accurate description of the epidemiology and outcome of critically ill patients with acute renal failure. The well-accepted continuous renal replacement therapy dose of 35 mL/kg/h in critically ill patients needs further verification from ongoing clinical trials. The complex set-up and the use of citrate anticoagulant has limited the use of such dialysis, which can nevertheless be overcome with the support of pharmaceutical companies. PMID: 19342738 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312010 Wed, 01 Apr 2009 04:00:00 +0100 2312010 http://www.medworm.com/index.php?rid=2312008&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342739%26dopt%3DAbstract Authors: Chan AO, But BW, Lau GT, Lam AL, Ng KL, Lam YY, Lee CY, Shek CC 5Alpha-reductase 2 deficiency is an autosomal recessive disorder characterised by lack of masculinisation in XY individuals due to failure to convert testosterone to dihydrotestosterone, the bioactive androgen. Traditionally, the testosterone-to-dihydrotestosterone ratio is used to diagnose this condition but interpreting these results is not always straightforward, thus they may be inconclusive. On the contrary, urinary steroid profiling unambiguously demonstrates a significantly reduced excretion of 5alpha-reduced steroid metabolites compared to their 5beta counterparts. This analytical technique can also simultaneously confirm or rule out other causes of ambiguous genitalia due to steroidogenic defects. Making ... Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312008 Wed, 01 Apr 2009 04:00:00 +0100 2312008 http://www.medworm.com/index.php?rid=2312006&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342740%26dopt%3DAbstract We report a child with bilateral Wilms' tumour who developed abdominal compartment syndrome after an open biopsy. PMID: 19342740 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312006 Wed, 01 Apr 2009 04:00:00 +0100 2312006 http://www.medworm.com/index.php?rid=2312004&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342741%26dopt%3DAbstract We describe three female patients with nodular regenerative hyperplasia of the liver associated with systemic lupus erythematosus. All three patients have clinical manifestations of portal hypertension, and all were initially misdiagnosed as having cryptogenic cirrhosis. PMID: 19342741 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312004 Wed, 01 Apr 2009 04:00:00 +0100 2312004 http://www.medworm.com/index.php?rid=2312002&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342742%26dopt%3DAbstract We report a case of gouty arthritis affecting the thoracic spine in a 76-year-old male patient with a long history of tophaceous gout who presented with bilateral lower limb weakness. Magnetic resonance imaging of his thoracic spine revealed erosions in the left pedicles of T8 and T10. The initial imaging diagnosis was metastatic disease. A computed tomography-guided biopsy of the T10 lesion was performed and confirmed the diagnosis of gout. We advocate the use of computed tomography-guided fine-needle aspiration/biopsy for diagnosing spinal gout because the imaging features are non-specific, metastasis and spondylodiscitis being important mimickers. PMID: 19342742 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312002 Wed, 01 Apr 2009 04:00:00 +0100 2312002 http://www.medworm.com/index.php?rid=2312000&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342743%26dopt%3DAbstract We describe a 35-year-old woman with typical findings of arachnoiditis ossificans. A brief review of the literature is also presented. PMID: 19342743 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2312000 Wed, 01 Apr 2009 04:00:00 +0100 2312000 http://www.medworm.com/index.php?rid=2311998&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342744%26dopt%3DAbstract We report on a case of an elderly woman with chronic renal impairment, secondary to diabetic nephropathy, who developed a deep coma and seizure shortly after consumption of star fruit. She was managed in the intensive care unit, and her consciousness level improved dramatically after an 8-hour charcoal haemoperfusion and 30 hours of continuous haemofiltration. There were no long-term neurological or renal sequelae 9 months later. Early recognition of this condition, intensive dialytic therapy and supportive measures, as well as early initiation of charcoal haemoperfusion may improve the management of this potentially treatable condition. PMID: 19342744 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2311998 Wed, 01 Apr 2009 04:00:00 +0100 2311998 http://www.medworm.com/index.php?rid=2311996&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342745%26dopt%3DAbstract Authors: Lai TK, Wong TC, Wong WC, Chin AC, Chan RY, Huang HY PMID: 19342745 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2311996 Wed, 01 Apr 2009 04:00:00 +0100 2311996 http://www.medworm.com/index.php?rid=2311994&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342746%26dopt%3DAbstract Authors: Hui JP PMID: 19342746 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2311994 Wed, 01 Apr 2009 04:00:00 +0100 2311994 http://www.medworm.com/index.php?rid=2311992&cid=s_30421_22_f&fid=30421&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19342747%26dopt%3DAbstract Authors: Ng SH, Lee HKh, Chan YC, Lau FL PMID: 19342747 [PubMed - in process] (Source: Hong Kong Med J) Hong Kong Med J journals http://www.medworm.com/rss/comments.php?id=2311992 Wed, 01 Apr 2009 04:00:00 +0100 2311992