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Radiation recall refers to inflammatory reactions triggered by cytotoxic agents and develops in previously irradiated areas.
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Regarded as the most common and best understood of the hereditary periodic fever syndromes, familial Mediterranean fever (FMF) is a recessively inherited disease of episodic fever with some combination of severe abdominal pain, pleurisy, arthritis, and a characteristic ankle rash.
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To our knowledge no severe persistent neurological deficits following thrombolytic therapy have been reported.
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Cerebrospinal fluid analysis was consistent with syphilitic meningitis.
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Two weeks later, he died of fungal septicemia and multiorgan failure.
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The following is a case report analysis intended to draw attention to the need for better care coordination by describing the observed relationship of olanzapine to metabolic changes manifested as uncontrolled diabetes mellitus and weight gain.
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Furthermore, each patient was subsequently treated with other antihypertensive medications which, like propranolol, contain the stabilizer additive tartrazine.
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The patient became afebrile after 48 h, and his general condition improved within 36 h.
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It is strongly recommended that heparin be substituted with another anticoagulant in such cases until the presence of HDAs can be definitively ruled out.
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However, it is possible that the previous antipsychotic exposure could have created a sensitising or priming effect on the striatum.
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A case is described in which viscoelastic material was used in the anterior chamber to minimize or prevent fluid flow through the area of the trabecular meshwork and Schlemm's canal during nonpenetrating filtering surgery.
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OBJECTIVE: To report 2 cases of nonconvulsive status epilepticus (NCSE) following infusion of ifosfamide.
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This report may aid in the decision of imatinib being given under close surveillance to this kind of patients.
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Fluctuating QTc interval in an asymptomatic patient treated with methadone for chronic pain.
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In May 1999, the patient came to our polyclinic with edema of the feet and legs.
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The multifactorial pathogenesis of ARF includes (a) a disturbance of glomerular microcirculation (afferent and perhaps mesangial constriction, inadequate efferent dilatation); (b) a disturbance of medullary microcirculation (medullary capillary congestion) attributed to a combination of endothelial damage and tubular dilatation; (c) tubular cell damage which, though rarely in humans justifying the term 'acute tubular necrosis', promotes both backleak of glomerular filtrate and shedding of brush border vesicles; (d) the latter promotes tubular obstruction by casts which consist of Tamm-Horsfall protein and brush border components.
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They both are weak systemic diuretics and lower intraocular pressure ultimately by decreasing aqueous production.
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After 18 months, the patient was in good health.
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Yohimbine is a selective alpha-2 adrenergic antagonist that has been used in the pharmacologic management of erectile dysfunction (ED).
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Totally implantable venous device (TIVD) are widely used for the treatment of patients requiring long-term chemotherapy, total parenteral nutrition and fluid replacement.
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There is currently no consensus on the best treatment for unresectable hyaline-vascular variant or for multicentric Castleman's disease (MCD), because none of the reported regimens have consistently produced complete response or durable remission in the majority of patients In the present study, we report on the use of 2-CdA (2-chloro-deoxyadenosine) in three patients, two of them with MCD and one with unresectable hyaline-vascular type disease.
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We conclude that prolonged l-asparaginase therapy in combination with an anthracycline might well be used in initial or consolidation therapy for childhood ALL.
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This report describes a forty-seven-year-old female patient with a complex medical history.
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CASE SUMMARIES: Two patients with stable hypothyroidism experienced symptoms of hypothyroidism with increased serum thyroid-stimulating hormone (TSH) concentrations after switching from 1 levothyroxine product to another.
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In two cases, tiagabine was withdrawn, whereas it was continued at a lower dosage in one case.
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In each instance the ST segment returned to the isoelectric line within 24 hours, and subsequent development of Q waves or changes in the QRS was not observed.
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High-dose intravenous mannitol infusion in various clinical settings may result in acute renal failure (ARF).
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A 55-year-old man is reported who initially developed chronic lymphocytic leukemia.
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A macrophage activation syndrome, possibly related to methotrexate toxicity, developed in a boy with systemic juvenile rheumatoid arthritis.
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Plasmapheresis and immunosuppressive therapy.
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This pathology should be treated promptly and with specific therapy to avoid progression to a severe, massive PTE.
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Two and a half hours after intravenous infusion of the antibody fragments, the signs of intoxication passed off, and atrial fibrillation with a normal ventricular rate was reinstated.
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Thrombosis of central venous access catheters was demonstrated in two neonates born at 38 and 27 weeks' gestation.
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Also, it may uncover underlying atrial arrhythmias by slowing the ventricular response.
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Three PC lines broke at the time of removal resulting in a length of line remaining in the central venous system (the superior vena cava, innominate vein, and bracheo-cephalic subclavian junction).
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All patients improved rapidly after discontinuation of 5-ASA compounds.
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In this patient a single plasma exchange was successful in considerably lowering the plasma dextran concentration.
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The mortality rate has been estimated at about 10%.
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We report on a case of secondary myelodysplasia with basophilia.
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The occurrence of severe AIHA in CLL patients treated with fludarabine has been reported by several authors.
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Endogenous thrombopoietin serum levels during multicycle chemotherapy.
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This case showed a remarkable granulomatous reaction in association with tumor elimination.
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The patient recovered completely clinically and radiologically after discontinuing cyclosporine.
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We describe a 41 yr old leprosy patient treated for 10 yrs with clofazimine who underwent laparotomy for severe abdominal pain.
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It is concluded that treatment with hCG/LH may favour seizure onset in the presence of potentially epileptogenic lesions such as an intracranial dermoid cyst.
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Effect of beta-blockade on symptomatic dexamethasone-induced hypertrophic obstructive cardiomyopathy in premature infants: three case reports and literature review.
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The use of combined therapy with an angiotensin-converting enzyme (ACE) inhibitor and an angiotensin II receptor blocker (ARB) for treatment of proteinuria has been gaining support.
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This finding suggests that cytomegalovirus infection may be one of the causes or exacerbating factors for ileal ulcers in Churg-Strauss syndrome, although ulcers of the intestine have usually been considered to be caused by ischemia resulting from angiitis.
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A 35-year-old female with borderline lepromatous (BL) leprosy who suffered from dapsone-induced erythroderma is reported.
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All other factors, including laboratory data, dietary intake, activity level, and concurrent use of other medications, were stable and noncontributory.
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This demonstrates that, despite the normal coagulation profiles previously described, mothers on chronic anticonvulsant therapy may have a subclinical carboxylation defect, while their infants are at risk for hemorrhagic disease.
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Of the five patients, two had a marked response in total Hb in excess of 3 g/dl, two responded modestly with an increase in total Hb of 1-2 g/dl, and one did not respond.
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Heparin was discontinued, and an argatroban infusion was initiated.
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Complications of chemotherapy for a synovial sarcoma in an eight-year old boy included cisplatinum nephrotoxicity and adriamycin cardiotoxicity.
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Second malignancy is one of the late complications of long-term cancer survivors, treated with radiation or chemotherapy.
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We describe a 65-year-old man with HIV who underwent a 12-hour intensive pharmacokinetic study while receiving esomeprazole with atazanavir-ritonavir and subsequently, an 8-hour study while receiving esomeprazole with fosamprenavir-ritonavir.
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This is the first reported case of the use of Monsel's solution to arrest excessive uterine bleeding after the evacuation of retained products of conception after a miscarriage.
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We report on a case associated with atenolol.
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Despite a complete molecular response, it is currently recommended to continue these targeted therapies to avoid relapse.
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Three weeks later, he developed an abrupt elevation of blood pressure (210/120 mmHg), with headaches, mental confusion, and generalized seizures.
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Our patient presents one copy of the most common mutation (CYP2C19*2) affecting the activity of the isoenzyme and probably another rare or private mutation.
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CONCLUSION: This case started with a media report in a popular newspaper, initiated by published, peer-reviewed research on herbals, and involved human failure in a case history, medical examination and clinical treatment.
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This unusual pattern of low-grade endometrial carcinoma adds to the spectrum of uterine neoplasia associated with tamoxifen therapy.
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A primigravid woman presented at 11 weeks gestation with bilateral femoral occlusive thrombi extending above the renal veins.
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The field defects and some electrophysiological abnormalities persist when vigabatrin therapy is withdrawn.
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In addition to reporting this case, we review the literature regarding enteroviral infections after transplantation.
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Drug interactions and neutralizations as well as dietary factors contributed to a complicated course.
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Exceptionally long absence status: multifactorial etiology, drug interactions and complications.
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Apomorphine-induced penile erections in Parkinson's disease.
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A retrospective analysis was performed to determine the incidence and clinical features of acute myelogenous leukemia/myelodysplastic syndrome (AML/MDS) developing in chronic lymphocytic leukemia (CLL) patients.
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Each patient was taking more than 200 mg of oral morphine equivalents per day, and several were receiving complex analgesic regimens consisting of multiple adjuvant medications.
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INVESTIGATIONS: Echocardiogram, electrocardiogram, serum chemistries, coronary angiography, right-heart and left-heart catheterization and endomyocardial biopsy.
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Four patients with an intermittent psychosis closely resembling hallucinogenic drug-induced states were suspected of having a porphyric disease and were investigated for a possible relation between the metabolic dysfunctions of porphyria and the psychotic syndrome.
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This particular form of hyperthyroidism is long-lasting because of the slow elimination of amiodarone.
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The most common complaint was headache.
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Those findings are indicators of colitis.
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While both amiodarone and digoxin can cause permanent visual changes, the ocular effects are often reversible.
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More attention should be focused on long term effects of neuroleptics.
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If unrecognized, the neurologic deterioration becomes irreversible and may result in death.
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To our knowledge, the syndrome of fever, pulmonary infiltrates, and pleural effusion following use of acyclovir has not been previously reported.
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The patient was urged to discontinue her use of deodorants.
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This is the first report of acute kidney injury due to zonisamide-induced DRESS/DIHS.
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Asthma and urticaria during disodium cromoglycate treatment.
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Combination therapy with i.a. urokinase, i.a. prostaglandines and i.v. anticoagulation resulted in re-opening of the obstructed distal artery and complete cessation of symptoms.
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Occasionally, despite good therapeutic response, clozapine must be stopped due to dangerous side effects such as agranulocytosis.
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5: Movement disorders I: parkinsonism and the akinetic-rigid syndromes.
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CLS is seen in conditions such as septic shock or may result from conditions such as multitrauma and pancreatitis, which result in the systemic inflammatory response syndrome (SIRS).
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However, a direct association between corticosteroid use and osteonecrosis has never been proven.
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S-1 is an oral 5-fluorouracil (5-FU) anticancer agent and has shown promising effects in the treatment of a wide range of carcinomas, including head and neck cancer.
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Warfarin-associated thoracic aortic dissection in an elderly woman.
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The patient was discharged after 110 days.
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We suggest that lamivudine is indicated both in the treatment of HBV viremia and in the prevention of proliferation of HBV in patients with HBV carrier status undergoing high-dose myeloablative chemotherapy.
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CASE REPORT: Soon after initiation of amiodarone HCl (200 mg/day), a 76-year-old man came to us with symptoms of visual "shining," glare, color vision anomalies, and gradually decreased vision.
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Percutaneous coronary intervention (PCI) is routinely performed in patients with non-ST elevation acute coronary syndromes after pretreatment with clopidogrel and periprocedural administration of unfractionated heparin on a weight-adjusted basis.
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A patient is described with the characteristic features of phenytoin hypersensitivity syndrome (PHS) including fever, erythroderma, tibial and facial oedema, pinhead-sized facial pustules and abnormal liver function tests.
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Surveillance strategies and significance of endometrial cells on the Pap smear are reviewed.
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Monitoring of the long-term safety profile of TKIs is essential due to the prolonged survival of these patients.
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Maintenance dosages controlled the condition thereafter.
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Therefore, an alternative therapy is necessary, especially for patients who need to continue permanent administration of the drug.
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One patient died of cardiac arrest at 25 months; there were no perioperative deaths (< or = 30 days).
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