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| http://dx.doi.org/10.36660/abc.20200352 | DOI Listing |
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Adjustment Disorder Presenting as Syncope in a Patient With Wolf-Parkinson White Syndrome.
Cureus
November 2024
Internal Medicine, University of Florida College of Medicine, Gainesville, USA.
Adjustment disorder encompasses maladaptive emotional, behavioral, and physiologic symptomatology that is related to an identifiable psychosocial stressor. Adjustment disorder manifesting as syncope in a patient with Wolf-Parkinson White (WPW) Syndrome is uncommon and has not previously been documented in medical literature. In this case, we discuss a 24-year-old male with a history of WPW who presented with unexplained, episodic syncope in the setting of acute life stressors.
View Article and Find Full Text PDFCase report: orthostatic hypotension as the first presentation of progressive encephalomyelitis with rigidity and myoclonus (PERM) with multiple autoimmune antibodies.
BMC Neurol
November 2024
Department of Neurology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Introduction: Stiff person syndrome (SPS) is a rare disease characterized by axial and lower-extremity muscle rigidity, muscle spasm, and pain. Progressive encephalomyelitis with rigidity and myoclonus (PERM) is a variant of SPS. This case is particularly notable for its uncommon initial symptom: orthostatic hypotension, coupled with the presence of multiple antibodies.
View Article and Find Full Text PDFUnmasking the Rarity: A Case Report on Platypnea-Orthodeoxia Syndrome With Successful Resolution Through Patent Foramen Ovale Closure.
J Med Cases
November 2024
Department of Cardiology, McLaren Flint Hospital, Flint, MI, USA.
Article Synopsis
- Platypnea-orthodeoxia syndrome (POS) is a rare condition where a person experiences breathlessness and low oxygen levels when standing, but feels better when sitting or lying down, contrasting with orthopnea which worsens when lying flat.
- A case study highlighted a 79-year-old woman with various health issues, including chronic kidney disease and a history of pulmonary embolism, who was found to have a severe patent foramen ovale (PFO) that likely contributed to her POS symptoms.
- After successfully closing the PFO with a medical device, the patient showed significant improvement and was discharged within two days, emphasizing the importance of recognizing and treating POS to prevent serious health risks.
Postural orthostatic tachycardia syndrome after radiofrequency catheter ablation in the atrioventricular junction-An uncommon and often unrecognized complication.
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September 2024
Cardiology Department, Lyell McEwin Hospital, Elizabeth Vale, Australia.
Chronic lymphoproliferative disorder of natural killer cells-related neurolymphomatosis with severe autonomic dysfunction: a case report.
BMC Neurol
September 2024
Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Article Synopsis
- Chronic lymphoproliferative disorder of natural killer cells (CLPD-NK) is a rare disease with high NK cell counts that is often asymptomatic, but can lead to symptoms like fatigue, fever, and autoimmune diseases.
- A 61-year-old male patient diagnosed with CLPD-NK experienced numbness and elevated protein levels in cerebrospinal fluid, indicating potential immunological issues, which were treated with steroids and immunoglobulin therapy.
- Despite treatment alleviating some symptoms, the patient developed significant autonomic dysfunction, leading to issues like diarrhea and orthostatic hypotension, while tests for specific antibodies were negative, and a nerve biopsy suggested lymphocytic infiltration.
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