Kansas journal of medicine最新文献

{"title":"Phenotypic Heterogeny of Hereditary Angioedema Within a Single Family.","authors":"Josephine M Fails, Selina A Gierer","doi":"10.17161/kjm.vol18.22749","DOIUrl":"10.17161/kjm.vol18.22749","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029861","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}

{"title":"Diagnostic Challenges in Neurosarcoidosis: A Complex Case of an Elderly Patient with a History of B-cell Lymphoma.","authors":"Raj Shah, Lipilekha Mukherjee, Payton Markley, Jeremy Deutsch","doi":"10.17161/kjm.vol18.22890","DOIUrl":"10.17161/kjm.vol18.22890","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056154","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}

{"title":"Bruised and Bleeding: A Case Report of Acquired Hemophilia A.","authors":"Heidi E Koschwanez, Brent A Duran","doi":"10.17161/kjm.vol18.23007","DOIUrl":"10.17161/kjm.vol18.23007","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032842","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}

{"title":"Hypertensive Crisis Following Co-ingested Tobacco, Marijuana, and Red Wine: A Case Report.","authors":"Lisa Gilbert, Bailee Norton, Annie Harvey","doi":"10.17161/kjm.vol18.23173","DOIUrl":"10.17161/kjm.vol18.23173","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"44-45"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036153","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}

{"title":"A Case of Tumor-to-Tumor Metastasis: Breast Carcinoma Metastatic to Oncocytic Carcinoma of Thyroid.","authors":"Nanuli Gvazava, Todd M Stevens, Ryan K Rader","doi":"10.17161/kjm.vol18.23026","DOIUrl":"10.17161/kjm.vol18.23026","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046470","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}

{"title":"Epstein-Barr Virus (EBV) Induced Hemophagocytic Lymphohistiocytosis (HLH) with Granulomatous Hepatitis.","authors":"Kenneth Villareal, Rachel Weihe, Daffolyn Rachael Fels Elliott","doi":"10.17161/kjm.vol18.23165","DOIUrl":"10.17161/kjm.vol18.23165","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"41-43"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059093","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}

{"title":"EValuation of Acute and Early Phase P2Y12 Inhibitor DE-escalation After PerCutaneous Intervention (EVADE PCI).","authors":"Erica N Presnell, Andrea M Bond, Jessica Hernandez","doi":"10.17161/kjm.vol18.22921","DOIUrl":"10.17161/kjm.vol18.22921","url":null,"abstract":"<p><strong>Introduction: </strong>Aspirin and an oral P2Y12 inhibitor are recommended for one year after percutaneous coronary intervention (PCI) in patients with acute coronary syndromes. While ticagrelor or prasugrel, more potent P2Y12 inhibitors, are preferred over clopidogrel, de-escalation often is based on provider judgment. This study compared cardiovascular outcomes and bleeding risks between patients who remained on ticagrelor or prasugrel (unchanged group) and those de-escalated to clopidogrel within 30 days of PCI.</p><p><strong>Methods: </strong>The authors analyzed data from patients admitted between June 2014 and December 2022 for acute coronary syndromes requiring PCI who received an oral P2Y12 inhibitor within 72 hours of admission. The primary outcome was a composite of all-cause mortality, urgent revascularization, stent thrombosis, stroke, and major bleeding at one year. Secondary outcomes included the individual components of the composite outcome. Statistical analyses included chi-square tests, Student's t-tests, or non-parametric equivalents, as appropriate.</p><p><strong>Results: </strong>A total of 210 patients met the inclusion criteria, with 149 remaining on unchanged P2Y12 therapy and 61 undergoing de-escalation. There was no statistically significant difference in the composite outcome between the unchanged and de-escalated groups (n [%]: 25 [17] vs. 6 [10]; χ² [1, N = 210] = 1.658, p = 0.198). Additionally, secondary outcomes, including all-cause mortality, urgent revascularization, stent thrombosis, stroke, and major bleeding, did not differ significantly between groups.</p><p><strong>Conclusions: </strong>A composite outcome of all-cause mortality, urgent revascularization, stent thrombosis, stroke, and major bleeding at one year was similar between patients who continued ticagrelor or prasugrel and those de-escalated to clopidogrel within 30 days of PCI. Larger studies are needed to confirm these findings and assess the optimal timing for therapy adjustments.</p>","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 2","pages":"31-34"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236247","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}

{"title":"A Case of Olanzapine Resistance from Heavy Smoking and Clinical Considerations.","authors":"Kamalakar Surineni, Andrew L Smith, Rachel Glein, Nolan Schrader","doi":"10.17161/kjm.vol18.22846","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22846","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"21-22"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652916","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}

{"title":"A Case Report of Futibatinib-Induced Calciphylaxis.","authors":"Colin P Slaymaker, Haoran Li","doi":"10.17161/kjm.vol18.22862","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22862","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"25-27"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652859","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}

{"title":"Tophaceous Gout in the Axial Skeleton: An Unusual Case with Key Imaging Characteristics.","authors":"Hussein Alsadi, Kevin Le, Kelly Dahlstrom, Kyle Summers, Kyle Werth","doi":"10.17161/kjm.vol18.22771","DOIUrl":"https://doi.org/10.17161/kjm.vol18.22771","url":null,"abstract":"","PeriodicalId":94121,"journal":{"name":"Kansas journal of medicine","volume":"18 1","pages":"14-16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652935","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}