When Things Go Wrong: Examining the Frequency and Aftermath of Critical Incidents Among OBGYN Residents.
CONCLUSION: OBGYN residents frequently experience CIs during their training years. Postincident debriefing is not the norm but is desired and may help residents process difficult clinical situations. PMID: 29738126 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Cutler A, Black JD, Sheth SS, Pathy S Tags: Conn Med Source Type: research

The Unsustainable Cost of Medicaid: Insights from a Hospital-Based Academic Dermatology Practice.
CONCLUSION: Adding a small copaymentforMedicaid patients would decrease lost revenue. The degree of financial impact would vary based on the size of the copayment. Broad adoption of such a plan could significantly help hospitals reduce lost revenue. PMID: 29738127 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Payette MJ Tags: Conn Med Source Type: research

Changes in Hospital Utilization Among Seriously Mentally Ill Patients Following Enrollment in an Integrated Primary and Behavioral Health Care Program.
Abstract OBJECTIVES: Integrated primary and behavioral health care models are emerging to improve access to care; however, the effect they have on utilization and expenditure has yet to be studied. METHODS: A retrospective, longitudinal review of all patients (N = 343; 97% Medicaid) enrolled in our primary and behavioral health care program looked at hospital utilization up to a year before and after enrollment and estimated spending from Medicaid reimbursement data. RESULTS: There was a significant decrease in emergency department (ED) visits per person before enrollment vs after enrollment (2.39 vs 1.8...
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Steele C, Ungemack J, Mormile-Mehler M, Rabitaille W Tags: Conn Med Source Type: research

Intravascular Lymphoma: A Diagnostic Challenge.
We describe the case of a 64-year-old male who presented to the emergency department (ED) complaining of asthenia and bilateral lower extremity edema that progressed rapidly to anasarca. On presentation, laboratory results were significant for elevated erythrocyte sedimentation rate (ESR) and lactate dehydrogenase (LDH) levels. A skin biopsywas performed, which revealed occlusion of blood vessels by atypical immunophenotype B lymphoid cells within the dermis and subcutaneous tissue. The immuno-histochemistry was consistent with IVLB CL. IVLBCL is an aggressive and rapidly fatal neoplasia with varied and nonspecific clinica...
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Saad EJ, De Goycoechea D, Kurpis M, Albertini RA Tags: Conn Med Source Type: research

Refractory Psoriatic Arthritis and Polyarteritis Nodosa: Co-occurrence in a Patient with Undiagnosed HIV.
We describe a patient who presented with PsA refractory to both synthetic and biologic disease-modifying antirheumatic drugs (DMARDs), who then developed PAN while on antitumor necrosis factor (TNF) therapy. The onset ofvasculitic disease led to the discovery of the HIV infection, and manifestations of both PsA and PAN remitted with the introduction of highly active antiretroviral therapy. To our knowledge, this is the first casewhere both PsA and PAN developed in an HIV-positive patient. Our review focuses on the pathogenesis, presentation, and treatment of HIV related psoriasis, PsA, and PAN. This unusual case underscore...
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Awan S, Mandhadi R, Abeles AM Tags: Conn Med Source Type: research

Screening and Treatment Rates for Latent Tuberculosis Among Newly-Arrived Refugees in an Urban Facility in Connecticut.
This study describes LTBI prevalence, treatment initiation, and completion rates in refugee patients seen at one urban Connecticut hospital. This retrospective chart review includes 248 adult refugee patients screened between January 2009 and April 2012. Demographics, tuberculin skin test (TST) results, treatment initiation and completion rates, and treatment-related variables were collected. Ninety-eight percent of adult refugees received TST screening and 44.0% were diagnosed with LTBI. Of these, 95.5% initiated treatment, and of those, 48.2% completed treatment. Early treatment discontinuation was high, with 29.5% of pa...
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Duchen D, Boyd AT, Annamalai A Tags: Conn Med Source Type: research

Bisphosphonates and the Role of Calcium Plus Vitamin D in Osteoporosis.
PMID: 29738132 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Comito RR, Richard K Tags: Conn Med Source Type: research

Ham Sandwiches and Medical Malpractice: Time for a Change.
PMID: 29738133 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 1, 2017 Category: General Medicine Authors: Deren MM Tags: Conn Med Source Type: research

Effect of an Educational Intervention on the Accuracy of Data Submitted to a National Quality Registry.
CONCLUSIONS: Multicomponent educational intervention was effective in reducing errors in data sub- mitted to the NCDR ICD Registry. PMID: 29714403 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Gulati V, Elsaid O, Parker MW, Thorns M, Ling T, Zweibel S Tags: Conn Med Source Type: research

Pectus Carinatum: Factors That Contribute to Success and Failure of Nonoperative Treatment.
CONCLUSIONS: This study demonstrated that family support and fewer complaints are predictors of success for the brace. PMID: 29714404 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Thaker S, Anderson M, Fezio J, Rader C, Misra MV Tags: Conn Med Source Type: research

Peripheral Tibial Nerve Stimulation for Overactive Bladder Syndrome: Treatment Success and Patient Satisfaction.
CONCLUSION: Overall the success of the PTNS therapy was 64.7%, consistent with previous studies. Most patients note improvement after the fourth treatment. PMID: 29714405 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Propst K, Butler H, O'Sullivan DM, Tunitsky Bitton E Tags: Conn Med Source Type: research

Injuries Associated with Subdural Hematoma: A Study of the National Trauma Data Bank.
This study conveys an important clinical point: even though traditional teaching highlights the risk of noncontiguous spine fractures in patients with a known spine fracture, the risk of a noncontiguous spine fracture is higher when dealing with a patient with SDH. This is underscored by the fact that mortality is higher for SDH patients with other associated injuries. PMID: 29714406 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Anandasivam NS, Russo GS, Samuel AM, Grant R, Bohl DD, Grauer JN Tags: Conn Med Source Type: research

Durable Complete Response of Primary CNS Lymphoma in an 80-Year-Old Patient with Retroviral Infection.
We present the case of an 80-year-old patientwith HIV-associated PCNSL who achieved a durable complete response with HD-MTX andrituximab. He remains in complete remission 18 months after the diagnosis. Our case supports using the HD-MTX/rituximab combination in the very old subjects with HIV-related PCNSL. PMID: 29714407 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Del Rosario M, Tsai H, Dasanu CA Tags: Conn Med Source Type: research

Tragus Piercing Presenting as a Novel Risk Factor with Magnetic Resonance Imaging.
Abstract Although magnetic resonance imaging (MRI) excels in a number of medical imaging utilities, one of its particular attraction is the lack of ionizing radiation. However, MRI scans are associated with their own unique safety concerns. We encountered two cases of lost tragus piercings presenting as a novel risk factor in MRI safety. The lost tragus piercings caused temporary discomfort and pain but were able to be removed without complication. Heightened awareness for this potential source of patient harm, particularly with more individuals obtaining body piercings, is necessary for appropriate patient screen...
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Li S, Bhatt N, Gupta N, Kumar Y, Rosovsky MA Tags: Conn Med Source Type: research

Pseudo-Atrial Flutter Secondary to a Chest Wall Percussion Device.
We report a case of pseudo-atrial flutter in a 67-year-old male with quadriplegia and ventilator dependence due to amyotrophic lateral sclerosis (ALS) who was hospitalized for respite care. Ihe pseudo-atrial flutterwas found to be due to percussions from a built-in chest wall percussion device in a hospital mattress used for chest physiotherapy. PMID: 29714409 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Madden GR, Chang JJ Tags: Conn Med Source Type: research

Bilateral Giant Cell Arteritis Presenting as Bilateral Sudden Vision Loss.
Abstract Giant cell arteritis (GCA) is the most common form of primary vasculitis and it mainly involves large to medium sized vessels. It is also referred to as temporal arteritis as it primarily affects the temporal artery. Ocular involvement frequently occurs in GCA; if not promptly diagnosed, it can cause devastating ocular complications including complete vision loss and permanent blindness. In the majority of cases, it is unilateral; however, there are rare instances where bilateral ocular involvement is reported. In our report, we present the case of a patient presenting with bilateral sudden vision loss as...
Source: Connecticut Medicine - April 1, 2017 Category: General Medicine Authors: Modi DK, Sheth K, Wade S, Castillo R, Nanavaty S, Ali SS Tags: Conn Med Source Type: research

The Opioid Crisis and the Physician's Role in Contributing to its Resolution: Step One--Prevention of Overdoses.
This article outlines the epidemiology of overdoses, discusses naloxone distribution programs and myths surrounding its use, and reviews relevant legislative developments in Connecticut and proper counseling of patients and families to encourage broader education and prescribing of naloxone. PMID: 27509638 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Wolfe S, Bouffard DL, Modesto-LoweE V Tags: Conn Med Source Type: research

Does Initial Imaging Modality Affect Breast Biopsy Upgrade Rates? A Single Institution Review.
DISCUSSION: Although MRI had a lower rate of upgrade rate due to sampling error, this did not reach significance possibly because of our small sample size. PMID: 27509639 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Scott RB, Dolkar T, Vidhun R, Osler T, Staradub VL Tags: Conn Med Source Type: research

Ceramic-on-Ceramic Total Hip Arthroplasty in a Twelve-Year-Old Patient: Case Report with a 27-Year Follow-Up.
In this report, we also describe the senior author's choice of the Mittelmeier hip prosthesis within its historical context and provide a brief review of the literature as it relates to total hip arthroplasty in the juvenile patient. PMID: 27509640 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Save AV, Varthi A, Talusan PG, Gala R, Nelson S, Keggi KJ Tags: Conn Med Source Type: research

Adenovirus Pneumonia Mimicking Legionnaire's Disease with Acute Pancreatitis.
PMID: 27509641 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Cunha BA Tags: Conn Med Source Type: research

Primary Myeloid Sarcoma of the Small Intestine: Case Report and Literature Review.
Abstract Primary myeloid sarcoma is a rare extramedullary manifestation of acute myeloid leukemia (AML). Typically, myeloid sarcoma presents after a diagnosis of AML or other myeloproliferative disorder. However, primary myeloid sarcoma may present without any preexisting condition, thereby making it extremely difficult to diagnose. We discuss a case of a 22-year-old female who was misdiagnosed initially with acute appendicitis and underwent an appendectomy. Postoperatively, she continued to be symptomatic and eventually developed small bowel obstruction. Diagnostic laparoscopy revealed multiple small bowel masses...
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: McCusker S, Trangucci J, Frederick W, Richi AA, Abunnaja S Tags: Conn Med Source Type: research

Rapidly Fatal Dissemination of Merkel Cell Carcinoma in a Patient Treated with Alemtuzumab for Chronic Lymphocytic Leukemia.
We report here in a patient with a rapidly progressive metastatic Merkel cell carcinoma (MCC) who was previously treated with alemtuzumab and fludarabine for CLL. He developed profound lymphopenia and hypogammaglobulinemia. While the risk of MCC is increased in CLL, its rapid dissemination has not been previously reported with fludarabine alone. In light of the rapidly fatal outcome in our patient due to MCC, we advise caution with the use of alemtuzumab. In patients treated with alemtuzumab for nononcologic indications, aggressive surveillance for cutaneous malignancies should be implemented until its safety profile can b...
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Yu KK, Dasanu CA Tags: Conn Med Source Type: research

The Respimat Soft Mist Inhaler, a Novel Inhaled Drug Delivery Device.
Abstract Summary The Respimat SMI offers a novel delivery mechanism for the management of primarily COPD, but asthma as well. Presently, four different medications, as monotherapy or a combination of two active ingredients, are available using the Respimat SMI technology. Multiple studies have demonstrated safety and efficacy of these drugs when delivered via Respimat SMI. Patients tend to prefer the Respimat SMI over traditional inhaler devices, as it overcomes some of the disadvantages posed by traditional delivery devices. PMID: 27509644 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Perriello EA, Sobieraj DM Tags: Conn Med Source Type: research

Spiro Writing Awards 2016.
PMID: 27509645 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Norman K, Hayward H Tags: Conn Med Source Type: research

The Destruction of Clinical Medicine and What is Needed for its Resurrection.
PMID: 27509646 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Rosenberg M Tags: Conn Med Source Type: research

CDC Opioid Guidelines in Today's Drug Culture.
PMID: 27509647 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Deren MM Tags: Conn Med Source Type: research

Spring Update.
PMID: 27509648 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Jacobs HE Tags: Conn Med Source Type: research

Climbing Steep Hills.
PMID: 27509649 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - May 31, 2016 Category: Journals (General) Authors: Katz MC Tags: Conn Med Source Type: research

31 Years of Practicing Medicine in Litchfield County.
PMID: 27328569 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Gerard DA Tags: Conn Med Source Type: research

Litchfield County Medical Association--250 Years of Service.
PMID: 27328570 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Deren MM Tags: Conn Med Source Type: research

The Litchfield County Medical Association.
PMID: 27328571 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Brown MM Tags: Conn Med Source Type: research

Found! The Record of the 1767 Medical Society in Litchfield.
PMID: 27328572 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Stookey B Tags: Conn Med Source Type: research

Charlotte Hungerford Hospital--A Century of Care.
PMID: 27328573 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: LeBouthillier TJ Tags: Conn Med Source Type: research

The Sharon Hospital.
PMID: 27328574 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Brown MM Tags: Conn Med Source Type: research

No Longer is it "Even Women"--We're All in the Same Boat.
No Longer is it "Even Women"--We're All in the Same Boat. Conn Med. 2016 May;80(5):279-81 Authors: Taylor S PMID: 27328575 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Taylor S Tags: Conn Med Source Type: research

1986 - 2016: ThirtyYears of Remembrance: Litchfield County Medical Association.
PMID: 27328576 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Donaghy CA Tags: Conn Med Source Type: research

Things They Didn't Teach Me at Yale: One Surgeon's Generation.
PMID: 27328577 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Dutton RS Tags: Conn Med Source Type: research

Efficacy of Driving Simulator Training for Novice Teen Drivers.
The objective of this study was to determine if driving simulator training lowers motor vehicle crash (MVC) rates for novice teen drivers. We enrolled 215 high school students, and randomly assigned 89 to the control group, and 126 to the intervention group. Twelve months after the intervention, participants completed a survey asking about crash history and driving infractions. Nearly two-thirds (n = 137, 63%) of participants completed the presimulator survey, follow-up survey, and obtained a license. Nearly one-third of the intervention group (n = 42, 33%) completed some of the 12 simulator training modules: 2-5 modules (...
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Campbell BT, Borrup K, Derbyshire M, Rogers S, Lapidus G Tags: Conn Med Source Type: research

Cerebral Aneurysm from Cardiobacterium hominis Endocarditis.
Abstract A 43-year-old male with a history of bioprosthetic aortic valve replacement and tricuspid valve annuloplasty presented with vertigo and was found to have an acute infarct in the left superior cerebellum, as well as a left-middle cerebral artery mycotic aneurysm. Blood cultures grew Cardiobacterium hominis and bioprosthetic aortic valve vegetation was found on transthoracic echocardiogram. PMID: 27328579 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Glucksman A, Naut E Tags: Conn Med Source Type: research

Idiopathic Pneumatosis Intestinalis Requiring Decompressive Laparotomy.
CONCLUSION: Pneumatosis intestinalis and hepatic portal venous gas are radiographic findings that can be associated with bowel ischemia. The clinical status of the patient should guide operative management. There is no evidence to suggest that there is an association with spinal trauma and pneumatosis intestinalis or hepatic portal venous gas. PMID: 27328580 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: McGregor A, Bekdache K, Choi L Tags: Conn Med Source Type: research

Optimal Vaccine Administration for Patients Undergoing Chemotherapy.
PMID: 27328581 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Goodlet KJ, Girotto JE Tags: Conn Med Source Type: research

The Man with Two Hearts.
PMID: 27328582 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Deren MD Tags: Conn Med Source Type: research

Pharmaceutical Greed and Its Consequences.
PMID: 27328583 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Jacobs HE Tags: Conn Med Source Type: research

LCMA: Building a Strong Foundation for Organized Medicine for 250 Years.
PMID: 27328584 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - April 30, 2016 Category: Journals (General) Authors: Katz MC Tags: Conn Med Source Type: research

The Use of an Indwelling Catheter Protocol to Reduce Rates of Postoperative Urinary Tract Infections.
Abstract BACKGROUND: Catheter-associated urinary tract infections (CAUTI) have been associated with increases in morbidity and mortality as well as increased costs of hospitalization. At our institution, we implemented a protocol for indwelling catheter use, maintenance, and removal based on Center for Medicare and Medicaid Services (CMS) guidelines, in efforts to reduce CAUTI rates. METHODS: A hospital committee of quality stewards focused on several measures which included staff education, modification of existing systems to ensure compliance, and auditing of patient care areas for catheter utilization befo...
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: Umer A, Shapiro DS, Hughes C, Ross-Richardson C, Ellner S Tags: Conn Med Source Type: research

CVAS: A Rapid Dysphagia Evaluation Tool.
Abstract A simple-to-administer test for dysphagia was developed at our institution. The test can be administered rapidly and easily in the Emergency Department (ED) by a nurse or other qualified medical person, making formal consultation with a speech pathologist for rapid determination of dysphagia unnecessary. Our study shows that the use of the test does not increase the incidence of aspiration pneumonia. PMID: 27265922 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: Moalli D, Dell'Angelo D, Bedard L Tags: Conn Med Source Type: research

Primary Squamous Cell Carcinoma of the Stomach: A Case Report and Review of the Literature.
This report presents and discusses the case of a 64-year-old female who developed PGSCC arising in the gastric fundus. PMID: 27265923 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: Segura S, Pender J, Dodge J, Brandwein SL, El-Fanek H Tags: Conn Med Source Type: research

Colon Ischemia After Weight-Loss Medication in a 36-Year-Old Woman.
We report a case of ischemic colitis in a female patient linked to inappropriate phentermine intake. The patient presented with symptoms of severe abdominal pain and repeated bowel movement associated with rectal bleeding for two weeks. Initial blood work was unremarkable for infectious and inflammatory causes. A CT scan was performed which revealed findings of ischemic colitis extending from transverse to descending colon. A biopsy study confirmed the same. Upon further questioning, the patient admitted to taking 37.5 mg of phentermine for two years beyond her prescribed period of 12 weeks. Hence, we propose that inapprop...
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: Sharma P, Krishnamoorthy P Tags: Conn Med Source Type: research

Splenic Injury and Hemoperitoneum as a Complication of Colonoscopy: A Case Report and Literature Review.
Abstract Colonoscopy rarely results in serious or life-threatening complications. While bleeding, perforation, and cardiorespiratory complications account for a majority of procedural-related complications, splenic injury and resulting hemoperitoneum remain a serious, potentially life-threatening adverse event. Splenic injury is an underreported and underappreciated complication of colonoscopy. In this case, a 71-year-old female presented one day after colonoscopy with splenic injury and hemoperitoneum as a complication of the recent colonoscopy. In addition to reviewing the literature, the case describes systems ...
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: McCarty TR, Liu A, Njei B Tags: Conn Med Source Type: research

Fixed Drug Eruption Late in the Course of Capecitabine Therapy.
We report herein the first known patient with capecitabine-induced FDE that appeared relatively late in the course of adjuvant therapy for rectal cancer. The temporal association with capecitabine use and prompt disappearance after capecitabine discontinuation make this relationship probable. Knowledge about this dermatologic skin effect seen with oral fluoropyrimidines should avoid unnecessary diagnostic workup and provide the necessary patient reassurance. PMID: 27265926 [PubMed - in process] (Source: Connecticut Medicine)
Source: Connecticut Medicine - March 31, 2016 Category: Journals (General) Authors: Del Rosario M, Tsai H, Dasanu CA Tags: Conn Med Source Type: research