Letter to the Editor

Into the Shadow: A Reflection on the Stigma of Human Immunodeficiency Virus (HIV) in...

In 1984, early in the days of the acquired immune deficiency syndrome (AIDS) epidemic, Ryan White, a 13-year-old haemophiliac who was infected with human...

Progressive Multifocal Leukoencephalopathy with Immune Reconstitution Inflammatory Syndrome (PML-IRIS): Two Case Reports of Successful...

Failure of cell-mediated immunity allows reactivation of the ‘JC’ polyomavirus (JCV) in oligodendrocytes, and the development of progressive multifocal leukoencephalopathy (PML). This is most...

Acute Retroviral Syndrome Mimics Dengue in Singapore

Both dengue and acute human immunodeficiency virus-1 (HIV-1) can cause a febrile illness associated with myalgias, rash and blood count abnormalities, as noted in...

Phasing out the Use of Stavudine in Singapore: How Are We Doing in Compliance...

In the 2010 revision of the Guidelines on Antiretroviral Therapy (ART) for human immunodeficiency virus (HIV) infection in adults and adolescents, the World Health...

Multiple Basal Cell Carcinomas Arising in a Surgical Scar After Radiotherapy

A 53-year-old male presented with a 5-month history of dysphagia, cough and chest pain. Computed tomography revealed a mass in mediastin which was suspicious...

TachoSil® in the Treatment of Postoperative Groin Lymphatic Fistula

Vascular reconstruction unavoidably results in lymphatic injury due to the intricate association of lymphatics with arteries and veins. There are also significant lymph node...

Tracheal Injury Causing Massive Pneumoperitoneum Following Change of a Tracheostomy Tube

We describe a 75-year-old female with a known long tracheal stenosis who underwent an open tracheostomy after complicated coronary artery bypass grafting surgery in...

A Case of Massive Lower Gastrointestinal Bleeding: Superior Rectal Artery Pseudoaneurysm

While most cases of acute lower gastrointestinal (GI) bleeding resolve spontaneously following supportive management, 10% to 15% of patients in whom bleeding persists require...

Multimodality Imaging Features of Rectal Schwannoma

A 63-year-old woman with a family history of colon cancer presented with early satiety and loss of appetite. Physical examination was unremarkable apart from...

Primary Breast Osteosarcoma: Dynamic Contrast-Enhanced Magnetic Resonance Imaging, Proton Spectroscopy and Diffusion Weighted Imaging...

Primary pure osteosarcoma of the breast is a rare malignant tumour and is histologically indistinguishable from conventional osteosarcoma of the bone and other extraskeletal...
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