Digital Commons Network^™

Concepts In Animal Parasitology, Chapter 43: Allocreadiidae Looss, 1902 (Family) [Platyhelminthes, Trematoda, Digenea, Plagiorchiida, Xiphidiata], Gerardo Pérez-Ponce De León, David Iván Hernández-Mena, Brenda Solórzano-García

Concepts in Animal Parasitology

An overview of the trematode (fluke) family Allocreadiidae Looss, 1902, mainly found as parasites of the digestive tracts of freshwater fishes. Includes a discussion of the taxonomy and classification, main morphological characteristics, morphological variability, life cycle, population biology, phylogenetic relationships, species diversity, and descriptions of representative species.

Chapter 43 in Concepts in Animal Parasitology, by Gerardo Pérez-Ponce de León, David Iván Hernández-Mena, and Brenda Solórzano-García. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap043

Concepts In Animal Parasitology, Chapter 32: Gyrocotylidea (Order): The Most Primitive Group Of Tapeworms [Platyhelminthes, Cestoda, Cestodaria], Willi E. R. Xylander, Klaus Rohde

Concepts in Animal Parasitology

An overview of the cestode order Gyrocotylidea, the most primitive group of tapeworms, including a discussion of their taxonomy, a description of the structure of the adult and the larva, life cycle, and ecological and economic importance.

Chapter 32 in Concepts in Animal Parasitology by Willi E. R. Xylander and Klaus Rohde. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap032

Concepts In Animal Parasitology, Chapter 13: Myxozoa (Subphylum), Terrence L. Miller

Concepts in Animal Parasitology

Recent phylogenetic and protein expression analyses have revealed the diverse group of obligate endoparasites of the subphylum Myxozoa are morphologically simplified, although highly specialized, cnidarians. Covered here are the classification and host associations of these animals, life cycle stages, infection dynamics, diagnostics, and the effect on aquatic host animal health, including whirling disease.

Chapter 13 in Concepts in Animal Parasitology on the subphylum Myxozoa by Terrence L. Miller. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap013

Concepts In Animal Parasitology, Chapter 11: Trypanosoma (Genus) [Protozoa, Trypanosomatidae], Ana Maria Jansen, Samanta C. Chagas Xavier, André Luiz Rodrigues Roque

Concepts in Animal Parasitology

An overview of the genus Trypanosoma, protozoan flagellate parasites. Covers the classification, development, life cycles, and effect on human and domestic animal health.

Chapter 11 in Concepts in Animal Parasitology on the genus Trypanosoma by Ana Maria Jansen, Samanta C. Chagas Xavier, and André Luiz Rodrigues Roque. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap011

Concepts In Animal Parasitology, Chapter 01: Introduction To Animal Parasitology [Introductory Concepts], Scott L. Gardner, Daniel R. Brooks, Klaus Rohde

Concepts in Animal Parasitology

This an introduction to animal parasitology, discussing the biology, history, and significance of parasites and their relationships with hosts.

Chapter 1 in Concepts in Animal Parasitology, an introduction to the topic, by Scott L. Gardner, Daniel R. Brooks, and Klaus Rohde. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap001

Concepts In Animal Parasitology, Chapter 24: Cathetocephalidea Schmidt And Beveridge, 1990 (Order) [Platyhelminthes, Cestoda, Eucestoda], Luis García-Prieto, Omar Lagunas-Calvo, Brenda Atziri García-García, Berenice Adán-Torres

Concepts in Animal Parasitology

An overview of the cestode (tapeworm) order Cathetocephalidea Schmidt and Beveridge, 1990, parasites of the spiral intestine (also called the spiral valve) of sharks. Includes a discussion of their main morphological characteristics, the species in the order, a description and summary of a representative species, Cathetocephalus resendezi Caira et al., 2005, and life cycles.

Chapter 24 in Concepts in Animal Parasitology by Luis García-Prieto, Omar Lagunas-Calvo, Brenda Atziri García-García, and Berenice Adán-Torres. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap024

Concepts In Animal Parasitology, Chapter 49: Trichuroidea And Trichinelloidea (Superfamilies) [Nemata, Adenophorea], María Del Rosario Robles, Rocío Callejón Fernández

Concepts in Animal Parasitology

An overview of the nematode (roundworm) superfamilies Trichuroidea and Trichinelloidea. Includes a discussion of the taxonomy, morphological and molecular characteristics, biology, life cycle, and species of human medical and veterinary importance.

Chapter 49 in Concepts in Animal Parasitology, by María del Rosario Robles and Rocío Callejón Fernández. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap049

Concepts In Animal Parasitology, Chapter 55: Filarioidea Weinland, 1858 (Superfamily) [Nemata, Secernentea], Juliana Notarnicola

Concepts in Animal Parasitology

An overview of the nematode (roundworm) superfamilty Filarioidea Weinland, 1858 covering general morphology, taxonomy, phylogeny, host associations, life cycles, and human, domestic animal, and wild animal health implications of several species.

Chapter 55 in Concepts in Animal Parasitology, by Juliana Notarnicola. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap055

Concepts In Animal Parasitology, Part 1: Introductory Concepts, Scott L. Gardner, Daniel R. Brooks, Klaus Rohde, Anindo Choudhury, Matthew G. Bolek, Kyle D. Gustafson, Gabriel J. Langford, Megan R. Wise De Valdez, Jenő Reiczigel, Marco Marozzi, Fábián Ibolya, Lajos Rózsa, A. Townsend Peterson

Concepts in Animal Parasitology

Part I: Introductory Concepts, chapters 1-8, pages 1-104, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part I doi: 10.32873/unl.dc.ciap071

Introductory Concepts

Chapter 1: Introduction to Animal Parasitology by Scott L. Gardner, Daniel R. Brooks, and Klaus Rohde, pages 1-15

Chapter 2: Phylogenetic Systematics in Parasitology by Anindo Choudhury, pages 16-32

Chapter 3: Helminth Identification and Diagnostics: Basic Molecular Techniques by Anindo Choudhury and Scott L. Gardner, pages 33-38

Parasites in Relation to Other Organisms

Chapter 4: Hosts, Reservoirs, and Vectors by Matthew G. Bolek, Kyle D. Gustafson, …

Concepts In Animal Parasitology, Part 2: Protozoa, Myxozoa, Mesozoa, Donald W. Duszynski, Susan L. Perkins, Spencer C. Galen, Ana Maria Jansen, Samanta C. Chagas Xavier, André Luiz Rodrigues Roque, Mary Ann Mcdowell, Jennifer Robichaud, Terrence L. Miller, Sarah R. Catalano

Concepts in Animal Parasitology

Part II: Protozoa, Myxozoa, Mesozoa, chapters 9-14, pages 105-141, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part II doi: 10.32873/unl.dc.ciap072

Protozoa: Apicomplexa

Chapter 9: The Coccidia Proper: Important Apicomplexa Other than Haemoprotozoa by Donald W. Duszynski, pages 107-139

Chapter 10: Haemosporida (Order): The “Malaria Parasites” by Susan L. Perkins and Spencer C. Galen, pages 140-155

Protozoa: Trypanosomatidae

Chapter 11: Trypanosoma (Genus) by Ana Maria Jansen, Samanta C. Chagas Xavier, and André Luiz Rodrigues Roque, pages 156-181

Chapter 12: Leishmania (Genus) and Leishmaniasis by Mary Ann McDowell and …

Concepts In Animal Parasitology, Part 4: Nemata, Nematomorpha, Acanthocephala, Pentastomida, Scott L. Gardner, María Del Rosario Robles, Rocío Callejón Fernández, John J. Janovy Jr., Steven A. Nadler, F. Agustín Jiménez-Ruiz, Haylee J. Weaver, Valentin Radev, Anindo Choudhury, Juliana Notarnicola, Matthew G. Bolek, Ben Hanelt, Scott Monks, Chris T. Mcallister

Concepts in Animal Parasitology

Part IV: Nemata, Nematomorpha, Acanthocephala, Pentastomida, chapters 48–59, pages 532–731, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part IV doi: 10.32873/unl.dc.ciap074

Nemata: Endoparasitic Nematodes

Chapter 48: Introduction to Endoparasitic Nematodes (Phylum Nemata) by Scott L. Gardner, pages 533–544

Chapter 49: Trichuroidea and Trichinelloidea (Superfamilies) by María del Rosario Robles and Rocío Callejón Fernández, pages 545–565

Chapter 50: Ascarididae and Anisakidae (Families): Large Intestinal Nematodes by Larry S. Roberts, John J. Janovy, Jr., Steven Nadler, and Scott L. Gardner, pages 566–581

Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites …

Concepts In Animal Parasitology, Part 3: Endoparasitic Platyhelminths, Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner, Sumiya Ganzorig, Tomáš Scholz, Roman Kuchta, Jorge Falcon-Ordaz, Luis Garcia-Prieto, Francisco Zaragoza-Tapia, Scott Monks, Omar Lagunas-Calvo, Brenda Atziri García-García, Berenice Adán-Torres, Klaus Rohde, Willi E. R. Xylander, Lucrecia Acosta Soto, Rafael Toledo, Russell Q.-Y. Yong, Thomas H. Cribb, Scott C. Cutmore, Daniel C. Huston, Nicholas Q.-X. Wee, Sue Ann Gardner, Gerardo Pérez-Ponce De León, David Iván Hernández-Mena, Brenda Solórzano-García, Virginia León-Règagnon, Jeffrey M. Lotz, Storm B. Martin

Concepts in Animal Parasitology

Part III: Endoparasitic Platyhelminths, chapters 15-47, pages 231-531, in Concepts in Animal Parasitology. 2024. Scott L. Gardner and Sue Ann Gardner, editors. Zea Books, Lincoln, Nebraska, United States; part III doi: 10.32873/unl.dc.ciap073

PLATYHELMINTHES

Chapter 15: Introduction to Endoparasitic Platyhelminths (Phylum Platyhelminthes) by Larry S. Roberts, John J. Janovy, Jr., Steve Nadler, and Scott L. Gardner, pages 231-240

CESTODA

Chapter 16: Introduction to Cestodes (Class Cestoda) by Scott L. Gardner, pages 241-246

Eucestoda

Chapter 17: Cyclophyllidea Beneden in Braun, 1900 (Order) by Scott L. Gardner, pages 247-249

Chapter 18: Taenia (Genus) by Sumiya Ganzorig and Scott. L. Gardner, pages 251-261

Chapter …

Concepts In Animal Parasitology, Chapter 69: A Short Introduction To Marine Parasitology: Marine Parasites Of Economic And Medical Importance [Auxiliary Concepts], Klaus Rohde, Robin M. Overstreet

Concepts in Animal Parasitology

Chapter 69 in Concepts in Animal Parasitology, S. L. Gardner and S. A. Gardner, editors. 2024. Zea Books, Lincoln, Nebraska, United States

Introduction

Parasitism, in this chapter, is defined as “a close association of two organisms, in which one—the parasite—depends on the other—the host—deriving some benefit from it. The benefit is often food” (Rohde, 2005b). Many bacteria, viruses, and fungi are parasitic but usually not studied by parasitologists sensu stricto; they are the domain of microbiologists. Parasites as defined here do not always harm their host; the border between so-called genuine parasites and other symbionts such as commensals is often …

Concepts In Animal Parasitology, Chapter 50: Ascarididae And Anisakidae (Families): Large Intestinal Nematodes [Nemata, Secernentea], Larry S. Roberts, John J. Janovy Jr., Steven A. Nadler, Scott L. Gardner

Concepts in Animal Parasitology

An overview of the large intestinal nematodes (roundworms) in the families Ascarididae and Anisakidae. Includes a discussion of the taxonomy, as well as the biology and other aspects of ascarids and anasakids of human medical and veterinary importance, such as Ascaris lumbricoides, Toxocara canis, Anasakis spp., and other species.

Chapter 50 in Concepts in Animal Parasitology, by Larry S. Roberts, John J. Janovy, Jr., Steven Nadler, and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap050

Concepts In Animal Parasitology, Chapter 42: Opisthorchis (Genus) [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Sue Ann Gardner

Concepts in Animal Parasitology

A very brief overview of the trematode (fluke) genus Opisthorchis, including taxonomy, human medical importance, and life cycle.

Chapter 42 in Concepts in Animal Parasitology, compiled by Sue Ann Gardner from information from the United States Centers for Disease Control and Prevention, Division of Parasitic Diseases and Malaria. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap042

Concepts In Animal Parasitology, Chapter 37: Bivesiculata Olson Et Al., 2003 (Suborder): Small, Rare, But Important [Platyhelminthes, Trematoda, Digenea, Plagiorchiida], Thomas H. Cribb, Scott C. Cutmore

Concepts in Animal Parasitology

An overview of the the small, rare, but important group of trematodes (flukes) in suborder Bivesiculata Olson et al., 2003, found in the intestine of marine bony fishes in the class Osteichthyes. Includes identification methods, general morphology, life cycles, and taxonomy.

Chapter 37 in Concepts in Animal Parasitology by Thomas H. Cribb and Scott C. Cutmore. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap037

Concepts In Animal Parasitology, Chapter 18: Taenia (Genus) [Platyhelminthes, Cestoda, Eucestoda], Sumiya Ganzorig, Scott L. Gardner

Concepts in Animal Parasitology

Discusses the cestode (tapeworm) genus Taenia, several species of which infect humans, including their general morphology, the asexual reproduction of the metacestodes, identifcation, systematics, phylogeny, distribution, hosts, and their medical and veterinary importance.

Chapter 18 in Concepts in Animal Parasitology on the genus Taenia by Sumiya Ganzorig and Scott L. Gardner. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap018

Concepts In Animal Parasitology, Chapter 63: Siphonaptera Latreille, 1825 (Order): Fleas [Arthropoda], Marcela Lareschi

Concepts in Animal Parasitology

An overview of fleas, order Siphonaptera Latreille, 1825, the adults of which are highly specialized holometabolous arthropods adapted to parasitic life and are morphologically very different from other insects. Fleas are parasites of birds and mammals, but their greatest specific richness is associated with rodents. There are nearly 3,000 species and subspecies placed in 19 families that are currently known worldwide. Includes discussion of the general morphology of the imago, larva, pupa, and eggs, their morphological adaptation to parasitism, phylogeny, systematics, taxonomy, geographic distribution, host associations, biology, reproduction, and medical and veterinary importance.

Chapter 63 in Concepts in Animal Parasitology, …

Concepts In Animal Parasitology, Chapter 51: Heterakoidea (Superfamily): Cosmopolitan Gut-Dwelling Parasites Of Tetrapods [Nemata, Secernentea], F. Agustín Jiménez-Ruiz

Concepts in Animal Parasitology

An overview of the cosmopolitan gut-dwelling nematodes (roundworms) in the superfamily Heterakoidea, which occur most often in the cecum and large intestine of amphibians, reptiles, birds, and mammals. Discusses the general morphological characteristics, diagnosis, distribution and host associations, general biology, evolution, systematics, phylogeny, ecology, and conservation, including coverage of species of veterinary importance, Heterakis gallinarum and Histomonas meleagridis.

Chapter 51 in Concepts in Animal Parasitology, by F. Agustín Jiménez-Ruiz. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap051

Concepts In Animal Parasitology, Chapter 57: Nematomorpha (Phylum): Horsehair Worms, Matthew G. Bolek, Ben Hanelt

Concepts in Animal Parasitology

An overview of the horsehair worms, phylum Nematomorpha, including discussion of their general morphology, life cycle, distribution, diversity, taxonomy, phylogeny, ecology, and behavior.

Chapter 57 in Concepts in Animal Parasitology, by Matthew G. Bolek and Ben Hanelt. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap057

Concepts In Animal Parasitology, Chapter 09: The Coccidia Proper: Important Apicomplexa Other Than Haemoprotozoa [Protozoa, Apicomplexa], Donald W. Duszynski

Concepts in Animal Parasitology

Chapter 9 in Concepts in Animal Parasitology on the Coccidia Ppoper, important Apicomplexa other than Haemoprotozoa by Donald W. Duszynski. 2024. S. L. Gardner and S. A. Gardner, editors. Zea Books, Lincoln, Nebraska, United States. doi: 10.32873/unl.dc.ciap009

Improving Nutrition Screening Practice In The Hospitalized Heart Failure Patient Population, Amanda J. Bourgeois

DNP Projects

Background: Heart Failure is a disease known to affect nearly 6.5 million adults in the United States. Characterized by recurrent hospitalizations, heart failure significantly contributes to morbidity, mortality, and healthcare costs in the United States and worldwide. Because malnutrition is prevalent in the heart failure population, healthcare providers must perform nutritional assessments on admission to intervene in the case of malnutrition, prevent deterioration, and improve patient prognosis. Without intervention and early identification of malnutrition, heart failure hospitalizations will remain a significant problem.

Purpose: The purpose of this study is to evaluate the effect of an evidence-based educational program for cardiac …

The Impact Of Lung Cancer Screening Education On Knowledge And Screening Rates In A Kentucky Cancer Survivorship Clinic, Alexandra Isler

DNP Projects

Background: Lung cancer is a significant problem in Kentucky, which ranks fourth in the nation in adults who currently smoke. Early detection, through lung cancer screening, can prevent untimely deaths. Several barriers to screening exist including lack of knowledge and awareness among patients regarding lung cancer screening. By increasing knowledge, at risk patients can take the necessary steps to decrease incidence of late stage diagnoses.

Purpose: The purpose of this project was to evaluate patients’ knowledge of lung cancer screening and referral and screening rates before and after one-on-one patient education.

Methods: This was a quality improvement project that used …

Provider And Staff Education Surrounding Universal Hcv Screening And Linkage To Care In An Ambulatory Care Setting, Lauren Clifford

DNP Projects

Abstract

Background: In the United States, it is estimated that there are more than 2 million cases of Hepatitis C (HCV), with over 66,000 new cases since 2020 However, an estimated 75% of those with HCV go undiagnosed and less than 35% receive treatment within a year of diagnosis. In 2018, UK Healthcare (UKHC) implemented a universal HCV screening method using a Best Practice Advisory (BPA) for anyone 18 and older who presented to the Emergency Department and had labs ordered. Patients who screened positive were then referred to outpatient clinics for HCV treatment. Approximately ten percent of positive patients …

Evaluation Of Nutritional Guidance From Providers For Patients With Type 2 Diabetes In A Primary Care Setting, Whitney Rice

DNP Projects

Background: Adherence to diet is a challenging part of managing type 2 diabetes mellitus (T2DM). Guidelines recommend including a registered dietician and/or a diabetes educator. While this is the gold standard, there are barriers to implementation in primary care. The Starting the Conversation (STC) diet recall tool can aid primary care providers (PCPs) in providing brief nutrition counseling for patients with T2DM. Purpose: To evaluate the perceptions and practices of PCPs regarding dietary education and documentation for patients with T2DM after provider education and initiation of the STC tool. Methods: This was a quality improvement project using a quasi-experimental pretest …

Combinatorial Atoh1, Gfi1, Pou4f3, And Six1 Gene Transfer Induces Hair Cell Regeneration In The Flat Epithelium Of Mature Guinea Pigs, Yujie Liu, Lin Yang, Sunita Singh, Lisa A Beyer, Diane M Prieskorn, Donald L Swiderski, Andrew K Groves, Yehoash Raphael

Children’s Nutrition Research Center Staff Publications

Flat epithelium (FE) is a condition characterized by the loss of both hair cells (HCs) and supporting cells and the transformation of the organ of Corti into a simple flat or cuboidal epithelium, which can occur after severe cochlear insults. The transcription factors Gfi1, Atoh1, Pou4f3, and Six1 (GAPS) play key roles in HC differentiation and survival in normal ears. Previous work using a single transcription factor, Atoh1, to induce HC regeneration in mature ears in vivo usually produced very few cells and failed to produce HCs in severely damaged organs of Corti, especially those with FE. Studies in vitro …

Variant Of The Lactase Lct Gene Explains Association Between Milk Intake And Incident Type 2 Diabetes, Kai Luo, Guo-Chong Chen, Yanbo Zhang, Jee-Young Moon, Jiaqian Xing, Brandilyn A Peters, Mykhaylo Usyk, Zheng Wang, Gang Hu, Jun Li, Elizabeth Selvin, Casey M Rebholz, Tao Wang, Carmen R Isasi, Bing Yu, Rob Knight, Eric Boerwinkle, Robert D Burk, Robert C Kaplan, Qibin Qi

Faculty, Staff and Student Publications

Cow's milk is frequently included in the human diet, but the relationship between milk intake and type 2 diabetes (T2D) remains controversial. Here, using data from the Hispanic Community Health Study/Study of Latinos, we show that in both sexes, higher milk intake is associated with lower risk of T2D in lactase non-persistent (LNP) individuals (determined by a variant of the lactase LCT gene, single nucleotide polymorphism rs4988235 ) but not in lactase persistent individuals. We validate this finding in the UK Biobank. Further analyses reveal that among LNP individuals, higher milk intake is associated with alterations in gut microbiota (for …

The Impact Of Body Mass Index And Physical Disability On Home-Based Anal Self-Sampling, Jenna Nitkowski, Maria E Fernandez, Tim Ridolfi, Elizabeth Chiao, Anna R Giuliano, Vanessa Schick, Michael D Swartz, Jennifer S Smith, Alan G Nyitray

Faculty, Staff and Student Publications

PURPOSE: Self-sampling is increasingly being used in screening programs, yet no studies to date have examined the impact of bodily characteristics on self-sampling experiences. Our objective was to assess whether body mass index (BMI) and physical disability were associated with anal self-sampling difficulty.

METHODS: We recruited sexual minority men (SMM) and trans persons in Milwaukee, Wisconsin to participate in an anal cancer screening study. Between January 2020 and August 2022, 240 participants were randomized to a home (n = 120) or clinic (n = 120) screening arm. Home participants received a mailed at-home anal self-sampling kit and were asked to …

The Impact Of Covid-19 Pandemic On Global Neurosurgery Collaborations., Alvan Emeka Ukachukwu, Nancy Abu Bonsrah, Andreas Seas, Zoey Petitt, Romaric Waguia Kouam, Samantha Ramos, Alyssa Edwards, Di Deng, Michael Haglund, Mahmood Qureshi

General Surgery, East Africa

No abstract provided.

Alopecia As An Early Clinical Marker For Azathioprine Induced Myelosuppression: A Case Report, Nilanjana Dutta , Final Year Mbbs, Dr. M Suresh Babu , Professor, Dr. Subramanian Ramaswamy , Professor, Dr. Mahabaleshwar Mamadapur , Assistant Professor

Digital Journal of Clinical Medicine

Azathioprine is a pro-drug and is metabolized by the TPMT enzyme in the body. In South Asians, Azathioprine is known to cause alopecia and bone marrow suppression in patients with TPMT enzyme deficiency. In India, the prevalence of TPMT mutation varies from 1.2- 10%. A new mutation was detected in 2014, NUDT15 whose incidence varies from 8.5-16%. Patients with mutation in both TPMT and NUDT15 develop myelosuppression faster. In our case, alopecia manifested as the first clinical feature of Azathioprine myelosuppression. Physicians need to recognize early clinical clues (alopecia) to avoid the impending development of myelosuppression and to look for …