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Journal of the Royal College of Physicians of Edinburgh最新文献

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Hoffmann's syndrome in subclinical hypothyroidism. 亚临床甲状腺功能减退症的霍夫曼综合征
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2023-12-11 DOI: 10.1177/14782715231218033
Kiran Hs, Shashank Cheemalapati, Venkatesh Cr
{"title":"Hoffmann's syndrome in subclinical hypothyroidism.","authors":"Kiran Hs, Shashank Cheemalapati, Venkatesh Cr","doi":"10.1177/14782715231218033","DOIUrl":"10.1177/14782715231218033","url":null,"abstract":"<p><p>Hypothyroidism is an endocrine disorder which occurs due to a deficiency of thyroid hormones. Hoffmann's syndrome is a rare complication of hypothyroidism - presenting as hypothyroid myopathy. We describe the case of a 20-year-old lactating female, known to have hypothyroidism (diagnosed during her pregnancy and having discontinued treatment following delivery), presenting with complaints of pain, swelling of bilateral calf muscles with cramps in bilateral lower limbs. Symptoms of muscle pseudohypertrophy with muscle stiffness are relatively rare in subclinical hypothyroidism and it is important to identify and diagnose this rare condition, and initiate appropriate treatment.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"26-28"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812217","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
Remote and Rural Remedies exhibition. 偏远地区和农村补救措施展览。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 DOI: 10.1177/14782715241242191
{"title":"Remote and Rural Remedies exhibition.","authors":"","doi":"10.1177/14782715241242191","DOIUrl":"10.1177/14782715241242191","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":"54 1","pages":"113"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869393","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
Features in this issue. 本期专题
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 DOI: 10.1177/14782715241244583
Graeme P Currie
{"title":"Features in this issue.","authors":"Graeme P Currie","doi":"10.1177/14782715241244583","DOIUrl":"10.1177/14782715241244583","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":"54 1","pages":"3"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856281","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
Physician-led thoracic ultrasound-guided biopsy; a district general hospital perspective. 医生主导的胸部超声引导活检；地区综合医院的视角。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-02-20 DOI: 10.1177/14782715241231331
M J Cafferkey, G A Martin
{"title":"Physician-led thoracic ultrasound-guided biopsy; a district general hospital perspective.","authors":"M J Cafferkey, G A Martin","doi":"10.1177/14782715241231331","DOIUrl":"10.1177/14782715241231331","url":null,"abstract":"<p><strong>Background: </strong>Physician-led thoracic ultrasound (TUS)-guided biopsies provide a prompt route to tissue diagnosis in pleural and peripheral lung malignancies. This retrospective study reviews the diagnostic performance and safety of this approach in a UK District General Hospital.</p><p><strong>Methods: </strong>Time to biopsy, diagnostic yield and complication rate were analysed in a cohort of 49 patients undergoing ultrasound-guided tissue sampling between September 2019 and December 2022.</p><p><strong>Results: </strong>Fifty-one TUS-guided biopsies were attempted. Mean time from decision to biopsy was 5 days. The overall diagnostic yield was 82%. Complication rate was low; 3 minor adverse effects were reported which led to no change in routine care.</p><p><strong>Conclusion: </strong>This single centre retrospective study shows that physician-led TUS-guided biopsy provides a safe and timely method of obtaining a tissue diagnosis in thoracic malignancy. It offers an alternative to computer tomography (CT)-guided or thoracoscopic biopsies and should be considered in selected patients where local procedural expertise exists.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"14-17"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913748","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
Tackling the 'Great imitator'! 应对 "伟大的模仿者"！
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2023-12-30 DOI: 10.1177/14782715231219716
Kaitlyn O'Brien, Sarmad Waqas
{"title":"Tackling the 'Great imitator'!","authors":"Kaitlyn O'Brien, Sarmad Waqas","doi":"10.1177/14782715231219716","DOIUrl":"10.1177/14782715231219716","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"105"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075455","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
Vincent Marks DM, FRCPE, FRCP, FRCPath. 文森特-马克斯 DM、FRCPE、FRCP、FRCPath。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2023-12-30 DOI: 10.1177/14782715231223049
Anthony Seaton
{"title":"Vincent Marks DM, FRCPE, FRCP, FRCPath.","authors":"Anthony Seaton","doi":"10.1177/14782715231223049","DOIUrl":"10.1177/14782715231223049","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"109"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075456","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
Hospital at home: Opportunity knocks or opportunity costs? 在家住院：机会来临还是机会成本？
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-04 DOI: 10.1177/14782715241234082
Clare Bostock
{"title":"Hospital at home: Opportunity knocks or opportunity costs?","authors":"Clare Bostock","doi":"10.1177/14782715241234082","DOIUrl":"10.1177/14782715241234082","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"94-97"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022953","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
Drug-induced chylothorax as a rare pleural complication in dasatinib therapy for chronic myeloid leukaemia. 药物诱发的乳糜胸是达沙替尼治疗慢性粒细胞白血病的一种罕见胸膜并发症。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-14 DOI: 10.1177/14782715241237577
Isaac Ks Ng, Mamta Ruparel, Esther Hl Chan, Kay Leong Khoo
{"title":"Drug-induced chylothorax as a rare pleural complication in dasatinib therapy for chronic myeloid leukaemia.","authors":"Isaac Ks Ng, Mamta Ruparel, Esther Hl Chan, Kay Leong Khoo","doi":"10.1177/14782715241237577","DOIUrl":"10.1177/14782715241237577","url":null,"abstract":"<p><p>Chylothorax is a lymphatic chylous pleural effusion typically associated with traumatic (iatrogenic, non-iatrogenic) and non-traumatic (infections, malignancy, lymphatic disorders) aetiologies. Drug-induced chylothorax is uncommon and mostly reported in association with <i>BCR-ABL</i> tyrosine kinase inhibitor therapy.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"44-47"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132797","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
Assessing postural hypotension in a UK District General Hospital. 评估英国一家地区综合医院的体位性低血压。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-08 DOI: 10.1177/14782715241238785
Dennis Poon, Babyshalini Muthukumar, Yik Lam Pang
{"title":"Assessing postural hypotension in a UK District General Hospital.","authors":"Dennis Poon, Babyshalini Muthukumar, Yik Lam Pang","doi":"10.1177/14782715241238785","DOIUrl":"10.1177/14782715241238785","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"106-107"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060730","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
Prolonged arthralgias in Whipple's disease - A common but often overlooked symptom of a rare disease. 威普尔氏病的长期关节痛--一种罕见疾病的常见症状，但往往被忽视。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 DOI: 10.1177/14782715241237283
Bernardo Tourais Canhão, André Trigo, Joana Inês Madeira, Adélia Simão, João Madaleno
{"title":"Prolonged arthralgias in Whipple's disease - A common but often overlooked symptom of a rare disease.","authors":"Bernardo Tourais Canhão, André Trigo, Joana Inês Madeira, Adélia Simão, João Madaleno","doi":"10.1177/14782715241237283","DOIUrl":"10.1177/14782715241237283","url":null,"abstract":"<p><p>Whipple's disease is a multisystemic chronic infectious condition caused by <i>Tropheryma whipplei</i> (<i>T. whipplei</i>). Though characterised often by insidious weight loss, diarrhoea, and arthralgia, three other distinct manifestations can be observed, namely localised disease, acute infection and asymptomatic carriage. The diagnosis relies on histopathological examination of duodenal biopsies and polymerase chain reaction analysis of the 16S rRNA gene for <i>T. whipplei.</i> We report the case of a middle-aged man admitted for etiologic investigation of prolonged, migrating, and inflammatory arthralgias and subsequent development of gastrointestinal symptoms. Despite its reputation as a great mimicker of many different illnesses, the difficulty in diagnosis probably lies with its rarity rather than its masking.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":"54 1","pages":"41-43"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869234","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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