To the Editor:Ankylosing spondylitis(AS)is a chronic inflammatory disease that causes bony fusion of spine and sacroiliac joints,resulting in restricted spinal movement and deformity.In China,the prevalence of AS is a...To the Editor:Ankylosing spondylitis(AS)is a chronic inflammatory disease that causes bony fusion of spine and sacroiliac joints,resulting in restricted spinal movement and deformity.In China,the prevalence of AS is about 0.29%with a male to female ratio of approximately 3:1,and most cases occur in the adolescent period.[1]The misdiagnosis rate of AS patients in China is>50%.展开更多
Frostbite in Southwestern China has been overlooked due to its low incidence,relatively mild temperature and lack of literature published before.However,it needs to be further studied for religious diversity and disti...Frostbite in Southwestern China has been overlooked due to its low incidence,relatively mild temperature and lack of literature published before.However,it needs to be further studied for religious diversity and distinct geomorphology.In this article,we reported an 18-year-old Tibetan girl who suffered from blizzard attack during pilgrimage.Her feet and several fingers showed mummified gangrene upon physical examination with poor movement.She was diagnosed with 3rd to 4th degree of frostbite.The girl was given oral ibuprofen,debridement and other regular treatment daily,but she was eventually amputated due to insufficient thrombolytic management in primary hospital,delayed informing consent in the referral hospital and ethnic conflict between religion and guidelines.This case enriched the experience of managing complex frostbite in Tibetan population and alarms that efforts should be integrated to protect pilgrims and mountaineers in the Tibetan region.展开更多
文摘To the Editor:Ankylosing spondylitis(AS)is a chronic inflammatory disease that causes bony fusion of spine and sacroiliac joints,resulting in restricted spinal movement and deformity.In China,the prevalence of AS is about 0.29%with a male to female ratio of approximately 3:1,and most cases occur in the adolescent period.[1]The misdiagnosis rate of AS patients in China is>50%.
基金National Natural Science Foundation of China,No.81872535Sichuan Province Pharmaceutical Administration,No.2018HJZX022.
文摘Frostbite in Southwestern China has been overlooked due to its low incidence,relatively mild temperature and lack of literature published before.However,it needs to be further studied for religious diversity and distinct geomorphology.In this article,we reported an 18-year-old Tibetan girl who suffered from blizzard attack during pilgrimage.Her feet and several fingers showed mummified gangrene upon physical examination with poor movement.She was diagnosed with 3rd to 4th degree of frostbite.The girl was given oral ibuprofen,debridement and other regular treatment daily,but she was eventually amputated due to insufficient thrombolytic management in primary hospital,delayed informing consent in the referral hospital and ethnic conflict between religion and guidelines.This case enriched the experience of managing complex frostbite in Tibetan population and alarms that efforts should be integrated to protect pilgrims and mountaineers in the Tibetan region.
