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Haemorrhagic pleural effusion secondary to inflammatory pseudotumor of spleen 脾炎性假瘤继发的出血性胸腔积液
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.05.006
K. Gowrinath , P.T. Sundeep , S. Kumar , G. Sunil Rodrigues , G. Krishnanand , V. Geeta
{"title":"Haemorrhagic pleural effusion secondary to inflammatory pseudotumor of spleen","authors":"K. Gowrinath ,&nbsp;P.T. Sundeep ,&nbsp;S. Kumar ,&nbsp;G. Sunil Rodrigues ,&nbsp;G. Krishnanand ,&nbsp;V. Geeta","doi":"10.1016/j.rmedx.2007.05.006","DOIUrl":"10.1016/j.rmedx.2007.05.006","url":null,"abstract":"<div><p><span>A case of haemorrhagic pleural effusion secondary to </span>inflammatory pseudotumor<span> of spleen in a 47-year-old woman is reported. Clinical presentation was suggestive of malignant aetiology and the diagnosis was possible only with histological examination of resected spleen. At 36 months of follow-up after splenectomy, patient remained well and free from recurrence of pleural effusion. To our knowledge, no similar case has been reported so far.</span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.05.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80219498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An unusual phenomenon following simple aspiration of pneumothorax 单纯吸入性气胸后的不寻常现象
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.09.009
Daniel K.C. Lee
{"title":"An unusual phenomenon following simple aspiration of pneumothorax","authors":"Daniel K.C. Lee","doi":"10.1016/j.rmedx.2007.09.009","DOIUrl":"10.1016/j.rmedx.2007.09.009","url":null,"abstract":"","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89470515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chemotherapy for small cell lung cancer in a patient with idiopathic thrombocytopenic purpura 特发性血小板减少性紫癜患者小细胞肺癌的化疗
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.06.001
Ryoko Ogawa, Hiroaki Satoh, Yukio Ishii, Morio Ohtsuka
{"title":"Chemotherapy for small cell lung cancer in a patient with idiopathic thrombocytopenic purpura","authors":"Ryoko Ogawa,&nbsp;Hiroaki Satoh,&nbsp;Yukio Ishii,&nbsp;Morio Ohtsuka","doi":"10.1016/j.rmedx.2007.06.001","DOIUrl":"10.1016/j.rmedx.2007.06.001","url":null,"abstract":"<div><p><span><span>Thrombocytopenia is one of the most important and serious co-morbid conditions in patients with </span>hematological malignancies<span><span><span> as well as non-hematological solid tumors. We report herein a </span>small cell lung cancer (SCLC) patient with idiopathic thrombocytopenic purpura (ITP) who was successfully treated with chemotherapy containing </span>cisplatin and </span></span>etoposide. It is probably safe to administer chemotherapeutic agents for some cancer patients with ITP, but prevention or minimization of toxicities of these chemotherapeutic agents is very important. Full consideration about the indication of chemotherapy and careful observation are required for such patients.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90213272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Spontaneous regression of a primary sarcoma of the pulmonary artery 肺动脉原发肉瘤的自发性消退
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.004
Kazutsugu Uematsu , Taro Takahara , Nobuhiko Seki , Takashi Seto , Shuji Ota , Masato Nakamura , Kenji Eguchi
{"title":"Spontaneous regression of a primary sarcoma of the pulmonary artery","authors":"Kazutsugu Uematsu ,&nbsp;Taro Takahara ,&nbsp;Nobuhiko Seki ,&nbsp;Takashi Seto ,&nbsp;Shuji Ota ,&nbsp;Masato Nakamura ,&nbsp;Kenji Eguchi","doi":"10.1016/j.rmedx.2006.11.004","DOIUrl":"10.1016/j.rmedx.2006.11.004","url":null,"abstract":"<div><p><span><span>We report a case of spontaneous regression of a </span>pulmonary sarcoma. A 76-year-old-woman was found to have a mass arising from the </span>left pulmonary artery<span> and extending into the left lung. Seven months later, the mass of the left lung lesion<span><span><span> had shrunk without treatment<span>, but metastases appeared in the left lung. </span></span>Sarcoma was diagnosed with histological examination of tissue from the </span>pulmonary metastases. The patient died after metastases appeared in the brain 22 months after presentation.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90218735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Churg–Strauss syndrome and bronchiectasis Churg-Strauss综合征和支气管扩张
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.01.002
Paul King
{"title":"Churg–Strauss syndrome and bronchiectasis","authors":"Paul King","doi":"10.1016/j.rmedx.2007.01.002","DOIUrl":"10.1016/j.rmedx.2007.01.002","url":null,"abstract":"<div><p><span>A patient with Churg–Strauss syndrome (CSS) treated for many years with systemic corticosteroids developed a chronic cough with purulent </span>sputum<span> production. Computed tomographic scanning demonstrated widespread bronchiectasis<span>. The bronchiectasis may have arisen as a primary manifestation of the CSS or may have occurred in the context of prolonged immunosuppression.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91447375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Pitfalls in diagnosis of pulmonary histoplasmosis 肺组织浆菌病的诊断误区
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.005
José Wellington Alves dos Santos, Kelly Ribeiro Neves, Fabiani Palagi Machado, Felipe Schaich, Marcos Ferreira Gazzoni, Tiago Chagas Dalcin, Rosane Beatriz Toso, Luiz Fernando Ximenes Cibin, Lauro Vinícius Schvarcz da Silva, Márcio José Siqueira, Carlos Renato de Melo, Márcia Regina Rosa Scalcon, Loiva Terezinha Ottonelli Oliveira, Roseane Cardoso Marchiori, Marta Pires da Rocha
{"title":"Pitfalls in diagnosis of pulmonary histoplasmosis","authors":"José Wellington Alves dos Santos,&nbsp;Kelly Ribeiro Neves,&nbsp;Fabiani Palagi Machado,&nbsp;Felipe Schaich,&nbsp;Marcos Ferreira Gazzoni,&nbsp;Tiago Chagas Dalcin,&nbsp;Rosane Beatriz Toso,&nbsp;Luiz Fernando Ximenes Cibin,&nbsp;Lauro Vinícius Schvarcz da Silva,&nbsp;Márcio José Siqueira,&nbsp;Carlos Renato de Melo,&nbsp;Márcia Regina Rosa Scalcon,&nbsp;Loiva Terezinha Ottonelli Oliveira,&nbsp;Roseane Cardoso Marchiori,&nbsp;Marta Pires da Rocha","doi":"10.1016/j.rmedx.2006.11.005","DOIUrl":"10.1016/j.rmedx.2006.11.005","url":null,"abstract":"<div><p>Many diagnoses are missed or delayed because pulmonary histoplasmosis is not considered. Therefore, recognition of its different clinical manifestations and differential diagnoses, accompanied by knowledge of the accuracy and limitations of tests for this condition, is essential. Three cases are reported and diagnostic pitfalls are discussed.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81982880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Upper gastrointestinal bleeding as the initial manifestation of lung adenocarcinoma metastatic to the stomach 上消化道出血为肺腺癌转移至胃的初始表现
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.02.001
Shau-Hsuan Li , Sheng-Lan Wang , Wan-Ting Huang , Yi-Chun Chiu , Kun-Ming Rau
{"title":"Upper gastrointestinal bleeding as the initial manifestation of lung adenocarcinoma metastatic to the stomach","authors":"Shau-Hsuan Li ,&nbsp;Sheng-Lan Wang ,&nbsp;Wan-Ting Huang ,&nbsp;Yi-Chun Chiu ,&nbsp;Kun-Ming Rau","doi":"10.1016/j.rmedx.2007.02.001","DOIUrl":"10.1016/j.rmedx.2007.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Metastasis to the stomach rarely occurs, and gastric metastasis as an initial sign of cancer occurs even less frequently. We report herein a case of lung adenocarcinoma in which the patient's initial symptom was secondary to gastric metastasis.</p></div><div><h3>Case</h3><p>A 49-year-old woman was admitted to the hospital with complaints of melena, which had developed 3 days previously. Endoscopy revealed a gastric ulcer with bleeding. The endoscopic biopsy was consistent with adenocarcinoma. The initial clinical impression was gastric adenocarcinoma; however, a chest radiograph revealed right hilar enlargement. Bronchoscopic biopsy confirmed adenocarcinoma. Immunohistochemical studies in both specimens were positive for thyroid transcription factor-1 and thus suggestive of primary lung adenocarcinoma. The patient died 12 months after initial diagnosis.</p></div><div><h3>Conclusion</h3><p>Although the initial manifestation was unusual, clinicians should be aware that malignant gastric ulcers may represent as an initial sign of underlying lung adenocarcinoma and an immunohistochemical examination for thyroid transcription factor-1 should be obtained if metastatic gastric tumor from the lung is suspected. Optimal treatment rests on making an accurate diagnosis.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73958702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome 获得性免疫缺陷综合征非特异性间质性肺炎的病因学
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2006.11.007
Bobbak Vahid, Sajive Aleyas, Paul E. Marik
{"title":"The etiology of nonspecific interstitial pneumonitis in acquired immunodeficiency syndrome","authors":"Bobbak Vahid,&nbsp;Sajive Aleyas,&nbsp;Paul E. Marik","doi":"10.1016/j.rmedx.2006.11.007","DOIUrl":"10.1016/j.rmedx.2006.11.007","url":null,"abstract":"<div><p><span>Interstitial pneumonitis without evidence of </span><em>Pneumocystis jiroveci</em><span> infection has been described in the patients infected with immunodeficiency virus (HIV). Nonspecific interstitial pneumonitis (NSIP) is the most commonly observed pathologic diagnosis.</span></p><p><span>The etiology of NSIP in HIV infected patients is unknown. We retrospectively studied 6 cases of NSIP that were diagnosed with transbronchial biopsies<span>. The etiologic causes of NSIP were evaluated retrospectively by reviewing the inpatient and outpatient charts. The medical records from other institutions were also reviewed when available. We concluded that cocaine abuse, disseminated </span></span><em>Mycobacterium avium</em><span><span> complex infection, cytomegalovirus (CMV) pneumonitis, and </span>immune reconstitution syndrome<span> were the potential causes of NSIP in our patients with HIV infection.</span></span></p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2006.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80009241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute lung injury after exposure to Stachybotrys chartarum 接触棘球蚴后的急性肺损伤
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.03.001
Cyrus Shariat, Harold R. Collard
{"title":"Acute lung injury after exposure to Stachybotrys chartarum","authors":"Cyrus Shariat,&nbsp;Harold R. Collard","doi":"10.1016/j.rmedx.2007.03.001","DOIUrl":"10.1016/j.rmedx.2007.03.001","url":null,"abstract":"<div><p>An association between exposure to <em>Stachybotrys chartarum</em>, a ubiquitous environmental mold, and respiratory disease in humans has been suggested but remains poorly defined [Hossain MA, Ahmed MS, Ghannoum, MA. Attributes of <em>Stachybotrys chartarum</em> and its association with human disease. <em>J Allergy Clin Immunol</em> 2004; <strong>113</strong>: 200–08]. We report a patient who presented with acute respiratory failure and histopathological evidence of diffuse alveolar damage shortly after exposure to <em>S. chartarum</em> in her home.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90603626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Co-existence of hepato-pulmonary syndrome and pulmonary hypertension in a patient with liver cirrhosis and intravenous drug abuse 肝硬化并发静脉药物滥用患者肝肺综合征并发肺动脉高压1例
Respiratory Medicine Extra Pub Date : 2007-01-01 DOI: 10.1016/j.rmedx.2007.07.005
Jaya Kumar , Rajinder Chitkara , Peter Baylor
{"title":"Co-existence of hepato-pulmonary syndrome and pulmonary hypertension in a patient with liver cirrhosis and intravenous drug abuse","authors":"Jaya Kumar ,&nbsp;Rajinder Chitkara ,&nbsp;Peter Baylor","doi":"10.1016/j.rmedx.2007.07.005","DOIUrl":"10.1016/j.rmedx.2007.07.005","url":null,"abstract":"<div><p><span>We describe a patient who had a history of cirrhosis and intravenous drug abuse. He had findings of the hepato-pulmonary syndrome and pulmonary hypertension. The co-existence of the hepato-pulmonary syndrome and pulmonary hypertension may be attributable to two separate processes: (a) cirrhosis causing pulmonary vascular dilatation at the pulmonary capillary level resulting in the hepato-pulmonary syndrome and (b) intravenous drug abuse causing narrowing of pulmonary vascular bed at the level of small pulmonary arteries, thereby, resulting in pulmonary hypertension with elevated </span>pulmonary vascular resistance. However, the co-existence of the hepato-pulmonary syndrome and porto-pulmonary hypertension remains a distinct possibility.</p></div>","PeriodicalId":101082,"journal":{"name":"Respiratory Medicine Extra","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedx.2007.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81425264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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