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The Hong Kong epilepsy guideline 2009: editorial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801706 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Fong JK Tags: Hong Kong Med J Source Type: journals

The Hong Kong epilepsy guideline 2009.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19801707 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Tags: Hong Kong Med J Source Type: journals

Provision and evaluation of a suicide prevention and management programme by frontline nurses in Hong Kong.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801708 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Chan SW, Chien WT, Tso S Tags: Hong Kong Med J Source Type: journals

Effects of fear-avoidance beliefs on Chinese patients with neck pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801709 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Chiu TW, Lee KC, Lam TH, Lau MC Tags: Hong Kong Med J Source Type: journals

Effect of mindfulness-based stress reduction programme on pain and quality of life in chronic pain patients: a randomised controlled clinical trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801710 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Wong SY Tags: Hong Kong Med J Source Type: journals

Determination of the functions of the putative metal-binding domain of the SCV helicase.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801711 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Huang JD, Sun HZ, Tanner JA, Watt RM Tags: Hong Kong Med J Source Type: journals

A pan-Asian survey of risk perception, attitudes and practices associated with live animal markets.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801712 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Fielding R, Leung GM, Lam WW, Jiang CQ, Sitthi-Amorn C, Ahn LV, Lu YM, Zhang WS Tags: Hong Kong Med J Source Type: journals

The macrophage in the pathogenesis of severe acute respiratory syndrome coronavirus infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801713 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Peiris JS, Cheung CY Tags: Hong Kong Med J Source Type: journals

Functional role of ICAM-3 polymorphism in genetic susceptibility to SARS infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801714 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) 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 Tags: Hong Kong Med J Source Type: journals

Chinese herbal medicine in the treatment of acute upper respiratory tract infection: a randomised, double blind, placebo-controlled clinical trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801715 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Lam CL, Wong W, Fong DY Tags: Hong Kong Med J Source Type: journals

Influenza-like illness in residential care homes: a study of the incidence, aetiological agents, natural history, and health resource utilisation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801716 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Woo J, Hui E, Chan PK, Ip M, Hui DS Tags: Hong Kong Med J Source Type: journals

Identification of human cell line model of persistent SARS coronavirus infection and studies of the response to cytokines and chemokines.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801717 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: To KF, Chan PK Tags: Hong Kong Med J Source Type: journals

Cost-effectiveness of influenza vaccination for elderly people living in the community.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801718 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - October 1, 2009 Category: Journals (General) Authors: Schooling CM, Wong LC, Chau J, Cheung A, Ho A, McGhee SM Tags: Hong Kong Med J Source Type: journals

Genomic medicine: the future is now. Lessons for Hong Kong from the House of Lords Report on Genomic Medicine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801687 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Zimmern RL Tags: Hong Kong Med J Source Type: journals

Prophylactic thyroidectomy in ethnic Chinese patients with multiple endocrine neoplasia type 2A syndrome after the introduction of genetic testing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Lau GS, Lang BH, Lo CY, Tso A, Garcia-Barcelo MM, Tam PK, Lam KS Tags: Hong Kong Med J Source Type: journals

Competence in evidence-based medicine of senior medical students following a clinically integrated training programme.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Lai NM, Teng CL Tags: Hong Kong Med J Source Type: journals

Outcome of inoperable hepatocellular carcinoma patients receiving transarterial chemoembolisation: a real-life retrospective analysis in a Hong Kong regional hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Yip WM, Hung HG, Lok KH, Li KF, Li KK, Szeto ML Tags: Hong Kong Med J Source Type: journals

Airway inflammatory and spirometric measurements in obese children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Chow JS, Leung AS, Li WW, Tse TP, Sy HY, Leung TF Tags: Hong Kong Med J Source Type: journals

Imageless computer navigation in total knee arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Cheung KW, Chiu KH Tags: Hong Kong Med J Source Type: journals

Use of Onyx (a patented ethylene-vinyl alcohol copolymer formulation) embolisation of cerebral arteriovenous malformations in Hong Kong: initial experience.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Wong GK, Yu SCh, Zhu XL, Kam MK, Poon WS Tags: Hong Kong Med J Source Type: journals

BCR-ABL mutational studies for predicting the response of patients with chronic myeloid leukaemia to second-generation tyrosine kinase inhibitors after imatinib failure.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 mu...
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Kwan TK, Ma ES, Chan YY, Wan TS, Liu HS, Sim JP, Yeung YM, Lie AK, Yip SF Tags: Hong Kong Med J Source Type: journals

A novel mitochondrial DNA deletion in a Chinese girl with Kearns-Sayre syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Yau EK, Chan KY, Au KM, Chow TC, Chan YW Tags: Hong Kong Med J Source Type: journals

Isolated left ventricular non-compaction: an unusual indication for heart transplantation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Fan KY, Chan CW, Cheng LC, Ko RL, Lam YM, Jim MH, Au TW, Ho CK, Wang EP, Chau EM, Chow WH Tags: Hong Kong Med J Source Type: journals

The first novel influenza A (H1N1) fatality despite antiviral treatment and extracorporeal membrane oxygenation in Hong Kong.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Liong T, Lee KL, Poon YS, Lam SY, Chan CP, Yue CS, Chu CM, Yuen KY, Law KI Tags: Hong Kong Med J Source Type: journals

Hoffa fracture: should precautions be taken during fixation and rehabilitation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Cheng PL, Choi SH, Hsu YC Tags: Hong Kong Med J Source Type: journals

Vascular claudication in a young patient: popliteal entrapment syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 insu...
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Roche-Nagle G, Wong KT, Oreopoulos G Tags: Hong Kong Med J Source Type: journals

A serologically proven case of cat-scratch disease presenting with neuroretinitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Chu BC, Tam VT Tags: Hong Kong Med J Source Type: journals

Possible olanzapine-induced hepatotoxicity in a young Chinese patient.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Lui SY, Tso S, Lam M, Cheung EF Tags: Hong Kong Med J Source Type: journals

Extracorporeal Foley catheter spring device mimicking an intervertebral foreign body in transforaminal lumbar interbody fusion surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801702 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Chan AP, Sieh KM, Leung SM, Cheung KY, Fung KY Tags: Hong Kong Med J Source Type: journals

Medicolegal issues concerning testamentary capacity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801703 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Yu YL, Kan D Tags: Hong Kong Med J Source Type: journals

Academic detailing at KIST Medical College, Lalitpur, Nepal: initial experiences.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801704 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Shankar PR, Jha N, Shrestha RK, Bajracharya O, Thapa HS Tags: Hong Kong Med J Source Type: journals

Low cholesterol, statin therapy, and intracerebral haemorrhage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19801705 [PubMed - in process] (Source: Hong Kong Med J)
Source: Hong Kong Med J - September 30, 2009 Category: Journals (General) Authors: Mascitelli L, Pezzetta F, Goldstein MR Tags: Hong Kong Med J Source Type: journals

Breast cancer management: the way forward.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19652228 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Yip AY, Chow LW Tags: Hong Kong Med J Source Type: journals

Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Wong CS, Chu YC, Wong KW, Yeung TH, Ma KF Tags: Hong Kong Med J Source Type: journals

Bypass surgery or percutaneous transluminal angioplasty to treat critical lower limb ischaemia due to infrainguinal arterial occlusive disease?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Ah Chong AK, Tan CB, Wong MW, Cheng FS Tags: Hong Kong Med J Source Type: journals

Epidemiology and outcome of Candida bloodstream infection in an intensive care unit in Hong Kong.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Yap HY, Kwok KM, Gomersall CD, Fung SC, Lam TC, Leung PN, Hui M, Joynt GM Tags: Hong Kong Med J Source Type: journals

Size, location, and multiplicity of ruptured intracranial aneurysms in the Hong Kong Chinese population with subarachnoid haemorrhage.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Lai HP, Cheng KM, Yu SC, Au Yeung KM, Cheung YL, Chan CM, Poon WS, Lui WM Tags: Hong Kong Med J Source Type: journals

Usage of a fixed dose of radioactive iodine for the treatment of hyperthyroidism: one-year outcome in a regional hospital in Hong Kong.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Yau JS, Chu KS, Li JK, Chan KW, Lau IT, Yum SW, Chan CW, Mo LK, Kwan WK Tags: Hong Kong Med J Source Type: journals

Computed tomography-guided aspiration versus key-hole craniotomy for spontaneous putaminal haemorrhage: a prospective comparison of minimally invasive procedures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Zhao JZ, Zhou LF, Zhou DB, Wang RZ, Wang M, Wang DJ, Wang S, Yuan G, Kang S, Ji N, Zhao YL, Ye X Tags: Hong Kong Med J Source Type: journals

Limb lengthening in short-stature patients using monolateral and circular external fixators.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Lie CW, Chow W Tags: Hong Kong Med J Source Type: journals

Myocardial rupture associated with bolus injection of contrast medium during computed tomographic study in a patient with acute myocardial infarction: a rare but lethal complication.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Lai V, Hau KC, Lau HY, Chan WC Tags: Hong Kong Med J Source Type: journals

Primary hepatic peripheral T-cell lymphoma in a patient with chronic hepatitis B infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 hepa...
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Leung VK, Lin SY, Loke TK, Chau TN, Leung CY, Fung TP, Lam SH Tags: Hong Kong Med J Source Type: journals

Splenic tuberculosis associated with monoclonal gammopathy of undetermined significance and pericarditis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Cheung WI, Leung VK, Luk IS, Loke TK, Chan JC, Chau TN Tags: Hong Kong Med J Source Type: journals

Unusual traumatic triceps tendon avulsion rupture: a word of caution.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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....
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Chan AP, Lo CK, Lam HY, Fung KY Tags: Hong Kong Med J Source Type: journals

An unusual complication after strabismus surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Lau FH, Leung TF, Fan DS Tags: Hong Kong Med J Source Type: journals

Enophthalmos caused by an orbital venous malformation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Chung CF, Lai JS Tags: Hong Kong Med J Source Type: journals

Heyde's syndrome: diagnosis and management by the novel single-balloon enteroscopy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Hui YT, Lam WM, Fong NM, Yuen PK, Lam JT Tags: Hong Kong Med J Source Type: journals

Hereditary spastic paraplegia: identification of an SPG3A gene mutation in a Chinese family.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 dominan...
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Chan KY, Ching CK, Mak CM, Lam CW, Chan AY Tags: Hong Kong Med J Source Type: journals

Epithelioid haemangioendothelioma of the anterior skull base: what is the optimal treatment?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Wong DS, Chiu TW, Wong GK, Zhu XL, Kwok MW, Ho CM, Burd AD Tags: Hong Kong Med J Source Type: journals

Subclavian steal syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19652245 [PubMed - as supplied by publisher] (Source: Hong Kong Med J)
Source: Hong Kong Med J - July 31, 2009 Category: Journals (General) Authors: Lee DH, Leung TW, Yu SC, Chan JW, Wong LK Tags: Hong Kong Med J Source Type: journals