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Sneddon syndrome, also known as livedo reticularis with cerebrovascular accidents, is a rare but chronic condition that affects blood vessels in the skin and brain. This syndrome is characterized by a net-like appearance on the skin, known as livedo reticularis, which occurs due to the constriction of blood vessels. In addition to skin manifestations, Sneddon syndrome is often associated with repeated neurological events, such as strokes or transient ischemic attacks. These neurological symptoms can vary in severity and can lead to various complications. Upon admission to the stroke unit, a 28-year-old female was found to have bilateral livedo reticularis affecting the soles and the dorsal sides of the hands. Patient evaluation is done through medical history, physical examination, routine laboratory tests, and other diagnostic procedures.
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PURPOSE: To investigate the impact of smart mobile phones utilization and applying Bandura's social learning theory in educating and raising awareness to glaucoma treatment compliance in primary chronic glaucoma Saudi patients, as well as examining the social learning process and determining the type of educational material (video, electronic document "brochure") with the highest efficacy in social learning as assessed by the change in Saudi patients' awareness. Finally to assess the variations contributing to chronic glaucoma patients' social learning. METHODS: A total of 150 Saudi patients with primary chronic glaucoma were recruited in our study. They were divided equally into three main groups: Control, electronic document brochure, and animated video. An electronic questionnaire was sent to them through WhatsApp twice, starting with the pretest and then after 1 week of the intervention the posttest questionnaire was sent. Results were collected for both the pretest and the posttest. The study was done at the outpatient clinic at King AbdulAziz University Hospital in Riyadh, Saudi Arabia. RESULTS: Upon comparison of the preintervention score for all groups, we found no significant difference. However, there was an improvement in the postintervention score among all groups in comparison to the preintervention score, with a statistically significant difference for the video group (P < 0.0001). Comparing the postintervention score for all groups, the video group was better than other two groups. CONCLUSION: Using mobile-based educational interventions may significantly increase patients' awareness. Both interventional methods were found to be effective in educating patients. However, video-based learning has been significantly more effective. Findings revealed that the most important factor is educational level, which enables better response to health education material.
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Crohn's disease (CD), an inflammatory bowel disease that involves the gastrointestinal tract, is observed in daily hospital practice. On the other hand, metastatic Crohn's disease (MCD) is a rare entity in which cutaneous lesions are found in regions apart from the digestive system. This article describes a rare case of cutaneous CD in a Saudi female, which manifested initially as vulvar and perianal skin lesions. The diagnosis was proven by skin biopsy, and adalimumab offered effective treatment. Although cutaneous MCD is rare, it is an important cutaneous manifestation, as early detection creates the possibility of accessing effective management.
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INTRODUCTION: In Saudi Arabia, head and neck cancers represent 6 % of all malignancies. 33 % of these are nasopharyngeal. Thus, we aimed to distinguish patterns of treatment failure and salvage treatment outcomes among patients with nasopharyngeal carcinoma (NPC). METHODS: A retrospective review of patients treated for NPC in a tertiary care hospital. From May 2012 to January 2020, we retrospectively reviewed 175 patients that fit our inclusion criteria. Those who did not complete their treatment, started treatment in another institution, or did not complete a 3-year follow-up were excluded. In addition, the primary treatment outcome and the salvage treatment for those who failed initial treatment were collected and analyzed. RESULTS: Patients were predominantly stage 4 disease. 67 % of the patients were alive without evidence of disease during their last follow-up. However, 75 % of failure occurs in the first 20 months of completing the treatment regimen. Neoadjuvant therapy and delays in referral play a significant role in treatment failure. For failed cases, concurrent salvage chemoradiotherapy showed the best survival. CONCLUSION: Advanced stage 4A and T4 nasopharyngeal carcinoma should receive the maximum treatment, with a close follow-up, particularly during the first 2 years after treatment. Furthermore, the excellent outcome from salvage chemoradiotherapy and radiotherapy alone would make physicians aware of the importance of aggressive primary treatment.
