Acute Corneal Hydrops in Keratoconus With Atopic DermatitisA 27-year-old Japanese man with a history of keratoconus (KC) and atopic dermatitis presented with sudden onset of decreased vision in his left eye. Best corrected visual acuity was 20/200 in the left eye. Slit-lamp examination and cross-sectional imaging with anterior segment optical coherence tomography revealed marked corneal stromal and epithelial edema with corneal protrusion in his left eye (Figure A). Thus, he was diagnosed with acute corneal hydrops. Pressure patching with an ophthalmic ointment improved the corneal edema gradually.
Association Between Pancreatic Cancer and Dipeptidyl Peptidase-4 Inhibitors Use in a Case-Control StudyDipeptidyl peptidase-4 inhibitor is an incretin-based agent used to treat type 2 diabetes mellitus, which has been available in the Taiwan market since 2009.1 Pancreatic cancer was the eighth leading cause of cancer death in Taiwan in 2017.2 At present, no definite evidence is available on the association between pancreatic cancer and dipeptidyl peptidase-4 inhibitors in Taiwan. To evaluate this issue, a population-based case-control study was conducted using the database of the Taiwan National Health Insurance Program with 23 million citizens living in the independent country of Taiwan.
Daniel Alcides Carrión – Peruvian Hero and Medical MartyrWhen Daniel Alcides Carrión García died in Lima, Peru, in 1885 at the age of 28, he had never published a scientific paper and did not have a medical degree. Yet more than a century later, he is still considered a national medical hero in Peru, and his name is attached to a major Peruvian medical center near Lima, a province in the Andes mountains, as well as a University and the highest-altitude football stadium in the world – both in Cerro de Pasco, the small mountain city where he was born in 1857.
22-Year-Old Woman With Severe Microcytic AnemiaA 22–year-old woman who had no notable previous medical history reported increasing fatigue during the past few months. Her mother noticed that she looked pale and suggested she visit her family physician. Her family and personal histories were noncontributory. Findings on physical examination were remarkable only for pallor. In particular, she had no hepatosplenomegaly or lymphadenopathy.