Case Studies Underscore Ophthalmology’s Concerns About Eyeball Tattoos
Dava Stewart writing in MD reported because eyeball tattoos are not performed by ophthalmologists, experts are concerned about their many short-term risks, and warn that the long term risks could include permanent damage, according to the authors of two recent case studies. Published in American Journal of Ophthalmology Case Reports, two new case studies demonstrate the risks that go along with what the authors call this “relatively new extreme body modification.”
The two case studies are both of Mexican men, one 26 years old and the second 17. Both developed complications after having an eyeball tattoo. The authors say that the cosmetic procedure “involves injecting some type of pigment directly under the bulbar conjunctiva with a needle.”
The authors list multiple risks involved in eyeball tattoos: globe penetration, endophthalmitis, retinal detachment, traumatic cataract, a severe ocular inflammatory reaction, blindness due to ocular inflammation, as well as increased severity of uveitis. They conclude by suggesting, “Regulations prohibiting the practice of these procedures are required, because despite warnings of multiple health risks, more people are looking to get this procedure nowadays.”
The two case studies were written by Gonzalo Duarte of the Eye Clinic for Inflammatory Diseases at the Dr. Luis Sanchez Bulnes Hospital, and colleagues.
Comment: Hmmmm. What some people will do to their bodies….
Patients with Parkinson’s Disease Are at Risk for Carpal Tunnel Syndrome
Dr. Lara Pullen writing in the Rheumatologist reported patients with carpal tunnel syndrome experience pain, numbness and tingling that can be characterized as an upper limb neuropathy. CTS is more common in women, with a female to male ratio of 3:1. Various studies have described the incidence of CTS in the general population as between 2.5 and 5 cases per 1,000 person years.
Individuals with Parkinson’s disease may be especially vulnerable to CTS. One study suggests that patients with Parkinson’s may be at increased risk of CTS because of the repetitive movement due to tremor.2 Others have noted the peripheral neuropathy that is associated with Parkinson’s and wondered whether peripheral neuropathy is intrinsic to Parkinson’s, a consequence of levodopa exposure or both.3 A body of evidence suggests that a form of small fiber neuropathy is intrinsic to Parkinson’s, and thus, experts have suggested that patients with early and advanced Parkinson’s be strictly monitored for subtle signs of neuropathy.
Immunotherapy Drugs Sometimes Cause Immune Response Against Healthy Organs
Matt Richtel writing for the New York Times reported that “immunotherapy drugs have been hailed as a breakthrough in cancer treatment.” However, “as their use grows,” physicians are finding that “an unleashed immune system can attack healthy, vital organs: notably the bowel, the liver and the lungs, but also the kidneys, the adrenal and pituitary glands, the pancreas and, in rare cases, the heart.” Physicians “at Yale believe immunotherapy is causing a new type of acute-onset diabetes, with at least 17 cases there so far.”
Comment: All effective therapies have potential side effects so I’m not surprised.
Too little sleep takes a toll on your heart, according to a new study presented at the 2016 annual meeting of the Radiological Society of North America (RSNA), Nov. 27-Dec. 1 in Chicago.
Alexandra Sifferlin reports, about twenty healthy radiologists had their hearts imaged before and after a 24-hour shift where they got an average of three hours of sleep. The also had their blood pressure and heart rate measured, and they provided blood and urine samples. Comparing the two images showed increases in heart strain, which can be a precursor for heart problems. The doctors also showed increases in blood pressure, heart rate and thyroid hormones, which are released in response to stress.
Comment: Make sure you get your sleep… you life might depend on it!
Megan Daily writing for MD reported a small Montreal study shows children and in some cases even the family dog play a part in recurrent hospital-acquired Clostridium difficile infections continued spread in the community.
“Our research suggests that household transmission from patients with C. difficile infection could be responsible for a bacterial reservoir for community-associated cases,” said lead author Vivan Loo, McGill University professor, infectious disease specialist and medical microbiologist at the McGill University Health Centre and investigator at its Research Institute.
C Diff Spread By Household Members Including Pets
Published in Infection Control & Hospital Epidemiology “Household Transmission of clostridium difficile to family members and domestic pets” followed 51 patients treated for C. difficile infection in hospital or outpatient settings. Researchers made home visits on a monthly basis and took stool samples from the entire household, including any domestic animals.
The results revealed 13.4 percent of the 67 human household contacts had C. difficile isolated from their stool or rectal samples. One adult household member had diarrhea and the remaining 8 were asymptomatically colonized. Sixty-six percent of those colonized were younger than five years old, including five in diapers.
More than a quarter (26.7 percent) of the 15 domestic pets were asymptomatic carriers of the bacterium, as well.
The study concluded that pets can be reservoirs for re-infection or transmission of C. difficile whose spores can persist in the environment for months and spread through the air with as little effort as it takes to shake out a blanket when changing a patients sheets.