Safety, Efficacy, and Effectiveness of Delabeling in Patients with Multiple Drug Allergy Labels.

Background: Patients with multiple drug allergy labels (MDALs) present a challenging barrier to patient care.

Objective: To assess the efficacy, safety, and effectiveness of removing MDALs in a single clinic visit.

Methods: Retrospective chart review was performed from October 1, 2014, to October 31, 2018, on patients with MDALs who had electronic health record (EHR) allergy label to 2 or more drugs and who were delabeled to 1 or more drug.

Poorly Differentiated Neuroendocrine Tumor of the Esophagus with Hypertrophic Osteoarthropathy and Brain Metastasis: A Success Story.

Neuroendocrine carcinomas (NECs) of the esophagus are very rare. The majority of the patients with NECs present with metastasis. Paraneoplastic syndromes, such as syndrome of inappropriate secretion of anti-diuretic hormone and watery diarrhea-hypokalemia-achlorhydria syndrome, have been reported in previous reports.