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REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
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Pleiotropy

Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
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Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
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Alternative RNA Splicing02:18

Alternative RNA Splicing

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Rapunzel syndrome.

Ali H Al-Wadan1, Mohamed Al-Absi, Azan S Al-Saadi

  • 1Department of Surgery, Sana'a University, Yemen.

Saudi Medical Journal
|December 5, 2006
PubMed
Summary

A rare case of Rapunzel syndrome, a gastric trichobezoar extending into the small intestine, is presented. This diagnosis was confirmed after surgery in an 18-year-old female, marking the first reported instance in the Middle East.

Area of Science:

  • Gastroenterology and Surgery
  • Rare Diseases
  • Medical Case Reports

Background:

  • Rapunzel syndrome is a rare condition characterized by a gastric trichobezoar with a prolonged tail extending into the small intestine.
  • It is most commonly associated with trichophagia, a disorder involving compulsive hair pulling and ingestion.

Observation:

  • An 18-year-old female presented with nonspecific gastrointestinal symptoms including anorexia, abdominal pain, and altered bowel habits.
  • Clinical examination revealed anemia, cachexia, depression, and a mobile epigastric mass.
  • Scalp alopecia, endoscopy, and CT scan initially suggested a trichobezoar.

Findings:

  • Surgical exploration via laparotomy, gastrotomy, and enterotomy was required for definitive diagnosis of Rapunzel syndrome.

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  • This case represents the first documented instance of Rapunzel syndrome in the Middle East, with fewer than 16 cases reported globally.
  • Implications:

    • Highlights the importance of considering rare gastrointestinal conditions in patients with persistent, unexplained symptoms.
    • Emphasizes the diagnostic challenges and the necessity of surgical intervention for confirming Rapunzel syndrome.
    • Contributes to the limited global literature on Rapunzel syndrome, particularly from the Middle Eastern region.