There have been many reports in the past few years of the results of mitral valvotomy (Sellors, Bedford, and Somerville, 1953; Goodwin et al., 1955; Logan and Turner, 1953, 1959; Ellis, Harken, and Black, 1959; Baker and Hancock, 1960; and others). However, the majority of patients reported on are in the "older" group above 20 years. Reports on young patients who had mitral valvotomy are relati...

A 27-year old man presented with a complaint of ‘difficulty in walking’. He had stiffness in the left upper and lower limb on walking, motivating him to sit down and rest after walking some distance. Prolonged grip of an object produced stiffness in his fingers. He also had slurring of speech, curiously also on walking. He was asymptomatic at rest. Distal arterial pulses were normal and there w...

  Abstract   Objective: To evaluate and review our experience with pediatric spinal injuries and   factors affecting outcome, the authors conducted a retrospective clinical study of 43   cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (January   1999 to December 2003).   Methods: Forty-three children with spinal injuries were studied retrospectively   over four y...

OBJECTIVE To study the clinical profile of young patients with uveal melanoma. DESIGN Retrospective case-control series. SETTING Tertiary referral center. PATIENTS Data on 63 patients aged 20 years or younger with uveal melanoma were reviewed for clinical profile and association with oculo(dermal) melanocytosis, familial uveal melanoma, dysplastic nevus syndrome, cutaneous melanoma, and o...

The aims of this study were (i) to evaluate the clinical features of a consecutive series of young patients with ischemic stroke and (ii) to assess the changes in the clinical management of these patients over the study period. All consecutive cases of young adults aged 16 to 44 years, with ischemic stroke, that were admitted between 2000 and 2005 in 10 Italian hospitals were included. We retro...

we have studied the patients who had a neck mass on presentation in five medical centers of tehran univ. of medical sciences (infectious disease department, ent department, dentistry faculty, cancer institute) during a period of 14 months. sixty patients, 20 women and 40 men, were eligible for our study. all patients underwent clinical and paraclinical work up and finally had histologic diagnos...

background: bleeding events in hemophilic patients with inhibitors are managed by bypassing agents. currently available agents in iran are recombinant activated factor vii (rfviia; aryogen, aryoseven) and feiba (factor eight inhibitor bypassing agent). no standardized and accurate assay is currently available for monitoring the effectiveness of bypassing agents. we suggested that history of the...

Chronic cough and chest pain should be dealt seriously in a young adult. Sometimes we may miss a diagnosis in such patients. We present a case of Pulmonary Langerhans Histiocytosis who presented with complaints of cough and chest pain

background: there are two forms of itp: acute and chronic. the chronic form is defined by persistent thrombocytopenia for more than 12 months and mostly occurs among young women. the aim of the present study was to evaluate the clinical variables in adult patients with chronic itp in west iran. patients and methods: between of 2007 and 2014, ninety adult patients with chronic itp referred to ou...

extramedullary plasmacytoma is a rare neoplasm characterized by monoclonal proliferation of plasma cells. most lesions occur in the head and neck, primarily in the upper aerodigestive tract. the nasal cavity and nasal septum are the most common sites of occurrence. in this report, three patients admitted in our clinic with history of nasal obstruction and/or epistaxis. patients were diagnosed w...