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Thrombotic thrombocytopenic purpura (TTP) has been recognised as an entity since 1924, and haemolytic uraemic syndrome (HUS) since 1955. The disease processes have generated new interest during the past two decades, and much progress has been made both in understanding and treating these diseases. They are best thought of as part of the same disease spectrum, characterised by thrombocytopenia and microangiopathic haemolytic anaemia on the blood film. We present a patient with HUS/ TTP who developed the macroangiopathic thrombotic complications of coronary occlusion causing myocardial infarction, and cerebral artery occlusion causing massive stroke. To our knowledge, this is the first published report of macroangiopathic complications of this condition.
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Free Radic Biol Med
March 2025
Institute of Structural Pharmacology & TCM Chemical Biology, Fujian Key Laboratory of Chinese Materia Medica, College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China; Wuya College of Innovation, School of Pharmacy, Key Laboratory of Structure-Based Drug Design & Discovery, Ministry of Education, Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, China. Electronic address:
Ischemic stroke represents a predominant cause of morbidity and mortality globally, resulting from abrupt vascular occlusion or rupture, which precipitates considerable neuronal damage. This study aims to shed more light on the specific neuroprotective mechanisms of Kirenol, a bioactive diterpene derived from traditional herbal medicine, with a particular focus on its regulation of mitochondrial dynamics via the CK2/AKT signalling pathway and its impact on the mitochondrial fusion protein Optic atrophy 1 (Opa1). The effects of Kirenol on neuronal viability, mitochondrial function, and pertinent signalling pathways were evaluated by employing a middle cerebral artery occlusion (MCAO) model in rats and subjecting HT22 neuronal cells to oxidative stress.
View Article and Find Full Text PDFJ Thorac Cardiovasc Surg
March 2025
Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address:
Background: The role of prophylactic concomitant left atrial appendage closure during mitral repair in patients without atrial fibrillation (AF) is not defined.
Objectives: The objective was to compare long-term outcomes of patients who had left atrial appendage closure during mitral repair with those who did not in patients without AF.
Methods: A large national registry was used to identify 38,597 patients undergoing isolated mitral repair from 2010 to 2019.
Diving Hyperb Med
March 2025
Department of Diving and Hyperbaric Medicine, Royal Hobart Hospital, Hobart, Tasmania.
Treatment of suspected upper lip area vascular occlusion caused by facial hyaluronic acid filler injections with hyperbaric oxygen is reported. The patient was initially treated with hyaluronidase injections in the cosmetic clinic then again in the emergency department. Persistent symptoms and signs of occlusion prompted hyperbaric oxygen treatment at 284 kPa (nine treatments over seven days).
View Article and Find Full Text PDFPhytomedicine
March 2025
Department of Brain Diseases, The Affiliated Traditional Chinese Medicine Hospital, Guangzhou Medical University, Guangdong, China; Sleep Research Institute of Traditional Chinese Medicine, Guangzhou Medical University, Guangdong, China. Electronic address:
Background: Upon cerebral ischemia/reperfusion injury (CIRI), the brain tissue experiences excessive inflammatory responses, which fuel the activation of immune cells, thereby intensifying cellular damage and inflammatory reactions. Naoqing formula (NQ), a traditional Chinese medicinal compound formulated with musk as the primary component, has been extensively utilized in China for the clinical treatment of ischaemic stroke (IS).
Purpose: The precise pharmacological mechanism underlying NQ's efficacy in managing IS remains elusive.
J Med Case Rep
March 2025
Department of Ophthalmology, Clinical Hospital of the Federal University of Paraná, R. da Paz, 195 (123), Curitiba, PR, 80060-160, Brazil.
Background: Retinal artery occlusion due to infective endocarditis is rare, and only a few cases have been reported in literature. Systematic and comprehensive studies of patients with this ophthalmological disease may help uncover serious underlying medical conditions.
Case Presentation: We present a case of an 80-year-old Brazilian woman with bilateral retinal artery occlusion as the initial presentation of Erysipelothrix rhusiopathiae endocarditis.
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