Introduction: Patients in the emergency department may experience sudden decompensation despite initially appearing stable.
Case Presentation: A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED.
Discussion: This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.
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http://dx.doi.org/10.5811/cpcem.2020.4.45956 | DOI Listing |
Eplasty
April 2024
Division of Plastic and Reconstructive Surgery, Stony Brook University Hospital, Stony Brook, New York.
Background: Aneurysmal bone cysts (ABCs) are aggressive, expansile, and locally destructive vascular lesions. The exact etiology of ABCs is currently unknown and hypothesized to be related to vascular malformations or disruption of osseous vascularity. To date, there have been no reports describing the development of pubic ABCs following penile inversion vaginoplasty (PIV).
View Article and Find Full Text PDFInt Breastfeed J
March 2024
Department of Internal Medicine and Endocrinology, Radboud University, Nijmegen, the Netherlands.
Background: We present a case of non-puerperal induced lactation in transgender woman. Medical literature on lactation induction for transgender women is scarce, and the majority of literature and protocols on lactation induction is based on research in cisgender women. Healthcare professionals may lack the precise knowledge about lactation induction and may therefore feel insecure when advice is requested.
View Article and Find Full Text PDFEplasty
December 2023
Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, Tenessee.
Background: Gender-affirming surgery is a medically necessary treatment for transgender and gender diverse patients experiencing gender dysphoria. Preliminary data demonstrate an association between gender-affirming surgery and improved mental health outcomes. Penile inversion vaginoplasty is the most frequently performed feminizing bottom surgery in transwomen.
View Article and Find Full Text PDFDent J (Basel)
September 2023
Department of Surgical, Oncological and Oral Sciences (DiChirOnS), University of Palermo, 90127 Palermo, Italy.
Background: Syphilis is a worldwide sexually transmitted infection caused by Treponema pallidum. In most cases, the oral manifestations of syphilis infection are associated with cutaneous involvement. However, the present case report is noteworthy since the oral lesions are the sole clinical sign in an HIV-positive transgender patient.
View Article and Find Full Text PDFCatheter Cardiovasc Interv
July 2022
Division of Cardiology, University of Washington, Seattle, Washington, USA.
We report the case of a 37-year-old transgender patient with a history of orchiectomy on gender-affirming estrogen therapy who was hospitalized with an acute onset of chest pain with a resolution shortly after the presentation. On presentation, the patient had a rapid rise in troponin level and was urgently taken to the cardiac catheterization lab where spontaneous coronary artery dissection was diagnosed and treated with cutting balloon angioplasty and medical management. After a multidisciplinary discussion, the only notable risk factor was estrogen supplementation after gender reassignment surgery.
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