Atypical Mal de Meleda in a Hispanic Patient by Mónica Guevara, Michelle Mafla, Camila Miño

“…The present case report describes MDM in a Hispanic patient, who presented with asymmetric PPK lesions on the hands and received isotretinoin treatment.…”
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An Adult Patient with Fontan Physiology: A TEE Perspective by Edward Gologorsky, Angela Gologorsky, Eliot Rosenkranz

“…While ideally under medical care at specialized centers for adult congenital cardiac pathology, these patients may present to the outside hospitals for emergency surgery, electrophysiologic interventions, and pregnancy. …”
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Becker’s Nevus Syndrome in a Pediatric Female Patient by Sara Hernandez-Quiceno, Esteban Uribe-Bojanini, Juan Jose Ramírez-Jiménez, Maria Victoria Lopera-Cañaveral, Martin Toro-Ramos, Yuri Usuga-Arcila, Luis Correa-Londoño, Juan Camilo Martinez, Jennifer Monroy, Juan Manuel Alfaro

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Miltefosine Rescue Treatment for Visceral Leishmaniasis Relapse Patient by Anup Bastola, Mitesh Shrestha, Bimal Sharma Chalise, Abhdesh Kumar Mishra, Lina Devkota

“…We report the first case of miltefosine rescue treatment carried out for visceral leishmaniasis (VL) relapse patient. Despite undergoing treatment regimens of liposomal amphotericin B (LAMB) 5 mg/kg (standard: 10 mg/kg) daily for 3 days during the first episode followed by LAMB 5 mg/kg stat and paromomycin 15 mg/kg IM for 10 days against the second episode, the patient suffered from a third relapse and was eventually treated with miltefosine 50 mg BID directly observed treatment for 28 days. …”
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Disseminated Cryptococcosis in an Immunocompetent Patient: A Case Report by S. Suchitha, C. S. Sheeladevi, R. Sunila, G. V. Manjunath

“…Disseminated cryptococcal infection is uncommon and almost always occurs in HIV-infected patients. Disseminated disease, especially noncutaneous cryptococcal abscess in immunocompetent hosts, is exceedingly rare. …”
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Severe Acute Radiation Dermatitis in a Patient with Argyria by P. Gorayski, M. B. Pinkham, J. B. Muir, A. P. Pullar

“…Acute radiation dermatitis (RD) is an expected toxicity in patients undergoing radiotherapy but it is unknown to what extent argyria affects the onset and severity of RD. …”
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Use of Lateral Access in the Treatment of the Revision Spine Patient by Samuel S. Bederman, Vu H. Le, Sohrab Pahlavan, Douglas P. Kiester, Nitin N. Bhatia, Vedat Deviren

“…It is, therefore, important to have a systematic approach to the management of these complicated patients with unique problems. A thorough understanding of the different pathologies affecting revision spine patients is critical to an effective treatment recommendation. …”
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Invasive Pulmonary Aspergillosis with Disseminated Infection in Immunocompetent Patient by Gabriel Moreno-González, Antoni Ricart de Mesones, Rachid Tazi-Mezalek, Maria Teresa Marron-Moya, Antoni Rosell, Rafael Mañez

“…Invasive pulmonary aspergillosis (IPA) is a rare pathology with increasing incidence mainly in critical care settings and recently in immunocompetent patients. The mortality of the disease is very high, regardless of an early diagnosis and aggressive treatment. …”
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Catamenial Hemoptysis and Pneumothoraces in a Patient with Cystic Fibrosis by Chris M Parker, Robert Nolan, M Diane Lougheed

“…Thoracic computed tomography and magnetic resonance imaging scans, as well as a bronchosopic evaluation that demonstrated endobronchial lesions that disappeared after menses, support the diagnosis of TES in the present patient. The patient was treated empirically with danazol and subsequently underwent a successful double-lung transplantation. …”
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Effect of Music on Patient Experience during Intravitreal Injection by Jonathan Cheuk-hung Chan, Lok Pong Chan, Chi Pong Yeung, Tin Wai Tang, Yip Mang O, Wai Ching Lam

“…Introduction. Many patients remain anxious during intravitreal injections, despite its increasing use. …”
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Pulmonary Embolism Mimicking Pneumonia in a HIV Patient by Vivek Nagaraja, Joel A. Terriquez, Hemanth Gavini, Lokesh Jha, Stephen A. Klotz

“…Recent studies have shown an increased risk of arterial and venous vascular diseases in HIV patients, pulmonary thromboembolism being one of them. …”
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Treatment of oligometastatic breast cancer: The role of patient selection by Riccardo Ray Colciago, Maria Carmen De Santis, Carlotta Giandini, Maria Grazia Carnevale, Serena Di Cosimo

“…This has become a valid ablative treatment option for OMD patients.However, there are still concerns about which patients benefit the most from ablative treatment. …”
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Diffuse Alveolar Hemorrhage in a Patient with Antisynthetase Syndrome by D. A. Vargas-Gutiérrez, F. Solís-Jiménez, K. I. Arias Callejas, L. Cano Cruz, R. Zapata Arenas, A. O. Acero López, P. Puente Rodríguez, S. Velázquez de la Paz

“…The study protocol was completed with the result of a myopathic pattern showed in electromyography. This patient presented a good response to steroids and disease-modifying antirheumatic drug (DMARD).…”
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Airway Management in a Patient with Wolf-Hirschhorn Syndrome by John F. Gamble, Dinesh J. Kurian, Andrea G. Udani, Nathaniel H. Greene

“…We discuss anesthesia strategies for airway preparation and management in a WHS patient requiring general anesthesia with endotracheal intubation.…”
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Euglycemic Diabetic Ketoacidosis in a Patient with Cocaine Intoxication by Asma Abu-Abed Abdin, Muhammad Hamza, Muhammad S. Khan, Awab Ahmed

“…Hyperglycemia is a key component of DKA; however, a subset of DKA patients can present with near-normal blood glucose, an entity described as “euglycemic DKA.” …”
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Fulminant Diabetes in a Patient with Advanced Melanoma on Nivolumab by Nora Chokr, Hafsa Farooq, Elizabeth Guadalupe

“…We recommend conducting routine blood glucose checks in patients on these agents.…”
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ECMO in the Cardiac Catheterization Lab—Patient Selection Is Key by William Tracy, Brandon E. Ferrell, John P. Skendelas, Mayuko Uehara, Tadahisa Sugiura

“…The use of extracorporeal membrane oxygenation (ECMO) has emerged as a rescue intervention for hemodynamically unstable patients and prophylactic intraprocedural hemodynamic support in the cardiac catheterization laboratory. …”
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Chronic Thromboembolic Pulmonary Hypertension: Treat the Patient Not the Haemodynamics by Ben Dunne, Annika van den Broek, Vaughan Williams, Gregory Smith, Tamas Revesz, Mark Edwards, Eli Gabbay

“…We wish to highlight the importance of recognition and early referral of any patient who may have CTEPH even in the absence of resting pulmonary hypertension as excellent results can be achieved by restoring pulmonary vascular anatomy, reducing exercise-induced pulmonary hypertension, and reducing dead-space ventilation. …”
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Rehabilitation of the patient with Rett Syndrome. A challange for the family by Mirelys Haimé Seijo Vázquez, Analidia Suárez Denis

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Response to Hydralazine-Valproate in a Patient with Mycosis Fungoides by Alfonso Dueñas-Gonzalez, Maria Teresa Vega, Déborah Martinez-Baños, Linda García-Hidalgo, Pedro Sobrevilla

“…Here we report a mycosis fungoides patient having a dramatic response to hydralazine and valproate, two repositioned drugs as HDAC and DNA methylation inhibitors, respectively.…”
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