Multiple system atrophy (MSA) is a neurodegenerative disease characterized clinically by any combination of autonomic, cerebellar, and extrapyramidal symptoms. Autonomic symptoms are usually severe, and urinary symptoms are one of the cardinal features of MSA. Bowel dysfunction and sexual dysfunction are also common in MSA. Quality of life (QOL) in patients with MSA is severely impaired by the ...

The inter-organ cross-talk and the functional integration of organ systems is an exceedingly complex process which until now has been investigated with a reductionist approach. CKD perturbs the inter-organ cross-talk and demands central resetting of autonomic (nervous) control of organ systems. Due to limitations inherent to the reductionist approach, we currently identify CKD-related pseudo-sy...

severe inflammation after cardiopulmonary bypass with the vasculitis of the acral extremity and vertebro-basilar arterial system leads to the locked-in syndrome and blue toe syndrome. in broad terms, systemic, idiopathic, and environmental factors provoke syndromes that present with digital discoloration or the blue toe syndrome. painful digital discoloration, accompanied by ulceration, suggest...

Ceylon Medical Journal The wasp (Vespa affinis) is common and widely distributed in Sri Lanka. Wasp venom is known to contain factors that release histamine, enzymes, haemolysins, neurotoxins and vasodilators [1]. Case reports with severe multi-organ dysfunction after wasp stings are few in literature. We report two patients who developed severe multi-organ dysfunction following multiple wasp b...

: This study aimed to report the clinical characteristics of penicilliosis marneffei (PSM) in three children negative HIV. Three were diagnosed with PSM Department Emergency Medicine, Hunan Children’s Hospital between February 2016 July 2020. The characteristics, laboratory findings, and concomitant diseases recorded, related literatures reviewed. treatment reported according our experience lit...

INTRODUCTION Continuous venovenous hemodiafiltration, generally used in patients with acute renal failure, enables elimination of humoral mediators of systemic inflammatory response and sepsis from blood. This effect should improve treatment results in patients with multiple organ dysfunction, but evidence of improved survival is insufficient. OBJECTIVES Describe the effect of continuous veno...