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Internal Medicine

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https://read.qxmd.com/read/30996199/the-authors-reply-to-both-macro-and-micro-filarial-treatment-may-be-necessary-to-treat-hydrocele-due-to-a-wuchereria-bancrofti-infection
#1
Saho Takaya, Satoshi Kutsuna, Yasuyuki Kato, Norio Ohmagari
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996198/author-s-reply-involvement-of-the-abducens-nucleus-results-in-adduction-impairment-of-the-contralateral-eye
#2
Kazuto Tsukita, Haruhi Sakamaki-Tsukita, Toshihiko Suenaga
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996197/the-authors-reply-to-the-addition-of-prophylactic-antibiotics-can-achieve-a-favorable-outcome
#3
Satoshi Kaito, Noritaka Sekiya, Yuho Najima, Naoki Sano, Shinichiro Horiguchi, Kazuhiko Kakihana, Tsunekazu Hishima, Kazuteru Ohashi
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996196/clinical-and-genetic-study-of-the-first-japanese-ftdp-17-patient-with-a-mutation-of-3-in-intron-10-in-the-mapt-gene
#4
Haitian Nan, Ryusuke Takaki, Keisuke Shimozono, Yuta Ichinose, Kishin Koh, Yoshihisa Takiyama
Frontotemporal dementia with parkinsonism linked to chromosome 17 (FTDP-17) with mutations in the MAPT gene is a hereditary neurodegenerative tauopathy with various clinical phenotypes. We herein report the first Japanese patient with FTDP-17 caused by an IVS10+3G>A mutation in the MAPT gene, which is linked to an H1M haplotype. The present study suggests that the IVS10+3G>A mutation in the MAPT gene can have originated from a non-Caucasian population. In the disease course, myoclonus and respiratory failure can be observed...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996195/tracheal-ulcers-associated-with-anti-synthetase-syndrome
#5
Hideaki Yamakawa, Emiri Tsumiyama, Shintaro Sato, Hidekazu Matsushima
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996194/igg4-related-periarteritis-successfully-diagnosed-by-an-alternative-prostate-biopsy-a-case-report
#6
Ryo Koda, Masafumi Tsuchida, Noriaki Iino, Masaki Murata, Kohei Inui, Yuki Nakagawa, Tsutomu Nishiyama, Yohei Ikeda, Go Hasegawa, Fumiaki Oguma, Ichiei Narita
A 56-year-old man was referred to our facility after developing edema in his right leg. Enhanced computed tomography (CT) revealed a periarterial soft tissue mass surrounding the right iliac artery compressing the iliac vein. His elevated serum IgG4 level indicated IgG4-related disease (IgG4-RD). Both a percutaneous and surgical biopsy of this periarterial lesion proved challenging and were not pursued. A prostate biopsy, however, finally provided a histological diagnosis of IgG4-RD. Oral steroid therapy successfully resolved his leg edema and periarterial lesion...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996193/the-delayed-diagnosis-of-thyroid-storm-in-patients-with-psychosis-a-report-of-two-cases
#7
Yuki Ishihara, Taku Sugawa, Hiroki Kaneko, Kaho Hiroshima-Hamanaka, Aya Amano, Hironobu Umakoshi, Mika Tsuiki, Toru Kusakabe, Noriko Satoh-Asahara, Akira Shimatsu, Tetsuya Tagami
We herein report two cases of patients with thyroid storm with a delayed diagnosis due to psychosis. The patients were a 63-year-old woman with bipolar II disorder and a 37-year-old man with major depressive disorder. The psychoses in both patients were well controlled with medication. Although they both showed symptoms of thyrotoxicosis, the symptoms were ignored, presumably because the psychological manifestations of worsening of psychosis and thyroid storm are similar. When the mental or physical state of patients with psychosis changes, thyroid hormone levels should be measured for early treatment...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996192/the-addition-of-prophylactic-antibiotics-can-achieve-a-favorable-outcome
#8
Takahiko Fukuchi, Hitoshi Sugawara
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996191/asymptomatic-gastric-and-colonic-anisakiasis-detected-simultaneously
#9
Konosuke Nakaji, Mitsutaka Kumamoto, Yuki Wada, Yukinori Nakae
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996190/pneumothorax-and-pericardial-mediastinal-emphysema
#10
Yasuhiro Suyama, Ken Emoto, Takafumi Yukaya, Toshihiro Osaki
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996189/erythema-migrans-like-rash-mimicking-lyme-disease
#11
Kazuaki Fukushima, Naoki Yanagisawa, Hiroki Kawabata, Keishiro Yajima
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996188/both-macro-and-micro-filarial-treatment-may-be-necessary-to-treat-hydrocele-due-to-a-wuchereria-bancrofti-infection
#12
Takahiko Fukuchi, Hitoshi Sugawara
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996187/proton-pump-inhibitor-induced-severe-hypomagnesemia-and-hypocalcemia-are-clinically-masked-by-thiazide-diuretic
#13
Atsuko Uehara, Yohei Kita, Hirofumi Sumi, Yugo Shibagaki
Hypomagnesemia, a side effect of proton-pump inhibitors (PPIs), can be asymptomatic. The presence of hypocalcemia or hypokalemia is indicative of hypomagnesemia; however, the concomitant use of PPIs and thiazide may mask hypocalcemia. A 79-year-old woman with a history of chronic heart failure and chronic kidney disease developed symptomatic hypocalcemia and hypomagnesemia. Five weeks earlier, she had developed thiazide-induced hyponatremia, so thiazide had been discontinued. Reviewing the patient's charts revealed that three discontinued thiazide administrations in the clinical course had unmasked hypocalcemia...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996186/acute-onset-autoimmune-hepatitis-in-a-patient-with-selective-immunoglobulin-m-deficiency
#14
Akitoshi Sano, Jun Inoue, Eiji Kakazu, Masashi Ninomiya, Tomoaki Iwata, Tatsuki Morosawa, Satoshi Takai, Takuya Nakamura, Atsushi Masamune
Selective immunoglobulin M deficiency (SIGMD) is an uncommon primary immunodeficiency disorder. We herein report an SIGMD patient with autoimmune hepatitis. A 21-year-old Japanese man was transferred to our hospital because of acute liver dysfunction. His serum IgM level was low, whereas those of IgG and IgA were normal, indicating that he had SIGMD. We diagnosed him with acute-onset autoimmune hepatitis, and his liver function test findings gradually recovered with corticosteroid administration. Although SIGMD with autoimmune diseases has been reported, the clinical features and pathogenesis have not yet been clarified...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996185/prevalence-of-rapid-eye-movement-related-obstructive-sleep-apnea-in-adult-narcolepsy
#15
Tetsuro Hoshino, Ryujiro Sasanabe, Mamiko Mano, Atsuhiko Nomura, Chihiro Kato, Masako Sato, Masato Imai, Kenta Murotani, Christian Guilleminault, Toshiaki Shiomi
Objective The association between narcolepsy and rapid eye movement (REM)-related obstructive sleep apnea (OSA) has not been reported. This study aimed to examine the prevalence of REM-related OSA in narcolepsy patients. Methods From January 2013 to April 2018, 141 adult patients were diagnosed with narcolepsy using nocturnal polysomnography and the multiple sleep latency test. The prevalence of REM-related OSA in narcolepsy patients was retrospectively reviewed. Three criteria were used to determine REM-related OSA: Definition #1, an overall apnea-hypopnea index (AHI) ≥5 and AHI during REM (AHIREM)/AHI during non-rapid eye movement (NREM) (AHINREM) ≥2; Definition #2, an overall AHI ≥5 and AHIREM /AHINREM ≥2 and AHINREM <15; and Definition #3, an overall AHI ≥5 and AHIREM /AHINREM ≥2 and AHINREM <8 plus an REM sleep duration >10...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996184/influenza-follicles
#16
Yoshitaka Tomoda, Masato Toya, Satoshi Kagawa, Kazutoyo Tanaka
No abstract text is available yet for this article.
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996183/renal-artery-stenting-recovered-renal-function-after-spontaneous-renal-artery-dissection-a-case-report
#17
Yasuhiro Aoki, Yoshiaki Sakai, Takashi Kimura, Tomoki Yamaoka, Sachiko Maekawa, Junpei Maekawa, Masanori Sano, Koki Matsuno, Iwao Ishibashi
Spontaneous renal artery dissection (SRAD) is a rare entity and the management of this disease has not been established. A 54-year-old man presented with severe flank pain, and contrast-enhanced computed tomography images suggested SRAD in his left renal artery. After two weeks of conservative treatment, stents were placed in the renal artery. The pre- and post-procedural renal function was independently assessed by renography. After stenting, his left renal function recovered from the renal failure pattern...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996182/safety-and-efficacy-of-endoscopic-removal-of-common-bile-duct-stones-in-elderly-patients-%C3%A2-90-years-of-age
#18
Hirokazu Saito, Takehiko Koga, Masafumi Sakaguchi, Yoshihiro Kadono, Kentaro Kamikawa, Atsushi Urata, Haruo Imamura, Shuji Tada, Tatsuyuki Kakuma, Ikuo Matsushita
Objective We examined the safety and efficacy of endoscopic stone removal for choledocholithiasis in elderly patients ≥90 years of age with native papilla and compared the outcomes with those in patients 75-89 years of age. Methods This multicenter retrospective study included 569 patients 75-89 years of age and 126 patients ≥90 years of age who had native papilla and underwent therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis at 3 institutions in Japan between April 2012 and March 2018...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996181/migraine-like-headache-after-transseptal-puncture-for-catheter-ablation-a-case-report-and-review-of-the-literature
#19
Yuji Kato, Takeshi Hayashi, Ritsushi Kato, Masaki Takao
Catheter ablation for atrial fibrillation creates an iatrogenic atrial septal defect by transseptal puncture, which may produce a transient right-to-left shunt. We encountered a 44-year-old man who presented with de novo migraine-like headache after cryoballoon ablation for atrial fibrillation. On reviewing the literature, we found additional cases in which migraine-like headache occurred within one week after the procedure and spontaneously within three months. We should recognize migraine-like headache as a potential complication of catheter ablation...
April 17, 2019: Internal Medicine
https://read.qxmd.com/read/30996180/clinical-features-pathological-features-and-treatment-outcomes-of-22-patients-with-aggressive-adult-t-cell-leukemia-lymphoma-treated-with-a-humanized-ccr4-antibody-mogamulizumab-at-a-single-institution-during-a-6-year-period-2012-2018
#20
Noriaki Kawano, Noriaki Yoshida, Sayaka Kawano, Fumiko Arakawa, Hiroaki Miyoshi, Kyohei Yamada, Kazutaka Nakashima, Shuro Yoshida, Takuro Kuriyama, Taro Tochigi, Takashi Nakaike, Tomonori Shimokawa, Kiyoshi Yamashita, Kousuke Marutsuka, Koichi Mashiba, Ikuo Kikuchi, Koichi Ohshima
Objective To elucidate the clinical impact of humanized CCR4 antibody (mogamulizumab) on adult T-cell leukemia-lymphoma (ATL), we retrospectively analyzed the clinical and pathological features and treatment outcomes of aggressive ATL. Methods Twenty-two patients (median age: 65 years) with aggressive ATL (acute- [n=16] or lymphoma-type [n=6]) had their characteristics analyzed. All cases were treated with mogamulizumab at our institution from 2012 to 2018. In addition, we subjected 14 specimens of ATL to histological, immunological, and genetic analyses...
April 17, 2019: Internal Medicine
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