International journal of clinical practice
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Int. J. Clin. Pract. · Dec 2021
ReviewA systematic review of cases of West African Crystalline Maculopathy.
West African crystalline maculopathy (WACM) is, reportedly, a rare condition whose aetiology remains unclear. This study aims to describe the epidemiology, summarizing the identified risk factors and clinical characteristics of cases of WACM, with the goal of highlighting presentation patterns and the clinical course of the condition. ⋯ West African crystalline retinopathy is a seemingly innocuous condition affecting black or African people, who were also born in Africa. The majority of the patients have a vascular retinopathy. Longitudinal studies, particularly in Africa, may be required to elucidate the aetiology, as well as the long-term prognosis, of the crystals.
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Gastrointestinal complications of COVID-19 have been reported over the last year. One such manifestation is bowel ischaemia. This study thus aims to provide a more holistic review of our current understanding of COVID-19-induced bowel ischaemia. ⋯ Intestinal ischaemia presenting in patients with COVID-19 has to be considered when symptoms of severe abdominal pain are present. More research and guidelines are required to triage patients with COVID-19 to suspect intestinal ischaemia and to help in diagnosis and management.
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Gastrointestinal complications of COVID-19 have been reported over the last year. One such manifestation is bowel ischaemia. This study thus aims to provide a more holistic review of our current understanding of COVID-19-induced bowel ischaemia. ⋯ Intestinal ischaemia presenting in patients with COVID-19 has to be considered when symptoms of severe abdominal pain are present. More research and guidelines are required to triage patients with COVID-19 to suspect intestinal ischaemia and to help in diagnosis and management.
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Int. J. Clin. Pract. · Dec 2021
ReviewEpidemiology and organization of care in medically unexplained symptoms: a systematic review with a focus on cultural diversity and migrants.
Since the pathophysiology of medically unexplained symptoms (MUS) remains unclear, healthcare providers often struggle with these patients, especially with a different ethnic and/or cultural background. These challenges are insufficiently addressed in their training and in the organisation of care. ⋯ The systematic review identified significant gaps and shortcomings in organisation of care. These need to be addressed in order to improve outcomes.
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Int. J. Clin. Pract. · Dec 2021
ReviewEpidemiology and organization of care in medically unexplained symptoms: a systematic review with a focus on cultural diversity and migrants.
Since the pathophysiology of medically unexplained symptoms (MUS) remains unclear, healthcare providers often struggle with these patients, especially with a different ethnic and/or cultural background. These challenges are insufficiently addressed in their training and in the organisation of care. ⋯ The systematic review identified significant gaps and shortcomings in organisation of care. These need to be addressed in order to improve outcomes.