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
A Case of Myocardial Infarction with Non-obstructive Coronary Arteries Complicated by a Ventricular Septal Rupture: The Challenge of Achieving Hemodynamic Stability Using Impella Devices
In this report, we focused on the pathophysiology of MINOCA-related VSR and discussed the effectiveness of Impella devices as a bridge to surgical repair and circulatory backup during the perioperative period.PMID:38599873 | DOI:10.2169/internalmedicine.2945-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Masashi Yokoi Tsuyoshi Ito Yu Kawada Junki Yamamoto Toshiyuki Yamada Shohei Kikuchi Shuichi Kitada Toshihiko Goto Hideo Hattori Hisao Suda Yoshihiro Seo Source Type: research
Bilateral Sialadenitis as an Uncommon Initial Manifestation of Infectious Mononucleosis: A Case Report
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.2922-23. Online ahead of print.ABSTRACTSialadenitis has rarely been reported in patients with infectious mononucleosis (IM). Our patient was a 22-year-old man who presented with bilateral swelling of the parotid and submandibular glands, a fever, malaise, and splenomegaly. Laboratory tests revealed an increased percentage of atypical lymphocytes in the leukocyte fraction. Serological testing for antibodies against Epstein-Barr virus (EBV) revealed an acute infection pattern. The patient was diagnosed with sialadenitis associated with IM caused by EBV infection. With sym...
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Kenji Ishiguro Kazuhiro Ishikawa Takahiro Matsuo Nobuyoshi Mori Source Type: research
Intestinal ectopic varices caused fatal hemorrhage
Intern Med. 2024 Apr 9. doi: 10.2169/internalmedicine.2902-23. Online ahead of print.NO ABSTRACTPMID:38599875 | DOI:10.2169/internalmedicine.2902-23 (Source: Internal Medicine)
Source: Internal Medicine - April 10, 2024 Category: Internal Medicine Authors: Yu Kodama Takero Terayama Takuma Oguro Tetsuro Kiyozumi Source Type: research
