Metaxa Anti Cancer Hospital

Piraeus, Greece

Metaxa Anti Cancer Hospital

Piraeus, Greece

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Papadakis G.,Metaxa Anti Cancer Hospital | Zampelis T.,National and Kapodistrian University of Athens | Michalopoulou M.,National and Kapodistrian University of Athens | Konstantopoulos K.,National and Kapodistrian University of Athens | And 2 more authors.
Journal of Immigrant and Minority Health | Year: 2016

Prayer marks (PMs) are commonly occurring dermatologic changes in muslims who pray and develop over a long period of time as a consequence of repeated and extended pressure. PMs need careful examination especially for patients with diabetes, who are more vulnerable due to predisposing factors such as venous insufficiency and peripheral neuropathy. A total of 166 patients with diabetes (150 males, 16 females) and 65 normal subjects from Bangladesh were examined for the appearance of PMs. Twenty-eight patients (16.9 %) and one normal subject (1.5 %) had PMs. The marks were not itchy or painful and they were observed on the dorsal aspect of the left foot, which was attributed to a more typical prayer position that placed pressure on the left foot. PMs are not a rare clinical entity among muslim patients with diabetes and most clinicians should be aware of it as it can be the predominant cause of an ulcer. © 2015, Springer Science+Business Media New York.


PubMed | Metaxa Anti Cancer Hospital and National and Kapodistrian University of Athens
Type: Journal Article | Journal: Journal of immigrant and minority health | Year: 2016

Prayer marks (PMs) are commonly occurring dermatologic changes in muslims who pray and develop over a long period of time as a consequence of repeated and extended pressure. PMs need careful examination especially for patients with diabetes, who are more vulnerable due to predisposing factors such as venous insufficiency and peripheral neuropathy. A total of 166 patients with diabetes (150 males, 16 females) and 65 normal subjects from Bangladesh were examined for the appearance of PMs. Twenty-eight patients (16.9%) and one normal subject (1.5%) had PMs. The marks were not itchy or painful and they were observed on the dorsal aspect of the left foot, which was attributed to a more typical prayer position that placed pressure on the left foot. PMs are not a rare clinical entity among muslim patients with diabetes and most clinicians should be aware of it as it can be the predominant cause of an ulcer.


Papadakis G.,Metaxa Anti Cancer Hospital | Keramidas I.,Metaxa Anti Cancer Hospital | Triantafillou E.,Metaxa Anti Cancer Hospital | Kanouta F.,Metaxa Anti Cancer Hospital | And 8 more authors.
Anticancer Research | Year: 2015

Background/Aim: Medullary thyroid carcinoma (MTC) originates from thyroid C-cells and is a calcitonin-secreting tumor. Calcitonin is also elevated in C-cell hyperplasia (CCH). The objective of the study was to determine the optimal basal (bCT) and peak stimulated calcitonin (psCT) cut-off value for differentiating MTC from CCH, and to examine the histological findings of thyroidectomy in patients with maximum psCT >100 pg/ml. Patients and Methods: Fifty-five patients had a maximum calcium-psCT >100 pg/ml and underwent total thyroidectomy. Results: A total of 20 patients were diagnosed with MTC and the remaining 35 with CCH. A bCT level >17.4 pg/ml and psCT level >452 pg/ml demonstrated the best sensitivity and positive predictive value for differenting MTC from CCH. Conclusion: The overlap of calcitonin levels between MTC and CCH reduces the accuracy of the calcium stimulation test. Remarkably, an appreciable number of patients with psCT levels >100 pg/ml harbor differentiated thyroid carcinoma of follicular origin.

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