Keywords : acute leukemia


The Clinical& Radiological Respiratory Features in Acute Leukemia At Presentation: A Descriptive Study of 118 Iraqi Adult Patients

Adil Siwan Al-Aqabi

Iraqi Postgraduate Medical Journal, 2012, Volume 11, Issue 1, Pages 57-61

ABSTRACT:
BACKGROUND:
Acute leukemia is a hematological malignancy characterized by an uncontrolled proliferation of
hemopietic primitive cells. Presenting features of acute leukemia include fever, anemia, pallor;
hepatosplenomegaly &lymphadenopathy, bleeding tendency, bone pain&gum hypertrophy.
Intrathoracic manifestations of acute leukemia include infection,mediastinal widening , hemorrhage,
infiltration, embolism, edema, pericarditis ´ respiratory distress syndrome.
OBJECTIVE:
To describe the clinical &radiological respiratory features of acute leukemia at presentation,before
starting chemotherapy.
PATIENTS AND METHODS:
Patients with acute leukemia of age ranged from 15-75 years were incorporated in this study, patients
were excluded from the study if they had previous malignancy, lung disease, or if received cytotoxic
treatment. Every patient had a detailed history of pulmonary symptoms & chest examination,chest xray
examination, sputum samples & pleural aspirates for relevant patients.
RESULTS:
Of 118 patients with actue leukemia at presentation, 60% of patients were males& 40% were
females. Respiratory symptoms including cough,dyspnea&chest pain were found in27.7% of patients
(cough 24.4% ,dyspnea 2.5%,chest pain 0.8%) . Respiratory signs including crepitations ,decreased
air entry & bronchial breathing were found in 12.5% of patients(crepitation 3.3%, decreased air entry
in 6.7%, bronchial breathing in 2.5%). Chest X-ray abnormalities were found in 14.3% of patients
,these include mediastinal widening in 5.9% of patients .Pleural effusion in 4.2% & parenchymal
infiltrates in 4.2% of patients
CONCLUSION:
The chest findings in patient with actue leukemia at presentation were not uncommon. mediastinal
widening was the commonest, pleural effusion&parenchymal infiltrates were less common findings

Correlation of Angiographic Findings and Clinical Presentations in Unstable Angina

Ali Abdulamir Mohammad AL.Mossawi; Kasim Abbas Ismail; Azher Sabih Zubaidy; Adil Siwan Aqabi; Majid Hameed AL Maini; Jawad K. Mnuti; Fadhil A. AL- Abbudi; Amira H. Shubbar; Layth Rafea Taqa; Sawsan Sati; Abbas; Najat Abul; Razak; Noor Mustafa; Razeqa Abd Ali; Nassir Enssief Mohsun; Raji H AL-Hadithi; Suhaila Saadallah; Darya Akram Faqe Mahmood; Ari R. Qader; Kurdo A. Mohmmad; Dawood Salman Hameed Alazzawi; s Central Teaching Hospital in Baghdad; a Descreptive Study; Autism Among Children Attending Pediatric Psychiatric Department in Child; Jaafar Muhamed Hassan; AL- Ghabban; Haider Abdul Muhsin; Huda Adnan Habib; Maysaloun Muhammed Abdulla; Selwa Elias Yacoub; Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem; Alaa Hussein Ali; Montadhar Hameed Nima; Rasha Abbas Azeez; Jassim Mohammad Alkhazraji; Hussein Mahmood Gazi; Mohammed Shafik Tawfeek; Nabeel Ghazi Hashim; Hayder Hadi Lazim; Maysoon Mohammad Najeeb Mohammad Saleem; Arieg Abdul Wahab Mohammad; Majid Syki Jabir; Kareem Al-Tameemi; Malak A. Al-Yawer; Adel Rabea Alsaadawi; Mohammed S. Saeed; Thukaa T. Yahya; Osama E. Hudder; Issraa A. Hussein

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 4, Pages 449-455

ABSTRACT: BACKGROUND: Unstable angina is usually related to acute thrombosis superimposed on a disrupted plaque. The highest; level of Braunwald classification of unstable angina can be used to assess the severity of clinical presentation. However the highest classes have not been directly correlated with thrombotic and complex lesions. OBJECTIVE: The study was done to clarify the correlation between angiographic findings and the most acute and / or severe clinical presentation in unstable angina. PATIENTS AND METHOD: We conducted a prospective study of 110 patients of unstable angina at Ibn-Albitar Center for Cardiac Surgery. All of these patients underwent cardiac catheterization, culprit lesion was identified in 80 patients and in 30 patients there was no an identifiable culprit lesion .Complex lesions including complex morphology, intracoronary thrombus, or total occlusion were also quantitatively analyzed and Thrombolysis in Myocardial Infarction (TIMI) flow grade was assessed. Patients were classified according to Braunwald classification in instable angina .We compared patients with and those with no culprit lesions in regarding Braunwald classification. We sequentially compared the highest Braunwald classes II, C, 3 with classes

Keywords

braunwald classification
---
unstable angina

Pancytopenia Adult Patients At Baghdad Teaching Hospital

Khudair Abbas Al-Khalisi; Azher Sebieh Al-Zubaidy; Majid Rhaima

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 4, Pages 441-448

ABSTRACT:
BACKGROUND:
pancytopnia is a triad of findings caused by different diseases affecting bone marrow primarily or secondarily, causing manifestations of anemia, thrombocytopenia, and/ or leucopenia
OBJECTIVE:
To identify causes, and presenting symptoms of pancytopnia in patients attending Baghdad teaching hospital.
PATIENTS AND METHODS:
One hundred and five patients, found on complete blood count having Pancytopenia were included, excluding patients that had been exposed to chemotherapy, and/or radiotherapy
RESULTS:
Causes in decreasing frequency were acute leukemia (30.47%), aplastic anemia (17.14%), megaloblastic anemia (13.33%), NHL (14.47%), MDS (8.57%), PNH (4.76%), TB, SLE, HD (2.58%) for each, and kalazar, and MM and HCL (1.9%) for each.
Manifestations were fatigability (67.6%), bleeding tendency (55.8%), and fever (48%).
CONCLUSION:
Incidence of Pancytopenia may vary according to geographical, and genetic factors, and depending on parameters, and criteria of inclusion and exclusion. Acute leukemia was found the most common cause, followed by megaloblastic anemia.

Hypolipoproteinemia as Biological Marker in Acute Leukemia

Azher Sabih Zubaidy; Adil Siwan Aqabi; Majid Hameed AL Maini

Iraqi Postgraduate Medical Journal, 2011, Volume 10, Issue 4, Pages 456-459

ABSTRACT:
BACKGROUND:
Acute leukemia is a clonal hematopoietic malignant disease that arises from malignant transformation of an early hematopoietic stem cells .Seeking for biochemical markers that are associated with acute leukemia may help us for better understanding of the leukemic process &improve our lines of management.Hypolipoproteinemia is one of these markers&it is the target of this study.
OBJECTIVE:
To study the association between the hypolipoproteinemia ´ leukemia &the ability of using hypolipoproteinemia as a biological marker that is helpful in follow up of acute leukemia.
PATIENT&METHODS:
A total of fifty patients with acute leukemia diagnosed by blood film&bone marrow examination were compared with control group of twenty healthy persons regarding fasting lipid profile(TC total cholesterol,LDL low density lipoprotein,HDL high density lipoprotein,TG triglyceride).
RESULTS:
In this study there is close association between hypolipoproteinemia´ leukemia. The mean values of lipoproteins were significantly lower in patient with acute leukemia compared to control group(P value is 0.0001 for total cholesterol&0.045 for triglyceride).
CONCLUSION:
These data suggest that hypolipoproteinemia could be useful as a marker for follow up of acute leukemia.

Hypolipoproteinemia as Biological Marker in Acute Leukemia

Majid Hameed AL Maini; Adil Siwan Aqabi; Azher Sabih Zubaidy

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 4, Pages 456-459

ABSTRACT:
BACKGROUND:
Acute leukemia is a clonal hematopoietic malignant disease that arises from malignant transformation
of an early hematopoietic stem cells .Seeking for biochemical markers that are associated with acute
leukemia may help us for better understanding of the leukemic process &improve our lines of
management.Hypolipoproteinemia is one of these markers&it is the target of this study.
OBJECTIVE:
To study the association between the hypolipoproteinemia ´ leukemia &the ability of using
hypolipoproteinemia as a biological marker that is helpful in follow up of acute leukemia.
PATIENT&METHODS:
A total of fifty patients with acute leukemia diagnosed by blood film&bone marrow examination were
compared with control group of twenty healthy persons regarding fasting lipid profile(TC total
cholesterol,LDL low density lipoprotein,HDL high density lipoprotein,TG triglyceride).
RESULTS:
In this study there is close association between hypolipoproteinemia´ leukemia. The mean values
of lipoproteins were significantly lower in patient with acute leukemia compared to control group(P
value is 0.0001 for total cholesterol&0.045 for triglyceride).
CONCLUSION:
These data suggest that hypolipoproteinemia could be useful as a marker for follow up of acute
leukemia.

Pancytopenia Adult Patients At Baghdad Teaching Hospital

Khudair Abbas Al-Khalisi; Azher Sebieh Al-Zubaidy; Majid Rhaima

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 4, Pages 441-448

ABSTRACT:
BACKGROUND:
pancytopnia is a triad of findings caused by different diseases affecting bone marrow primarily or
secondarily, causing manifestations of anemia, thrombocytopenia, and/ or leucopenia
OBJECTIVE:
To identify causes, and presenting symptoms of pancytopnia in patients attending Baghdad teaching
hospital.
PATIENTS AND METHODS:
One hundred and five patients, found on complete blood count having Pancytopenia were included,
excluding patients that had been exposed to chemotherapy, and/or radiotherapy
RESULTS:
Causes in decreasing frequency were acute leukemia (30.47%), aplastic anemia (17.14%),
megaloblastic anemia (13.33%), NHL (14.47%), MDS (8.57%), PNH (4.76%), TB, SLE, HD
(2.58%) for each, and kalazar, and MM and HCL (1.9%) for each.
Manifestations were fatigability (67.6%), bleeding tendency (55.8%), and fever (48%).
CONCLUSION:
Incidence of Pancytopenia may vary according to geographical, and genetic factors, and depending
on parameters, and criteria of inclusion and exclusion. Acute leukemia was found the most common
cause, followed by megaloblastic anemia.

Correlation of Angiographic Findings and Clinical Presentations in Unstable Angina

Ali Abdulamir Mohammad AL.Mossawi; Kasim Abbas Ismail; Majid Hameed AL Maini; Adil Siwan Aqabi; Azher Sabih Zubaidy; Jawad K. mnuti; Fadhil A. AL- Abbudi; Amira H. Shubbar; DEFINITION GERD is described as any symptomatic or histopathological alteration resulting from episodes of gastroesophageal reflux; Layth Rafea Taqa; INTRODUCTION; Reflux esophagitis describes the subset of GERD patient with histopathological changes of; Sawsan Sati; Najat Abul; Razak; Noor Mustafa; Razeqa Abd Ali; Suhaila Saadallah; Raji H AL-Hadithi; Darya Akram Faqe Mahmood; Ari R. Qader; Kurdo A. Mohmmad; Dawood Salman Hameed Alazzawi; Entissar Hadi AL- Shimery; Jaafar Muhamed Hassan; AL- Ghabban; Haider Abdul Muhsin; Huda Adnan Habib; Maysaloun Muhammed Abdulla; Selwa Elias Yacoub; Abdulrazak H. Alnakash; Shaema Jafar; Yousef Abdul-Raheem; Alaa Hussein Ali; Montadhar Hameed Nima; Rasha Abbas Azeez; Jassim Mohammad Alkhazraji; Hussein Mahmood Gazi; Mohammed Shafik Tawfeek; Nabeel Ghazi Hashim; Hayder Hadi Lazim; Maysoon Mohammad Najeeb Mohammad Saleem; Arieg Abdul Wahab Mohammad; Majid Syki Jabir; Kareem Al-Tameemi; Malak A. Al-Yawer; Adel Rabea Alsaadawi; ABSTRACT; Issraa A. Hussein; Osama E. Hudder; Thukaa T. Yahya

Iraqi Postgraduate Medical Journal, 2010, Volume 9, Issue 4, Pages 449-455

ABSTRACT:
BACKGROUND:
Unstable angina is usually related to acute thrombosis superimposed on a disrupted plaque. The highest;
level of Braunwald classification of unstable angina can be used to assess the severity of clinical
presentation. However the highest classes have not been directly correlated with thrombotic and complex
lesions.
OBJECTIVE:
The study was done to clarify the correlation between angiographic findings and the most acute and / or
severe clinical presentation in unstable angina.
PATIENTS AND METHOD:
We conducted a prospective study of 110 patients of unstable angina at Ibn-Albitar Center for Cardiac
Surgery. All of these patients underwent cardiac catheterization, culprit lesion was identified in 80
patients and in 30 patients there was no an identifiable culprit lesion .Complex lesions including complex
morphology, intracoronary thrombus, or total occlusion were also quantitatively analyzed and
Thrombolysis in Myocardial Infarction (TIMI) flow grade was assessed. Patients were classified
according to Braunwald classification in instable angina .We compared patients with and those with no
culprit lesions in regarding Braunwald classification. We sequentially compared the highest Braunwald
classes II, C, 3 with classes

Keywords

braunwald classification
---
unstable angina