Relation of cytomegalovirus to alopecia areata: therapeutic trial with oral ganciclovire drug

Muthanna Medical Journal
Volume 7, Issue 1,  2020 Page 12-19
http://dx.doi.org/10.18081/2410-4590/2020-12-19

Research Article

Wisam Majeed Kattoof, Ahmed Abdulhussein Kawen

* Correspondence author: Wesam.majeed@uomustansiriyah.edu.iq
1Department of Dermatology – College of Medicine – AL-Mustansiriyah University, 2Department of Dermatology – College of Medicine – University of Thi-Qar
Received 11 January 2020, Accepted 4 April 2020, Available online 11 April 2020
This is an article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2020 WK

Abstract

Alopecia areata (AA) is lost hair from a few or all regions of the body, for the most part from the scalp. Etiology and pathogenesis of alopecia areata being not totally comprehended, is accepted to be multifactorial in ancestry. Recently, studies suggested an association between alopecia and types of viruses, therefore we concerned to investigate the association between CMV infection and alopecia areata. This study included of 100 individuals (50 alopecia patients and 50 healthy). Mean age of study groups were 20.90 ± 11.07 and 22.64±12.29 years of cases and control group respectively. Mean of age onset of patients were 20.83 ± 10.0. Out of 50 patients 52% were male, the rest were female. However, 1:1 of control group was male: female. 40% of patients had a positive family history for this disease. Alopecia areata affected on scalp in 78% of cases. All patients had a high concentration of CMV IgM. With treatment of oral ganciclovire drug, a decrease of anti-CMV IgM levels and an increase of CMV IgG levels were observed.
Keywords:Alopecia areata; CMV; IgM; IgG; ELISA

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Indications and complications of thyroidectomy in Al-Ramadi teaching hospital

Muthanna Medical Journal
Volume 7, Issue 1,  2020 Page 1-11
http://dx.doi.org/10.18081/2410-4590/2020-1-11

Research Article

Esmael Saleh, Aamer Fakhree, Raid M Al-Ani

* Correspondence author: raedalani2003@yahoo.com
Al-Ramadi teaching hospital, Department of Surgery, College of Medicine, University of Anbar
Received 04 January 2020, Accepted 1 April 2020, Available online 9 April 2020.
This is an article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited. Copyright © 2020 RA

Abstract

Thyroidectomy is one of the common operations performed worldwide. It is a main option of treatment for different benign and malignant thyroid problems. Despite improvements in procedures have decreased mortality and even and morbidity rates to a minimum; however, postoperative complications remain a major concern among surgeons. We aimed to evaluate the indications and complications of thyroidectomy. A Prospective study was conducted at Al-Ramadi Teaching Hospital/Ramadi city/Iraq during the period from January 2009 to January 2010. There were 130 patients underwent thyroidectomy. A demographic and clinical data for each patient was recorded to assess indications and complications of different types of thyroidectomies. The majority of the patients were females (93%). The most age group affected was 21-30 years (41.54%). Pressure symptoms were accounting for 61.54% of the indications. Thyroid enlargement in euthyroid states (80%) was the common presenting state. Subtotal thyroidectomy (58.46%) was the commonest procedure. Out of 130 patients, 36 patients (27.69%) were suffered from complications. The 2 most common complications encountered in the study were hypocalcemia (61.11%) and recurrent laryngeal nerve palsy (5.38%). In conclusion, subtotal thyroidectomy is a common procedure in our hospital. Compressive complaints were the most common indication. Hypocalcemia and recurrent laryngeal nerve palsy were the 2 most postoperative complications.
Keywords:Thyroidectomy; Indications; Complications; Hypocalcemia; Vocal cord paralysis; Pressure symptoms

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