Clinical Case Reports最新文献_第2页

Acute Pancreatitis as an Extrahepatic Complication of Acute Hepatitis E Infection: A Case Report. 急性戊型肝炎感染并发急性胰腺炎1例。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72658

Syed Abdur Rehman Shah, Intikhab Alam, Syed Noman Ali Shah, Umaima Cheema, Aymar Akilimali

引用次数: 0

Acute Intermittent Porphyria Triggered by COVID-19 Mimicking Guillain-Barré Syndrome: A Diagnostic Challenge. 由COVID-19模拟格林-巴勒综合征引发的急性间歇性卟啉症：诊断挑战。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72417

Payman Sadeghi, Masood Ghahvechi Akbari, Seyed Abbas Hassani, Hosein Alimadadi, Morteza Heidari, Vahid Ziaee

{"title":"Acute Intermittent Porphyria Triggered by COVID-19 Mimicking Guillain-Barré Syndrome: A Diagnostic Challenge.","authors":"Payman Sadeghi, Masood Ghahvechi Akbari, Seyed Abbas Hassani, Hosein Alimadadi, Morteza Heidari, Vahid Ziaee","doi":"10.1002/ccr3.72417","DOIUrl":"https://doi.org/10.1002/ccr3.72417","url":null,"abstract":"Acute intermittent porphyria (AIP) is a rare heme biosynthesis disorder in which the accumulation of neurotoxic porphyrin precursors precipitates neurovisceral attacks. Intercurrent infections, including coronavirus disease 2019 (COVID-19), may trigger or exacerbate AIP and complicate diagnosis, as clinical manifestations can resemble those of other acute neuropathies. This report describes a 16-year-old girl who developed abdominal pain, seizures, and rapidly progressive acute motor neuropathy shortly after COVID-19 and was initially misdiagnosed with Guillain-Barré syndrome (GBS). Diagnostic evaluation included electrophysiological studies, biochemical assays for porphyrin precursors, and genetic testing. AIP was suspected based on electrophysiological findings and elevated porphyrin precursors. The patient improved after initiation of a 10% dextrose infusion and a high-carbohydrate diet, with normalization of laboratory abnormalities. Subsequent genetic testing identified a heterozygous pathogenic HMBS variant (c.580C> T), confirming AIP. COVID-19 may unmask AIP and mimic a GBS-like neuropathy, increasing the risk of delayed recognition and suboptimal management. In patients with COVID-19-associated acute neuropathy-particularly when accompanied by abdominal pain, seizures, or neuropsychiatric features-clinicians should include AIP in the differential diagnosis and pursue prompt biochemical evaluation (urine PBG and ALA) to facilitate early targeted therapy and prevent complications.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 ","pages":"e72417"},"PeriodicalIF":0.6,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pigmented Basal Cell Carcinoma Mimicking Melanoma in the Anal Area: A Case Report. 肛门区模拟黑色素瘤的色素基底细胞癌1例报告。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.71982

Farnaz Araghi, Sareh Salarinejad, Azadeh Rakhshan, Hamideh Moravvej Farshi

引用次数: 0

Hydatid Cyst of the Thyroid Gland With Concurrent Hepatic Involvement: A Rare Case Report. 甲状腺包虫病并发肝脏受累：一罕见病例报告。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72646

Hana Saffar, Aysan Nozheh, Maral Edalati

{"title":"Hydatid Cyst of the Thyroid Gland With Concurrent Hepatic Involvement: A Rare Case Report.","authors":"Hana Saffar, Aysan Nozheh, Maral Edalati","doi":"10.1002/ccr3.72646","DOIUrl":"https://doi.org/10.1002/ccr3.72646","url":null,"abstract":"Hydatidosis, caused by Echinococcus granulosus, most commonly affects the liver and lungs, while thyroid involvement is exceptionally rare and can mimic other cystic thyroid lesions. We report a 40-year-old woman with no history of animal exposure who presented with anterior neck swelling, odynophagia, and abdominal discomfort. She had a prior history of hepatic hydatid cyst treated in 2018. Thyroid ultrasonography revealed a left subcapsular mass measuring 50 × 38 × 24 mm containing a bilobulated internal cyst (27 × 20 × 10 mm) without significant vascularity. Abdominal imaging demonstrated a large subhepatic multiseptated cyst (115 × 90 × 60 mm) with double-layered septations, suggestive of recurrent hydatidosis. The patient underwent left thyroid lobectomy, and histopathological examination confirmed a hydatid cyst characterized by a laminated membrane and germinal layer, along with surrounding granulation tissue, fibrosis, and multinucleated giant cell reaction in the adjacent thyroid parenchyma. Thyroid hydatid cysts are exceedingly uncommon and may be easily misdiagnosed as other cystic thyroid lesions based on clinical and radiologic findings. Therefore, in endemic regions, hydatid disease should be considered in the differential diagnosis to ensure accurate diagnosis and appropriate management.","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"14 ","pages":"e72646"},"PeriodicalIF":0.6,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When Standard Newborn Screening Isn't Enough: Diagnostic Challenges in the Age of Globalization. 当标准新生儿筛查不够：全球化时代的诊断挑战。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72648

Marina Ortúzar Menéndez, Lucie Mariel Mendiguren, María Carmen Garde Garde, Sara Pérez Ollo, Alicia Campion Mezquiriz, Laura Moreno-Galarraga

引用次数: 0

Giant Cell Arteritis With Mesenteric Involvement and Superimposed Functional Gut Syndrome: A Case Report. 巨细胞动脉炎伴肠系膜累及合并功能性肠综合征1例报告。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72643

Benjamin Rao, Ronan O'Connor

引用次数: 0

Co-Occurrence of Agminated Lentigines, Café-Au-Lait Macules, and Vitiligo: A Case Report and Literature Review. 白癜风伴发性黄斑、黄斑与白癜风：1例报告及文献复习。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72660

Xinxin Lei, Bo Xie

引用次数: 0

Surgical Resection of Lumbar Spine Osteoblastoma With Secondary Aneurysmal Bone Cysts Through a Combined Transpsoas and Posterior Approach: A Case Report. 经腰肌后路联合入路切除腰椎成骨细胞瘤伴继发性动脉瘤性骨囊肿1例。

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Clinical Case Reports Pub Date : 2026-05-04 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72649

Enliang Chen, Daxuan Liang, Xiaodong Li, Xiaobao Zou, Chenfu Deng, Junlin Chen, Rencai Ma, Xiangyang Ma, Junjie Xu

引用次数: 0

Psychiatric Presentations of Hypoglycemia in Adolescents With Type 1 Diabetes: A Diagnostic Pitfall. 青少年1型糖尿病患者低血糖的精神病学表现：一个诊断陷阱。

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Clinical Case Reports Pub Date : 2026-05-03 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72659

Chukwuka Elendu, Excel N Victor-Anozie

引用次数: 0

Rare Manifestation of Sjogren's Syndrome: Renal Tubular Acidosis-Induced Hypokalemic Paralysis-A Case Report. 干燥综合征的罕见表现：肾小管酸中毒引起的低钾血症性麻痹1例报告。

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Clinical Case Reports Pub Date : 2026-05-03 eCollection Date: 2026-05-01 DOI: 10.1002/ccr3.72655

Premendra Vimal, Dhiraj Chaurasia, Dipesh Jha, Raj Adhikari

引用次数: 0