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World Journal of Stem Cells 2023年第12期15卷 1035-1062页

作者： Matheus Deroco Veloso da Silva Maiara Piva Geovana Martelossi-Cebinelli Mariana Stinglin Rosa Ribas beatriz hoffmann salles bianchini Olivia K Heintz Rubia Casagrande Waldiceu A Verri Jr Department of Pathology Laboratory of PainInflammationNeuropathy and CancerState University of LondrinaLondrina 86057-970ParanáBrazil Morningside Graduate School of Biomedical Sciences University of Massachusetts Chan Medical SchoolWorcesterMA 01655United States Department of Pharmaceutical Sciences Center of Health ScienceState University of LondrinaLondrina 86038-440ParanáBrazil Department of Pathology Laboratory of PainInflammationNeuropathy and CancerCenter of Biological SciencesState University of LondrinaLondrina 86057-970ParanáBrazil

ain can be defined as an unpleasant sensory and emotional experience caused by either actual or potential tissue damage or even resemble that unpleasant *** years,science has sought to find treatment alternatives,with minimal side effects,to relieve ***,the currently available pharmacological options on the market show significant adverse ***,the search for a safer and highly efficient analgesic treatment has become a *** cells(SCs)are non-specialized cells with a high capacity for replication,self-renewal,and a wide range of differentiation *** this review,we provide evidence that the immune and neuromodulatory properties of SCs can be a valuable tool in the search for ideal treatment strategies for different types of *** the advantage of multiple administration routes and dosages,therapies based on SCs for pain relief have demonstrated meaningful results with few ***,there are still more questions than answers when it comes to the mechanisms and pathways of pain targeted by ***,this is an evolving field that merits further investigation towards the development of SCbased analgesic therapies,and this review will approach all of these aspects.

关键词： Inflammation Neuropathy Nociceptive Pain Pain treatment Stem cells

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Malignant Graves’Ophthalmopathy

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第2期3卷 71-74页

作者： Jose Francisco de salles Chagas Jose Luis Braga de Aquino Maria beatriz Nogueira Paschoal Luis Antonio Brandi Filho Fernanda Fruet Douglas Alexandre Rizzanti Pereira Fernanda Garcia Callegari Thalita dos Reis Ruba Service of Head and Neck Surgery Beneficiencia Portuguesa de Sao PauloMedical SchoolCatholic University of CampinasCampinasBrazil

Introduction: One of the most common causes of hyperthyroidism is Graves’ disease. The malignant exophthalmos is a rare condition characterized by the loss of visual function that doesn’t adequately respond to various forms of treatment, requiring, in most cases, surgical correction. Objective: We report a case of conjunctival edema and protrusion of the eyeball in patients secondary to Graves’ disease, characterizing malignant ophthalmopathy and discuss their surgical treatment. Case Report: A 73-year-old male patient presenting bilateral conjunctive hyperaemia, decreased visual acuity, exophtalmos with progressive deterioration. Pulse therapy was performed without improvement and then underwent bilateral ethmoidectomy. Discussion: Late diagnosis is harmful due to the fact that malignant disease is extremely aggressive and fast, as reported in this case. Most often, the ophthalmopathy follows a relatively mild and self-limiting course, making a proper diagnosis difficult if the disease progresses. In extreme cases acute orbital decompression is indicated complementing appropriate medical treatment, which will allow herniation of orbital contents. Many orbital decompression techniques have been used in the treatment of Graves’ ophthalmopathy. The most common of these is the endoscopic sinus surgery which potentiated act in decompression of the medial wall safely and minimally invasive. In our case, open bilateral ethmoidectomy was used, due to the fact that surgeons are most experienced in this technique. Although the post-operative has been successfully submitted, no signs of recurrence were observed after fifteen days due to the evolution of Graves’ disease. Even with outpatient treatment, he walked to the total visual loss. Conclusion: We observed that the malignant ophthalmopathy is rare and aggressive;however, in spite of therapeutic resources used, it can progress to total visual loss.

关键词： Malignant Exophthalmos Ethmoidectomy Hyperthyroidism

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