SAGE Open Medical Case Reports最新文献_第2页

Urgent percutaneous coronary intervention in type 2 Wellens' syndrome: A case report of an atypical presentation in an elderly patient. 2 型韦伦斯综合征的紧急经皮冠状动脉介入治疗：老年患者非典型表现的病例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241271771

Thierno Hamidou Diallo, Raynatou Djafarou Boubacar, Illy Sawssen Azday, Rokya Fellat, Nadia Fellat

{"title":"Urgent percutaneous coronary intervention in type 2 Wellens' syndrome: A case report of an atypical presentation in an elderly patient.","authors":"Thierno Hamidou Diallo, Raynatou Djafarou Boubacar, Illy Sawssen Azday, Rokya Fellat, Nadia Fellat","doi":"10.1177/2050313X241271771","DOIUrl":"10.1177/2050313X241271771","url":null,"abstract":"Traditionally reflecting critical stenosis of the proximal left anterior descending (LAD) artery, Wellens' syndrome (WS) is an electrocardiogram (ECG) pattern of biphasic or deeply inverted T waves in leads V2 and V3. This critical stenosis can progress to an extensive anterior myocardial infarction (MI) if early and appropriate management is not received promptly. The diagnosis of severe stenosis of the LAD coronary artery can be made by using electrocardiographic changes in Wellens' syndrome. Due to the significant area that the LAD vascularizes, patients who exhibit symptoms and test results suggestive of this syndrome should be referred right away for an angiographic exploration in order to confirm the diagnosis and guide treatment. We report a case of a 71-year-old male admitted to our department for acute chest pain. His ECG showed Wellens' syndrome type 2 during both chest pain and pain free with slightly elevated troponin. His TIMI score was 3 and the GRACE score was 136. Critical stenosis of the LAD coronary artery was found in the coronary angiography, which required a drug-eluting stent. The patient was discharged asymptomatic from medical therapy. The diagnosis was established on the basis of the patient's interview, ECG analysis, and coronary angiography.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241271771"},"PeriodicalIF":0.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802175","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

Myeloid leukemia cutis in the absence of systemic leukemia: A case report.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241304880

Mohamad R Taha, Stephen K Tyring

引用次数: 0

A case of intrathoracic extramedullary hematopoiesis-associated pleural effusion in a beta-thalassemia intermedia patient and a short literature review.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241305169

Georgios Petros Barakos, Athanasia Papazafiropoulou, Konstantinos Mihos, Valeria Eminidou, Stefani Andronikou, Lemonia Ainalidou, Niki Mofori, Themis Gkraikou, Georgios Athanasakis, Nikolaos Papanas, Stavros Antonopoulos

{"title":"A case of intrathoracic extramedullary hematopoiesis-associated pleural effusion in a beta-thalassemia intermedia patient and a short literature review.","authors":"Georgios Petros Barakos, Athanasia Papazafiropoulou, Konstantinos Mihos, Valeria Eminidou, Stefani Andronikou, Lemonia Ainalidou, Niki Mofori, Themis Gkraikou, Georgios Athanasakis, Nikolaos Papanas, Stavros Antonopoulos","doi":"10.1177/2050313X241305169","DOIUrl":"10.1177/2050313X241305169","url":null,"abstract":"Extramedullary hematopoiesis is a phenomenon that occurs in conditions of ineffective bone marrow function. In the context of thalassemias, extramedullary hematopoiesis is more frequently observed in beta-thalassemia intermedia patients, with thoracic paravertebral extramedullary hematopoiesis being relatively common. However, extramedullary hematopoiesis-related pleural effusion is a rare occurrence. Herein, we report a 43-year-old female patient, who presented with worsening dyspnea and a massive pleural effusion. Her medical history includes beta-thalassemia intermedia with known paravertebral extramedullary hematopoiesis sites and a laparoscopic cholecystectomy a month ago. The absence of pleural fluid from recent prior imaging pointed toward the rapid accumulation of fluid. After a thorough diagnostic workup, we attributed the effusion to thoracic paravertebral extramedullary hematopoiesis. The patient was effectively treated with drainage of the effusion after thoracentesis and antibiotics. On follow-up, she had a stable radiographic image without pleural fluid recurrence. Extramedullary hematopoiesis-associated pleural effusion should be in the differential diagnosis of pleural effusion, in cases of compatible medical history.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241305169"},"PeriodicalIF":0.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780995","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

Diagnostic challenges in pediatric arthritis: A case of systemic juvenile idiopathic arthritis misdiagnosed as septic arthritis in a 3-year-old boy.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241305166

Sogol Alesaeidi, Mohsen Jari

引用次数: 0

A case report of lupus panniculitis-induced facial lipoatrophy successfully treated with injectable hyaluronic acid.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241304879

Rebecca Green, Jori Hardin, Lynne Robertson, Todd Remington

引用次数: 0

Pure yolk sac ovarian tumor in a young female-Case report with brief review of literature.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-11-30 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241302007

Aadhya Sharma, Swati Sharma, Nawaz Usman, Ranjini Kudva

引用次数: 0

A case report of CHARGE syndrome caused by a de novo CHD7 gene mutation.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-11-30 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241293307

Yuan Zhang, Yu Lu, Xicui Long, Wenyu Xiong, Yuqing Liu

引用次数: 0

A case of probable drug-induced psoriasis to dapagliflozin.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241284003

Simal A Qureshi, Sarah E Finch, Michelle E Pratt

{"title":"A case of probable drug-induced psoriasis to dapagliflozin.","authors":"Simal A Qureshi, Sarah E Finch, Michelle E Pratt","doi":"10.1177/2050313X241284003","DOIUrl":"https://doi.org/10.1177/2050313X241284003","url":null,"abstract":"Exposure to certain drugs can trigger new-onset psoriasis or flaring of existing psoriatic disease. The clinical presentation of drug-induced psoriasis can vary, and although there are features suggestive of drug-induced psoriasis, there are currently no standardized criteria to differentiate it from conventional psoriasis. Patients may present with localized psoriasiform plaques, or variants such as palmoplantar, nail disease, or widespread erythroderma. Histopathology of drug-induced psoriasis can also be indistinguishable from conventional psoriasis but features suggestive of drug-induced include lack of suprapapillary epidermal thinning, a limited number of Munro microabscesses, and the presence of eosinophils and/or a lichenoid reaction pattern. We report a case of suspected drug-induced psoriasis due to dapagliflozin (Farxiga) in a 76-year-old man. Evidence indicating this to be a probable drug-induced reaction includes the sudden onset of symptoms; atypical pathology with the presence of eosinophils; and clearance of the lesions upon discontinuation of the suspected causative drug.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241284003"},"PeriodicalIF":0.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772149","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

Reassessing mirtazapine and akathisia: A case report on its efficacy in treating severe, treatment-resistant akathisia and a review of the evidence.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241299947

Madeline Chidiac, Bushra Elhusein, Niman Gajebasia

{"title":"Reassessing mirtazapine and akathisia: A case report on its efficacy in treating severe, treatment-resistant akathisia and a review of the evidence.","authors":"Madeline Chidiac, Bushra Elhusein, Niman Gajebasia","doi":"10.1177/2050313X241299947","DOIUrl":"https://doi.org/10.1177/2050313X241299947","url":null,"abstract":"Antipsychotic-induced akathisia is a distressing movement disorder marked by intense internal restlessness and an urge to move. This report discusses a 44-year-old man with a diagnosis of schizophrenia who developed severe, treatment-resistant akathisia after taking haloperidol, a first-generation antipsychotic. Standard treatments for antipsychotic-induced akathisia, including benzodiazepines (Clonazepam) and benztropine, failed to alleviate the patient's persistent symptoms, causing considerable distress. However, the introduction of mirtazapine at a low dose of 15 mg led to substantial improvement, as indicated by a gradual reduction in the Barnes Akathisia Rating Scale score from 8 to 0 and improvements in mood, mobility, and daily activity participation. This case highlights the potential efficacy of mirtazapine in treating severe, resistant akathisia, adding to its established use in antipsychotic-induced akathisia management and contributing to the limited literature on its application in patients unresponsive to other conventional treatments.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"12 ","pages":"2050313X241299947"},"PeriodicalIF":0.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772097","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

Malignant granular cell tumour of floor of mouth (non-neural in origin) - A rare case report and review of literature.

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI: 10.1177/2050313X241302255

Anju Khairwa, Nadeem Tanveer

引用次数: 0