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European Journal of Case Reports in Internal Medicine
Scopus
ISSN 2284-2594 · SMC MEDIA SRL · 1.978 artikel di indeks
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Artikel Jurnal
Gamma heavy-chain disease presenting with hypercalcaemia and ascites
Gamma heavy-chain disease (gHCD) is a rare lymphoproliferative disorder characterised by the production of truncated gamma heavy chains that are not associated with light chains. We present the case of a 79-year-old man with a known history of chronic lymphocytic leukaemia who presented with acute…
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From breast mass to paralysis: lymphocytic mastitis as the sentinel manifestation of Sjögren’s syndrome
Sjögren’s syndrome is a systemic autoimmune disease classically characterized by sicca symptoms; however, extra glandular manifestations may precede glandular involvement and, in rare cases, present as life threatening emergencies. We report a middle-aged patient who presented with acute flaccid…
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Pancreatic metastases from urothelial cancer
Background: Urothelial carcinoma (UC) is a common malignancy that rarely metastasizes to the pancreas. Pancreatic masses in patients with UC present significant diagnostic challenges. Case report: An elderly man with a history of nephroureterectomy for UC of the renal pelvis presented with lower…
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Unmasking cytomegalovirus colitis: a case of haemorrhagic colitis in a patient with chronic myeloid leukaemia on dasatinib
Background: Tyrosine kinase inhibitors (TKIs) are the first-line treatment for chronic myeloid leukaemia (CML) with BCR-ABL1 translocation. Dasatinib, a second-generation TKI, is associated with a wide range of adverse effects such as myelosuppression, pleural effusion, diarrhoea, and haemorrhagic…
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Superior sagittal sinus filling defect in metastatic lung cancer: tumour thrombus, bland thrombus or both?
Background: Cerebral venous sinus thrombosis is an uncommon but potentially life-threatening cause of stroke. In patients with active malignancy, dural venous sinus filling defects present a diagnostic challenge, as they may represent bland thrombosis, tumour thrombus or benign anatomic variants…
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Dermatomyositis mimicking statin-induced myopathy in a 62-year-old woman
Dermatomyositis (DM) is an autoimmune inflammatory myopathy that may rarely be drug induced. Statin-induced dermatomyositis (DIDM) is uncommon, with only few atorvastatin-related cases described in the literature. We present a case of a 62-year-old Hispanic woman who developed progressive proximal…
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Immediate pulmonary embolism or pulmonary artery thrombosis following blunt chest injury?
Introduction: A pulmonary embolism usually appears as early as two to three days post-trauma, but in rare cases, it can manifest immediately. It may be a result of in situ thrombosis instead of dislodged deep vein thrombosis. Case description: We present a 24-year-old patient involved in a…
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Bacteraemia with meningitis caused by Listeria innocua of unknown source in an elderly patient with type 2 diabetes mellitus: a case report and literature review
Background: Listeria innocua is widely distributed in the natural environment and food products. Human infections caused by L. innocua are extremely rare, with only approximately 5 cases reported globally over the past three decades (1990-2025). Case report: We report a case of a 74-year-old female…
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One dose, one wall: isolated septal hypokinesia triggered by first doxorubicin exposure
Cardiotoxicity or cardiomyopathy is a common side effect of the use of anthracyclines for the treatment of cancer patients. Anthracyclines produce their harmful effect on the heart after several cumulative doses; however, it is rare to find the development of cardiotoxicity after only the first…
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Coil embolization of an appendiceal artery bleed leading to appendicitis and surgical resection
Background: Appendiceal bleeding is an infrequent cause of lower gastrointestinal bleeding (LGIB), accounting for only 0.014% of cases. Case report: We present the case of a 48-year-old male on heparin who developed an acute LGIB from the appendicular artery requiring coil embolization and…
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Prolonged follow-up of a case of Takayasu’s arteritis presenting with spastic paraplegia secondary to thoracic compressive myelopathy
This is the case of a 63-year-old woman who presented with a few weeks’ history of progressive bilateral lower limb weakness and spastic paraparesis. Urgent imaging revealed spinal cord compression caused by dural thickening between the T2 and T9 levels, as well as an incidental finding of ongoing…
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Isolated pulmonary light chain deposition disease
Background: Pulmonary involvement is a significant aspect of many autoimmune diseases. Different pulmonary manifestations of autoimmune diseases encompass a variety of conditions that impact the lungs, including interstitial lung disease, cystic lung disease, pulmonary hypertension, and pleural…
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Artikel Jurnal
Acute kidney injury following vaccine-induced thrombotic microangiopathy
Background: Within 10 months of the declaration of the coronavirus disease 2019 (COVID-19) pandemic, multiple vaccines, including messenger ribonucleic acid, adenoviral vector, and inactivated vaccines, were developed. Adverse events associated with vaccination are closely monitored. Thrombotic…
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Unilateral Yasunari nodule-like appearance in a patient without neurofibromatosis type 1
Introduction: Yasunari nodules are choroidal lesions characterized by bright, poorly demarcated multiple lesions detected through near-infrared reflectance imaging and are considered diagnostic for neurofibromatosis type 1 (NF1). We report a case of unilateral Yasunari-like nodules in a patient…
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Spinal ischemia after prolonged resuscitation and coronary angiography under Impella protection
Spinal ischemia is a rare condition and accounts for only 1-2% of all neurovascular diseases. In this case, spinal ischemia occurred in a 46-year-old patient after prolonged resuscitation after out-of-hospital cardiac arrest and following invasive coronary angiography and percutaneous coronary…
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Artikel Jurnal
Life-threatening thrombotic events revealing systemic lupus erythematosus in a patient with chronic myelomonocytic leukaemia
Associations between systemic autoimmune and inflammatory diseases and myelodysplastic syndromes have been reported for at least 25 years, suggesting a potential pathogenic link. We present the case of a 62-year-old woman with chronic myelomonocytic leukaemia, initially diagnosed in August 2022…
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Hypertransaminasemia in a patient with acute abdominal pain: an unusual case report
Background: Hypertransaminasemia associated with acute abdominal pain can be indicative of a broad spectrum of diseases, from benign to life-threatening. Case description: We present the case of a 72-year-old man reporting abdominal pain, unintentional weight loss and moderately elevated liver…
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Concurrent idiopathic multicentric Castleman disease with TAFRO and Sjögren’s syndrome in a young patient: a challenging diagnostic overlap
Background: Idiopathic multicentric Castleman disease (iMCD) with TAFRO syndrome (characterized by thrombocytopenia, anasarca, fever, reticulin fibrosis/renal failure, organomegaly) is a recently described disorder. The diagnostic criteria for iMCD-TAFRO exclude patients with concomitant autoimmune…
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B-cell lymphoma following an indolent course over 30 years with immunophenotypic changes at each recurrence
ntroduction: Diffuse large B-cell lymphoma (DLBCL) comprises biologically distinct subtypes, but whether cell-of-origin–related features remain stable over long disease courses is unclear. Case description: A woman was initially diagnosed with CD20-positive B-cell lymphoma in 1988 and treated with…
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