QJM: An International Journal of Medicine最新文献

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Correction to: Washed microbiota transplantation in refractory intestinal Behçet's disease with trisomy 8/myelodysplastic features. 更正:洗涤菌群移植治疗具有8三体/骨髓增生异常特征的难治性肠behet病
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-22 DOI: 10.1093/qjmed/hcaf170
{"title":"Correction to: Washed microbiota transplantation in refractory intestinal Behçet's disease with trisomy 8/myelodysplastic features.","authors":"","doi":"10.1093/qjmed/hcaf170","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf170","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966606","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
Severe Mixed Hypersensitivity Reaction Induced by Antivenom: Diagn ostic Challenges and Precision Management. 抗蛇毒血清诱导的严重混合性超敏反应:诊断挑战和精准管理。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-21 DOI: 10.1093/qjmed/hcaf197
Shuo-Feng Zhuang, Shi-Ming Zhan, Tian-Xing Li
{"title":"Severe Mixed Hypersensitivity Reaction Induced by Antivenom: Diagn ostic Challenges and Precision Management.","authors":"Shuo-Feng Zhuang, Shi-Ming Zhan, Tian-Xing Li","doi":"10.1093/qjmed/hcaf197","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf197","url":null,"abstract":"<p><strong>Objectives: </strong>To report a rare, life-threatening mixed hypersensitivity reaction (Types I and III) induced by snake antivenom and describe a precision management strategy.</p><p><strong>Clinical features and outcome: </strong>A 55-year-old woman with a history of plant allergy received antivenom treatment(6 vials total) for a Trimeresurus stejnegeri bite, with initial symptom resolution. On post-serum day 7, she developed syncope, fever, generalized pruritus, and urticaria, followed by recurrent rash, pruritus, nausea, vomiting, abdominal pain, myalgia, arthralgia, and hypotension on day 8. Laboratory findings included leukocytosis, neutrophilia, elevated D-dimer, IgE (155.0 IU/mL), and serum creatinine (123 μmol/L). Multidisciplinary consultation diagnosed a mixed hypersensitivity reaction (anaphylaxis + serum sickness). Management employed a \"Shock control-Inflammation suppression-Volume optimization\" strategy: epinephrine (intramuscular/intravenous) for shock, dexamethasone and antihistamines for inflammation, and aggressive crystalloid resuscitation. Hemodynamic stability and symptom resolution were achieved.</p><p><strong>Conclusions: </strong>This represents the first documented case of severe mixed hypersensitivity (co-occurring Type I anaphylaxis and Type III serum sickness) triggered by antivenom. It highlights the diagnostic challenge posed by overlapping biphasic features and multi-system involvement occurring within the typical serum sickness window. Precision management addressing both pathogenic pathways simultaneously, specifically via combined hemodynamic stabilization, anti-inflammatory therapy, and volume support, was critical for successful recovery. Enhanced vigilance for this synergistic reaction pattern is warranted.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966683","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
Snail shell on Moon appearance: Cataracta Nigra over Coloboma. 月相上的蜗牛壳:哥伦比亚上空的黑白内障。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-20 DOI: 10.1093/qjmed/hcaf196
Manu Sharma, Deeksha Sharma, Yvk Chaitanya, Harshita Dokania, Deeksha Katoch
{"title":"Snail shell on Moon appearance: Cataracta Nigra over Coloboma.","authors":"Manu Sharma, Deeksha Sharma, Yvk Chaitanya, Harshita Dokania, Deeksha Katoch","doi":"10.1093/qjmed/hcaf196","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf196","url":null,"abstract":"<p><p>We report a rare case of posteriorly dislocated cataracta nigra associated with fundal coloboma with vitreous hemorrhage in a 50-year-old Asian female presenting with a history of blunt ocular trauma 5 years prior. The patient's visual acuity was limited to light perception, and anterior segment examination revealed a typical iris coloboma. Posterior segment visualization was obscured by dense vitreous hemorrhage. During pars plana vitrectomy, removal of the hemorrhage revealed a densely pigmented, black cataractous lens (cataracta nigra) resting on the colobomatous area, resembling a \"snail shell on moon\" appearance. The lens was successfully emulsified and removed via phacofragmentation under perfluorocarbon liquid protection, and the vitrectomy was completed. Postoperatively, visual acuity improved to 6/60.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966728","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
Granulomatous Mastitis with Erythema Nodosum and Erysipelas-like Lesions: Expanding the GMENA Syndrome. 肉芽肿性乳腺炎伴结节性红斑和丹毒样病变:扩大GMENA综合征。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf191
Ji Li, Ming Zhang, Jing Zhang, Sheng-Guang Li, Ruohan Yu, Lina Zhang, Yadan Zou, Ting Long, Yanfeng Zhang
{"title":"Granulomatous Mastitis with Erythema Nodosum and Erysipelas-like Lesions: Expanding the GMENA Syndrome.","authors":"Ji Li, Ming Zhang, Jing Zhang, Sheng-Guang Li, Ruohan Yu, Lina Zhang, Yadan Zou, Ting Long, Yanfeng Zhang","doi":"10.1093/qjmed/hcaf191","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf191","url":null,"abstract":"<p><p>Granulomatous mastitis (GM) is a rare, benign inflammatory breast condition that occasionally presents with systemic features such as erythema nodosum (EN) and arthritis, collectively termed GMENA syndrome. We report a unique case of a 32-year-old woman with GM, EN, and an erysipelas-like skin lesion (ELL) in the absence of arthritis. Despite antibiotic therapy, her condition deteriorated with persistent fever and elevated inflammatory markers. Cultures remained sterile, while biopsies confirmed idiopathic GM and non-infectious perivascular dermal inflammation. Immune work-up revealed antiphospholipid antibodies, suggesting an underlying immune-mediated process. Initiation of systemic corticosteroids led to rapid resolution of symptoms and normalization of inflammatory markers. This case highlights a previously unreported triad-GM with EN and ELL-and suggests that GM may trigger immune-driven microvascular inflammation beyond classical GMENA. Clinicians should be alert to sterile, infection-mimicking skin manifestations in GM, particularly when antibiotic treatment fails. Early recognition and timely immunosuppression can be critical for favourable outcomes and may prevent unnecessary antibiotic use or invasive procedures. The co-existence of antiphospholipid antibodies raises questions regarding their role in the pathogenesis of systemic features in GM, warranting further investigation.</p>","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874833","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
Trapped cranial nerve and dense bones-Sclerosteosis due to LRP4 mutation. 由LRP4突变引起的颅神经阻滞和致密骨硬化。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf190
Subbiah Sridhar, Muthu Aravind Kumar
{"title":"Trapped cranial nerve and dense bones-Sclerosteosis due to LRP4 mutation.","authors":"Subbiah Sridhar, Muthu Aravind Kumar","doi":"10.1093/qjmed/hcaf190","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf190","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874836","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
Multiple Myeloma Presenting with Multinucleated Plasma Cells, Vertebral Lesions, and M-Protein Spike. 多发性骨髓瘤表现为多核浆细胞、椎体病变和m蛋白尖峰。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf195
Saeid Jokar
{"title":"Multiple Myeloma Presenting with Multinucleated Plasma Cells, Vertebral Lesions, and M-Protein Spike.","authors":"Saeid Jokar","doi":"10.1093/qjmed/hcaf195","DOIUrl":"10.1093/qjmed/hcaf195","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874834","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
Tennis Ball Sign. 网球标志。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf192
Sheng-Fu Chen, Pei-Ti Yao, Te-Chun Shen
{"title":"Tennis Ball Sign.","authors":"Sheng-Fu Chen, Pei-Ti Yao, Te-Chun Shen","doi":"10.1093/qjmed/hcaf192","DOIUrl":"10.1093/qjmed/hcaf192","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874835","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
UK Study Reveals Resident Doctors Spend Four Hours of Administrative Work for Each Hour of Seeing Patients. 英国一项研究显示,住院医生每看病人一小时,就要花四小时的行政工作。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf193
Priscilla Detweiler, Patrick Wu, Perry Vacchio, Su Boon Yong
{"title":"UK Study Reveals Resident Doctors Spend Four Hours of Administrative Work for Each Hour of Seeing Patients.","authors":"Priscilla Detweiler, Patrick Wu, Perry Vacchio, Su Boon Yong","doi":"10.1093/qjmed/hcaf193","DOIUrl":"10.1093/qjmed/hcaf193","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874837","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
A Classic Pattern of Type 1 Brugada Syndrome on Electrocardiogram. 1型Brugada综合征的心电图典型型。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-18 DOI: 10.1093/qjmed/hcaf194
Samuel Chin Wei Tan, Zhao-Wei Yin, Yun-Tao Zhao
{"title":"A Classic Pattern of Type 1 Brugada Syndrome on Electrocardiogram.","authors":"Samuel Chin Wei Tan, Zhao-Wei Yin, Yun-Tao Zhao","doi":"10.1093/qjmed/hcaf194","DOIUrl":"10.1093/qjmed/hcaf194","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874832","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
Donut-in-Donut: Cardiac Abnormalities due to Mycobacterium Tuberculosis. 甜甜圈:由结核分枝杆菌引起的心脏异常。
IF 6.4 4区 医学
QJM: An International Journal of Medicine Pub Date : 2025-08-12 DOI: 10.1093/qjmed/hcaf189
Wenyu Huang, Qiao Deng, Kaiyue Diao
{"title":"Donut-in-Donut: Cardiac Abnormalities due to Mycobacterium Tuberculosis.","authors":"Wenyu Huang, Qiao Deng, Kaiyue Diao","doi":"10.1093/qjmed/hcaf189","DOIUrl":"https://doi.org/10.1093/qjmed/hcaf189","url":null,"abstract":"","PeriodicalId":20806,"journal":{"name":"QJM: An International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":6.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837489","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
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