Publications by authors named "Piyanant Chonmaitree"

The authors report a case of cytomegalovirus colitis which is one of uncommon causes of lower gastrointestinal bleeding in a patient with end-stage renal disease receiving hemodialysis. Our patient presented with recurrent episodes of massive hematochezia within 2 months. He had the underlying end-stage renal disease, ischemic heart disease, cerebrovascular disease, hypertension and gout.

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Transverse myelitis refers to the inflammatory process involving the spinal cord. Clinical features can be either acute or subacute onset that results in neurological deficits such as weakness and/or numbness of extremities as well as autonomic dysfunctions. While there are some etiologies related, a viral infection is common.

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Objective: The aim of this subgroup analysis was to identify the risk factors associated with the development of various movement disorder phenotypes.

Methods: Eighty-three non-Wilsonian cirrhotic patients with abnormal movements were allocated into the following groups: intention tremor, bradykinesia, Parkinsonism, and abnormal ocular movements. These movement types were considered the primary outcomes as there was a sufficient sample size.

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Objective: Parkinsonism and other movement disorders have previously been reported in the acquired hepatocerebral degeneration associated with portosystemic shunting. However, there is no study to date about their prevalence as has been noted in general practice.

Methods: One hundred and forty-three patients with hepatic cirrhosis from the gastroenterology clinic and internal medicine wards were enrolled.

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Article Synopsis
  • A 52-year-old male was diagnosed with pulmonary hypertension, presenting symptoms such as diarrhea, dyspnea, and jaundice, highlighting an unusual clinical course.
  • The case involved multiple potential causes for severe pulmonary artery hypertension, including autoimmune hyperthyroidism, pulmonary embolism, and an atrial septal defect.
  • Treatment involved using anti-thyroid medication and closing the atrial septal defect, which successfully resolved his jaundice and reduced pulmonary artery pressure, suggesting other underlying causes beyond hyperthyroidism should be investigated.
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