Publications by authors named "Daniel Guifarro"

Introduction: This study investigates seasonal variations in eosinophilic esophagitis (EoE)-related emergency department visits among adults.

Methods: We analyzed the National Emergency Department Sample (2016-2021), identifying adult patients with EoE using ICD-10 codes. Generalized additive models assessed seasonal patterns.

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Background: Hispanics make up 19% of the U.S. population and are experiencing rising rates of cancer, primarily due to an increase in infection-related cancers (gastric, hepatic, cervical) and advanced cancers secondary to delayed screening (colorectal, cervical, breast).

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Article Synopsis
  • Alcoholic hepatitis (AH) is a serious health risk tied to alcohol use, leading to significant hospitalizations and deaths, especially in the U.S., where alcohol-related liver diseases are a major cause of preventable deaths.
  • A study using data from 2012 to 2021 found that while the majority of AH hospitalizations occurred in White patients, there was a notable rise in hospitalizations among Hispanics (129.1%), along with observed disparities in outcomes and access to treatments like liver transplants.
  • The research forecasts that hospitalizations for AH will continue to rise across all racial groups through 2028, especially among Hispanics, suggesting a need for targeted public health efforts to improve healthcare access and reduce disparities in AH
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Background: Celiac disease (CeD) is an immune-mediated disorder affecting the small bowel, associated with genetic factors and increasing global prevalence.

Aim: This study explores the association between CeD, Systemic Lupus Erythematosus (SLE), primary Sjogren syndrome (pSS), and Systemic Sclerosis (SSc).

Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines.

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Overlap syndrome (OS) is a term that comprises the presentation of multiple hepatic disease characteristics in the same patient, such as the presence of autoimmune hepatitis (AIH) features in addition to primary sclerosing cholangitis (PSC) or primary biliary cholangitis (PBC). Standard therapy for AIH is immunosuppression, while ursodeoxycholic acid is the preferred treatment for PBC. Additionally, liver transplantation (LT) may be considered in severe cases.

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We describe the case of a 51-year-old man who presented with a palpable purpuric rash and associated four days of lower gastrointestinal bleeding one month after testing positive for COVID-19. Urine studies showed evidence of microscopic hematuria and an increased protein/creatinine ratio. An abdominal computed tomography scan showed distal ileitis, and a skin biopsy was significant for IgA vasculitis.

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