1/5. optic neuritis complicating west nile virus meningitis in a young adult.A case of west nile virus (WNV) infection with meningitis and optic neuritis in a 28-year-old man is presented. The patient had a number of unusual clinical and laboratory findings that broadened the differential diagnosis. The emergence of WNV infection in southern europe and north america calls for increased awareness of physicians to this clinical entity.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. multiple sclerosis.multiple sclerosis (MS) is the most common disabling neurologic disease of young people affecting between 350 and 450,000 individuals in the united states. Substantial advances have been made in the diagnostic assessment and treatment interventions over the last 10 years such that we are now able effectively to treat both the disease process and the associated symptomatic complaints associated with MS. Most patients consult with their primary care physician at the time when the first clinical manifestations of MS emerge. These physicians play a central role in the early identification and treatment of patients with MS. This article emphasizes the expanding diagnostic and therapeutic capabilities evolving for the MS patient and the crucial role played by primary care physicians in collaboration with neurologists in the coordination of the initial diagnostic and treatment plan.- - - - - - - - - - ranking = 3keywords = physician (Clic here for more details about this article) |
3/5. Unusual eye manifestations in systemic lupus erythematosus patients.One hundred and twelve records of patients with systemic lupus erythematosus were reviewed and four cases with unusual ocular manifestations are described. We found that anterior uveitis is not an uncommon manifestation of systemic lupus erythematosus and physicians must be aware of it during the patient's evaluation, since it can be treated without serious visual loss. optic neuritis is uncommon in systemic lupus erythematosus and visual loss may be permanent despite therapy.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Unusual visual symptoms.Three cases with unusual and interesting symptomatology are presented. In each case the symptoms alone can lead the physician to an accurate localization of the lesion.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. The enigma of giant cell arteritis: multidisciplinary management of two cases.BACKGROUND: giant cell arteritis is an enigmatic disease that is characterized by chronic granulomatous inflammation of the walls of large and medium-sized arteries. The process has a predilection for the extradural cranial arteries, which include the ophthalmic and the posterior ciliary arteries. A multisymptom disease of older individuals, giant cell arteritis often manifests challenging issues and diagnostic dilemmas. case reports: We illustrate two cases with initial symptoms of intermittent headache, malaise, and decreased visual acuity that were incorrectly diagnosed or ultimately misdiagnosed. The first case represents a patient who was diagnosed as having migraine headache and an erythrocyte sedimentation rate (ESR) that was interpreted by the attending physician as too low to warrant temporal artery biopsy. The second case is that of a patient who had a history of headaches, jaw claudication, and numerous medical evaluations. CONCLUSION: Giant cell arteries is an enigmatic disease with multiple manifestations. The differential diagnoses can range from temporal mandibular joint dysfunction to tension headache. Imminent vision loss as a sequelae of this condition warrants careful review of ocular and constitutional history and prompt treatment.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |