Psoriatic arthritis is a chronic inflammatory condition that can lead to severe functional impairment and irreversible damage. The diagnosis can be difficult in early cases where the clinical exam is often scarce. The lack of a serological biomarker can lead to a considerable delay in diagnosis. In this review, we discuss the existent imaging methods that have improved the diagnosis of psoriatic arthritis (PsA). The degree and type of musculoskeletal involvement cannot be assessed by only one imaging method. We think that a combination of methods is the best approach to evaluate both structural damage and inflammatory lesions and that ultrasound (US) could be the best tool to screen a patient when considering the diagnosis of PsA. US is an accessible, non-ionizing technique that offers information regarding active inflammation in joints, entheses, and soft tissues.
Systemic changes often send signals to the skin, and certain neoplastic diseases of the internal organs can also trigger skin manifestations. In this article, the authors make clinical photography presentations of the patients seen at our clinic with dermatologic paraneoplastic syndromes within pharyngeal–esophageal malignancies, describe several paraneoplastic dermatoses, and also review high-quality scientific literature in order to be able to highlight the dermatological signs of pharyngoesophageal malignant tumors. The majority of our patients with paraneoplastic dermatoses, filtering for pharyngoesophageal malignancies, had esophageal neoplasms, out of whom seven were female and two were male, making esophageal cancer more common within the paraneoplastic dermatoses within pharyngoesophageal malignancies. An early recognition of paraneoplastic dermatoses can diagnose neoplasms and sequentially contribute to a better prognosis for the patient. This matter is also useful for front-line medical personnel in order to improve early diagnosis of the underlying malignancy, curative interventions with prompt therapy administration and good prognosis.
In Romania the prevalence of chronic kidney disease is estimated to be 7% and end-stage renal disease is an increasingly common diagnosis. A long-term, reliable, dependable, and safe method of repeatedly accessing patient’s blood is one of the most difficult challenges for haemodialysis therapy. The best method to date to accomplish vascular access the arterio-venous fistula (AVF). This segment can be accessed with dialysis needles, providing blood for dialysis. We present a case of a 57-year-old man was diagnosed with an end-stage renal disease and occluded distal radial artery. The cephalic vein was transposed and looped in a tunnel created in the volar aspect of the forearm’s subcutaneous tissue with the end to side anastomosis with the proximal radial artery in the antecubital fossa. The fistula matured in 40 days and the flow volume was 1100 mL/min. He continues his dialysis sessions and is included on the national kidney transplant list.
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