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If opioid drugs are administered before a diagnostic hepatobiliary scan, delayed clearance of Tc-IDA from the common bile duct might lead to an erroneous diagnosis and indicate a potentially unnecessary common bile duct exploration.
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The safety and efficacy of enfuvirtide therapy for HIV infection in patients with hemophilia: a case series.
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Transient panhypogammaglobulinaemia and B-lymphocyte deficiency in a patient with neuropsychiatric systemic lupus erythematosus after immunosuppressive therapy.
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Seven patients only smoked at night-time (median dose eight puffs, range two to eight puffs), and eight patients used cannabis mainly during the day (median dose three puffs, range two to eight puffs); the median frequency of use was four times per day (range one to 16 times per day).
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The patient was treated with intraparotid injections of botulinum toxin.
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In addition, known and/or possible mechanisms of the disorders are discussed.
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Report of two cases.
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In India, traditional therapy with herbal preparation (Ayurvedic medicine) is not uncommon.
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HMSN is diagnosed in most cases retrospectively, usually suggested by the observation of foot abnormalities or family history.
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Though the acute complications of lithium toxicity involving the central nervous system have been known for more than 70 years, it is only recently that the longlasting sequelae of lithium intoxication have come to be discussed at length; about fifty-five cases have been reported so far.
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He had a history of subtotal gastrectomy.
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Long-term treatment with high-dose corticosteroids exposes patients to potentially serious adverse effects.
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A single site of oozing was injected with epinephrine.
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Laboratory results indicated hypomagnesemia, hypocalcemia, hypokalemia, and hypophosphatemia.
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On the first occasion she experienced arterial fibrillation secondary to a severe episode of hypotension following local anaesthesia, while on a course of beta-blockers.
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During this period, urine losses of monovalent cation were only 55 mEq and body weight was constant at 48.2 kg.
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We report the outcomes of two pregnancies with first trimester disulfiram exposure.
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We report a 12 1/2-year-old girl with acute lymphoblastic leukemia, who developed rapidly growing FCC of the thyroid, 3 years after bone marrow transplantation.
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In order to evaluate whether this rise in lactate could have occurred without requiring additional net lactic acid production, the effect of the hydrogen ion concentration on lactate distribution was evaluated.
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BACKGROUND: Medical therapy for thrombosed valve in pregnancy has become an acceptable alternative to surgery, especially in hemodynamically compromised patients.
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Hence, immunosuppression treatment should be carefully planned in glomerulonephritis treatment and avoided if they are not essentially necessary.
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PURPOSE: To report a case of herpes zoster ophthalmicus reactivation following laser in situ keratomileusis (LASIK) for myopia.
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Improvement was dose-dependent, and was limited by irritability and action tremor when the patient was taking 1,600 mg per day.
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Electrodiagnostic studies at variable points during the disease course showed signs of acquired demyelination consistent with CIDP.
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Case report and literature review.
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Five cases are presented that demonstrate the effectiveness of diazepam and its close relative clorazepate in controlling this problem.
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The use of 1,25-dihydroxyvitamin D (1,25-OH2 D) plus calcium may be superior to the use of calcium alone in some forms of osteoporosis.
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The mean follow-up was 33 months (range, 26-48 months), and the mean treatment duration was 22.6 months (range, 13-32 months).
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John's Wort while under psychiatric care are described.
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He had previously received several treatments including two courses of fludarabine.
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CONCLUSION: Endovascular stent-grafts combined with antibiotic therapy may be an alternative to conventional thoracotomy in managing mycotic aneurysms of the descending thoracic aorta.
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New observations, including CT scan findings and experience with treatment by praziquantel.
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After forty-eight hours, he developed jaundice and transaminasemia, which subsided by the eighth day.
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Nimodipine: evidence for clinically significant gastrointestinal side-effects.
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In the immunocompetent host, antiviral therapy can successfully treat herpesvirus respiratory infection, with reversal of clinical, virologic, and pathologic findings.
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The presentation and progression of drug-induced ocular cicatricial pemphigoid can be variable.
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Ten of these 12 patients also developed severe pulmonary edema.
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The increasing number of Latinos in the United States and the extensive cross-border transfer of medicines raise concerns that metamizole use and associated complications may become more frequent.
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The causative relationship was proven by challenge.
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Hiccupping is a characteristic noise caused by a sudden closure of the glottis after repeated, involuntary, spasmodic contraction of the respiratory muscles.
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A whitish plaque in the lips and bilateral buccal mucosa, burning, taste disturbance, and xerostomia were observed.
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There was no enhancement of the cyst wall and no pericystic oedema.
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We describe a case of significant and potentially toxic absorption of oral vancomycin in a peripheral blood stem cell transplant patient with grade IV graft-versus-host disease (GVHD) of the GI tract.
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PURPOSE: To evaluate the long-term efficacy and side effects of off-label topical tacrolimus 0.03% ointment (Protopic; Fujisawa Health, Deerfield, IL) as a sole second-line immunosuppressive agent in the management of high-risk corneal grafts.
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Bone injury while undergoing electro-convulsive therapy is thought to be rare.
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In contrast to that in other nephropathies, the role of renin-angiotensin blockade in kidney transplantation is less well defined, and its anti-proteinuric effect is markedly reduced in the presence of segmental glomerulosclerosis.
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Recovery was observed with supportive therapy after 2 and 1 weeks, respectively.
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A case of immunosuppressive measles (rubeola) encephalitis in a 12-year-old boy in remission from acute lymphoblastic leukemia is described.
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A 22-year-old female with renal failure secondary to focal segmental glomerulosclerosis underwent a deceased donor kidney transplant and presented 3 months later with pyelonephritis; the urine culture grew Kluyvera ascorbata.
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The liver damage was probably related to metabolic idiosyncrasy, and was reversible in all patients.
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The literature concerning formalin therapy is reviewed.
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The favourable influence of PCS on the depressive syndrome is considered to be largely linked to the anticholinergic effect of the drugs.
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Intravesical formalin instillation has been performed in a patient with massive bladder hemorrhage secondary to radiation cystitis.
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Minimally invasive repair of a left ventricular pseudoaneurysm after surgical patch reconstruction of an infarct-related free posterior wall rupture: CT-guided intervention.
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Addition of lithium carbonate resulted in a sustained remission with maintenance treatments.
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No neurological deficits occurred during the further course of the disease.
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In each case, some degree of recovery followed discontinuation of the statin medication.
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Considering the increasing use of TMZ, which is regarded as a drug with moderate toxicity, careful follow-up with routine blood testing is vital.
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Venous thrombembolism, thrombophilic defects, combined oral contraception and anticoagulation.
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Failure of blood pressure to increase following erythropoietin therapy in the renoprival status.
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Five of 157 (3.2%) patients with small cell carcinoma were clinically diagnosed as having the ectopic ACTH syndrome.
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Amyloidosis is the most severe complication of the disease.
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The catheter had no blood return from either lumen for >1 month.
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Thus this patient's hyponatremia cannot be accounted for solely by changes in external water and electrolyte balance; the rapidity with which changes were produced suggests that osmolar inactivation, probably intracellularly, may contribute to the severe hypotonicity seen in some patients.
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SETTING: Gimbel Eye Centre, Calgary, Alberta, Canada.
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An extensive MEDLINE search located 22 other reports of patients who developed HDAs, sometimes associated with thrombosis, but whose platelet counts did not decrease.
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After discontinuing those drugs, the ST segment elevation in leads V(1) and V(2) became reduced.
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Follow-up ranged from 3 to to15 months.
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She was subsequently rendered euthyroid with radioiodine treatment.
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To our knowledge, this is the first report of this syndrome related to vinorelbine therapy.
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In one of these patients olanzapine was well tolerated when reintroduced in combination with lorazepam after complete remission of akathisia.
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We describe the case of a premature baby who developed a rapidly expanding aneurysm of the descending thoracic aorta, secondary to a highly placed infected umbilical catheter.
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This case is similar to four other cases described in the literature and to the neuroleptic malignant syndrome.
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There may be an interval of one or more months after discontinuation of cyclophosphamide therapy before clinical or radiological improvement occurs.
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We concluded that an adequate dose of steroids can be the first line of therapy for PRCA after ABO-mismatched allogeneic stem cell transplantation.
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A full vasculitis screen was negative.
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However, it would be emphasized that the side-effects of the drugs could be considered as one of the etiologica factors causing the glial abnormality.
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Clinical signs of peripheral neuropathy developed 2 weeks and 12 months after the initiation of TNF-alpha antagonists.
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This patient adds to the growing literature of a second malignancy occurring after prolonged successful chemotherapy of a primary neoplasm.
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None of the patients had experienced visual hallucinations before this event.
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The ACAD is defined as a diffuse process affecting the entire length of epicardial vessels.
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Although asymptomatic, the biochemical abnormality improved after discontinuation of carbamazepine.
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A 15-year-old boy with previously normal thyroid function is described who developed hypothyroid goiter within six weeks following bipedal lymphography.
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Clinical trials are warranted to test these effects.
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OBJECTIVES: To describe the dissolution of a large organized intraatrial catheter-tip thrombus using a novel aggressive dose escalation of tissue plasminogen activator infusion.
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Nimesulide is a new nonsteroidal anti-inflammatory (NSAID) drug with antipyretic and analgesic properties.
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The infant's fractional excretion of sodium was very low (0.5%) pointing for a severe vasoconstrictive mechanism involved.
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The relevant literature is reviewed; a case history is presented; and implications for nursing care (e.g., early detection) are discussed.
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These four cases, with their varied presenting symptoms, clinical courses, and degree of pathology, emphasize the importance of considering toxic leukoencephalopathy as an etiology of acute neurologic deterioration following high-dose chemotherapy.
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OBJECTIVE: To describe a newly recognized adverse effect of imiquimod.
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The episodes of ocular dystonia were associated with other dystonic movements and a number of psychiatric symptoms, with obsessional thoughts and hallucinations being the outstanding features in one patient each.
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Here we report our experience with three of these patients, who experienced progressive disease after a variety of previous therapies, including prior immunotherapies, and who achieved good outcomes with ipilimumab.
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The edema disappeared within 24 hr after stopping the infusion therapy.
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Here we present a forty-two-year-old Caucasian female with altered mental status, inability to eat, speak or walk properly, with shaking and vomiting for three days.
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Two unsuccessful attempts were made to repair the valve which was finally replaced, requiring cardiopulmonary bypass of 317 min.
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After this episode, she showed the rapid destructive stage of the Rett syndrome, i.e., severe psychomotor retardation with loss of speech, peculiar stereotypic hand movements, autistic behavior and seizures.
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Management of upper gastrointestinal haemorrhage complicating dual anti-platelet therapy.
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Phenylephrine dosages for topical use ranged from 50 to 367 times greater than the i.v. dose required to increase arterial pressure by 50% in anesthetized dogs.
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The third was a 16-year-old male who developed a profound peripheral and central neuropathy after chemotherapy treatment for T-cell acute lymphoblastic leukemia.
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Rasburicase for the management of tumor lysis syndrome in neonates.
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