Archive of clinical cases最新文献_第5页

Solitary superficial angiomyxoma of the ear pinna: a diagnostic dilemma with a review of literature. 耳廓孤立性浅表血管黏液瘤：诊断难题及文献复习。

Archive of clinical cases Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10258

Anurag Singh, Shalini Rawat, Gulshan Kumar, Uma Shankar Singh, Mala Sagar

引用次数: 0

Emergency colectomy for massive rectal bleeding in a patient with well-controlled ulcerative colitis receiving Vedolizumab. 紧急结肠切除术治疗一名接受韦多利珠单抗治疗的溃疡性结肠炎患者的直肠大出血。

Archive of clinical cases Pub Date : 2023-09-26 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10259

Irina Ciortescu, Roxana Nemteanu, Liliana Gheorghe, Corina Hincu, Liliana Fortu, Oreste Chiriac, Andreea Clim, Alina Plesa

{"title":"Emergency colectomy for massive rectal bleeding in a patient with well-controlled ulcerative colitis receiving Vedolizumab.","authors":"Irina Ciortescu, Roxana Nemteanu, Liliana Gheorghe, Corina Hincu, Liliana Fortu, Oreste Chiriac, Andreea Clim, Alina Plesa","doi":"10.22551/2023.40.1003.10259","DOIUrl":"https://doi.org/10.22551/2023.40.1003.10259","url":null,"abstract":"Ulcerative colitis (UC) is a chronic inflammatory condition, with a relapsing-remitting course. The case presented poses some valid questions regarding short-term and long-term management of patients with UC, and if the outcome (colectomy) could have been delayed or even prevented. Rectal bleeding is a cardinal symptom in patients with UC and it occurs among all patients during active disease. Massive rectal bleeding is an uncommon, but serious, complication of UC accounting for 0.1-1.4% of admissions. It is, nonetheless, noteworthy that instances of acute significant lower gastrointestinal bleeding accompanied by hemodynamic instability are infrequent. The rate of colectomy appears to be positively impacted by biological treatment. However, a refractory condition is still the primary reason for surgery, indicating a pressing need for new treatment approaches. Here we present the case of a young male patient who developed massive rectal bleeding and underwent emergent colectomy with ileostomy while having clinical and biological remission (normal calprotectin levels) at week 10 of Vedolizumab treatment.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 3","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/fe/acc-10-03-10259.PMC10521634.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177581","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

Looking beyond the surface: Muir Torre syndrome. 从表面看：缪尔-托雷综合征。

Archive of clinical cases Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10255

Ekta Bagga, David Innes, Edmund Leung

引用次数: 0

Valproate-induced burning mouth syndrome in a male with fibromyalgia and bipolar spectrum disorder. 丙戊酸钠诱导的男性纤维肌痛和双相情感障碍患者的灼口综合征。

Archive of clinical cases Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10257

Accursio Raia, Valerio Caruso, Clara Montalbano, Lavinia Migli, Calogero Raia, Stefano Pini

{"title":"Valproate-induced burning mouth syndrome in a male with fibromyalgia and bipolar spectrum disorder.","authors":"Accursio Raia, Valerio Caruso, Clara Montalbano, Lavinia Migli, Calogero Raia, Stefano Pini","doi":"10.22551/2023.40.1003.10257","DOIUrl":"https://doi.org/10.22551/2023.40.1003.10257","url":null,"abstract":"Burning mouth syndrome is a chronic painful condition characterized by a subjective intraoral pain and burning sensations in the absence of an identifiable medical, dental, or psychiatric cause. Although the underlying etiology is currently unclear, an idiopathic (or primary) form and a secondary form to other conditions are formally recognized. However, as several authors have suggested, it might be of clinical utility to consider the existence of a third clinical entity, namely Drug-Induced Burning mouth syndrome, for its therapeutic implications. The latter has been reported with angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, antiretrovirals, anticoagulants, chemotherapy, and drugs commonly used in the treatment of neuropsychiatric disorders such as antidepressants, benzodiazepines, and antipsychotics. Regarding anticonvulsants a literature search found a previous case of Topiramate-Induced Burning mouth syndrome but no previous report of valproate-induced Burning mouth syndrome. Our case is, to date, the first case in the literature of Burning mouth syndrome onset following the administration of valproate to a patient suffering from fibromyalgia and bipolar spectrum disorder. Symptoms resolved completely when the drug was stopped, and the association between symptoms and drug was replicated after drug re-administration.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 3","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/85/acc-10-03-10257.PMC10510332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158836","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

Polycystic ovary syndrome due to the novel translocation 46XX t(2;9)(q21;p24). 新型易位46XX t（2；9）（q21；p24）引起的多囊卵巢综合征。

Archive of clinical cases Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.22551/2023.40.1003.10256

Josef Finsterer

引用次数: 0

Catching the diagnosis: A peculiar presentation of Chiari malformation type I. 抓住诊断：奇拉氏畸形 I 型的一种特殊表现。

IF 0.8

Archive of clinical cases Pub Date : 2023-06-07 eCollection Date: 2023-01-01 DOI: 10.22551/2023.39.1002.10247

Austin C Rezigh, Alec B Rezigh

引用次数: 0

Plasmapheresis can correct refractoriness of insulin on triglyceride metabolism - A case report of hypertriglyceridemia-induced acute pancreatitis. 血浆置换可纠正胰岛素对甘油三酯代谢的难治性——高甘油三酯血症致急性胰腺炎1例报告。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10244

Bala Sundaram, Nabadwip Pathak, Sunil Kumar Nanda

引用次数: 0

Euglycemic diabetic ketoacidosis caused by empagliflozin complicated by failure to thrive in a geriatric patient. 恩格列净引起的糖尿病酮症酸中毒合并老年患者生长发育失败。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10248

Azeem Rathore, Nidhi Gupta, Cameron Kahn, Dinesh Kadariya

{"title":"Euglycemic diabetic ketoacidosis caused by empagliflozin complicated by failure to thrive in a geriatric patient.","authors":"Azeem Rathore, Nidhi Gupta, Cameron Kahn, Dinesh Kadariya","doi":"10.22551/2023.39.1002.10248","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10248","url":null,"abstract":"Euglycemic diabetic ketoacidosis (euDKA) is a rare but deadly complication of sodium-glucose cotransport-2 (SGLT-2) inhibitors. Primarily indicated for the treatment of Type 2 Diabetes Mellitus, the incidence of euDKA is expected to rise as SGLT-2 inhibitors become a mainstay therapy for diabetics with heart failure. Diagnosis of euDKA can be difficult given the presence of normoglycemia and is especially challenging among geriatric patients that are complicated by additional comorbidities. We present a case of an elderly male with multiple comorbidities who presented for dehydration and altered mentation from a nursing home facility. Laboratory investigations showed signs of acute renal failure, uremia, electrolyte abnormalities, and severe metabolic acidosis due to high levels of plasma beta-hydroxybutyrate. He was admitted to the medical intensive care unit (ICU) for further management. A presumptive diagnosis of euDKA was strongly suspected due to his laboratory data and medication reconciliation which revealed the recent initiation of empagliflozin. The patient was promptly started on a standardized treatment protocol for DKA with continuous infusion of regular insulin with strict glucose monitoring, along with intravenous fluids, and a small dose of sodium bicarbonate infusion as per current standard guidelines. With the rapid improvement in symptoms and metabolic derangements, the diagnosis was confirmed. Geriatric patients from nursing home facilities are a high-risk cohort who if not properly cared for by nursing staff can develop dehydration, malnutrition and worsening frailty including sarcopenia that exposes them to increased risk of medication side effects, such as euDKA. Clinicians should consider euDKA in their differential diagnosis in elderly patients with overt or relative insulinopenia who are receiving SGLT-2 inhibitors when presenting with acute changes in health and mentation.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/b9/acc-10-10248.PMC10258732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004882","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: 1

Rapid metachronous bladder metastasis of type 2 papillary renal cell carcinoma. 2型乳头状肾细胞癌快速异时性膀胱转移。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.39.1002.10249

Ahmed Elabbady, Ryan Boudreau, Vahid Mehrnoush, Mona Salem, Ahmed Fahmy, Rawan Elabbady, Ahmed Kotb

{"title":"Rapid metachronous bladder metastasis of type 2 papillary renal cell carcinoma.","authors":"Ahmed Elabbady, Ryan Boudreau, Vahid Mehrnoush, Mona Salem, Ahmed Fahmy, Rawan Elabbady, Ahmed Kotb","doi":"10.22551/2023.39.1002.10249","DOIUrl":"https://doi.org/10.22551/2023.39.1002.10249","url":null,"abstract":"Renal cell carcinoma (RCC) frequently spreads to distant organs like the lung, lymph nodes, bone, and liver. However, there have been some reports of RCC bladder metastasis. We present a case of a 61-year-old man presented with total painless gross hematuria. The patient had a history of right radical nephrectomy for papillary (type 2) RCC, high-grade, pT3a with negative surgical margins. There was no evidence of metastases on 6-month surveillance CT. After one-year post-operation, at this current admission, the cystoscopy discovered a solid bladder mass away from the trigone in the right lateral bladder wall. The resected bladder mass was metastatic papillary RCC with PAX-8 positive but GATA-3 negative on immunostaining. A positron emission tomography scan confirmed multiple lung, liver, and osseous metastases. This case report can highlight the importance of having bladder metastasis in RCC mind, although rare, and may necessitate the surveillance measures like urine analysis at more frequent interval and CT Urography instead of regular CT to detect the RCC metastatic bladder cancer at early stage.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/40/acc-10-10249.PMC10258733.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9629747","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

Sevoflurane-Induced Diffuse Alveolar Hemorrhage. 七氟醚所致弥漫性肺泡出血。

Archive of clinical cases Pub Date : 2023-01-01 DOI: 10.22551/2023.38.1001.10235

Mohammad Ahmed-Khan, Kayvon Moin, Carly Funk, Mala Sachdev, Mohamed Zakee Mohamed Jiffry

{"title":"Sevoflurane-Induced Diffuse Alveolar Hemorrhage.","authors":"Mohammad Ahmed-Khan, Kayvon Moin, Carly Funk, Mala Sachdev, Mohamed Zakee Mohamed Jiffry","doi":"10.22551/2023.38.1001.10235","DOIUrl":"https://doi.org/10.22551/2023.38.1001.10235","url":null,"abstract":"Diffuse alveolar hemorrhage (DAH) is a potentially life-threatening pulmonary pathology which results in intra-alveolar hemorrhage secondary to disruption of the alveolar capillary basement membrane. Most commonly, these patients present with hemoptysis, hypoxemia and pulmonary infiltrates. Although rare, sevoflurane, an inhalational anesthetic used as a rapid induction agent for anesthesia may be implicated in the etiology of DAH. We report a case of a 21-year-old otherwise healthy male found to have postoperative diffuse alveolar hemorrhage secondary to sevoflurane inhalation. Thus far, only five documented cases describing sevoflurane induced diffuse alveolar hemorrhage have been described in the literature, with prior cases also showing a clear temporal association between sevoflurane administration and symptom onset. Although uncommon, we must take sevoflurane into consideration as a possible etiology of diffuse alveolar hemorrhage when encountering signs of respiratory distress and hemoptysis in postoperative patients.","PeriodicalId":72274,"journal":{"name":"Archive of clinical cases","volume":"10 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/bd/acc-10-01-29.PMC10012166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643126","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: 1