journal
https://read.qxmd.com/read/38599876/respiratory-paralysis-in-a-patient-with-myasthenia-gravis-after-ingestion-of-marine-carnivorous-gastropods-a-case-report
#1
JOURNAL ARTICLE
Kenji Inoue, Masatsugu Hasegawa, Ryosuke Sato, Michio Kobayashi
The salivary glands of marine carnivorous gastropods contain tetramines, which usually cause mild symptoms of poisoning. However, these symptoms may be fatal in rare cases. A 58-year-old woman with a history of myasthenia gravis complained of dyspnea after consuming marine carnivorous gastropods with intact salivary glands. Upon arrival at the hospital, her blood gas analysis revealed type II respiratory failure with a pCO2 of 154 mmHg. Tracheal intubation was immediately performed. Her respiratory condition improved the following day, and she therefore could be weaned off the ventilator...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599875/intestinal-ectopic-varices-caused-fatal-hemorrhage
#2
JOURNAL ARTICLE
Yu Kodama, Takero Terayama, Takuma Oguro, Tetsuro Kiyozumi
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599874/bilateral-sialadenitis-as-an-uncommon-initial-manifestation-of-infectious-mononucleosis-a-case-report
#3
JOURNAL ARTICLE
Kenji Ishiguro, Kazuhiro Ishikawa, Takahiro Matsuo, Nobuyoshi Mori
Sialadenitis has rarely been reported in patients with infectious mononucleosis (IM). Our patient was a 22-year-old man who presented with bilateral swelling of the parotid and submandibular glands, a fever, malaise, and splenomegaly. Laboratory tests revealed an increased percentage of atypical lymphocytes in the leukocyte fraction. Serological testing for antibodies against Epstein-Barr virus (EBV) revealed an acute infection pattern. The patient was diagnosed with sialadenitis associated with IM caused by EBV infection...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599873/a-case-of-myocardial-infarction-with-non-obstructive-coronary-arteries-complicated-by-a-ventricular-septal-rupture-the-challenge-of-achieving-hemodynamic-stability-using-impella-devices
#4
JOURNAL ARTICLE
Masashi Yokoi, Tsuyoshi Ito, Yu Kawada, Junki Yamamoto, Toshiyuki Yamada, Shohei Kikuchi, Shuichi Kitada, Toshihiko Goto, Hideo Hattori, Hisao Suda, Yoshihiro Seo
The prognosis of myocardial infarction with non-obstructive coronary arteries (MINOCA) is reported to be as worse as myocardial infarction with obstructive coronary arteries. However, its mechanical complications are still poorly understood. A 71-year-old woman developed MINOCA after ascending aortic replacement surgery. During treatment, the patient experienced cardiogenic shock due to a ventricular septal rupture (VSR). The introduction of Impella devices reduced the left-to-right shunt and improved the patient's hemodynamics...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599872/a-case-of-pseudoxanthoma-elasticum-with-juvenile-onset-hypertension
#5
JOURNAL ARTICLE
Katsuyoshi Katayama, Haruhito A Uchida, Aya Takehara, Jun Wada
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599871/a-case-of-17%C3%AE-hydroxylase-17-20-lyase-deficiency-diagnosed-at-45-years-of-age-with-hyperaldosteronism
#6
JOURNAL ARTICLE
Akira Ikeya, Miho Yamashita, Keisuke Kakizawa, Yuto Kawauchi, Akio Matsushita, Yasuko Fujisawa, Tsutomu Ogata, Shigekazu Sasaki
17α-hydroxylase deficiency is a type of congenital adrenocortical hyperplasia that is typically diagnosed in childhood or adolescence. It manifests as hypertension with gonadal dysfunction as the primary symptom. We herein report 17α-hydroxylase/17,20-lyase deficiency (17OHD) diagnosed at the age of 45 years. The patient presented with hypertension, irregular menstruation, and hyperaldosteronism. The clinical manifestations of 17OHD vary based on the specific variant pattern of CYP17A1. In this case, the variant was c...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599870/a-case-of-cardiomyopathy-associated-with-cd36-deficiency-role-of-18-f-fluorodeoxyglucose-positron-emission-tomography-in-the-diagnosis
#7
JOURNAL ARTICLE
Shuichi Fujita, Fumio Terasaki, Itsuro Morishima, Masaaki Hoshiga
We herein report a patient with type I CD36 deficiency. The patient was initially suspected of having isolated cardiac sarcoidosis based on the presence of non-sustained ventricular tachycardia, delayed myocardial enhancement on magnetic resonance imaging (MRI), and diffuse accumulation of 18 F-fluorodeoxyglucose (18 F-FDG) on cardiac positron emission tomography (PET). Our findings suggest that the diagnosis of cardiomyopathy associated with CD36 deficiency is often missed, highlighting the importance of a differential diagnosis of isolated cardiac sarcoidosis...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599869/lymphangioleiomyomatosis-rapidly-progressive-retroperitoneal-cystic-tumor-mimicking-malignancy
#8
JOURNAL ARTICLE
Noboru Hamada, Shinsuke Hashida, Sachi Okawa, Toshimitsu Suwaki
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599868/vanishing-bone-disease
#9
JOURNAL ARTICLE
Toshio Suzuki, Ikuo Sekine
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599867/successful-pregnancy-and-delivery-after-frozen-thawed-embryo-transfer-following-the-third-discontinuation-of-tyrosine-kinase-inhibitor-in-a-woman-with-chronic-myeloid-leukemia
#10
JOURNAL ARTICLE
Kosuke Takayama, Shin Fujisawa, Takayuki Sakuma, Kodai Hasegawa, Kengo Katsuki, Masahiro Akimoto, Ayako Matsumura, Yuki Nakajima, Takuya Miyazaki, Mariko Murase, Hideaki Nakajima
Assisted reproductive technology is a viable option for pregnant women with chronic myeloid leukemia. We herein report the case of a patient who underwent successful fertility treatment with frozen embryo preservation at 36 years of age, followed by embryo transfer at 39 years of age, thus resulting in pregnancy and delivery after a third discontinuation of tyrosine kinase inhibitors (TKI). Despite the difficulty of long-term TKI withdrawal, the patient's strong desire for a baby led to a successful pregnancy and delivery with no apparent deformities or abnormalities...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599866/an-autopsy-case-of-antineutrophil-cytoplasmic-antibody-associated-vasculitis-induced-by-propylthiouracil
#11
JOURNAL ARTICLE
Genki Fujii, Ryosuke Yoshihara, Toshiki Hyodo, Ikuhiro Ishida, Ryoko Onishi, Masayo Fujimoto, Keiji Iida
Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a complication caused by antithyroid drugs, particularly propylthiouracil (PTU). Most patients experience organ failure due to the affects of the treatment regimen. We herein report the case of an 89-year-old woman whose severe AAV induced by PTU resulted in various instances of organ failure that eventually led to death after 9 years of PTU therapy. During autopsy, we identified five types of organ failure. As AAV is a potentially fatal disease, the development of various vasculitis symptoms during PTU therapy should therefore be carefully monitored...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599865/different-food-preferences-in-patients-with-gastrointestinal-disorders
#12
JOURNAL ARTICLE
Ryo Katsumata, Tomoka Kaburagi, Takayuki Hosokawa, Noriaki Manabe, Manabu Ishii, Katsunori Ishii, Tomohiro Tanikawa, Noriyo Urata, Maki Ayaki, Ken Nishino, Takahisa Murao, Mitsuhiko Suehiro, Minoru Fujita, Miwa Kawanaka, Ken Haruma, Hirofumi Kawamoto, Toshihiro Takao, Tomoari Kamada
Objective Gastrointestinal (GI) disorders such as functional dyspepsia (FD), irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), and inflammatory bowel disease (IBD) can exhibit overlapping GI symptoms, including abdominal pain and alterations in bowel habits. The symptoms of GI disorders are commonly considered to be triggered and exacerbated by fatty food intake. Therefore, this study aimed to compare the food preferences of patients with GI disorders. Methods Forty food images (including fatty and light foods) and 20 animal images were selected to evaluate food preferences...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599864/drug-induced-steatohepatitis-caused-by-long-term-use-of-topical-steroids-for-atopic-dermatitis-a-case-report
#13
JOURNAL ARTICLE
Yuki Tamura, Atsushi Naganuma, Yuhei Suzuki, Sanae Uehara, Takashi Hosino, Takeshi Hatanaka, Nobuyuki Shibusawa, Akihito Uehara, Akira Ogawa, Satoru Kakizaki, Toshio Uraoka
Atopic dermatitis is common in children and often treated with topical corticosteroids (TCs). A boy in his late teens who had been using TCs for atopic dermatitis was diagnosed with liver damage during a health checkup. A medical examination revealed severe steatotic liver disease and elevated liver enzyme levels despite the absence of typical symptoms such as central obesity. After discontinuation of TCs, an improvement in liver enzyme levels was observed, leading to the diagnosis of drug-induced steatohepatitis...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599863/patient-with-gender-dysphoria-diagnosed-with-multiple-sclerosis-following-takotsubo-cardiomyopathy-and-ventricular-arrhythmia-a-case-report-and-systematic-literature-review
#14
JOURNAL ARTICLE
Shinya Yamanaka, Mariko Nishihara, Madoka Kondo, Kotaro Miyata, Zhehao Dai, Fujimi Kawai, Nobuyuki Komiyama
A 34-year-old transgender woman presented with ventricular tachycardia and was diagnosed with takotsubo cardiomyopathy. Further evaluation revealed an underlying diagnosis of multiple sclerosis (MS) with brainstem lesions that may have triggered takotsubo cardiomyopathy. In this report, we also systematically reviewed published cases of takotsubo cardiomyopathy and MS and found that basal type takotsubo cardiomyopathy was the most common, and most patients presented with brainstem involvement of MS. An awareness of these associations by physicians, along with multidisciplinary collaboration, may facilitate the early diagnosis and improve the prognosis of these patients...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599862/a-lobulated-mass-with-extensive-ecchymosis-in-the-epigastrium
#15
JOURNAL ARTICLE
Kiyohide Takahashi, Shuhei Miyagi, Miho Nishiyama, Tsutomu Shinohara
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599861/prominent-crista-terminalis-mimicking-a-right-atrial-mass
#16
JOURNAL ARTICLE
Yoshikuni Shoji, Yuki Saito, Yasuo Okumura
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599860/pasteurella-multocida-bacteremia-caused-by-household-cat-bites
#17
JOURNAL ARTICLE
Yusuke Watanabe, Itaru Nakamura, Yuri Ishii, Jun Oda
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599859/successful-gastrografin-vermifugation-for-taenia-saginata-associated-appendicitis
#18
JOURNAL ARTICLE
Keigo Kobayashi, Yasuhiro Umekawa
In Japan, public health improvements have lessened parasitic infections, but increased global travel has introduced new disease risks. We report the case a Japanese man who had previously resided in Vietnam, who experienced appendicitis and the presence of segments in his stool. Gastrografin led to the expulsion of Taenia saginata, as confirmed by scolex identification. Remarkably, the appendicitis symptoms subsided after deworming. This case underscores the importance of considering cestode infections in the differential diagnosis of appendicitis, particularly for patients with relevant travel histories, and highlights the evolving challenges in global health and the significance of acquiring detailed patient histories...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599858/interstitial-pneumonia-associated-with-nodal-t-follicular-helper-cell-lymphoma-a-case-report
#19
JOURNAL ARTICLE
Satoshi Nakamura, Tomotsugu Takano, Kousei Nakatsuru, Kazuya Tsubouchi, Takuji Yamauchi, Mikiko Hashisako, Takeshi Iwasaki, Isamu Okamoto
Nodal T-follicular helper cell lymphoma (nTFHL), a hematologic neoplasm originating from T-follicular helper (TFH) cells, occasionally presents with pulmonary radiographic abnormalities, without neoplastic cellular infiltration. However, the precise mechanisms underlying non-neoplastic pulmonary opacities in patients with nTFHL remain unclear. Previous reports have shown that TFH cell abnormalities are associated with collagen disease and interstitial pneumonia with autoimmune features (IPAF). We herein report a patient with nTFHL accompanied by interstitial pneumonia diagnosed via lung and lymph node biopsies...
April 9, 2024: Internal Medicine
https://read.qxmd.com/read/38599857/tetramine-in-patients-with-myasthenia-gravis
#20
JOURNAL ARTICLE
Ken-Ichiro Inoue
No abstract text is available yet for this article.
April 9, 2024: Internal Medicine
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