ACHAIKI IATRIKI Volume 34, Issue 2, October 2015 81 82 ΑΧΑΪΚΗ ΙΑΤΡΙΚΗ Τόμος 34ος, Τεύχος 2, Οκτώβριος 2015

ACHAIKI IATRIKI OFFICIAL PUBLICATION OF THE MEDICAL SOCIETY OF WESTERN AND PELOPONNESUS 

EDITORIAL BOARD OF ACHAIKI IATRIKI Editor In-Chief Professor Nicholas G Kounis Department of Medical Sciences, Highest Institute of Education and Technology 7 Aratou Street, Queen Olgas Square, Patras 262 21, Greece, E-mail: [email protected] Deputy Editors Professor Ioannis Tsolakis, Surgery Professor Konstantinos Chrysanthopoulos, Medicine Assistant Editors Assistant Professor Stavros Kakkos, Vascular Surgery Lydia Leonidou, Attending Physician, Medicine Members of the Editorial Committee Assistant Professor Helen Gelastopoulou, Andreas Mitropoulos, Rheumatology Public Health and Epidemiology George Tsiros, General Practice Ioannis Karaindros, Medicine

SCIENTIFIC COMMITTEE Professor Theodoros Alexandridis, Endocrinologist, Patras, GR Dr Constantinos Karogiannis, Cardiologist, Patras, GR Professor Dimitrios Alexopoulos, Cardiologist, Patras, GR Fotios Karvelas, Consultant Surgeon, Patras, GR Vasilios Alivizatos, Consultant Surgeon, Patras, GR George Krokidas, Consultant Paediatrician, Patras, GR George Asimakopoulos, Consultant Physician, Sparta, GR Panagiotis Korovesis, Consultant Orthopaedic Surgeon, Patras, GR Panagiotis Christopoulos, Consultant Neurologist-Psychiatrist, Pirgos, GR Professor Stefanos Mantagos, Paediatrician, Patras, GR Assistant Professor Periklis Davlouros, Cardiologist, Patras, GR Professor Emeritus Theodoros Maraziotis, Neurosurgeon, Patras, GR Lecturer Dimitrios Daoussis, Rheumatologist, Patras, GR Constantinos Panagiotopoulos, Cardiologist, Argos, GR Professor Dimitrios Dougenis, Cardiothoracic Surgeon, Patras, GR Professor Panagiotis Papathanasopoulos, Neurologist, Patras, GR Dionysios Feretis, Consultant Ophthalmic Surgeon, Patras, GR Lecturer Helen Solomou-Liosi, Hematologist, Patras, GR Professor Emeritus Sotirios Gartaganis, Ophthalmic Surgeon, Patras, GR Professor Michael Stavropoulos, Surgeon,Patras, GR Professor Charalambos Gogos, Physician, Patras, GR Ageliki Fragoulia, Consultant Physician, Patras, GR Professor Panos Goumas, ENT Surgeon, Patras, GR Professor Nicholas Zoumpos, Hematologist, , GR Professor Fotios Kalfarentzos, Surgeon, Patras, GR

INTERNATIONAL ADVISORY BOARD Zoe Astroulakis, London, UK Constantinos Chrysostomou, Pittsburgh, PA, USA Petri Kovanen, Helsinki, Finland Thanos Athanasiou, London, UK Nishali Ekanayaka, Colombo, Sri Lanka Anil Kumar, Danville, Pa, USA Murat Biteker, Instabul, Turkey Ruvan Ekanayaka, Colombo, Sri Lanka Nicos Labropoulos, New York, USA Nikos Bouras, London, UK John Elefteriades, New Haven, CT, USA Miltiadis Leon, San Angelo, TX, USA Cihan Cevik, Lubbock, TX, USA Haralambos Gavras, Boston, MA, USA Arum Maskey, Kathmandu, Nepal Yong-Mei Cha, Rochester, MIN, USA Gabriel Gregoratos, San Francisco, CA, USA Susumu Nakae, Tokio, Japan Kanu Chatterjee, San Francisco, CA, USA George Kalliolias, New York, USA Andreas Nicolaides, Nicosia, Cyprus Jack Chen, Atlanta, GA, USA Stamatis Kapetanakis, London, UK Theoharis C Theoharides, Boston, MA, USA Tsung O Cheng, Washington DC, USA Theodore Kondoulis, London, UK Frank J Veith, New York, USA Nicolas Chronos, Atlanta, GA, USA Kyriakos Kirou, New York, USA Elio Venturini, Cecina, Italy

PAST EDITORS IN CHIEF Alekos Maraslis (1975-1985) Athanasios Diamandopoulos (1993-1996) Athanasios Diamandopoulos (1986-1991) Mariana Stamatiadou (1997-1998) Constantinos Chrysanthopoulos (1991-1992) Athanasios Diamandopoulos (1998-2005) ACHAIKI IATRIKI Volume 34, Issue 2, October 2015 83

INSTRUCTION TO AUTHORS 

General Patient photos, name, initials, or hospital numbers, should not be included in video footage, recordings, ACHAIKI IATRIKI (Ach Iatr) is a peer-reviewed written descriptions, photographs, and pedigrees unless journal launched in 1975 and constitutes the official the information is essential for scientific purposes. In publication of the Medical Society of Western Greece this case, written informed consent for publication in and Peloponnesus, which was founded in Patras in 1912 print and electronic form from the patient or relatives is and, is the most long-lived Medical Society in Greece, necessary. If such consent is made subject to any condi- after the Medical Society of . It publishes papers of tions, the editorial committee must be made aware of members of the Society. Contributions from non members all such conditions. Written consents must be provided and international scientists are also welcomed. Papers to the editor on request. written in English language are particularly supported and encouraged. Statement of Human and Animal Rights These articles deal with scientific developments from In manuscripts describing human research the authors all fields of medicine. The priority in acceptance of must indicate clearly that all experimental procedures manuscripts for publication is given for original, high were carried out in accordance with the ethical standards scientific and academic quality manuscripts. The journal of the responsible institutional committee for human considers papers written in proper Greek language with experimentation and with the Helsinki Declaration of complete and detailed abstract, authors, departments, 1975, as revised in 2000. When reporting on animal key words, and correspondence details in English. The research, the authors should also indicate that procedures first author of the paper accepted for publication should followed the institutional and national guides for the care understand that the Editorial Committee retains the right and use of laboratory animals. to make corrections especially grammatical or syntactical, which do not change the text of the manuscript, when Ethics these are deemed necessary. Manuscripts containing original material are accepted Peer review process for consideration for publication with the understanding that neither the article nor part of the article has been All articles submitted to the ACHAIKI IATRIKI, after or will be published elsewhere before appearing in the an initial assessment by the editors, undergo a thorough journal. (This restriction does not apply to abstracts; peer review process utilising a double-blind system in- published abstracts, however, should not exceed 300 volving two or more reviewers, before a final decision words). If any of the manuscript’s figures or tables have is taken by the Editorial Committee. previously been published elsewhere, permission for their use must be obtained from the copyright holder. Conflict of interest Accepted papers become the permanent property of the The authors should disclose at the time of submission any Medical Society of Western Greece and Peloponnesus financial arrangement they may have with a company and may not be reproduced in whole or in part without whose product figures prominently in the manuscript the written consent of the Society. Statements and sug- or with a company making a competing product. For gestions published in manuscripts are under the authors review articles or editorials, the authors should not have responsibility and do not reflect the opinion of the editor any financial interest in a company or its competitor that and associates. makes a product discussed in the article. Types of papers Informed Consent The journal publishes the following type of papers: Studies on patients or volunteers require ethics com- 1. Editorials: up to 4 typed double spaced pages with mittee approval and informed consent which should be no more than 10 contemporary references. Editorials documented in the paper. are solicited by the Editor. 84 ΑΧΑΪΚΗ ΙΑΤΡΙΚΗ Τόμος 34ος, Τεύχος 2, Οκτώβριος 2015

INSTRUCTION TO AUTHORS 

2. Comprehensive Reviews: Up to 10 typed double- 2. Second page: Include a brief, structured abstract of space pages no more than 200 words as follows: Objective and 3. Clinical or experimental papers: Up to 10 typed background, methods, results and conclusion in case double space pages of clinical or experimental articles. List 3-5 key words for indexing. 4. Case reports: Up to 6 typed double-space pages with no more than 10 references. 3. Following pages: Include introduction, material and methods, results and discussion for clinical or experi- 5. “The general Practitioner”: Physicians, irrespec- mental studies. For case reports include, introduction, tively if they are in private practice or work in an report of the case, discussion, conclusion. institution, are strongly encouraged to submit for publication any interesting case or subject which he 4. Include any relevant table or figure. has encountered in his everyday practice of unusual, 5. The last page: Include numbered references in the strange, peculiar or even humorous course and end- order in which they are cited in the text according ing, up to 5 typed double spaced pages. to the Vancouver system as the following examples. 6. Nursing and allied disciplines: Every scientist Listing all authors when there are six or fewer; when working in nursing or allied sciences is encouraged to there are seven or more, list the first three names, submit papers of no more than 5 types double-space followed by “et al.”: pages. • Journal article: Zavras GM, Papadaki PJ, Kokkinis 7. Student and other news: medical students and SE, et al. Kounis syndrome secondary to allergic students of other health disciplines are also strongly reaction following shellfish ingestion. Int J Clin encouraged to submit thoughts, views or even sci- Pract 2003; 57:622-624. entific work up to 5 typed double spaced pages. • Textbook: Hudson R. Cardiovascular Pathology, 1st ACHAIKI IATRIKI also publishes letters to the editor, edition. Edward Arnold (publisher) Ltd, London, interesting images, scientific quizzes, vignettes and the 1965; 1341- 1350. news of the society of western Greece and Peloponnesus. • Book chapter: Opie LH. Mechanism of cardiac contraction and relaxation. In: Braunwald E, edi- Manuscript format tor. Heart Disease, 5th ed. Philadelphia: Saunders; 1. First page: Include a brief and descriptive title of 1997; 360-393. the article, the author’s full names with academic degrees, hospital and academic affiliations and the Paper Submission name, address, telephone, fax, and e-mail of the Submit papers electronically to the following address: author responsible for correspondence. [email protected]

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Περιεχόμενα Contents

Γράμμα του Διευθυντή της Σύνταξης Mερικές βασικές Γενικές αρχές για τα Νέα από του Στόματος Letter from the Editor Αντιπηκτικά, ο Γενικός γιατρός και ο ειδικός Γιατρός της Πρωτοβάθμιας Φροντίδας Υγείας ...... 87 Some basic Principles for the New Oral Anticoagulants, the General Practitioner and the Specialty Primary Care Physician...... 87 Νικόλαος Κούνης, Πάτρα / Nicholas Kounis, Patras, Greece Άρθρο Σύνταξης Advances in the Diagnosis and Treatment Editorial of Idiopathic Pulmonary Fibrosis...... 90 Εξελίξεις στη Διάγνωση και Θεραπεία της Ιδιοπαθούς Πνευμονικής Ίνωσης...... 90 Likurgos Kolilekas, Spyros A Papiris, Demosthenes Bouros, Athens, Greece / Λυκούργος Kολιλέκας, Σπύρος Α Παπίρης, Δημοσθένης Μπούρος, Αθήνα Η ΠΡΟΣΕΥΧΉ. Ανάγκη και Aνάσα της Ψυχής...... 93 THE PRAY. The Need and the Breathing of the Soul...... 93 Ανδρέας Ι. Μητρόπουλος, Πάτρα / Αndreas I. Mitropoulos, Patras, Greece Ερευνητική Μελέτη Αξιολόγηση της επικοινωνιακής πολιτικής της Υγειονομικής Research Study Αρχής κατά τη διαχείριση της πανδημίας γρίπης Η1Ν1...... 98 Evaluation of the communication policy of the Greek Health Authorities during the management of H1N1 influenza pandemic...... 98 Γεώργιος Καραμπουτάκης, Αθήνα / George Karampoutakis, Athens, Greece Ανασκόπηση Σπάνιες Εντοπίσεις Λειομυωμάτων στο Γεννητικό Σύστημα Review της Γυναίκας...... 113 Rare Localizations of Genital Leiomyomas in Woman’s System...... 113 Ιωάννης Κ Θανασάς, Μαρία Μπουρσιάνη, Τρίκαλα / Ioannis K Thanasas, Maria Boursiani, Trikala, Greece Η έγκαιρη διάγνωση καρκίνου πνεύμονα - Νεότερα δεδομένα...... 124 The Timely Diagnosis of Lung Cancer: Contemporary Data...... 124 Ιωάννης Κ Γαλαριώτης, Καλλιόπη Γεωργίτσα-Γαλαριώτη, Πάτρας / Ioannis K Galariotis, Kalliopi Georgitsa-Galarioti, Patras, Greece 86 ΑΧΑΪΚΗ ΙΑΤΡΙΚΗ Τόμος 34ος, Τεύχος 2, Οκτώβριος 2015

Περιεχόμενα Contents

Eνδιαφέρουσα Περίπτωση Οξεία Ηωσινοφιλική Μυοκαρδίτιδα μιμούμενη Οξύ Έμφραγμα Interesting Case Μυοκαρδίου...... 130 Acute Eosinophilic Myocarditis Mimicking Acute Myocardial Infarction...... 130 Ευστάθιος Κουλούρης, Ελευθέριος Παπαβασιλείου, Βέροια, Ιωάννης Βογιατζής, Θεσσαλονίκη / Eustathios Koulouris, Eleutherios Papavasiliou, Veroia, Ioannis Vogiatzis, , Greece Ιστορία της Ιατρικής Ιστορία της Αιμοκάθαρσης...... 137 History of Medicine Τhe History of Hemodialysis...... 137 Ηλίας Κυρίτσης, Αθήνα, Κωνσταντίνα Τρίγκα, Πάτρας / Ilias Kyritsis, Athens, Konstantina Trigka, Patras, Greece Νέα της ΙΕΔΕΠ Aχαϊκές Ιατρικές Ημέρες 2015, Πάτρα 28 & 29 Μαρτίου 2015...... 142 IEDEP News Achaia Medical Days 2015, Patras 28 & 29 of March 2015...... 142 Aνακοινώσεις της ΙΕΔΕΠ Προσυνεδριακή Διημερίδα 12ο Παμπελοποννησιακού Ιατρικού IEDEP Anouncements Συνεδρίου, 4-5 Δεκεμβρίου 2015, Κάστρο Μονεμβασιάς...... 146 Precongress Meeting of 12th Panpeloponnese Medical Congress December 4-5, 2015, Kastro - Monemvasia, Greece...... 146 Αχαϊκές Ιατρικές Ημέρες 2016, Διημερίδα, 8 – 10 Μαρτίου 2016 Αγορά Αργύρη, Πάτρα...... 151 Achaia Medical Days 2016, Patras 8 – 10 of March 2016...... 151 ΙΑΤΡΙΚΟΣ ΣΥΛΛΟΓΟΣ ΚΟΡΙΝΘΙΑΣ - 12ο Παμπελοποννησιακό Ιατρικό Συνέδριο, Οκτώβριος 2016...... 151 KORINTHOS MEDICAL ASSOSSIATION - 12th Panpeloponnese Medical Congress - October 2016...... 151 Eυρετήριο 34ου Τόμου ...... 149 Glossary-Volume 34, 2015 ...... 149 Ευρετήριο Συγγραφέων ...... 151 Authors-Volume 34, 2015 ...... 151 Ευχαριστήριο 34ου Tόμου ...... 152 Thanks to Reviewers-Volume 34, 2015 ...... 152