Pain Med. The vast majority of these lipomas can be surgically removed by a medical or cosmetic physician and are frequently diagnosed as non-cancerous fatty tumors. Pediatr Dermatol. Other patients with Dercums Disease seek treatment in large part due to the insecurities they face regarding the physical appearance of this rare condition. A lipoma is an oval or round fatty tissue lump that grows just beneath the skin that are harmless and are noncancerous. Clin Orthop Relat Res. This type of adiposis dolorosa is diagnosed when there is the presence of a benign, fatty tumor, which is also known as a lipoma. B. J. Tins, C. Matthews, M. Haddaway et al., Adiposis dolorosa (dercums disease): MRI and ultrasound appearances, Clinical Radiology, vol. Dercums disease most commonly appears between the ages of 35 and 50 years and is five to thirty times more common in women than in men. DeFranzo AJ, Hall JH Jr, Herring SM. 26:146-9. The procedure was performed under ultrasound guidance. For pitta dosha, do yoga asanas including Bakasana, Malasana, Vajrasana, Tadasana, Trikonasana, etc. Common symptoms of Dercum's are weight gain that is unrelated to diet or exercise, strange accumulations of fat that have an abnormal consistency, feelings of extreme tiredness and pain to the touch in the affected areas. showed reduced pain in 89% of patients with Dercums disease (n=89) [2, 13, 14]. Bonatus TJ, Alexander AH. 12, no. Get a FREE Second Opinion from Top Surgeons! The lipomas are often found on the back side, the stomach, the upper arms, and the upper legs. Book an Appointment , Side Effects of Ayurvedic Medicines for Lipoma, Dos and Donts for Lipoma Treatment in Ayurveda. Lipomas that initially appear slowly will generally continue to develop more rapidly with time. This is a form of injection lipolysis referred to as lipotherapy or intralipotherapy. Many of us are not comfortable with the option of surgery for treating lipoma and end up searching for ayurvedic medicines or home remedies for lipoma. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA1Nzg1NS10cmVhdG1lbnQ=. Several novel and noninvasive procedures have also been described as beneficial. Regional bioimpedance measures can help in distinguishing lipoedema from Dercums disease [9]. 24, p. e950, 2015. WebWhats the Treatment? Facial infiltrating lipomatosis: expression of angiogenic and vasculogenic factors. WebWhat is the treatment for Dercum disease? 1, pp. 38, no. Dercums disease is a rare condition that is characterized by painful lipomas and other nonspecific symptoms. It helps to Dercum's disease is a rare condition that causes painful fatty tumors. There are three types that can be diagnosed based on the location of the pain. 11 (1):415. 1998 Mar. In the case presented, our patient was diagnosed with having both type I and type II per the endocrinologist in which she saw. Pain relief medication may be administered to temporarily reduce the 6, pp. The adipofascia diseases discussed in this chapter can be localized or generalized and include a common disorder primarily affecting women, lipedema, and four rare diseases, [QxMD MEDLINE Link]. Marjon Vatanchi, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for Laser Medicine and Surgery, Dermatologic Society of Greater New York, Medical Dermatology Society, National Psoriasis Foundation, New England Dermatological Society, Society for Pediatric Dermatology, Women's Dermatologic SocietyDisclosure: Nothing to disclose. Labuzek K, Liber S, Suchy D, Okopie BA. An unusual presentation of Dercum's disease, presenting as a single painful, erythematous lesion around the left hip in a 71-year old postmenopausal woman, is reported. Report of two cases. However, one study showed that when lecithin solubilized with deoxycholate and was used to treat subcutaneous lipomas, the active ingredient was actually the deoxycholate rather than the phosphatidalcholine. Men and women are equally prone to developing lipomas across the body at any given time during their lives. There is an increasing awareness that cannabis has the ability to help manage pain, inflammation, or neurogenerative diseases such as Alzheimers and Parkinsons.But the true potential of using medicinal cannabis for rare diseases and disorders has yet to be unlocked. Currently, there is no standard of therapy but several options described in numerous case reports exist for reducing symptoms. 51(6):517-24. To discuss SSD and SSI claims or appeals, please call us at (215) 464-7200 or, email the attorneys of Chermol & Fishman, LLC. Michael J Wells, MD, FAAD Dermatologic/Mohs Surgeon, The Surgery Center at Plano Dermatology Many people with lipoma dont notice its presence, as it is painless. Sawamura S, Kajihara I, Jinnin M, Honda Y, Ihn H. Cutaneous spindle cell adenolipoma on the nose: A rare variant of lipoma. Share cases and questions with Physicians on Medscape consult. [19] In a case report of two patients with Dercum disease and chronic hepatitis, interferon alfa-2b induced long-term pain relief. It has been reported as tried by 6% of the members. Hereditary multiple lipomatosis: Natural remedies: Ayurveda offers natural remedies that use herbs, oils, and other natural ingredients to help reduce the size of lipomas over time. Many case reports of treatment with various medications such as corticosteroids and experimental therapies exist in the literature, but large-scale studies are lacking. While patients may need to attend to stitches following the procedure, the risks associated with the use of general anesthesia or lengthy recovery periods in-hospital are eliminated entirely. The authors declare that they have no conflicts of interest. Dr. Please consult an ayurvedic practitioner before trying any ayurvedic medicine for lipoma. Ann Plast Surg. [QxMD MEDLINE Link]. Therefore, to maintain balance in the tridoshas, a person can make the following lifestyle changes: Lipoma, a soft lump of fatty tissue, is typically painless and requires medical attention only when you causes discomfort and want it surgically removed. Remove the Lepa as soon as you feel skin tightness or itchiness over the affected area. 2020 Jan. 49 (1):129-135. Low-fat and fat-free pleomorphic lipomas: a diagnostic challenge. 2, pp. 2014 Nov. 73(5):559-62. Lidocaine injection directly into lipomas has been shown to provide pain relief for up to 4 months [11]. 1, p. 24, 2011. 5, p. 717, 2007. The application of heat makes the treatment more effective. Acta Derm Venereol. The paperwork that is required in order for an application to be considered contains multiple parts. Liposuction has been shown to be an excellent method for removing lipomas, angiolipomas, the lipomas of Madelung disease, and adiposis dolorosa. Lipomas Dimensions will be measured for active vs. placebo at days 28,56,84 Rosalie Elenitsas, MD Herman Beerman Professor of Dermatology, University of Pennsylvania School of Medicine; Director, Penn Cutaneous Pathology Services, Department of Dermatology, University of Pennsylvania Health System Benign symmetric lipomatosis (Madelung's disease). Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. An interesting case of Dercum's disease is presented in a 53-year-old female who initially presented with a six-week history of painful subcutaneous masses and underwent surgical excision of a select number of these masses, with histopathology consistent with lipomas. J Craniofac Surg. Brodovsky S, Westreich M, Leibowitz A, Schwartz Y. Adiposis dolorosa (Dercum's disease): 10-year follow-up. We report a case with lipomas about the ankle, and we review the relevant literature. 115(5):1420-4. Understanding and treating thyroid eye disease, Understanding and treating Crohn's disease, Understanding your treatment options for MS, Your guide to managing wet age-related macular degeneration, A patient's guide to managing ankylosing spondylitis, Managing and slowing the progression of psoriatic arthritis, Back to school pediatric ADHD headquarters, Exercise can effectively decrease symptoms of Dercum's disease, but over-exertion can aggravate symp. Mlosek RK, Malinowska S, Woniak W. Lipoma removal using a high-frequency ultrasound-guided injection of a Class III CE-marked device-Empirical findings. Theres no reason to wait when youre considering your options for treating Dercums Disease or the removal of lipomas. A product manufactured in Europe uses a fat-dissolving injectable to treat lipomas. Women are more susceptible to this condition, and the disease is most prevalent in individuals who are overweight or obese. Subsequent biopsies of the masses revealed histopathologic characteristics of lipomas. [QxMD MEDLINE Link]. Surgical excision of a 6-cm lipoma on the back of a 54-year-old man using the squeeze technique. The vast majority of patients that are diagnosed with Dercums Disease will see the condition progress over time. 44 (7):e156-e157. Another example is that the samaka lepa and sotha nashaka lepa may aggravate the vata and cause skin dryness. Unfortunately, this condition is difficult to manage and the reduction of pain is not long-lasting. 2009 Jul. Robert A Moraru, MD is a member of the following medical societies: American Academy of DermatologyDisclosure: Nothing to disclose. 17, no. 2011 Sep 28. Dercums disease has been suggested to be classified into 4 distinct variants: type Ithe generalized diffuse form presenting with widespread painful adipose tissue with no apparent lipomas; type IIthe generalized nodular form presenting with widespread, painful adipose tissue with increased pain surrounding lipomas; type IIIthe localized nodular form presenting with pain strictly surrounding lipomas; and type IVthe juxta-articular form, presenting as painful adipose tissue near large joints, usually the medial knee [2]. Effective treatment for patients with Dercums disease is currently lacking as there is no effective long term treatment. WebDercum's disease, or adiposa dolorosa, is a rare condition characterized by the development of multiple painful subcutaneous lipomas. 1994 Dec. 33(6):664-8. [QxMD MEDLINE Link]. 1989 Oct. 12(10):1351-8. Prescription of anti-inflammatory and analgesics was progressively decreased: prednisone was rapidly tapered and stopped within 2 weeks from the start of South Med J. When asymptomatic, lipomas can be left alone. Category: massage therapies. You will inevitably visit many specialists, but it Lipoma treatment in Ayurveda includes sesame paste application, samaka lepa, sotha nashaka lepa, and triphala kala basti. However, if you are affected by it or if your lipoma is bothering you, your doctor can surgically remove it. A 52-year-old woman complaining painful lipomas, one of them showed FML and clinical features of DD with prominent neurological involvement, and ten subjects complained chronic back pain since their 20s, with radiological findings of spondyloarthropathy, multimetameric disc protrusion and facet degeneration. A successful case of pain management using metformin in a patient with adiposis dolorosa. J Inflamm (Lond). WebCurrently there are very few treatments for Dercums Disease. The symptom that is constant among everyone with this disorder is the pain, which can be debilitating. There is no cure for Dercum's disease, and treatment involves management of symptoms 3. While surgical options such as liposuction have been known to be helpful, it doesnt guarantee that lipomas wont return. 2013 Jun. 2011 Jul-Aug. 15(4):230-5. [QxMD MEDLINE Link]. Dercums disease (adiposis dolorosa) is a rare disease of unknown etiology characterized by painful subcutaneous adipose tissue deposits with various localization over the body, associated with overweight or obesity and a variety of psychiatric disturbances. 252256, 2012. E. Hansson, J. Manjer, H. Svensson, and H. Brorson, Quality-of-life in patients with dercums disease-before and after liposuction, Journal of Plastic Surgery and Hand Surgery, vol. Many medications have been shown to improve pain. Vineet Mishra, MD, FAAD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American College of Phlebology, American Society for Dermatologic Surgery, American Society for Laser Medicine and SurgeryDisclosure: Nothing to disclose. This normally includes creams that are lidocaine- or capsaicin -based. When left to grow without attention or removal, lipomas can begin to be associated with symptoms such as swelling, tenderness or may even become integrated with underlying blood vessels. 1986 Apr. Stretching and pressure on nerves from growing lipomas has been suggested but never shown histopathologically [2]. Matarasso A, Pfeifer TM. Dercum's disease is a rare disease in which you develop growths of fatty tissue called lipomas just under your skin. Instead, treatment usually focuses on pain management using: In many cases, people with Dercums disease benefit the most from a combination of these treatments. Consider working with a pain management specialist to find the safest combination thats most effective for you. Dercums disease can be hard to diagnose and treat. Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna. Here are some of the benefits of ayurveda for treating lipoma: While ayurveda can offer benefits for treating lipoma, it's important to note that more research is needed to determine the effectiveness and safety of these treatments. Does it work?. Adiposis dolorosa is an outdated term for many years used synonymously as Dercum's disease, lipedema or Anders disease. 10311038, 2009. Vineet Mishra, MD, FAAD Director of Mohs Surgery and Dermatologic Surgery, Assistant Professor of Dermatology, University of Texas Health Science Center at San Antonio The following case report demonstrates successful symptomatic treatment of the otherwise nearly unbearable complaints: intravenous infusions of 5 mg/kg body weight of lidocaine over 30-90 min may give pain relief lasting several weeks or even months. The clinical significance of these findings is unclear [8]. Does Lipedema Fat Come Back After Surgery ? In addition, case reports exist supporting the potential use of pregabalin [16], D-amphetamine [16], metformin [17], interferon alfa-2b [18], infliximab, and methotrexate [19] in managing pain. To that end, there are a number of steps that patients can take to alleviate the symptoms associated with Dercums Disease as well as cosmetic interventions that can help with physical appearance of lumps and associated confidence issues. 6, no. By 1997, it had become clear that lipedema is a chronic disease with symmetrical impairment of the fatty tissue distribution. Am J Dermatopathol. It is important to evaluate infiltrating lipomas carefully when considering excision, since they can develop in intramuscular or intermuscular locations. Dercum disease seems to benefit from the patient losing weight. Recurrent seizures and a progressive decline in mental function may occur. Now you know a few lipoma treatments in ayurveda. Now, apply ghee over the lipoma to avoid the aggravation of Vata. Then remove the Lepa before it becomes completely dry. When this is the case, a patient may be suffering from an underlying condition known as Dercums Disease. Others have suggested that it could be caused by long-term use of corticosteroids with high doses, impairment of the nervous system and/or adipose tissue, or changes to the carbohydrate metabolism or in fatty acids. These lipomas, or adipose tissues, can sit on nerves and cause a lot of pain or even impair movement. Endocrine and nervous system dysfunction have been suspected but never proven to be implicated. WebIn 2019 Dr. Herbst headed up a NIH-sponsored conference to establish the standard of care for lipedema and in 2020 she presented new ICD-10 codes for lipedema and Dercums Disease to the CDC. Oral medications. [20]. General weakness and fatigue are common, and people who suffer from Dercums disease may be unable to stand or walk for any significant period of time. In the case of lipoma, Ayurveda may help to purify the body, improve the condition of tridoshas, minimize the symptoms, and remove the impurities from the body. [QxMD MEDLINE Link]. They are not associated with any discharge or symptoms on the skin except the presence of a harmless-looking swelling. Dercums disease, or adiposis dolorosa, is a rare disorder which consists of multiple, painful lipomas within the subcutaneous tissue and has a distribution mainly in the abdomen and extremities. In view of the observed efficacy in the absence of relevant side effects, FREMS treatment may be considered a therapeutic option for Dercum's disease, to improve patients pain, functional status, and quality of life. 1. S. Martinenghi, A. Caretto, C. Losio, M. Scavini, and E. Bosi, Successful treatment of dercums disease by transcutaneous electrical stimulation: a case report, Medicine (Baltimore), vol. This may relieve your pain for a while, Medicine: Some drugs will ease specific E. Hansson, H. Svensson, and H. Brorson, Liposuction may reduce pain in dercums disease (adiposis dolorosa), Pain Medicine, vol. Miyakura T, Irisawa R, Miyamoto M, Iwaya K, Yamamoto T, Tsuboi R. An atypical case of atypical lipomatous tumor. 243(3):197-201. [26, 27, 28]. 2018 Jul 19. They can appear anywhere on the body but are typically seen on the arms, shoulders, back, torso, and neck. Factors in the differential diagnosis of lipoma and sarcoma. Surgery: In severe cases, your doctor may decide to remove your fatty growths. Epidemiology for the condition is not defined, but the literature suggests a higher prevalence in obese females, aged 3550 [1].The disease is often accompanied by a number of associated symptoms such as weakness, fatigue, depression, and dementia [2]. Plast Reconstr Surg. B. Riaz, B. Kalb, and K. L. Herbst, Low-dose d-amphetamine induced regression of liver fat deposits in dercum disease, The American Journal of Medicine, vol. Plast Reconstr Surg. * By clicking on the above button you agree to receive updates on WhatsApp. [QxMD MEDLINE Link]. For kapha dosha, practice yoga postures like Shavasana, Balasana, Tadasana, and Suryanamaskar. A clinical, radiographic, and histologic review of cases. Z. Gonciarz, W. Mazur, J. Hartleb et al., Interferon alfa-2b induced long-term relief of pain in two patients with adiposis dolorosa and chronic hepatitis C, Journal of Hepatology, vol. This may include, but is not limited to, analgesics, surgical excision of troublesome lesions, and psychotherapy 2. D. Masic, E. Liang, C. Long, E. J. Sterk, B. Barbas, and M. A. Rech, Intravenous lidocaine for acute pain: a systematic review, Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, vol. While fatty tissue and tumors define this condition, there are additional symptoms that are experienced. Cover the lipoma with two layers of cotton cloth. The pain rate was 710/10 during her episodes and could last minutes to days, with the longest episode of generalized pain lasting for 32 days. 17-18, pp. While no known cause has been found for Dercums disease, some doctors believe that it could be an autoimmune or endocrine disorder. Other treatment options for Dercums disease include medications such as: Researchers also suggest that transcutaneous frequency rhythmic electrical stimulation is generalized as overweight or obesity in combination with chronic (>3 months) painful adipose tissue [2]. 12501259, 2018. E. Hansson, H. Svensson, and H. Brorson, Review of dercums disease and proposal of diagnostic criteria, diagnostic methods, classification and management, Orphanet Journal of Rare Diseases, vol. Cotton seeds contain gossypol (a natural phenol) that helps inhibit fat cell proliferation and formation. J. K. Yee, S. A. Phillips, K. Allamehzadeh, and K. L. Herbst, Subcutaneous adipose tissue fatty acid desaturation in adults with and without rare adipose disorders, Lipids in Health and Disease, vol. ESR or CPR may be elevated, while autoimmune disease markers are usually negative [2]. World J Surg. 151159, 2010. 13 Highly Influenced PDF View 7 excerpts, cites background and methods 27, no. Make a paste by mixing all the ingredients in Kanji (rice water). The SSA evaluates each individual application by determining whether applicants are able to work in their current position. 8, no. Upon chart review, the patient had a medical history of type 2 diabetes, Hashimotos disease, migraines, and obesity. J Am Acad Dermatol. One study found that adipose IL-6 and IL-13 levels were significantly elevated in women with Dercums disease compared to matched controls, while Fractalkine and MIP-1b levels were significantly lower. The initial consultation is free, and we never charge a fee until we win your case. J Dermatol Surg Oncol. All Rights Reserved, FDA Trial of a New Drug to Treat Dercums Disease, Raziel Therapeutics recently received the go ahead to investigate the possible treatment, Lymphatic Injury Post Liposuction Reduction Surgery. In 1940, lipedema was viewed as disproportional obesity characterized by the bilateral and symmetrical distribution of the fat in legs with swelling in the lower extremities. Orthopedics. Lipoma removal surgery is safe and effective. Pain associated with Dercums disease can often be severe. Pain may be caused by lipomas pressing on nearby nerves or inflamed connective tissue, also called fascia, which is commonly associated with the lipomas. Dercums disease mainly occurs in adults and more women are affected than men. MRI may demonstrate multiple small, oblong, fatty lesions in the subcutaneous tissue with a nodular increased fluid signal that appears blush-like. Ultrasound may show hyperechoic nodules [4]. Managing patients with this condition can prove to be difficult as there is no standard of care for symptom control. Janet Fairley, MD is a member of the following medical societies: American Academy of Dermatology, American Federation for Medical Research, Society for Investigative DermatologyDisclosure: Nothing to disclose. Follow the below-mentioned steps to use Samaka Lepa for treating lipoma. 2015 Jan-Feb. 32 (1):e36-8. 1, p. 19, 2012. Ardeleanu V, Chicos S, Georgescu C, Tutunaru D. Multiple benign symmetric lipomatosis -- a differential diagnosis of obesity. Several theories have been proposed, yet none demonstrates clear evidence. Wolfe SW, Bansal M, Healey JH, Ghelman B. Computed tomographic evaluation of fatty neoplasms of the extremities. If left untreated, lipedema may result in secondary lymphatic dysfunction, physical impairment and mental problems, leading to significant damage to patients quality of life. WebAdiposis dolorosa of the diffuse truncal form (Dercum). In Dercum disease, medical treatment can be offered using steroids and analgesic medications. [21, 22] is a treatment for body contouring that has been used for many years in Europe. So, incorporating specific lifestyle changes may help balance the tridoshas and manage lipomas. 3, pp. When treatment is considered, surgical excision is the preferred treatment. Applying for disability benefits is not a straight-forward process. A 43-year-old white man with a 3- to 4-year history of a slow-growing asymptomatic growth on his right shoulder. Dercums disease (adiposis dolorosa) is a rare disease of unknown etiology characterized by painful subcutaneous adipose tissue deposits with various localization over the body, associated with overweight or obesity and a variety of psychiatric disturbances. Randomized, controlled trials are needed to confirm the data described in these studies. A few lipoma treatments in Ayurveda, such as black sesame lepa, samaka lepa, sotha nashaka lepa, and triphala kala basti, might help you reduce the size of the lipoma. Remove excess skin, close the wound, and apply a pressure dressing for 24 hours to prevent hematoma or seroma formation. Clinical orthopaedics and related research, By clicking accept or continuing to use the site, you agree to the terms outlined in our. Take an equal quantity of fine powder of Punarnava (hogweed), Sunthi (dried ginger), Devadaru (cedar), Sidhartha (white mustard), and Sigru (drumstick). The most commonly affected locations are the extremities, the trunk, the pelvic area, and the buttocks [4].The diagnosis of Dercums disease is a diagnosis of exclusion and is made clinically, although imaging can be helpful. Dementia can occur at an accelerated rate in people who have Dercums disease. When treatment is considered, surgical excision is the preferred treatment. Plast Reconstr Surg. Ultrasounds and MRIs may be necessary to help get an accurate diagnosis. J Cutan Med Surg. 46, no. [QxMD MEDLINE Link]. For vata balancing, practice Anulom Vilom, Bharamri, Agnisar, Nadishodhana, etc. [QxMD MEDLINE Link]. 2018 Jun 28. Ann Plast Surg. Attorneys understand the requirements that the SSA maintains and ensure that these requirements are met to increase the chances that their clients will be approved. [1] We present a case of a 48-year-old female who presented to the clinic for established care. E.g., eating sweet fruit for vata imbalance. Treatment with transcutaneous frequency rhythmic electrical modulation system over 6 months improved pain assessment and reduced subcutaneous adipose tissue in one man with Dercums disease [20]. As always, you should consult with your healthcare provider about your specific health needs. Surgical excision, in this case, relieved the patient's symptoms locally, but after one year the painful lipomata had appeared at other sites, and there is no effective treatment for this condition. If you log out, you will be required to enter your username and password the next time you visit. Skeletal Radiol. In this blog, we will explore the best Ayurvedic medicines for lipoma. Weight loss may help, but there is no standard diet recommendation. Lipoma treatment in ayurveda aims to balance the body's doshas (vata, pitta, and kapha) and improve the digestive system, as imbalances in these areas are thought to contribute to the development of lipomas. Instead, treatment usually focuses on pain management using: prescription pain relievers cortisone injections calcium channel modulators methotrexate infliximab 1985 Nov. 11(11):1070-4. Dercum's disease is characterized by its prevalence among women, its familiarity, by the presence of multiple painful subcutaneous lipomas and its association with obesity, hypercholesterolemia and asthenia. [QxMD MEDLINE Link]. Here are some of the best lipoma treatments without surgery in ayurveda: Ayurvedic medicines are generally considered safe and effective when used as directed by a qualified practitioner. 3-4, pp. Beyond these symptoms, the dimensions of a lipoma may begin to interfere with an individuals physical movement or cause distress regarding confidence. The present review retraced the most significant historical steps of research and study on DD, highlighting the difficulties in defining pathophysiology, diagnosis and treatment which are mainly due to the wide variability of the findings and clinical signs in the cases described in the literature. People who have experience in a position that requires limited physical movement may be expected to find a different job instead of receiving benefits. Diagnosis of Dercums disease is based mainly on physical examination after other diagnoses have been ruled out. 20021057855-overviewDiseases & Conditions, 20021117060-overviewDiseases & Conditions, encoded search term (Cutaneous Lipomas) and Cutaneous Lipomas, Dermatologic Manifestations of Multiple Endocrine Neoplasia Type 1 (MEN1), Merkel Cell Carcinoma and Rare Appendageal Tumors, Imaging in Spinal Dysraphism and Myelomeningocele, Examination, Diagnosis, and Treatment of Piriformis Syndrome, Isolated Ulnar Artery Injury: Indications for and Timing of Operative Intervention, Hand Tumors: An Individual Surgeon's Retrospective Review, Fast Five Quiz: HIV Treatment Adverse Events.
Why Did Michael Easley Leave Fellowship Bible Church,
Articles D
