Severity: Warning
Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 1034
Function: getPubMedXML
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3152
Function: GetPubMedArticleOutput_2016
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
This case report details the clinical presentation, diagnosis, and management of a 23-year-old female with a unique medical history, including psoriatic arthritis (PsA) and Takayasu arteritis (TAK) and ultimately presenting with acute ischemic young stroke. The patient initially presented with right hip and buttocks pain, multiple itchy skin lesions, and right sacroiliac joint pain in 2017. She was diagnosed with psoriatic arthritis and treated effectively, achieving complete remission by 2020. In August 2023, she presented with acute-onset neurological deficits and vascular symptoms leading to a diagnosis of TAK. This case highlights the challenges in diagnosing and managing a complicated case with overlapping autoimmune rheumatic diseases.
Download full-text PDF |
Source |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488980 | PMC |
http://dx.doi.org/10.7759/cureus.69673 | DOI Listing |
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