Sticking to the script: A curious case of confusion in an ESRD patient.

A 60-year-old male Dialysis patient presented with altered mental status and Hypertensive Urgency. He had a significant lesion noted on his glans penis. He was treated for infection and hypertension with expectant management, without significant improvement in his mental acuity.

World epidemiology of non-celiac gluten sensitivity.

While the term "gluten" has become commonplace, the disorders associated with gluten still remain poorly understood. Non-celiac gluten sensitivity (NCGS), the most recently recognized of the gluten-related disorders, is arguably the most unknown. While celiac disease and wheat allergy have diagnostic algorithm, NCGS remains a diagnosis of exclusion.

Enhancement of sickle erythrocyte adherence to endothelium by autologous platelets.

The increased adhesiveness of sickle erythrocytes (SS RBC) to endothelial cells has been confirmed in a static system utilizing fresh umbilical vein endothelium. Adherence of SS RBC to the endothelium was as great in the presence of calcium-containing buffer as when incubated in plasma. SS RBC suspended in autologous platelet-rich plasma adhered to a greater extent than when suspended in autologous platelet poor plasma.

Granulocyte lysosomal cationic protein alters fibrin assembly: a possible mechanism for granulocyte control of clot structure.

The effect of highly positively charged molecules on the assembly and structure of thrombin-induced fibrin gels was studied with turbidity techniques. Lysosomal cationic proteins (LCP) extracted from rabbit heterophils produced enhanced lateral association of fibrin fibers. A crude extract of LCP had little effect on kinetics but produced an increase in the final fiber mass/length ratios.