Rhabdomyosarcoma of Eyelid: A picture presentation
IRANIAN JOURNAL OF BLOOD AND CANCER
Volume 6, Issue 4 (7-2014)
Hematology and Oncology
Nader Shakibazad , Mehran Karimi
one from two
This is a picture review of a case of orbital rhabdomyosarcoma. The course of patients diagnosis, treatment and
outcome is briefly presented.
دریافت فایل پیوست
Risk Factors of Coronary Involvement in Kawasaki Disease in Recent Outbreak in South Iran, Shiraz
Journal of Pediatric Sciences
Volume4, Issue 4 (2012)
Hamid Amoozgar, Hamid Mohammadi, Nader Shakibazad
three from three
Background: During the past year, Kawasaki disease (KD) had an outbreak with a high incidence of coronary involvement in
Shiraz, Iran. This study focuses on risk factors and their correlation with aneurysm formation.
Methods: All patients who were admitted with the diagnosis of KD in the pediatric units of Shiraz, Iran between 2009 and
2010 were included in this study. Data analysis was performed on demographic as well as clinical features, laboratory data,
echocardiography, and electrocardiogram as well as treatment details.
Results: The population under study included 45 patients, 25 males (55.6%) and 20 females (44.4%), with the mean age of
3.52 ± 2.77 years. Aneurysm was seen in 10 cases (22.2%) with the male to female ratio of 9:1. The most important risk factor
of aneurysm formation was the male gender with the odds ratio of 10.6. Age more than 8 years was a very specific but nonsensitive
predictor of aneurysm formation (sensitivity: 40% and specificity: 100%). Platelet counts more than 424×103 was the
most sensitive predictor of aneurysm formation (sensitivity: 90% and specificity: 57.1%). Fever duration more than 10 days
had the sensitivity of 60% and the specificity of 88.6% for developing coronary aneurysm. No significant difference was seen
in other clinical symptoms and laboratory data including complete blood count, liver function test, renal function test,
electrolyte, and ECG data.
Conclusion: Male gender, older age, prolong fever before treatment, and higher platelet counts were the risk factors of
coronary aneurysm in KD. More education for early diagnosis of Kawasaki disease in older patients is highly recommended.
Keywords Kawasaki, Aneurysm, Coronary Artery, Risk Factor, Delayed diagnosis
دریافت فایل پیوست