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Medicina Clinica Practica最新文献

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Emissary canal invasion and extrascleral extension in a rapidly growing choroidal malignant melanoma 快速生长的脉络膜恶性黑色素瘤的使者管侵入和巩膜外延伸
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-02-27 DOI: 10.1016/j.mcpsp.2026.100536
Luca Ventura , Nadia Gabriele , Veronica Forte , Roberto Taddei , Immacolata M. Greco
{"title":"Emissary canal invasion and extrascleral extension in a rapidly growing choroidal malignant melanoma","authors":"Luca Ventura , Nadia Gabriele , Veronica Forte , Roberto Taddei , Immacolata M. Greco","doi":"10.1016/j.mcpsp.2026.100536","DOIUrl":"10.1016/j.mcpsp.2026.100536","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100536"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147385543","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
Miositis necrosante autoinmune asociada al uso de atorvastatina: reporte de un caso y revisión de la literatura 与阿托伐他汀有关的自身免疫性坏死性肌炎：病例报告和文献综述
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.mcpsp.2026.100534
Luis Ángel Rodríguez-Chávez, Melissa Ysabel Romero-Díaz, Christian Alberto Vargas Machuca-Carranza, José Guillermo Cabanillas-López
{"title":"Miositis necrosante autoinmune asociada al uso de atorvastatina: reporte de un caso y revisión de la literatura","authors":"Luis Ángel Rodríguez-Chávez,&nbsp;Melissa Ysabel Romero-Díaz,&nbsp;Christian Alberto Vargas Machuca-Carranza,&nbsp;José Guillermo Cabanillas-López","doi":"10.1016/j.mcpsp.2026.100534","DOIUrl":"10.1016/j.mcpsp.2026.100534","url":null,"abstract":"<div><div>Statin-associated autoimmune necrotizing myositis (ANM) is a rare entity characterized by progressive proximal muscle weakness, marked and persistent elevation of creatine phosphokinase, and the presence of anti-HMGCR autoantibodies. Unlike toxic statin-induced myopathy, ANM persists even after discontinuation of the drug due to an autoimmune response directed against the HMGCR enzyme. We report the case of a 75-year-old man on long-term atorvastatin therapy who developed severe muscle weakness, dysphagia, and respiratory involvement, initially suspected to be Guillain–Barré syndrome. The autoimmune profile revealed positive anti-HMGCR antibodies, confirming the diagnosis. Treatment included discontinuation of atorvastatin, glucocorticoids, azathioprine, and intravenous immunoglobulin, with partial improvement. This case highlights the importance of timely recognition of ANM to prevent severe complications and to guide early immunosuppressive therapy that may improve functional prognosis.</div></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100534"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081065","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
Cetoacidosis euglucémica por empagliflozina: Reporte de un caso 埃帕格列氟嗪引起的euglucemic酮症酸中毒：1例报告
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-03-04 DOI: 10.1016/j.mcpsp.2026.100535
Jose Guillermo Cabanillas-López, Luis Ángel Rodriguez-Chávez, Melissa Ysabel Romero-Diaz, Christian Alberto Vargas-Machuca Carranza
{"title":"Cetoacidosis euglucémica por empagliflozina: Reporte de un caso","authors":"Jose Guillermo Cabanillas-López,&nbsp;Luis Ángel Rodriguez-Chávez,&nbsp;Melissa Ysabel Romero-Diaz,&nbsp;Christian Alberto Vargas-Machuca Carranza","doi":"10.1016/j.mcpsp.2026.100535","DOIUrl":"10.1016/j.mcpsp.2026.100535","url":null,"abstract":"<div><div>Empagliflozin, an SGLT-2 inhibitor, has been associated with euglycemic diabetic ketoacidosis (euDKA), a rare but potentially life-threatening complication. We describe a 62-year-old woman with type 2 diabetes who developed euDKA three days after initiating empagliflozin, despite regular insulin use. The patient presented with malaise and confusion, with laboratory findings showing metabolic acidosis (pH 7.19, HCO<sub>3</sub> 5.8 mmol/L) and normal blood glucose (136 mg/dL). Intensive insulin and glucose infusion therapy were initiated, leading to full metabolic and clinical recovery within 42 h. This case highlights the need for clinical suspicion of euDKA in patients using SGLT-2 inhibitors who present with nonspecific symptoms, even when glycemia remains within normal ranges. Early diagnosis and prompt insulin-based therapy are essential to improve outcomes.</div></div>","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100535"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147385544","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
Odinofagia en un paciente joven 年轻患者的食道
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-04-16 DOI: 10.1016/j.mcpsp.2026.100540
Carolina Broco Fernández , Alia Martín Izquierdo , María Inmaculada Matanza Rodríguez , Santiago Vivas Alegre
{"title":"Odinofagia en un paciente joven","authors":"Carolina Broco Fernández ,&nbsp;Alia Martín Izquierdo ,&nbsp;María Inmaculada Matanza Rodríguez ,&nbsp;Santiago Vivas Alegre","doi":"10.1016/j.mcpsp.2026.100540","DOIUrl":"10.1016/j.mcpsp.2026.100540","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147702440","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 pancreatitis: a rare complication of transjugular intrahepatic portosystemic shunt (TIPS) 急性胰腺炎：经颈静脉肝内门静脉系统分流术的罕见并发症
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.mcpsp.2025.100532
Helena Font , Anna Baiges , Ángeles García-Criado , Alba Igual
{"title":"Acute pancreatitis: a rare complication of transjugular intrahepatic portosystemic shunt (TIPS)","authors":"Helena Font ,&nbsp;Anna Baiges ,&nbsp;Ángeles García-Criado ,&nbsp;Alba Igual","doi":"10.1016/j.mcpsp.2025.100532","DOIUrl":"10.1016/j.mcpsp.2025.100532","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100532"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146026085","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
Annular plaque-type psoriasis 环形斑块型牛皮癣
Medicina Clinica Practica Pub Date : 2026-04-01 Epub Date: 2026-02-27 DOI: 10.1016/j.mcpsp.2026.100538
Mauricio Salas-Garza , Julio C. Salas-Alanis , Pablo Martínez-Fernández , Walcoy F. Rivera-Zapata , María G. Moreno-Treviño , Raúl Rubio-Moreno , Gerardo Rivera-Silva
{"title":"Annular plaque-type psoriasis","authors":"Mauricio Salas-Garza ,&nbsp;Julio C. Salas-Alanis ,&nbsp;Pablo Martínez-Fernández ,&nbsp;Walcoy F. Rivera-Zapata ,&nbsp;María G. Moreno-Treviño ,&nbsp;Raúl Rubio-Moreno ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2026.100538","DOIUrl":"10.1016/j.mcpsp.2026.100538","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 2","pages":"Article 100538"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147385542","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
Sinonasal schwannoma: A rare cause of unilateral nasal mass 鼻窦神经鞘瘤：单侧鼻肿块的罕见病因
Medicina Clinica Practica Pub Date : 2026-01-01 Epub Date: 2025-12-24 DOI: 10.1016/j.mcpsp.2025.100529
Alexandra Cortés-Arciniegas , Inés Tortajada-Torralba , Santiago Almanzo , Alfonso García-Piñero , Miguel Armengot-Carceller
{"title":"Sinonasal schwannoma: A rare cause of unilateral nasal mass","authors":"Alexandra Cortés-Arciniegas ,&nbsp;Inés Tortajada-Torralba ,&nbsp;Santiago Almanzo ,&nbsp;Alfonso García-Piñero ,&nbsp;Miguel Armengot-Carceller","doi":"10.1016/j.mcpsp.2025.100529","DOIUrl":"10.1016/j.mcpsp.2025.100529","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 1","pages":"Article 100529"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839384","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
Abordaje ecográfico en el diagnóstico de atelectasias pulmonares: un caso clínico 用超声扫描诊断肺毛细血管扩张：一个临床案例
Medicina Clinica Practica Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1016/j.mcpsp.2025.100526
Jorge Cumarín Solórzano, Diana García Portillo
{"title":"Abordaje ecográfico en el diagnóstico de atelectasias pulmonares: un caso clínico","authors":"Jorge Cumarín Solórzano,&nbsp;Diana García Portillo","doi":"10.1016/j.mcpsp.2025.100526","DOIUrl":"10.1016/j.mcpsp.2025.100526","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 1","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145690377","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
Lupus miliaris disseminatus faciei
Medicina Clinica Practica Pub Date : 2026-01-01 Epub Date: 2025-11-08 DOI: 10.1016/j.mcpsp.2025.100525
María G. Moreno-Treviño , Julio C. Salas-Alanis , Mauricio Salas-Garza , Raúl Rubio-Moreno , Ma. G. Treviño-Alanís , Gerardo Rivera-Silva
{"title":"Lupus miliaris disseminatus faciei","authors":"María G. Moreno-Treviño ,&nbsp;Julio C. Salas-Alanis ,&nbsp;Mauricio Salas-Garza ,&nbsp;Raúl Rubio-Moreno ,&nbsp;Ma. G. Treviño-Alanís ,&nbsp;Gerardo Rivera-Silva","doi":"10.1016/j.mcpsp.2025.100525","DOIUrl":"10.1016/j.mcpsp.2025.100525","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 1","pages":"Article 100525"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145475753","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
Utilidad del test de Tzanck en el diagnóstico de herpes cutáneo Tzanck检测在诊断皮肤疱疹方面的作用
Medicina Clinica Practica Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1016/j.mcpsp.2025.100527
Carlos Eduardo Solórzano Flores , Abner Bladimir Baquedano Ordoñez , Allan Daniel Maradiaga Mejía , Juan José Flores Perez
{"title":"Utilidad del test de Tzanck en el diagnóstico de herpes cutáneo","authors":"Carlos Eduardo Solórzano Flores ,&nbsp;Abner Bladimir Baquedano Ordoñez ,&nbsp;Allan Daniel Maradiaga Mejía ,&nbsp;Juan José Flores Perez","doi":"10.1016/j.mcpsp.2025.100527","DOIUrl":"10.1016/j.mcpsp.2025.100527","url":null,"abstract":"","PeriodicalId":36921,"journal":{"name":"Medicina Clinica Practica","volume":"9 1","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145690376","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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