Dysmorphology and skeletal involvement such as those seen in ruminants are unusual.
Tuberculosis primarily affects the lungs but can also have extrapulmonary involvement such as ocular tuberculosis [1].
Chest symptoms may be associated with upper airway obstruction or oesophageal involvement such as breathing or swallowing difficulties [5].
Alternative strategies of involvement, such as notional or emotional support by immigrant parents, are oftentimes hard to examine through standardised survey items.
In addition, thoracic features of tuberculosis and other abdominal signs of involvement such as findings of peritonitis and hepatosplenic dissemination support the diagnosis.
Simultaneous occurrence of systemic and ocular disease suggests the possibility of direct viral involvement such as conjunctivitis, anterior uveitis, viral retinitis, and optic neuritis.
Posterior segment involvement such as retinitis, retinochoroiditis [2], retinal vasculitis [3], and neuroretinitis [4] in dengue has been reported extensively in literature.
Hematologic malignancies present distinct issues (relative to solid tumors) for the application of immune therapies due to differences in cell of origin/developmental niche of tumor cells, and patterns of involvement such as common systemic involvement of secondary lymphoid tissues.
Seventy-six (24 %) of these stated specific named medical professional involvement (named doctor, radiographer, medical physicist or hospital) in the publicity information whilst a further 40 (12 %) mentioned unnamed medical professional involvement (such as "radiologist" or "emergency physician").
Our case report indicates that canakinumab is effective not only for the treatment of systemic inflammation but also for treating ophthalmic involvement, such as recurrent stromal keratitis and anterior uveitis.
Given that immigrant parents frequently face barriers to involvement (such as insufficient language skills), these institutional arrangements place immigrant parents into a disadvantaged position which translates into unfavourable consequences for their children's educational success.
