Issue 3

Reactive Attachment Disorder (RAD), only diagnosed in the context of early abuse and neglect, is characterised by failure to seek and accept comfort. It involves lack of activation of the – developmentally essential – attachment system, hence has profound developmental disadvantages. RAD usually resolves quickly in the context of adequate care and has been assumed never to persist once the child is in a nurturing placement.

We report a rare case of a teenager presenting with progressive contralateral extremity paresis and numbness caused by posterolateral disc herniation at C3-C4. Intervertebral decompression and artificial disc replacement was performed. Follow-up at 2 months showed complete neurologic recovery.

In July 2017 we observed, in our Internal Medicine Department, the patient F.A. recently affected by recurrent Chronic Obstructive Pulmonary disease (COPD). Anamnesis’ data have underlined the presence of Permanent Atria Fibrillation (FAP) and severe carotid stenosis, treated with carotid endarterectomises (2012).

Salivary gland calculi account for the most common disease of the salivary glands. The majority of sialoliths occur in the submandibular gland or its duct and are a common cause of acute and chronic infections. Sialolith can be unilateral, bilateral, single or multiple. Depending on the gland affected and stone location, there are various methods available for the management of salivary stones or calculi.

It was with great enthusiasm that we have seen the results published by Francis et al. concerning the adjuvant hormone therapy. In the SOFT study, the 8 year disease-free survival rate was 78.9% in patients who did only tamoxifen, 83.2% with tamoxifen and ovarian suppression, and 85.9% with exemestane and ovarian suppression