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A unique case of extranodal marginal zone lymphoma with synchronous pulmonary and dermatologic manifestations.
Respir Med Case Rep
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Division of Pulmonary and Critical Care, University of Rochester, Rochester, NY, USA.
An 89-year-old male with a medical history of non-ischemic cardiomyopathy was initially admitted with acute hypoxic respiratory failure attributed to heart failure exacerbation. Aside from progressive dyspnea, a non-pruritic, non-painful rash and constitutional symptoms were reported. Initial work-up was remarkable for normocytic anemia, lymphopenia, mild hypercalcemia, and elevated inflammatory markers.
View Article and Find Full Text PDF[Heart failure: innovative understanding from traditional Chinese medicine (TCM) and treatment with classic TCM formulas].
Zhongguo Zhong Yao Za Zhi
December 2024
Guang'anmen Hospital, China Academy of Chinese Medical Sciences Beijing 100053, China.
The prevalence of cardiovascular diseases in China has shown a rising trend. With the patient number of about 8.9 million, heart failure has brought a heavy burden to public health and wellness.
View Article and Find Full Text PDFThe Enigma of Idiopathic Multicentric Castleman Disease: An Elusive Diagnosis.
Cureus
November 2024
Hematology and Medical Oncology, Sisters of Saint Mary (SSM) Health St. Mary's Hospital, St. Louis, USA.
Castleman disease (CD) is a rare lymphoproliferative disorder encompassing a spectrum of conditions with distinct histopathological findings and varied clinical presentations. Diagnostic challenges are often encountered due to overlapping features with other malignancies, infections, and autoimmune disorders. Idiopathic multicentric Castleman disease (iMCD) is a subtype of CD, characterized by generalized lymphadenopathy, polyclonal lymphoproliferation, systemic inflammation, and a cytokine storm that can be life-threatening.
View Article and Find Full Text PDFDiagnostic Dilemma: Investigating Respiratory Symptoms in a Middle-Aged Smoker.
Clin Case Rep
November 2024
Clinical Research Development Unit, Afzalipour Hospital Kerman University of Medical Sciences Kerman Iran.
Article Synopsis
- - A 65-year-old man presented with severe symptoms like fever, chest pain, and hemoptysis, which led doctors to initially suspect pulmonary thromboembolism or pneumonia.
- - After further testing, he was diagnosed with acute necrotizing granulomatous bronchitis, pointing to endobronchial tuberculosis (TB), highlighting the need to consider TB in patients with ongoing respiratory issues.
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Collapse of an early adolescent girl. Syncope? Simple or sinister?
BMJ Case Rep
October 2024
Paediatrics, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.
An early adolescent girl presented to the emergency department (ED) of her local hospital following a syncopal episode after a warm bath on a background of increasing breathlessness for 1-year duration. On examination, she was fully alert, no pain or injuries from her syncope, she was warm and well perfused, her respiratory rate at rest was normal and she showed no signs of respiratory distress, there were no signs of seizure activity such as incontinence or tongue biting, she had a raised Jugular Venous Pressure (JVP), a loud pansystolic murmur, there was no cyanosis and no oedema. She was referred for a chest radiograph due to her history of breathlessness and for an ECG based on the examination findings of a murmur.
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