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Challenges in diagnosing and treating Liddle syndrome in resource-limited settings: A case report from Indonesia.
Narra J
December 2024
Department of Internal Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Liddle syndrome, a rare form of monogenic hypertension, poses significant diagnostic and therapeutic challenges due to its phenotypic variability and the need for genetic testing. The rarity of the condition, coupled with the limited availability of first-line treatments such as epithelial sodium channel (ENaC) blockers, makes this case report particularly urgent and novel, highlighting alternative management strategies in resource-limited settings. The aim of this case report was to present the diagnostic challenges, therapeutic strategies, and clinical outcomes of a patient with Liddle syndrome who did not have access to ENaC blockers, emphasizing the importance of early recognition and personalized treatment.
View Article and Find Full Text PDFQuantifying the Deficits of Body Water and Monovalent Cations in Hyperglycemic Emergencies.
J Clin Med
December 2024
Research Service, Department of Medicine, Raymond G. Murphy Veterans Affairs Medical Center, University of New Mexico School of Medicine, Albuquerque, NM 87108, USA.
Hyperglycemic emergencies cause significant losses of body water, sodium, and potassium. This report presents a method for computing the actual losses of water and monovalent cations in these emergencies. We developed formulas for computing the losses of water and monovalent cations as a function of the presenting serum sodium and glucose levels, the sum of the concentrations of sodium plus potassium in the lost fluids, and body water at the time of hyperglycemia presentation as measured by bioimpedance or in the initial euglycemic state as estimated by anthropometric formulas.
View Article and Find Full Text PDFCeasing or gradually reducing incubator humidity after 7 days for extremely preterm infants: a randomised clinical trial.
Eur J Pediatr
December 2024
Grantley Stable Neonatal Unit (GSNU), Royal Brisbane and Women's Hospital, Herston, Brisbane, QLD, Australia.
Unlabelled: The purpose of this study is to compare the effects of two different ways of stopping incubator humidification on episodes of hypothermia, hyperthermia, hyponatraemia, hypernatraemia, or skin injury. The design is a single site, two-armed, parallel, randomised, clinical trial conducted between April 2019 and March 2022. The setting was a quaternary referral and teaching hospital in Queensland, Australia.
View Article and Find Full Text PDFIntracranial lobar germinoma presenting with refractory hypernatremia.
Childs Nerv Syst
December 2024
Department of Neuro-Intervention and Neuroradiology, National Institute of Mental Health & Neurosciences (NIMHANS), 29, Bengaluru, Karnataka, 560029, India.
Article Synopsis
- * A case study reports a 14-year-old boy diagnosed with diabetes insipidus, initially thought to have a high-grade glioma in the left frontal region, but was later confirmed to have a germinoma through histopathology.
- * Post-surgery, the patient experienced improvement in his hypernatremia and successfully managed his condition with a small dose of desmopressin, highlighting the unique presentation of this germinoma without typical involvement in key brain regions.
COMPARISON OF ACUTE HAEMORRHAGIC AND ACUTE ISCHAEMIC STROKE IN A TERTIARY HOSPITAL AT ABAKALIKI, NIGERIA: A RETROSPECTIVE STUDY.
West Afr J Med
November 2024
Internal Medicine Department, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA), Ebonyi State, Nigeria. E-mail: Tel: 2347033432117.
Background: Stroke is a neurological emergency with high prevalence, especially in developing countries where it assumes an epidemic proportion. It is globally the second most common cause of death after ischemic heart disease, and it is projected to remain so by 2030. It had a global prevalence of 1,300.
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