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ObjectivesAssessing medical students’ attitudes toward patient-centred care is essential to bettering medical education. Based on doctor-patient relationships and the medical system in China, it is important to explore the impact of gender differences and other background factors on patient-centred attitudes and to provide references for medical education reform.MethodsA cross-sectional study was conducted on fourth-year medical undergraduate students from November 2017 to March 2018 in Heilongjiang Province, Northeast China. The Chinese-revised Patient-Practitioner Orientation Scale (CR-PPOS), which has been validated in previous research, was used to measure the medical students’ attitudes. The medical students’ demographic data was collected, including their gender, age, information on whether they have siblings, family residence location, doctor(s) for parents, year in which the student first experienced clinical practice, and student category.ResultsA total of 513 students (91.12%) completed the survey. The Chinese medical students scored considerably higher for ‘Caring’ (including patients’ preferences into the decision-making process) than for ‘Sharing’ (sharing information/responsibility with patients). These students tended to have patient-centred attitudes, as measured by an average overall CR-PPOS score of 3.63 (scores higher than 3.5 indicate patient-centred attitudes), which is higher than Malian (3.38) and Pakistani (3.40) medical students but lower than American (4.57) and Brazilian (4.66) students. Female students (P < 0.05) were significantly associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores. Student category (P < 0.05) was associated with ‘Sharing’ and ‘Caring’ scores. Clinical hospital students (P < 0.05) were associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores, Students without siblings (p < 0.07) were associated with the higher ‘Sharing’ subscale scores.ConclusionsIn China, gender has a significant impact on medical students’ patient-centred attitudes, which is similar to findings from other countries. If medical schools want to raise patient-centred attitudes across the board and bridge the gap between male and female patient-centred attitudes, gender, student category, and other factors should be incorporated into medical education.

Cutaneous and systemic plasmacytosis (CSP) is a rare disorder characterized by disseminated reddish brown plaques and polyclonal hypergammaglobulinemia. The lesions of CSP are histologically characterized by an infiltration of mature polyclonal plasma cells, which display similar pathological features to the plasma cell-type Castleman disease (CD). The relationship between CSP and CD is controversial. Herein, we described a 43-year-old man from China with disseminated reddish brown plaques and nodules on the cheek and temple. The serum level of immunoglobulin G and immunoglobulin A were higher than normal. In addition to mature plasma cell perivascular infiltrate in the dermis, the biopsy of the lesions showed small to medium-sized germinal follicles with hyalinized vessels and a concentrically arranged mantle zone. The patient had clinical features of CSP, but the biopsy revealed changes resembling mixed-type CD. To the best of our knowledge, this is the first case of CSP with the pathological features of mixed-type CD reported from China.

Background: Dermoscopy has been shown to be a promising method to faciiitate the diagnosis of lichen pianus (LP| outside of China.Objective: To investigate the spectrum of dermoscopic patterns in Chinese LP patients. Methods:The clinical data and dermoscopic patterns of nine LP cases with a total of 43 lesions were evaluated. Results: To the naked eye, 20.97% of the lesions exhibited graying Wickham striae (WS); however, 37.5% presented with white streaks of annular, reticular, or leaf venation patterns under dermoscopy. Blue-white veils were occasionally observed in the center. Pigment patterns varied from dots, globules, and peppered pigment to pigmented lines, which were unrelated to the pigment network of the skin. At the periphery of the WS, red fine lines ran parallel to the delicate white streaming lines.Conclusions: WS exhibits five morphological patterns (leaf venation, reticular, white dots, circular and radial streaming) and three color patterns (homogeneous crystalline white, blue-white veil and yellowish-white). The pigment patterns consisted of dots/ globules, peppered pigments and pigment, streaming lines.Contexte: La dermatoscopie s'est révélée, à l'extérieur de la Chine, un examen prometteur dans la pose du diagnostic de lichen plan (LP).Objectif: L'étude visait à examiner les différentes formes dermatoscopiques de LP, observées chez des patients chinois.Méthode: II y a eu évaluation de données cliniques ainsi que des différentes formes dermatoscopiques de LP, observées dans 9 cas, qui totalisaient 43 lésions.Résultats: Après examen, 20.97% des lésions présentaient, à l'oeil nu, des stries de Wickham grisâtres, tandis que 37.5% présentaient, à la dermatoscopie, des stries blanches de forme annulaire ou réticulaire ou encore des nervures en forme de feuille. Des voiles blanc bleuté ont parfois été observés au centre. La pigmentation prenait la forme de points, de globules, d'amas parsemés de points pigmentés, ou de filets pigmentés, toutes des formes non liées au réseau de pigmentation de la peau. À la périphérie des stries de Wickham, de petites lignes rouges couraient parallèlement aux fins filets blancs.Conclusions: Les stries de Wickham se présentaient sous cinq grandes formes (nervures en forme de feuille, points réticulaires ou blancs, filets circulaires ou radiaux) et en trois couleurs (blanc cristallin homogène, voile blanc bleuté, blanc jaunâtre). La pigmentation prenait la forme de points, de globules, d'amas parsemés de points pigmentés, ou de filets pigmentés. D ERMOSCOPY is a well-established diagnostic tool to improve the clinical recognition of a broad spectrum of skin disorders, including melanoma, basal cell carcinoma, and seborrheic keratosis. Lichen planus (LP) is an *The two authors contributed equally to the manuscript.

SUMMARYTo search for a method for treatment of bilateral temporal lobe epilepsy (BTLE), we report one patient with BTLE experienced bilateral stereotactic radiofrequency amygdalohippocampectomy (SAHE). Neuropsychological examinations were performed before and 5 days, and 6, 18, and 48 months after operation. No seizure occurred in the follow-up time, and no long-term memory and intelligence deficits were found except for a transient decline of the scores immediately after operation. Because severe damage of memory could be caused by bilateral resection surgery, bilateral SAHE should be considered as a possible approach for the treatment of BTLE. However, further studies with accumulation of cases are needed, especially in the detailed assessment of neuropsychological function.