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Case reports in medicine 307건

  1. [해외논문]   Liver Injury with Features Mimicking Autoimmune Hepatitis following the Use of Black Cohosh  

    Guzman, Grace (Department of Pathology, University of Illinois, Chicago, IL 60612, USA ) , Kallwitz, Eric R. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Wojewoda, Christina (Department of Pathology, Case Western Reserve University, Cleveland, OH 44106, USA ) , Chennuri, Rohini (Department of Pathology, University of Illinois, Chicago, IL 60612, USA ) , Berkes, Jamie (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Layden, Thomas J. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA ) , Cotler, Scott J. (Department of Medicine, University of Illinois, Chicago, IL 60612, USA)
    Case reports in medicine v.2009 ,pp. 1 - 8 , 2009 , 1687-9627 ,

    초록

    There are a growing number of cases detailing acute hepatic necrosis in patients taking black cohosh ( Cimicifuga racemosa ), an over-the-counter herbal supplement for management of menopausal symptoms. Our aim is to illustrate two cases of liver injury following the use of black cohosh characterized by histopathological features mimicking autoimmune hepatitis. Both patients reported black cohosh use for at least six months and had no evidence of another cause of liver disease. Their liver biopsies showed a component of centrilobular necrosis consistent with severe drug-induced liver injury. In addition, the biopsies showed characteristics of autoimmune-like liver injury with an interface hepatitis dominated by plasma cells. Although serum markers for autoimmune hepatitis were not particularly elevated, both patients responded to corticosteroids, supporting an immune-mediated component to the liver injury. Liver injury following the use of black cohosh should be included in the list of differential diagnoses for chronic hepatitis with features mimicking autoimmune hepatitis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   A NovelSCN5AMutation in a Patient with Coexistence of Brugada Syndrome Traits and Ischaemic Heart Disease  

    Holst, Anders G. (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Calloe, Kirstine (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Jespersen, Thomas (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Cedergreen, Pernille (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Winkel, Bo G. (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Jensen, Henrik Kjaerulf (Department of Cardiology, Aarhus University Hospital Skejby, 8200 Aarhus, Denmark ) , Leren, Trond P. (Medical Genetics Laboratory, Rikshospitalet University Hospital, 0027 Oslo, Norway ) , Haunso, Stig (The Danish National Research Foundation Centre for Cardiac Arrhythmia (DARC), University of Copenhagen, 2200 Copenhagen, Denmark ) , Svendsen, Jesper Hastrup (The Danish National Research Foundation Centr) , Tfelt-Hansen, Jacob
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Brugada syndrome (BrS) is a primary electrical heart disease, which can lead to sudden cardiac death. In older patients with BrS, the disease may coexist with ischaemic heart disease (IHD) and recent studies support a synergistic proarrhythmic effect of the two disease entities. We report a case that illustrates this. The index patient was a middle-aged patient with BrS traits, IHD, and aborted sudden cardiac death. Mutation analysis discovered a novel mutation P468L in the NaV 1.5 sodium channel. Surprisingly, voltage-clamp experiments on the wild-type and mutant NaV 1.5 channels expressed in HEK cells revealed no functional effect of the mutation. In a patient like ours, the distinction between IHD and BrS as the cause of an aborted sudden cardiac death is hard to establish and mounting evidence shows that coexistence of the two may have a synergistic proarrhythmic effect.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   A Case of Concurrent Riedel's, Hashimoto's and Acute Suppurative Thyroiditis  

    Pirola, I. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Morassi, M. L. (Department of Pathology, University of Brescia, 25124 Brescia, Italy ) , Braga, M. (II Division of General Surgery, Spedali Civili, 25124 Brescia, Italy ) , De Martino, E. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Gandossi, E. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy ) , Cappelli, C. (Department of Medical and Surgical Sciences, Internal Medicine and Endocrinology Unit, University of Brescia, 25100 Brescia, Italy)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Riedel's thyroiditis (RT) is a rare form of infiltrative and inflammatory disease of the thyroid, first described by Bernard Riedel in 1896. The concurrent presence of RT and other thyroid diseases has been reported, but, the association of RT with Hashimoto's thyroiditis and acute thyroiditis has not yet been reported. We present a case of concurrent Riedel's, Hashimoto's and acute thyroiditis that occurred in a 45-year-old patient.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Effective Monotherapy with Amrubicin for a Refractory Extrapulmonary Small-Cell Carcinoma of the Liver  

    Isobe, Taichi (Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Yanai, Shunichi (Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Kusaba, Hitoshi (Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Yada, Shinichiro (Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Kuroda, Yosuke (Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Tamiya, Sadafumi (Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-Ku, Fukuoka 812-8582, Japan ) , Matsumoto, Takayuki (Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyus) , Baba, Eishi , Harada, Mine
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Small-cell carcinoma of the liver is a rare neoplasm, and no standard treatment for it has yet been established. A 72-year-old man with an extensive disease stage of small-cell carcinoma of the liver was treated with systemic chemotherapy consisting of cisplatin and etoposide (PE) followed by irinotecan. Although the masses were markedly decreased once after the sixth course of PE, amrubicin monotherapy as third-line chemotherapy was started because the hepatic masses had increased again. The administration of amrubicin was repeated in 8 courses with regression of the disease, resulting in a 26-month survival since the first-line chemotherapy was started. This is the first case report of a refractory EPSCC successfully treated with amrubicin.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Colonic Endometriosis Mimicking Colon Cancer on a Virtual Colonoscopy Study: A Potential Pitfall in Diagnosis  

    Samet, Jonathan D. (Department of Radiology, Northwestern Medical Faculty Foundation, Chicago, IL 60611, USA ) , Horton, Karen M. (Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD 21287-0801, USA ) , Fishman, Elliot K. (Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD 21287-0801, USA ) , Hruban, Ralph H. (Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Colonic endometriosis has been reported in the literature to mimic colon cancer. Patients can present with symptoms almost identical to colon cancer. We present an exemplary case of a woman who was found to have a mass on conventional colonoscopy. Virtual colonoscopy was instrumental in characterizing the obstructive sigmoid mass. A biopsy of the mass revealed sigmoid endometriosis.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  6. [해외논문]   Reimplantation of an Anomalous Coronary Artery Arising from the Pulmonary Artery  

    Quarti, Andrea (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy ) , D'Alfonso, Alessandro (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy ) , Colaneri, Massimo (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy ) , Baldinelli, Alessandra (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy ) , Bettuzzi, Maria Grazia (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy ) , Pozzi, Marco (Department of Congenital and Paediatric Cardiac Surgery and Cardiology, Ospedali Riuniti, Presidio G.M. Lancisi, 60126 Ancona, Italy)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    A case of anomalous origin of the left coronary artery from the pulmonary artery in a patient with the origin of the coronary opposite to the aorta is reported. Between many surgical options we conclude to reestablish a double coronary system reconnecting the coronary through a conduit created with a pulmonary wall baffle and an autologous pericardial patch.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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    Fig. 1 이미지
  7. [해외논문]   Two Adults with Adrenal Myelolipoma and 21-Hydroxylase Deficiency  

    Nermoen, Ingrid (Department of Endocrinology, Akershus University Hospital, 1478 Lørenskog, Norway ) , Følling, Ivar (Department of Endocrinology, Akershus University Hospital, 1478 Lørenskog, Norway ) , Vegge, Kjetil (Department of Radiology, Akershus University Hospital, 1478 Lørenskog, Norway ) , Larmo, Arne (Department of Radiology, Akershus University Hospital, 1478 Lørenskog, Norway ) , Nedrebø, Bjørn Gunnar (Department of Medicine, Haukeland University Hospital, 5021 Bergen, Norway ) , Husebye, Eystein Sverre (Department of Medicine, Haukeland University Hospital, 5021 Bergen, Norway ) , Løvå (Department of Medicine, Haukeland University Hospital, 5021 Bergen, Norway) , s, Kristian
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    We present incidentally discovered adrenal myelolipomas in two adult males with untreated congenital adrenal hyperplasia (CAH). The patients had simple virilizing form of CAH due to mutations in the CYP21 gene coding for 21-hydroxylase; one was heterozygous for the I172N mutation and the other compound heterozygous for the I172N and I2splice mutations. The masses were not removed since myelolipomas are considered benign tumors, and the tumor size did not increase during four- and nine-year observation periods. An adrenal myelolipoma is an important exception to the rule that large tumours should be removed. Untreated CAH with prolonged excessive ACTH stimulation might contribute to the growth of adrenal masses. CAH should be considered as a differential diagnosis of patients with adrenal masses or adrenal myelolipomas.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   A Putative Case of Methotrexate-Related Lymphoma: Clinical Course and PET/CT Findings  

    Jankowitz, Rachel C. (Department of Oncology, University of Pittsburgh, Pittsburgh, PA 15213, USA ) , Ganon, James (Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15213, USA ) , Blodgett, Todd (Department of Radiology, University of Pittsburgh, Pittsburgh, PA 15213, USA ) , Garcia, Christine (Department of Pathology, University of Pittsburgh, Pittsburgh, PA 15213, USA ) , Jacobs, Samuel (Department of Oncology, University of Pittsburgh, Pittsburgh, PA 15213, USA)
    Case reports in medicine v.2009 ,pp. 1 - 5 , 2009 , 1687-9627 ,

    초록

    Patients with autoimmune conditions develop lymphoproliferative disorders (LPDs) at a higher frequency than normal both in association with and independent of Methotrexate (MTX). We describe a case of MTX-associated lymphoma in a patient with psoriasis on long-standing MTX. The case is notable for the initial tumor burden, the dramatic disappearance of the PET-CT findings on discontinuation of MTX, and the subsequent early regrowth of disease. Our case report is illustrative of an MTX-related NHL in an autoimmune patient. Conclusion . Withdrawal of MTX in a patient with lymphoma is reasonable before initiating chemotherapy, but observation for early regrowth of disease is necessary.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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    Fig. 1 이미지
  9. [해외논문]   Gastrointestinal Stromal Tumor in Pregnancy: A Case Report  

    Scherjon, S. (Department of Obstetrics, Leiden University Medical Center, P.O. Box 9600 (K6-26), 2300 RC Leiden, The Netherlands ) , Lam, W. F. (Department of Obstetrics and Gynecology, IJsselland Ziekenhuis, Capelle a/d IJssel, The Netherlands ) , Gelderblom, H. (Department of Clinical Oncology, Leiden University Medical Center, Leiden, The Netherlands ) , Jansen, F. W. (Department of Gynecology, Leiden University Medical Center, Leiden, The Netherlands)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Background . Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract and are diagnosed relatively seldom in pregnancy. Case . We describe a remarkable clinical course and long-term outcome, now nine years after first diagnosis, of a massive and metastatic, with a high malignancy grade GIST case, found in and treated from the first trimester of pregnancy onwards. Conclusion . GIST occurring during pregnancy is extremely rare. However, early diagnosis is important for optimal management. The recent better understanding of oncogenesis, the use of immunohistochemistry for differential diagnosis of GISTs, and the use of imatinib mesylate as the treatment of first choice are—as shown in this case—important for care of pregnant women with this type of malignancy.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Valproic Acid-Induced Myoclonus in a Demented Patient: A Case Report  

    Gardner, Tina M. (Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA ) , Aziz, Rehan (Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA ) , Muralee, Sunanda (Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA ) , Tampi, Rajesh R. (Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06510, USA)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Valproic acid and its derivatives are now commonly used to treat various psychiatric disorders in the elderly. Data indicates that the elderly patients are more susceptible to developing neuropsychiatric complications when treated with these medications. In this report, we describe the case of a 66-year-old woman with early-onset, Alzheimer's type dementia, who developed myoclonus when treated with a valproic acid preparation for behavioral disturbances associated with the dementia.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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