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

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Deep vein thrombosis: Implications of thromboprophylaxis after lower limb cast immobilisation. 深静脉血栓：下肢石膏固定后血栓预防的意义。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.1177/14782715241255979
Oscar Mp Jolobe
{"title":"Deep vein thrombosis: Implications of thromboprophylaxis after lower limb cast immobilisation.","authors":"Oscar Mp Jolobe","doi":"10.1177/14782715241255979","DOIUrl":"10.1177/14782715241255979","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"176-177"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238413","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
Tumid lupus erythematosus in C1-inhibitor deficiency. 缺乏 C1 抑制剂的肿瘤性红斑狼疮
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-05-16 DOI: 10.1177/14782715241254872
Sujoy Khan
{"title":"Tumid lupus erythematosus in C1-inhibitor deficiency.","authors":"Sujoy Khan","doi":"10.1177/14782715241254872","DOIUrl":"10.1177/14782715241254872","url":null,"abstract":"<p><p>A case of a 28-year-old woman with known C1-inhibitor deficiency (functional, Type II) with persistent bilateral non-pruritic, mildly photosensitive facial rash for 10 months following delivery of her second child is presented. Histology of the skin was suggestive of tumid lupus erythematosus (LE), but no other features of systemic LE (ANA, dsDNA negative) were evident. She had stopped danazol which was controlling the underlying disease, and once this was restarted and treatment for tumid lupus was started, she improved. More rigorous control preventing all C1-inhibitor deficiency-related attacks proved successful. The hypothesis that uncontrolled classical pathway complement activation that led to the lupus-like skin lesions is being presented as a clinical case, highlighting the complex interrelationships between immunodeficiency and autoimmunity in inborn errors in immunity.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"159-160"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960010","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
Becoming a doctor. 成为一名医生
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 DOI: 10.1177/14782715241264962
{"title":"Becoming a doctor.","authors":"","doi":"10.1177/14782715241264962","DOIUrl":"10.1177/14782715241264962","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":"54 2","pages":"188"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761615","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
Newer treatments for diabetes mellitus: A caveat with rapid glycaemic improvement and caution regarding changes in retinopathy screening guidelines within the UK NHS programme. 糖尿病的新疗法：快速改善血糖的注意事项，以及英国国家医疗服务体系计划中视网膜病变筛查指南变化的注意事项。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-05-27 DOI: 10.1177/14782715241257970
Lakshminarayanan Varadhan, Merin Jose, Tracy Humphreys, Andrew Brown
{"title":"Newer treatments for diabetes mellitus: A caveat with rapid glycaemic improvement and caution regarding changes in retinopathy screening guidelines within the UK NHS programme.","authors":"Lakshminarayanan Varadhan, Merin Jose, Tracy Humphreys, Andrew Brown","doi":"10.1177/14782715241257970","DOIUrl":"10.1177/14782715241257970","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"178-179"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155626","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
A rare case of mullerianosis of the liver and lung mimicking metastatic biliary cystadenocarcinoma. 一例罕见的肝脏和肺部模仿转移性胆囊腺癌的穆勒氏病。
IF 1.1
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-06-01 Epub Date: 2024-04-25 DOI: 10.1177/14782715241247244
Charles Panackel, Joe Francis Mathew, Nita John, Mathew Jacob
{"title":"A rare case of mullerianosis of the liver and lung mimicking metastatic biliary cystadenocarcinoma.","authors":"Charles Panackel, Joe Francis Mathew, Nita John, Mathew Jacob","doi":"10.1177/14782715241247244","DOIUrl":"10.1177/14782715241247244","url":null,"abstract":"<p><p>Anatomically, normal cells found in an abnormal site are known as choristoma. When any two of the three-cell lineage of the mullerian duct, that is endosalpinx, endocervix and endometrium, are found at an abnormal location, it is termed mullerian choristoma or mullerianosis. Mullerianosis histologically reveals glands of varying sizes lined by cervical, tubal and endometrial cells. Individual cell lineages like endometriosis of the ovary, endosalpingiosis and endocervicosis of the urinary bladder are common. But mullerianosis is quite rare, and as per literature, only about 20 cases have been reported. We report a mullerianosis involving the liver and lung in a 41-year-old female that mimicked metastatic biliary cystadenocarcinoma. It is the first case reported in literature where there is simultaneous involvement of the liver and lung by mullerianosis. The diagnosis was made with the help of histopathology and immunohistochemistry in the resected specimens.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"149-152"},"PeriodicalIF":1.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858482","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
Marjorie E.M. Allison. MARJORIE E.M. ALLISON, MD, FRCP (Glasgow and Edinburgh)：1940-2023.
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-01-19 DOI: 10.1177/14782715241227078
Gordon Lowe, James McKillop, Harry Gray
{"title":"Marjorie E.M. Allison.","authors":"Gordon Lowe, James McKillop, Harry Gray","doi":"10.1177/14782715241227078","DOIUrl":"10.1177/14782715241227078","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"108"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491725","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
Russel's sign: Unilateral hand callosities in bulimia nervosa. 罗素征神经性贪食症患者的单侧手部胼胝。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI: 10.1177/14782715241228325
Verma Vaishnavi, Sharma Ritu, Bhari Neetu
{"title":"Russel's sign: Unilateral hand callosities in bulimia nervosa.","authors":"Verma Vaishnavi, Sharma Ritu, Bhari Neetu","doi":"10.1177/14782715241228325","DOIUrl":"10.1177/14782715241228325","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"62-63"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571890","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
Multifocal presentation of cutaneous tuberculosis in a HIV positive patient. 一名 HIV 阳性患者的多灶性皮肤结核病。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-08 DOI: 10.1177/14782715241238784
Preeyati Chopra, Sharang Gupta, Dimple Chopra
{"title":"Multifocal presentation of cutaneous tuberculosis in a HIV positive patient.","authors":"Preeyati Chopra, Sharang Gupta, Dimple Chopra","doi":"10.1177/14782715241238784","DOIUrl":"10.1177/14782715241238784","url":null,"abstract":"","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"64-65"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060731","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
A case of early intraventricular haemorrhage following ventriculoperitoneal shunt: An entity requiring consideration. 一例脑室腹腔分流术后早期脑室内出血：一个需要考虑的实体。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-10 DOI: 10.1177/14782715241237579
Himanshu Kaushal, Madhugandha Wahane, Gourav Goyal, Sudha Sarna, Mukesh Kumar Sarna
{"title":"A case of early intraventricular haemorrhage following ventriculoperitoneal shunt: An entity requiring consideration.","authors":"Himanshu Kaushal, Madhugandha Wahane, Gourav Goyal, Sudha Sarna, Mukesh Kumar Sarna","doi":"10.1177/14782715241237579","DOIUrl":"10.1177/14782715241237579","url":null,"abstract":"<p><p>The ventriculoperitoneal shunt (VP shunt) is one of the most common neurosurgical procedures performed in daily practice. Various complications following a VP shunt are as follows: post-procedure shunt-related infections, shunt block, shunt displacement or exteriorisation and haemorrhage associated with it. Delayed intraventricular haemorrhage is a relatively uncommon complication following the aforementioned procedure. Here we present an atypical case of a 72-year-old male who presented with subarachnoid haemorrhage with hydrocephalus and underwent a VP shunt, following which the patient had early intraventricular haemorrhage (eIVH) with an unfortunate outcome. Here, we propose pathophysiology and risk factors for eIVH.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"48-54"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094796","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
Plasma exchange for the management of digoxin toxicity in an individual with an acute kidney injury: A case report. 血浆置换治疗急性肾损伤患者的地高辛中毒：病例报告。
IF 1.4
Journal of the Royal College of Physicians of Edinburgh Pub Date : 2024-03-01 Epub Date: 2024-03-18 DOI: 10.1177/14782715241239372
Hannah Preston, Emma Cannon, Simon Watson
{"title":"Plasma exchange for the management of digoxin toxicity in an individual with an acute kidney injury: A case report.","authors":"Hannah Preston, Emma Cannon, Simon Watson","doi":"10.1177/14782715241239372","DOIUrl":"10.1177/14782715241239372","url":null,"abstract":"<p><p>Digoxin toxicity can be life-threatening. Digoxin-specific antibody (DSA) fragments are used in severe digoxin toxicity, binding to serum-free digoxin and enabling increased renal excretion. In severe renal impairment, clearance of these complexes is prolonged, leading to rebound toxicity. Digoxin and DSA complexes are not dialysable. We present a case of a gentleman with severe digoxin toxicity and acute kidney injury (AKI). Despite receiving DSA doses, his digoxin levels rebounded and symptoms persisted. Based on published case reports, plasma exchange (PEX) after further dosing was arranged. PEX facilitated the removal of digoxin-DSA complexes, bypassing renal excretion. During PEX, clinical signs improved and were sustained. He did not require further dialysis or PEX, renal function recovered and he was discharged. This case highlights challenges in the management of severe digoxin toxicity in patients with a concurrent AKI. The use of PEX enabled digoxin-DSA complex removal and should be considered in these circumstances.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"55-58"},"PeriodicalIF":1.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159259","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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