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Clinical Case Reports

Satish Maharaj, Megan Brown, Karan Seegobin, Carmen Isache
Sarcoidosis is one of the "great masqueraders" of medicine and can present with atypical facial swelling. Imaging and biopsy confirm the diagnosis.
October 2018: Clinical Case Reports
Toshihiro Suga, Takashi Hatori, Yuko Suga, Mikoto Yoshida, Keita Oyama
Although rapid treatment is important, unenhanced computed tomography before angiography is quick and can detect myocardial infarction induced by aortic dissection and also asymptomatic abdominal aortic stenosis in acute myocardial infarction cases.
October 2018: Clinical Case Reports
Rishi Mamtani, Kamal Addagatla, Elgida R Volpicelli, Xiang Da Eric Dong, Matthew Juriga
Basal cell carcinoma is the most common skin cancer, but may present as anatomically and pathologically unique variants. A careful understanding of the pathophysiology, meticulous preoperative planning, and the use of unique reconstructive techniques to preserve function and cosmesis are key in achieving a satisfactory oncologic result.
October 2018: Clinical Case Reports
James Nguyen, Hani Hassoun
Cutaneous involvement in multiple myeloma is an extremely rare occurrence that is underrecognized and akin CNS involvement, typically occurs late in the disease course, and is associated with an aggressive biology. Pathologic examination is key to the diagnosis and a standard of care treatment has not been established for these patients.
October 2018: Clinical Case Reports
Victor Ge, Iouri Banakh, Ravindranath Tiruvoipati, Kavi Haji
Given the current understanding of bleomycin-induced pneumonitis (BIP), the use of tumor necrosis factor alpha (TNF-α) inhibitors such as infliximab for late-stage disease appears to be of limited benefit. Further research regarding prevention and management of advanced BIP is required.
October 2018: Clinical Case Reports
Takayoshi Nagahara, Katsuhiro Takeda, Yusuke Aida, Tomoyuki Iwata, Ryoichi Yagi, Hidemi Kurihara, Hideki Shiba
Dental radiography and cone-beam computed tomography revealed the left mandibular first molar in a 68-year-old female patient with Heithersay Class 3 invasive cervical resorption (ICR). The inhibition of ICR progression and environmental improvement in and around the affected tooth through combined endodontic and periodontal treatments led to a favorable clinical outcome.
October 2018: Clinical Case Reports
Federica Grosso, Annalisa Roveta, Giulia Gallizzi, Marco Belletti
Malignant pleural mesothelioma (MPM) is a rare neoplasm, generally caused by asbestos exposure. This case details how a patient treated with nintedanib during the LUME-Meso study was rechallenged with nintedanib. The findings highlight the benefit of nintedanib rechallenge and the potential use of continuous anti-angiogenic therapy in MPM treatment.
October 2018: Clinical Case Reports
Spyridon Triantafyllou, Stavros Aggelis, Dimitrios Tzavelas, Ifigeneia-Vasiliki Kontoteza, Panagiotis Skandalakis, Dimitrios Filippou
Renal ectopia is a relatively rare situation which may complicate the diagnosis. In cases with renal ectopia, the normal route of the urinary tract alters and may be associated with increased incidence of infections or coexist with other malformations. We report a female patient with unobstructed pelvic renal ectopia complicated by urinary tract infection. After presenting our diagnostic and therapeutic dilemmas and strategy, we discuss the existing diagnostic and treating options including conservative and surgical approaches...
October 2018: Clinical Case Reports
Tsuyoshi Uchida, Hirochika Matsubara, Aya Sugimura, Hiroyasu Matsuoka, Tomofumi Ichihara, Hiroyuki Nakajima
It has been proven that the Tachosuture technique is effective for preventing prolonged air leaks caused by pulmonary resection. We successfully used the Tachosuture technique to treat intractable pneumothorax with interstitial pneumonia. This technique avoids pulmonary resection and contributes to acute exacerbations of interstitial pneumonia.
October 2018: Clinical Case Reports
Wenjie Li, Xianze Meng, Weiqing Wang, Jinfeng Lv, Yingmei Sun, Yanan Lv, Caijuan Wang, Hongqin Wang, Mei Wang, Dongpo Song
Twelve days after birth, the child was admitted to hospital because of "poor response, lethargy, and poor appetite for 6 days" and developed into coma immediately. The ventilator is required. The urine had significant maple syrup odor. After different diagnosis, she was diagnosed with classical maple syrup urine disease.
October 2018: Clinical Case Reports
Tara J Bellis, Laura Gibeon
Lamotrigine is a sodium and calcium channel blocker, used to treat seizures in people. Dogs metabolize Lamotrigine to a cardiotoxic metabolite that causes severe, often fatal ventricular arrhythmias. This report documents the successful treatment of refractory Lamotrigine cardiotoxicity in a dog, using intralipid emulsion therapy.
October 2018: Clinical Case Reports
Muhamad Alhaj Moustafa, Eric L Crowell, Sherif Elmahdy, Vera Malkovska, Ashvini K Reddy
Frosted branch angiitis (FBA) is a rare form of retinal vasculitis with typical perivascular edema taking the shape of frost on a tree branch. It was reported only twice as the initial presentation of Hodgkin lymphoma (HL). Here, we present the first case of paraneoplastic FBA as the initial sign of HL relapse in an elderly female.
October 2018: Clinical Case Reports
Huijiao Yan, Shaista Afroz, Junhel Dalanon, Nami Goto, Maki Hosoki, Yoshizo Matsuka
Patch testing with metal reagents was positive on female patient with history of metal hypersensitivity after dental treatment. All of the dental restorations with metal components were removed, and subsequent oral rehabilitation utilizing dental implants and metal-free prostheses was carried out. The treatments alleviate the presenting signs and symptoms.
October 2018: Clinical Case Reports
Benoît Ducourneau, Claire Hemar
The prognosis of patients with marrow necrosis secondary to neoplastic disease (often gastric adenocarcinoma) was found to be extremely poor with a median overall survival (OS) of few months. This case confirms the very poor prognosis and shows an association with a neural endocrine adenocarcinoma of the thymus.
October 2018: Clinical Case Reports
Eric D Schadler, Joel C Joyce, Reshma N Haugen
Enoxaparin is a commonly used hospital medication and in rare instances may result in development of erythema multiforme. Management of these patients can be challenging. Physicians must maintain a high index of suspicion and consider the indication for enoxaparin therapy prior to withdrawal of the medication.
October 2018: Clinical Case Reports
Paras Patel, Kevin Lee, Adedoyin Aderinto, Michael Benz, Antonios Tsompanidis
Anterior mitral valve perforations are commonly due to underlying infective endocarditis, which can lead to significant mitral valve insufficiency. In these cases, clinicians should have a high index of suspicion for infective endocarditis. After appropriate imaging, immediate surgical intervention is unequivocally the choice of management here for optimal patient outcomes.
October 2018: Clinical Case Reports
Carmelo Gurnari, Luca Franceschini, Lucia Anemona, Francesca Passarelli, Sara Vaccarini, Livio Pupo, Ida Provenzano, Daniela Nasso, Manuela Rizzo, Maria Cantonetti
We report on a case of Sweet's syndrome associated with multiple myeloma, as harbinger for disease relapse.
October 2018: Clinical Case Reports
Oluwaseun Anyiam, Billy Cheung, Samer Al-Sabbagh
Correct interpretation of thyroid function tests is critical to providing appropriate care to patients with suspected thyroid disease. It is particularly important to distinguish central hypothyroidism from other types due to the potential of concurrent secondary adrenal insufficiency and thus the need for immediate steroid replacement prior to commencing thyroxine.
October 2018: Clinical Case Reports
Cynthia Reyes Barron, Andrew G Evans, Hiroshi Miyamoto, Bin Zhang, M Anwar Iqbal
We present the case of a 30-year-old woman with a history of perinatal complications as well as bladder and urinary disease through her childhood and adult life. Microarray comparative genomic hybridization (aCGH) analysis revealed a 1.3 megabase duplication at chromosome 8q21.11 encompassing the CASC9 and HNF4G genes.
October 2018: Clinical Case Reports
Valentina Pankratz, Stefan Zimmer, Ljubiša Marković
The case describes the fabrication of a unilaterally fixed anterior fiber-reinforced composite bridge in a 14-year-old girl. Using this technique, it is possible to temporarily replace a missing anterior tooth until a definitive restoration can be inserted.
October 2018: Clinical Case Reports
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