Interstitial Pneumonia Associated with Nodal T-follicular Helper Cell Lymphoma: A Case Report
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3601-24. Online ahead of print.ABSTRACTNodal T-follicular helper cell lymphoma (nTFHL), a hematologic neoplasm originating from T-follicular helper (TFH) cells, occasionally presents with pulmonary radiographic abnormalities, without neoplastic cellular infiltration. However, the precise mechanisms underlying non-neoplastic pulmonary opacities in patients with nTFHL remain unclear. Previous reports have shown that TFH cell abnormalities are associated with collagen disease and interstitial pneumonia with autoimmune features (IPAF). We herein report a patient with nTFHL ...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Satoshi Nakamura Tomotsugu Takano Kousei Nakatsuru Kazuya Tsubouchi Takuji Yamauchi Mikiko Hashisako Takeshi Iwasaki Isamu Okamoto Source Type: research

Successful Gastrografin Vermifugation for Taenia saginata-associated Appendicitis
We report the case a Japanese man who had previously resided in Vietnam, who experienced appendicitis and the presence of segments in his stool. Gastrografin led to the expulsion of Taenia saginata, as confirmed by scolex identification. Remarkably, the appendicitis symptoms subsided after deworming. This case underscores the importance of considering cestode infections in the differential diagnosis of appendicitis, particularly for patients with relevant travel histories, and highlights the evolving challenges in global health and the significance of acquiring detailed patient histories.PMID:38599859 | DOI:10.2169/interna...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Keigo Kobayashi Yasuhiro Umekawa Source Type: research

Pasteurella multocida Bacteremia Caused by Household Cat Bites
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3576-24. Online ahead of print.NO ABSTRACTPMID:38599860 | DOI:10.2169/internalmedicine.3576-24 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Yusuke Watanabe Itaru Nakamura Yuri Ishii Jun Oda Source Type: research

Prominent Crista Terminalis Mimicking a Right Atrial Mass
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3551-24. Online ahead of print.NO ABSTRACTPMID:38599861 | DOI:10.2169/internalmedicine.3551-24 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Yoshikuni Shoji Yuki Saito Yasuo Okumura Source Type: research

A Lobulated Mass with Extensive Ecchymosis in the Epigastrium
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3466-24. Online ahead of print.NO ABSTRACTPMID:38599862 | DOI:10.2169/internalmedicine.3466-24 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Kiyohide Takahashi Shuhei Miyagi Miho Nishiyama Tsutomu Shinohara Source Type: research

Patient With Gender Dysphoria Diagnosed With Multiple Sclerosis Following Takotsubo Cardiomyopathy and Ventricular Arrhythmia: A Case Report and Systematic Literature Review
In this report, we also systematically reviewed published cases of takotsubo cardiomyopathy and MS and found that basal type takotsubo cardiomyopathy was the most common, and most patients presented with brainstem involvement of MS. An awareness of these associations by physicians, along with multidisciplinary collaboration, may facilitate the early diagnosis and improve the prognosis of these patients.PMID:38599863 | DOI:10.2169/internalmedicine.3442-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Shinya Yamanaka Mariko Nishihara Madoka Kondo Kotaro Miyata Zhehao Dai Fujimi Kawai Nobuyuki Komiyama Source Type: research

Drug-induced Steatohepatitis Caused by Long-term Use of Topical Steroids for Atopic Dermatitis: A Case Report
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3439-23. Online ahead of print.ABSTRACTAtopic dermatitis is common in children and often treated with topical corticosteroids (TCs). A boy in his late teens who had been using TCs for atopic dermatitis was diagnosed with liver damage during a health checkup. A medical examination revealed severe steatotic liver disease and elevated liver enzyme levels despite the absence of typical symptoms such as central obesity. After discontinuation of TCs, an improvement in liver enzyme levels was observed, leading to the diagnosis of drug-induced steatohepatitis. This case undersc...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Yuki Tamura Atsushi Naganuma Yuhei Suzuki Sanae Uehara Takashi Hosino Takeshi Hatanaka Nobuyuki Shibusawa Akihito Uehara Akira Ogawa Satoru Kakizaki Toshio Uraoka Source Type: research

Different Food Preferences in Patients with Gastrointestinal Disorders
Conclusions Patients with FD had a negative preference for foods, particularly fatty foods, independent of the severity of GI symptoms.PMID:38599865 | DOI:10.2169/internalmedicine.3433-24 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Ryo Katsumata Tomoka Kaburagi Takayuki Hosokawa Noriaki Manabe Manabu Ishii Katsunori Ishii Tomohiro Tanikawa Noriyo Urata Maki Ayaki Ken Nishino Takahisa Murao Mitsuhiko Suehiro Minoru Fujita Miwa Kawanaka Ken Haruma Hirofumi Kawamoto Toshihiro Takao Tom Source Type: research

An Autopsy Case of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Induced by Propylthiouracil
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3397-23. Online ahead of print.ABSTRACTAntineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a complication caused by antithyroid drugs, particularly propylthiouracil (PTU). Most patients experience organ failure due to the affects of the treatment regimen. We herein report the case of an 89-year-old woman whose severe AAV induced by PTU resulted in various instances of organ failure that eventually led to death after 9 years of PTU therapy. During autopsy, we identified five types of organ failure. As AAV is a potentially fatal disease, the developm...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Genki Fujii Ryosuke Yoshihara Toshiki Hyodo Ikuhiro Ishida Ryoko Onishi Masayo Fujimoto Keiji Iida Source Type: research

Successful Pregnancy and Delivery After Frozen-thawed Embryo Transfer Following the Third Discontinuation of Tyrosine Kinase Inhibitor in a Woman with Chronic Myeloid Leukemia
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3322-23. Online ahead of print.ABSTRACTAssisted reproductive technology is a viable option for pregnant women with chronic myeloid leukemia. We herein report the case of a patient who underwent successful fertility treatment with frozen embryo preservation at 36 years of age, followed by embryo transfer at 39 years of age, thus resulting in pregnancy and delivery after a third discontinuation of tyrosine kinase inhibitors (TKI). Despite the difficulty of long-term TKI withdrawal, the patient's strong desire for a baby led to a successful pregnancy and delivery with no a...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Kosuke Takayama Shin Fujisawa Takayuki Sakuma Kodai Hasegawa Kengo Katsuki Masahiro Akimoto Ayako Matsumura Yuki Nakajima Takuya Miyazaki Mariko Murase Hideaki Nakajima Source Type: research

Vanishing Bone Disease
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3271-23. Online ahead of print.NO ABSTRACTPMID:38599868 | DOI:10.2169/internalmedicine.3271-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Toshio Suzuki Ikuo Sekine Source Type: research

Lymphangioleiomyomatosis:Rapidly Progressive Retroperitoneal Cystic Tumor Mimicking Malignancy
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3254-23. Online ahead of print.NO ABSTRACTPMID:38599869 | DOI:10.2169/internalmedicine.3254-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Noboru Hamada Shinsuke Hashida Sachi Okawa Toshimitsu Suwaki Source Type: research

A Case of Cardiomyopathy Associated with CD36 Deficiency: Role of < sup > 18 < /sup > F-Fluorodeoxyglucose Positron Emission Tomography in the Diagnosis
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3253-23. Online ahead of print.ABSTRACTWe herein report a patient with type I CD36 deficiency. The patient was initially suspected of having isolated cardiac sarcoidosis based on the presence of non-sustained ventricular tachycardia, delayed myocardial enhancement on magnetic resonance imaging (MRI), and diffuse accumulation of 18F-fluorodeoxyglucose (18F-FDG) on cardiac positron emission tomography (PET). Our findings suggest that the diagnosis of cardiomyopathy associated with CD36 deficiency is often missed, highlighting the importance of a differential diagnosis of ...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Shuichi Fujita Fumio Terasaki Itsuro Morishima Masaaki Hoshiga Source Type: research

A Case of 17 α-hydroxylase/17,20-lyase Deficiency Diagnosed at 45 Years of Age with Hyperaldosteronism
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3084-23. Online ahead of print.ABSTRACT17α-hydroxylase deficiency is a type of congenital adrenocortical hyperplasia that is typically diagnosed in childhood or adolescence. It manifests as hypertension with gonadal dysfunction as the primary symptom. We herein report 17α-hydroxylase/17,20-lyase deficiency (17OHD) diagnosed at the age of 45 years. The patient presented with hypertension, irregular menstruation, and hyperaldosteronism. The clinical manifestations of 17OHD vary based on the specific variant pattern of CYP17A1. In this case, the variant was c.157_159 TCC...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Akira Ikeya Miho Yamashita Keisuke Kakizawa Yuto Kawauchi Akio Matsushita Yasuko Fujisawa Tsutomu Ogata Shigekazu Sasaki Source Type: research

A Case of Pseudoxanthoma Elasticum with juvenile-onset hypertension
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.3050-23. Online ahead of print.NO ABSTRACTPMID:38599872 | DOI:10.2169/internalmedicine.3050-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Katsuyoshi Katayama Haruhito A Uchida Aya Takehara Jun Wada Source Type: research