19 research outputs found
Cardiovascular magnetic resonance angiography for the detection of anomalous coronary arteries: a case report
Coronary artery anomalies occur in approximately 0.3% to 0.8% of the population, and include morphological variants of origin, course, or termination. Detection of these types of anomalously originating coronary arteries is crucial for therapeutic intervention
Acute lymphocytic crisis following herpes simplex type 1 virus hepatitis in a nonimmunocompromised man: a case report
Abstract Introduction An increase in circulating lymphocytes can be seen following infections such as infectious mononucleosis and pertussis, or in lymphoproliferative disorders such as acute and chronic lymphocytic leukemia. Acute lymphocytic crisis following herpes simplex virus hepatitis has not been described in the literature. Case presentation A 52-year-old man was admitted to our hospital reporting low-grade fever for the previous seven days, and fatigue. During the fifth day of hospitalization, the patient developed a lymphocytic crisis and, after further tests the patient was diagnosed as having herpes simplex virus hepatitis. Conclusion This case report shows that herpes simplex virus type 1 is a possible cause of an acute lymphocytic crisis similar to other well known infectious agents such as Epstein–Barr virus, cytomegalovirus, human immunodeficiency virus, human herpes virus type 6, adenovirus, toxoplasma and human T-cell lymphotropic virus. Furthermore, this case report expands the clinical spectrum of herpes simplex virus hepatitis, since it is reported in a nonimmunocompromised patient presenting with atypical acute lymphocytic syndrome.</p
Severe gastrointestinal involvement in systemic sclerosis
Gastrointestinal tract (GIT) is the most common organ system involved in
systemic sclerosis (SSc). GIT involvement is mainly attributed to GIT
dismobility and wide mouth diverticular. GIT involvement in SSc can be
also severely debilitating and even life threatening. To our knowledge,
the presence of gastrointestinal bleeding due to the presence of
multiple peptic ulcers in scleroderma patients is not well described. In
this case report, we describe a scleroderma patient with recurrent
gastrointestinal bleeding due to multiple peptic ulcers, in which
vagotomy, pyloroplasty, and cholocystectomy were performed and
subcutaneous somatostatin was administered to discontinue the recurrent
bleeding and stabilize her clinical condition
Interstitial lung disease in a patient with antisynthetase syndrome and no myositis
Interstitial lung disease in patients with antisynthetase syndrome and
no evidence of myositis is rare and may precede other disease
manifestations. We report a patient who initially presented with
symptoms primarily related to lung involvement. The diagnosis of the
antisynthetase syndrome without myositis was made many months later when
he developed a characteristic hand rash (mechanic’s hands), which was
confirmed by positive antibodies to Jo-1. With treatment, both the hand
rash and the interstitial lung disease improved. Antisynthetase syndrome
should be considered in patients presenting with interstitial lung
disease with no evidence of myositis. Appropriate laboratory testing
with measurement of specific autoantibodies may help in the early
diagnosis and treatment of the syndrome