RESUMO
Coronary heart disease (CHD) is one of the leading causes of morbidity and mortality worldwide. Dietary modifications in the form of a vegetarian diet can perhaps be the key to the prevention and management of cardiovascular diseases. The aims of this review are to determine the association between a vegetarian diet and CHD, to compare the risk of CHD in different types of vegetarian diets, and to assess variability in the biochemical predictors of CHD in the various vegetarian diets. Our study inferred that adherence to a plant-based diet was inversely related to the incidence of heart failure risk. Our research further supports the idea that a vegetarian diet is advantageous for the secondary prevention of CHD since it alters lipid profiles, lowers body mass index (BMI), and increases plasma antioxidant micronutrient concentrations. Additionally, eating a plant-based diet starting in adolescence is linked to a decreased risk of cerebrovascular disease (CVD) by middle age. An increase in sensitization and education efforts is imperative to ensure that people are appropriately informed about this option to significantly improve their quality of life.
RESUMO
Schwannoma is a rare benign soft tissue tumor that appears like a neuroma based on its specific location and clinical features. We report a case of a plexiform schwannoma in a middle-aged woman who had a painful bump located in the third webspace on the dorsum of her right foot for the last four years. Initially, the swelling was thought to be Morton's neuroma based on location and clinical feature findings. The mass was resected and was sent for histopathological examination, revealing a plexiform schwannoma, most likely developing from the cutaneous nerves on the dorsum of the foot. She reported improvement in her symptoms after complete and careful excision without any neurological deficit. Investigation of any subcutaneous foot swelling should be coupled with a histopathological examination for comprehensive management.
RESUMO
Tuberculosis of the patella complicated with synovitis of the knee joint is a rare complication of tuberculosis. Knee joint tuberculosis is usually caused by pulmonary tuberculosis. A few cases are caused by tuberculosis of the digestive tract or lymphatics. Herein, we present a case of a 27-year-old female who presented with left knee pain and swelling that has been managed conservatively with analgesia and hot fomentation over the last two years without improvement. Initial drainage of pus with synovectomy provided improvement. However, anti-tubercular therapy with arthrotomy provided immediate improvement with the resolution of the pain and swelling, and the patient's gait recovered back to normal. Careful investigation of a patient with prolonged knee pain and swelling is recommended to avoid misdiagnosis with tuberculosis of the patella as a possible differential.
