Netherlands Journal of Medicine最新文献_第6页

Answer to Photoquiz A tender erythematous facial plaque. 一种柔软的面部红斑斑块。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

D B Bhanja, A Sil, A Panigrahi

引用次数: 0

Red streaks arising from the periumbilical area in a mirror-like pattern. 从脐周出现的红色条纹，呈镜面状。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

M Puerta-Peña, J Fulgencio-Barbarin, D Falkenhain, P L Ortiz-Romero, V Monsálvez-Honrubia

引用次数: 0

Utility of salivary gland ultrasonography in primary Sjögren syndrome. 唾液腺超声检查在原发性Sjögren综合征中的应用。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

R I M Bourguiba, S Bellakhal, M Charfi, H Bouhaouala, M Douggui

引用次数: 0

Diagnostic and therapeutic strategies for porphyrias. 卟啉症的诊断和治疗策略。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

R A Neeleman, D Wensink, M A E M Wagenmakers, G S Mijnhout, E C H Friesema, J G Langendonk

引用次数: 0

An unhealthy blush - secondary erythrocytosis due to waterpipe smoking. 一种不健康的红晕——由吸烟引起的继发性红血病。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

N J Raaijmakers, A H F Bokma, G G Eggen, G Prins, J Alsma

{"title":"An unhealthy blush - secondary erythrocytosis due to waterpipe smoking.","authors":"N J Raaijmakers, A H F Bokma, G G Eggen, G Prins, J Alsma","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: We present a case of a patient with a chronic carbon monoxide (CO) intoxication with facial plethora due to secondary erythrocytosis.Case details: A 22-year-old male was referred by the dermatologist to our outpatient clinic for evaluation of polycythaemia. Laboratory results showed secondary erythrocytosis. After an extensive diagnostic evaluation, we diagnosed a chronic CO intoxication (carboxyhaemoglobin (COHb) level of 21%) without apparent complaints and facial plethora as the only clinical sign. The patient denied smoking tobacco or use of illicit drugs. On inspection of his house by the fire department, a waterpipe was found in his bedroom, which he used daily, according to his father. CO measurements in the house were normal. We treated the patient with high flow oxygen and advised him to quit smoking the waterpipe. Within a few weeks, the erythrocytosis normalised.Discussion: We propose to test for the presence of an elevated COHb in all patients with a normal or high erythropoietin level. The test is not expensive and can easily be included as part of an examination, since CO intoxication has potentially disastrous consequences, and, as is illustrated with this case, chronic CO poisoning can be virtually asymptomatic. Not all individuals consider smoking a waterpipe the same as smoking or drugs, and therefore physicians need to specifically ask for its use.","PeriodicalId":18918,"journal":{"name":"Netherlands Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38132593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Salicylate use: a negative predictive factor for finding pathology explanatory for iron deficiency anaemia. 使用水杨酸盐:寻找缺铁性贫血病理解释的阴性预测因素。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

J van Everdink, P M C Callenbach, F G H van der Kleij

{"title":"Salicylate use: a negative predictive factor for finding pathology explanatory for iron deficiency anaemia.","authors":"J van Everdink, P M C Callenbach, F G H van der Kleij","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To determine whether the use of salicylates is a predictive factor for detecting explanatory pathology during gastroscopy or colonoscopy procedures in patients with iron deficiency anaemia (IDA).Methods: This retrospective study included patients who underwent a gastroscopy and/or a colonoscopyto determine the cause of IDA at Treant Healthcare, hospital location Scheper in Emmen, the Netherlands, between 2010 and 2016. The study compared two groups. The first group consisted of patients who were not taking antithrombotics at the time of, and during the last six months prior to, the endoscopy. The second group consisted of patients who used salicylates at the time of, and during the last six months prior, to the endoscopy. Data were collected on whether and which explanatory pathology was found in the endoscopic evaluation.Results: In total, 464 patients were included, of whom, 174 were using a salicylate and 290 were not. In 41.2% of the patients, explanatory pathology was found, which was not significantly different between the two groups with univariate analysis (p = 0.207). However, the patients in the group of salicylate users were significantly older and more often male. When correcting for these differences in group characteristics during multivariate analysis, the use of salicylates was found to be a negative predictive factor for finding explanatory pathology (p < 0.001; OR 2.307).Conclusion: When determining the chance of finding explanatory pathology during endoscopic evaluation in patients with IDA, the use of salicylates should be taken into account as a negative predictive factor for finding explanatory pathology during endoscopic evaluation.","PeriodicalId":18918,"journal":{"name":"Netherlands Journal of Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38132722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does it bite? 它咬人吗?

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

G J A M Boon, K van der Putten, J M van Hattem, J Heidt

引用次数: 0

A tender erythematous facial plaque. 一种柔软的面部红斑。

4区医学

Netherlands Journal of Medicine Pub Date : 2020-07-01

D B Bhanja, A Sil, A Panigrahi

引用次数: 0

Answer to Photquiz Something is missing. 有些东西不见了。