Association between the decrease in medical visit frequency and chronic disease worsening in the early stages of COVID-19-A longitudinal study
CONCLUSIONS: A decreased frequency of medical visits was observed among one-third of the participants with chronic disease in the early stage of the pandemic, and it reduced by half at follow-up. In the early stages of an emerging infectious disease pandemic, decreased regular hospital/clinic visits can lead to a worsening of chronic diseases. Those who had psychological distress, unemployment, and a history of smoking were vulnerable to a worsening chronic disease.PMID:38569913 | DOI:10.2169/internalmedicine.2697-23 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Takeshi Takakubo Yuko Odagiri Masaki Machida Tomoko Takamiya Noritoshi Fukushima Hiroyuki Kikuchi Toshio Hayashi Shiho Amagasa Shigeru Inoue Source Type: research
Peroral Cholangioscopy Using an Ultra-slim Upper Endoscope
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3557-24. Online ahead of print.NO ABSTRACTPMID:38569899 | DOI:10.2169/internalmedicine.3557-24 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Shinsuke Akiyama Masaya Wada Tetsuro Inokuma Source Type: research
Spontaneous Pneumoperitoneum
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3527-24. Online ahead of print.NO ABSTRACTPMID:38569900 | DOI:10.2169/internalmedicine.3527-24 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Takaaki Mori Haruka Sato Fumito Okada Yoshiki Asayama Source Type: research
A Case of Gastroliths Simultaneously Found in the Stomach and Small Intestine
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3514-24. Online ahead of print.NO ABSTRACTPMID:38569901 | DOI:10.2169/internalmedicine.3514-24 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Yuka Kowazaki Hisashi Fukuda Toyoaki Sawano Masayuki Okazaki Source Type: research
Temporal MRI alterations in methanol intoxication
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3450-24. Online ahead of print.NO ABSTRACTPMID:38569902 | DOI:10.2169/internalmedicine.3450-24 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Yasutaka Tajima Kosuke Iwami Yasunori Mito Source Type: research
Tension Pneumomediastinum in Anti-MDA5 Antibody-positive Dermatomyositis-associated Interstitial Lung Disease: A Case Report and Literature Review
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3418-23. Online ahead of print.ABSTRACTAnti-melanoma differentiation-associated gene 5 (MDA5) antibody-positive dermatomyositis (DM)-associated interstitial lung disease (ILD) can sometimes be complicated by pneumomediastinum, although tension pneumomediastinum is extremely rare. We herein report a case of anti-MDA5 antibody-positive DM-ILD that worsened subcutaneous and mediastinal emphysema during treatment. Hypotension and worsening respiratory failure were observed on day 20 of treatment. Mediastinal drainage under video-assisted thoracoscopic surgery promptly impro...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Hiroko Okabayashi Seiya Nakashima Kosuke Fujino Miyu Imai Shohei Hamada Aiko Masunaga Hidenori Ichiyasu Makoto Suzuki Takuro Sakagami Source Type: research
Rapid Progression of a Sessile Serrated Lesion
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3415-24. Online ahead of print.NO ABSTRACTPMID:38569904 | DOI:10.2169/internalmedicine.3415-24 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Yukiko Hiramatsu Takahiro Utsumi Munehiro Ikeda Hiroshi Seno Source Type: research
Novel Endoscopic Findings of Lesions with a Short White Hair-like Appearance in the Lower Esophagus
Conclusion This study is the first to report the prevalence of multiple short white hair-like appendages in the lower esophagus. The occurrence of such lesions is inversely associated with the presence of reflux esophagitis.PMID:38569905 | DOI:10.2169/internalmedicine.3396-23 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Kyoichi Adachi Eiko Okimoto Yuri Ebisutani Kanako Kishi Norihisa Ishimura Hiroshi Miura Shunji Ishihara Source Type: research
Dapagliflozin-induced drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Followed By Acute Interstitial Nephritis (AIN): A Case Report
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3347-23. Online ahead of print.ABSTRACTA 78-year-old male was admitted to the hospital with acute renal failure and generalized erythema after starting dapagliflozin 10 mg/day for chronic kidney disease (CKD). A skin biopsy revealed superficial perivascular dermatitis with eosinophils. A renal biopsy revealed lymphocytic and eosinophilic infiltration of the interstitium, and focal tubulitis. The patient was diagnosed with a dapagliflozin-induced drug reaction with eosinophilia and systemic symptoms (DRESS), followed by acute interstitial nephritis (AIN), and prednisolon...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Tomohisa Tsuyuki Kenta Torigoe Masatoshi Shimizu Hiroshi Taira Ryosuke Sakamoto Shinichi Abe Sayaka Kuwatsuka Kumiko Muta Hiroshi Mukae Tomoya Nishino Source Type: research
FOXA1/CK7-positive Esophageal Squamous Cell Carcinoma with Aggressive Liver Metastasis: A Case Report
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.3300-23. Online ahead of print.ABSTRACTCytokeratin (CK) is a specific marker of adenocarcinoma. However, cases of CK7-positive esophageal squamous cell carcinoma (ESCC) have only rarely been reported. We herein report a case of unresectable CK7-positive ESCC with aggressive liver metastasis following nivolumab treatment initiation. Nivolumab treatment was discontinued after one course because of complications. Notably, the liver metastases exhibited accelerated growth. Immunostaining of the necropsy specimens revealed diffuse positivity for forkhead box protein A1 (FOXA...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Hiroto Inoue Osamu Inatomi Hiroshi Matsumoto Hidenori Kimura Takahisa Nakayama Atsushi Nishida Akira Andoh Source Type: research
A Cerebral Embolism Caused by a Malignant Peripheral Nerve Sheath Tumor in a Patient with Neurofibromatosis Type 1
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.2996-23. Online ahead of print.ABSTRACTA 31-year-old man with neurofibromatosis type 1 (NF-1) had undergone resection of a malignant peripheral nerve sheath tumor (MPNST) on the buttock 3 months previously. He subsequently underwent mechanical thrombectomy for a hyperacute left middle cerebral artery embolism. Histopathologically, the emboli comprised neurofilament-positive pleomorphic tumor cells with geographic necrosis and conspicuous mitosis and were identified as MPNST. The patient died of respiratory failure due to lung MPNST metastasis on day 15 of hospitalizatio...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Kyosuke Matsunaga Muneaki Kikuno Hiroki Sakamoto Hirofumi Okada Takao Hashimoto Shogo Honda Jun Matsubayashi Toshitaka Nagao Yuko Yamada Hajime Horiuchi Masahiko Kuroda Shigeo Murayama Hiroo Terashi Michihiro Kohno Source Type: research
A Study of the Risk Factors for 402 Patients with Esophageal Squamous Cell Carcinoma - A Retrospective Comparison with Health Checkup Participants
Conclusion The factors associated with ESCC include alcohol consumption, smoking, concomitant cancer of other organs, and a low BMI. Endoscopy in subjects with these factors may therefore be recommended for the early detection of ESCC.PMID:38569909 | DOI:10.2169/internalmedicine.2950-23 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Jun Nakamura Ken Haruma Noriaki Manabe Tomoki Yamatsuji Yoshinori Fujiwara Takahisa Murao Minoru Fujita Akiko Shiotani Mitsuhiko Suehiro Hirofumi Kawamoto Minoru Haisa Tomio Ueno Tomoari Kamada Toshihiro Takao Yasumasa Monobe Takashi Akiyama Yoshio Naomot Source Type: research
A case of autoimmune encephalitis in a patient with a solitary intracranial plasmacytoma
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.2888-23. Online ahead of print.ABSTRACTA 65-year-old woman presented with fever and abnormal behavior. Magnetic resonance imaging showed swelling of the left medial temporal lobe and an intracranial extra-axial occipital tumor. While her neurological symptoms improved after the administration of corticosteroid therapy under the suspicion of autoimmune encephalitis, the occipital tumor unexpectedly shrank, and the diagnosis of a solitary plasmacytoma was confirmed by biopsy. Additional examinations revealed elevated anti-glutamate receptor antibodies in the cerebrospinal...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Keisuke Mizutani Keita Sakurai Yuto Uchida Ken Hashimoto Tomohiro Kajiguchi Yukitoshi Takahashi Hiroyuki Yuasa Koji Takada Noriyuki Matsukawa Source Type: research
A case of Adult-onset Acute Flaccid Myelitis Accompanied by Rhombencephalitis which First Presented with Prominent Psychiatric Symptoms and Dysautonomia Mimicking Anti-N-methyl-d-aspartate Receptor Encephalitis
Intern Med. 2024 Apr 2. doi: 10.2169/internalmedicine.2767-23. Online ahead of print.ABSTRACTA 44-year-old woman with a subacute onset of an altered mental status, urinary retention, and fluctuating blood pressure was initially diagnosed with anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis, meeting the criteria of Graus et al. Cardiac arrest occurred, which required pacemaker placement. She subsequently showed profound flaccid limb paralysis, with magnetic resonance imaging demonstrating focal necrotic lesions localized in the anterior horn of the longitudinal segments of the spinal cord and in the pontine tegmentu...
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Hiroyuki Sumikura Mai Ito Takuma Sato Naoki Hatayama Tomohiro Fujioka Nozomi Nagashima Yuki Shimada Isao Fukasaka Mikito Shimizu Kyoko Higashida Taku Hoshi Keiko Tanaka Manabu Sakaguchi Source Type: research
Plain computed tomography for differentiating neoplastic and non-neoplastic pedunculated gallbladder polyps
CONCLUSIONS: PGPs detected using plain CT had a high probability of being NPs. Plain CT is therefore considered to be useful for differentiating NPs from non-NPs.PMID:38569912 | DOI:10.2169/internalmedicine.2760-23 (Source: Internal Medicine)
Source: Internal Medicine - April 3, 2024 Category: Internal Medicine Authors: Fumisato Kozakai Takahisa Ogawa Toshitaka Sakai Shinsuke Koshita Yoshihide Kanno Hiroaki Kusunose Keisuke Yonamine Kazuaki Miyamoto Haruka Okano Yuto Matsuoka Kento Hosokawa Hidehito Sumiya Reiji Sugita Kei Ito Source Type: research
