Dermal Filler Presenting as Parotid Mass: A Case Report

Dermal filler injections are common cosmetic procedures and are growing in popularity. While frequently performed, dermal filler injections carry a risk of adverse events including vascular compromise and foreign body granulomas. Here, we discuss an unusual case of a patient with a history of dermal filler injections presenting with a parotid mass and an eyebrow mass requiring surgical resection. This case demonstrates the risk of delayed granuloma formation many years after dermal filler injection and highlights the importance of awareness and management of these potential long-term complications.     

Quality of life and anxiety in children and adolescents in residential treatment facilities

Anxiety-related impairment among youth in residential treatment facilities is common, but quality of life (QOL) among this intensive, treatment-seeking population remains largely unexplored. The purpose of this study was to investigate factors that decrease QOL among children/youth with severe anxiety disorders. Specifically, this research studied whether comorbid depression would negatively impact QOL and whether depression would predict QOL above and beyond the effects of anxiety. Depression symptomology as a potential moderator variable for QOL was also analyzed, as well as the effect of multimodal treatment on QOL. Analyses revealed that parent- and child-rated measures had different predictive utility when investigating QOL, but that depression predicted poorer QOL than anxiety. No moderation effect for depression was found. Lastly, multimodal treatment was effective in improving quality of life (d = 1.30) for treatment responders. Clinical and research implications are discussed.     

Fatty emaciation: a case report of suspected fat overload syndrome in oral refeeding

Refeeding syndrome has been observed in patients receiving nutrition after a prolonged period of malnourishment and is characterized by multiple metabolic derangements. Besides hypophosphatemia and hypoglycemia, lipemia has been described in association with parenteral nutrition administration to the malnourished. The authors describe one anorexic patient who developed lipemia during oral refeeding, followed by a precipitous drop in hematocrit suggestive of fat overload syndrome.     

Breast Cancer Subtypes in Asian-Americans Differ According to Asian Ethnic Group

Breast cancer prognosis and breast cancer molecular subtype vary by race/ethnicity. We determined whether the distribution of breast cancer subtypes varies among different Asian ethnic groups. Using immunohistochemical surrogates for the four molecularly defined breast cancer subtypes, we characterized breast cancer subtype for 346 Asian subjects treated at two New York City institutions. We found that Chinese and Japanese had a higher proportion of good-prognosis luminal A cancers (66.7 and 80.0%, respectively) compared to Filipinos and Koreans (48.5 and 47.1%) (P?=?0.001). Filipinos had a higher proportion of HER-2/neu positive cancers (45.6%) compared to other ethnic groups (23.6%) (P?=?0.002). Koreans had a higher proportion of triple negative cancers (23.5%) compared to other ethnic groups (7.5%) (P?=?0.06). The results suggest that differences exist in breast cancer tumor biology among distinct Asian ethnic groups and have implications for cancer care and research. Future studies of breast cancer in Asian-Americans should distinguish among the different ethnic groups.