Russel's sign: Unilateral hand callosities in bulimia nervosa
J R Coll Physicians Edinb. 2024 Jan 29:14782715241228325. doi: 10.1177/14782715241228325. Online ahead of print.ABSTRACTA dermatology consult was sought for a 34-year-old female who presented with repeated vomiting and loss of weight, quantified to be around 13 kgs over the preceding 4 months. Examination revealed strictly unilateral callosities and few superficial erosions over the right distal hand, third and fourth metacarpophalangeal joints, and interphalangeal joints of the second digit, consistent with Russell's sign in bulimia nervosa. History of binge eating followed by purging by forced vomiting was found on dieta...
Source: Journal of the Royal College of Physicians of Edinburgh - January 29, 2024 Category: General Medicine Authors: Verma Vaishnavi Sharma Ritu Bhari Neetu Source Type: research

MARJORIE E.M. ALLISON, MD, FRCP (Glasgow and Edinburgh): 1940-2023
J R Coll Physicians Edinb. 2024 Jan 19:14782715241227078. doi: 10.1177/14782715241227078. Online ahead of print.NO ABSTRACTPMID:38240320 | DOI:10.1177/14782715241227078 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - January 19, 2024 Category: General Medicine Authors: Gordon Lowe James McKillop Harry Gray Source Type: research

Aseptic meningitis following spinal anaesthesia: An uncommon and challenging diagnosis
J R Coll Physicians Edinb. 2024 Jan 12:14782715231223262. doi: 10.1177/14782715231223262. Online ahead of print.ABSTRACTDrug-induced aseptic meningitis (DIAM) or chemical meningitis following spinal anaesthesia has rarely been reported. DIAM is caused by meningeal inflammation due to intrathecally administered drugs or secondary to systemic immunological hypersensitivity. We hereby present a case of a young adult with aseptic meningitis following neuraxial anaesthesia possibly provoked by bupivacaine. The initial cerebrospinal fluid (CSF) picture revealed neutrophilic pleocytosis and normal glycorrhachia. CSF culture was n...
Source: Journal of the Royal College of Physicians of Edinburgh - January 12, 2024 Category: General Medicine Authors: Sugata Dasgupta Anurag Chatterjee Atanu Chandra Source Type: research

Tackling the 'Great imitator'!
J R Coll Physicians Edinb. 2023 Dec 30:14782715231219716. doi: 10.1177/14782715231219716. Online ahead of print.NO ABSTRACTPMID:38160199 | DOI:10.1177/14782715231219716 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Kaitlyn O'Brien Sarmad Waqas Source Type: research

Spotlighting 'Medical Collegiality'
J R Coll Physicians Edinb. 2023 Dec 30:14782715231221833. doi: 10.1177/14782715231221833. Online ahead of print.ABSTRACT'Collegiality' comes from the Latin term 'Collegium', which essentially refers to a community of individuals bounded by their collective pursuit of a common goal. The concept has historical roots in both organised religion and academia, with its use subsequently extended to various industrial and corporate settings including healthcare. Nowadays, 'collegiality' has become a common buzzword adopted by the medical fraternity - often deemed as having a polite and respectful demeanour, maintaining cordial wor...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Isaac Ks Ng Sarah Ml Tan Lawrence Sc Law Li Feng Tan Desmond B Teo Source Type: research

Drug-induced secondary haemophagocytic lymphohistiocytosis in hairy cell leukaemia
J R Coll Physicians Edinb. 2023 Dec 30:14782715231220108. doi: 10.1177/14782715231220108. Online ahead of print.ABSTRACTHaemophagocytic lymphohistiocytosis (HLH) is a rare, aggressive, excess immune activation syndrome. Diagnosis can be challenging due to its several clinical mimics including sepsis. There are multiple aetiologies of HLH; in adults, it is most commonly triggered by infection, malignancy, drugs and autoimmune processes. Failure to rapidly diagnose and treat this condition can be fatal. The management of HLH includes identifying and removing the trigger, supportive management and immunosuppression. Identifyi...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Katherine Stark Cormac Rowe Abhinav Mathur James Matossian Alastair Lawrie Source Type: research

Vincent Marks DM, FRCPE, FRCP, FRCPath
J R Coll Physicians Edinb. 2023 Dec 30:14782715231223049. doi: 10.1177/14782715231223049. Online ahead of print.NO ABSTRACTPMID:38160202 | DOI:10.1177/14782715231223049 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Anthony Seaton Source Type: research

Tackling the 'Great imitator'!
J R Coll Physicians Edinb. 2023 Dec 30:14782715231219716. doi: 10.1177/14782715231219716. Online ahead of print.NO ABSTRACTPMID:38160199 | DOI:10.1177/14782715231219716 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Kaitlyn O'Brien Sarmad Waqas Source Type: research

Spotlighting 'Medical Collegiality'
J R Coll Physicians Edinb. 2023 Dec 30:14782715231221833. doi: 10.1177/14782715231221833. Online ahead of print.ABSTRACT'Collegiality' comes from the Latin term 'Collegium', which essentially refers to a community of individuals bounded by their collective pursuit of a common goal. The concept has historical roots in both organised religion and academia, with its use subsequently extended to various industrial and corporate settings including healthcare. Nowadays, 'collegiality' has become a common buzzword adopted by the medical fraternity - often deemed as having a polite and respectful demeanour, maintaining cordial wor...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Isaac Ks Ng Sarah Ml Tan Lawrence Sc Law Li Feng Tan Desmond B Teo Source Type: research

Drug-induced secondary haemophagocytic lymphohistiocytosis in hairy cell leukaemia
J R Coll Physicians Edinb. 2023 Dec 30:14782715231220108. doi: 10.1177/14782715231220108. Online ahead of print.ABSTRACTHaemophagocytic lymphohistiocytosis (HLH) is a rare, aggressive, excess immune activation syndrome. Diagnosis can be challenging due to its several clinical mimics including sepsis. There are multiple aetiologies of HLH; in adults, it is most commonly triggered by infection, malignancy, drugs and autoimmune processes. Failure to rapidly diagnose and treat this condition can be fatal. The management of HLH includes identifying and removing the trigger, supportive management and immunosuppression. Identifyi...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Katherine Stark Cormac Rowe Abhinav Mathur James Matossian Alastair Lawrie Source Type: research

Vincent Marks DM, FRCPE, FRCP, FRCPath
J R Coll Physicians Edinb. 2023 Dec 30:14782715231223049. doi: 10.1177/14782715231223049. Online ahead of print.NO ABSTRACTPMID:38160202 | DOI:10.1177/14782715231223049 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Anthony Seaton Source Type: research

Tackling the 'Great imitator'!
J R Coll Physicians Edinb. 2023 Dec 30:14782715231219716. doi: 10.1177/14782715231219716. Online ahead of print.NO ABSTRACTPMID:38160199 | DOI:10.1177/14782715231219716 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Kaitlyn O'Brien Sarmad Waqas Source Type: research

Spotlighting 'Medical Collegiality'
J R Coll Physicians Edinb. 2023 Dec 30:14782715231221833. doi: 10.1177/14782715231221833. Online ahead of print.ABSTRACT'Collegiality' comes from the Latin term 'Collegium', which essentially refers to a community of individuals bounded by their collective pursuit of a common goal. The concept has historical roots in both organised religion and academia, with its use subsequently extended to various industrial and corporate settings including healthcare. Nowadays, 'collegiality' has become a common buzzword adopted by the medical fraternity - often deemed as having a polite and respectful demeanour, maintaining cordial wor...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Isaac Ks Ng Sarah Ml Tan Lawrence Sc Law Li Feng Tan Desmond B Teo Source Type: research

Drug-induced secondary haemophagocytic lymphohistiocytosis in hairy cell leukaemia
J R Coll Physicians Edinb. 2023 Dec 30:14782715231220108. doi: 10.1177/14782715231220108. Online ahead of print.ABSTRACTHaemophagocytic lymphohistiocytosis (HLH) is a rare, aggressive, excess immune activation syndrome. Diagnosis can be challenging due to its several clinical mimics including sepsis. There are multiple aetiologies of HLH; in adults, it is most commonly triggered by infection, malignancy, drugs and autoimmune processes. Failure to rapidly diagnose and treat this condition can be fatal. The management of HLH includes identifying and removing the trigger, supportive management and immunosuppression. Identifyi...
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Katherine Stark Cormac Rowe Abhinav Mathur James Matossian Alastair Lawrie Source Type: research

Vincent Marks DM, FRCPE, FRCP, FRCPath
J R Coll Physicians Edinb. 2023 Dec 30:14782715231223049. doi: 10.1177/14782715231223049. Online ahead of print.NO ABSTRACTPMID:38160202 | DOI:10.1177/14782715231223049 (Source: Journal of the Royal College of Physicians of Edinburgh)
Source: Journal of the Royal College of Physicians of Edinburgh - December 30, 2023 Category: General Medicine Authors: Anthony Seaton Source Type: research