Case Reports
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Latent Autoimmune Diabetes in Adults: A Case Report
Khalid Shaikh, Natasha Mathew
Latent autoimmune diabetes in adults (LADA) is a slow progressive autoimmune destruction of pancreatic beta cells. This condition tends to manifest during adulthood, often around 35 years of age. While LADA can initially be managed by oral medications, eventually the patient will require insulin. We report a case of a 34-year-old woman who was initially treated for type 2 diabetes mellitus but was later diagnosed with LADA.
Keywords:Latent Autoimmune Diabetes in Adults; Double Diabetes; Autoantibodies; Glutamic Acid Decarboxylase; Oman.
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New-onset Seropositive Rheumatoid Arthritis Post-mRNA COVID-19 Vaccine: A Case Report
Amanda Almouslem, Talal Al Lawati, Ali Al Shirawi, Usama Al Amri
Growing evidence in the medical literature has linked the COVID-19 vaccine as a potential trigger for the development or exacerbation of various autoimmune rheumatic diseases. To the best of our knowledge, we report one of the first cases of seropositive rheumatoid arthritis diagnosed after the messenger RNA COVID-19 vaccine.
Keywords:Anti-Citrullinated Protein Antibodies; COVID-19; COVID-19 Vaccines; RNA, Messenger; Arthritis, Rheumatoid.
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Sanjad-Sakati Syndrome in a 35-day-old Iraqi Infant: A Case Report
Majeed H. Al Ajeli
Sanjad-Sakati syndrome is a rare autosomal recessive genetic disorder that presents solely in Arabian people. Our case was reported from the Fallujah Teaching Hospital for Women and Children in Fallujah, Iraq. This syndrome is associated with hypoparathyroidism, growth retardation, atypical facial appearance, and a variable degree of mental retardation. It is usually caused by genetic mutations of the tubulin-folding cofactor E (TBCE; 604934), which is located on the 1q42.3 chromosome. This case was confirmed by a genetic study which revealed a pathogenic variant in the homozygous state in the TBCE gene. Typically, the physical features of this case involve microcephaly, long and narrow face, beaked nose, deep-set eyes, large ears, thin lips, long philtrum, micrognathia, and small hands and feet. Although Sanjad-Sakati syndrome is an incurable disease, early diagnosis helps with appropriate palliative treatment of the patient, reducing other associated metabolic and electrolyte disturbances, and allows for a genetic study and counseling of the family, especially in our society due to the high rate of consanguinity.
Keywords:Sanjad-Sakati Syndrome; tubulin folding cofactor E-like protein, human; Hypoparathyroidism.
Clinical Quiz
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An Unexpected Midline Neck Swelling in a Young Female
Jennifer Peak Hui Lee, Jeyasakthy Saniasiaya
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Two Common Pelvic Diseases Detected on X-ray Pelvis
Minal Dhanvij, Avantika Gupta, Bishnupriya Moharana, Chandrakant Munjewar, Neha Gangane
Letter to the Editor
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Incremental Cost-effectiveness Thresholds for Policy Decision-makers: Is ICER the Most Appropriate Measure to Use?
Sultana Al Sabahi, Ahmed Almasharfi
Supplement
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Oman Medical Specialty Board Research Forum 2023/2024: Abstracts