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Between July 1991 and December 1994 at Tsukuba Gakuen Hospital, we treated 19 consecutive men with advanced adenocarcinoma of the prostate (five at stage C, four at stage D1 and 10 at stage D2).
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Pleuropulmonary changes during treatment of Parkinson's disease with a long-acting ergot derivative, cabergoline.
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Psoriasis induced by interferon-alpha.
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Therefore, intraperitoneal catheters should be removed if they are not being used.
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TREATMENT: Emergency surgery is the treatment for this condition, but conditions such as the acute stage of a myocardial infarction or intraoperative bleeding difficulties due to iatrogenic coagulopathy, the degree of preoperative neurologic deficit, and the timing of surgery must be cautiously considered.
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The patient died 7 years after the diagnosis of myeloma with extensive abdominal lymphoma.
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Mefloquine-associated hypoglycaemia in a cachectic AIDS patient.
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After hydrocortisone supplementation and intensive therapy the baby recovered completely.
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Macular infarction after endophthalmitis treated with vitrectomy and intravitreal gentamicin.
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Confusional paranoid psychosis after withdrawal from sympathomimetic amines: two case reports.
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Radiographic studies suggest three possible explanations: (a) inadvertent thecal penetration during injection may have produced an atypical anesthetic block; (b) loculation of the injected fluid may have caused a transient compressive lesion; or (c) intrathecal injection may have produced an iatrogenic arachnoid cyst.
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While rasburicase has the potential to provide a rapid reversal of TLS in this patient population, when TLS is complicated by pre-existing acute renal failure, additional interventions and alternative anti-tumor strategies may be necessary for a successful outcome.
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Topical and local anesthetics are employed during minor invasive procedures to increase patient tolerance and to reduce the need for intravenous sedation.
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This can potentially complicate further intervention should restenosis occur.
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A young patient experienced marked sinus tachycardia while smoking marijuana and receiving therapeutic doses of nortriptyline.
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Dipyrone is commonly found in the homes of families who are originally from areas where it is still lawfully marketed.
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Both patients improved only when their antibiotic coverage was broadened to include Kluyvera.
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We report a case of an infected subgaleal hematoma caused by an unusual micro-organism in a previously healthy 11-month-old girl.
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The dosage of prednisolone was tapered, without a relapse, and then the corticosteroid therapy was stopped.
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Postprandial plasma glucose levels were relatively improved by lispro insulin.
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Immunosuppressive therapy was conducted with OKT-3 induction in the first patient because of the coexisting renal dysfunction and with a triple immunosuppressive regimen for both patients.
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Endovascular or surgical interventions may be considered in patients with ergot toxicity for specific indications or those whose symptoms progress despite conservative management.
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The case described here adds to the body of information about the possible causes of thyrotoxic ophthalmopathy.
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The diagnosis was supported by the temporal course of renal deterioration during exposure to cefuroxime and improvement on its discontinuation; the pattern repeated with rechallenge.
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Acarbose, an alpha-glucosidase inhibitor, has been used sporadically in adults after gastric surgery, but only once in children.
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The neovascularization developed within 1 month after the laser anastomosis in all three cases.
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CASE PRESENTATION: Three cases of Leishmania infantum leishmaniasis in corticosteroid (CS)-treated patients are reported: an isolated lingual leishmaniasis in a farmer treated with CS for asthma, a severe visceral leishmaniasis associated with cutaneous lesions in a woman with myasthenia gravis, and a visceral involvement after cutaneous leishmaniasis in a man receiving CS.
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He developed recurrent skin rash, fever, hypereosinophilia, and acute renal failure after rechallenge with chlorambucil.
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A noninvasive method in the differential diagnosis of vecuronium-induced and magnesium-induced protracted neuromuscular block in a severely preeclamptic patient.
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Ischaemia following selfadministered intra-arterial injection of methylphenidate and diamorphine.
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She was placed on adjuvant Adriamycin (doxorubicin) chemotherapy, but 6 months later died of Adriamycin toxicity.
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Two patients had abnormal electroretinograms (ERGs).
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(ClinicalTrials.gov number, NCT00126724.)
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Six months later, a small amount of large to medium-sized VWFMs was still present, but at 7-8 months, the pattern of VWFMs became almost the same as that before infusion.
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She had a history of schizophrenia and was treated with olanzapine 5 mg/day and lithium carbonate 300 mg 3 times/day.
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With the negative viral serologies, the clinical picture was most consistent with an infectious mononucleosis-like syndrome produced by the minocycline ingestion.
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Topical DMSO is a safe, inexpensive agent that appears to reduce the risk of anthracycline-induced tissue damage.
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INTRODUCTION: Leflunomide is an immunomodulating agent with proven efficacy in rheumatoid arthritis.
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RESULTS: The patient was treated with topical and oral antiviral agents and had complete recovery of the lesions in 10 days.
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Multiple attempts to withdraw the medication resulted in relapse.
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Although the relationship between antipsychotic medication, particularly second-generation antipsychotics (SGAs), and metabolic disturbance is increasingly accepted, there is an important, but little recognised, potential interaction between this and the other important serious adverse effect of neuroleptic malignant syndrome (NMS).
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Namely, that recalcitrant psoriatic skin lesions may have good clearing on one biologic, such as efalizumab, and arthritic symptoms can be well-controlled with etanercept, leading patients to be on two different biologics concurrently to control symptoms.
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BACKGROUND: The incidence of Mycobacterium avium complex (MAC) infection is increasing among patients with AIDS.
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No side effects were observed.
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Both had no past history of psychiatric or behavioural disorder.
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There were no abnormal reactions to UVA.
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Acute myocardial infarction during high-dose methylprednisolone therapy for Graves' ophthalmopathy.
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OBJECTIVE: The purpose of this study was to determine whether desensitization to NPH insulin, as well as standard insulin desensitization, could control allergic symptoms in a patient allergic to both NPH and regular insulin.
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A 17-year-old female patient who had been taking oral minocycline (50 mg twice daily) for 3 weeks for acne developed an eruption that progressed to an exfoliative dermatitis.
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With this approach there is minimal surgical trauma and the IOL is retained.
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Fatal varicella in steroid-dependent asthma.
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Fatal ventricular fibrillation after treatment with digoxin in a 27-year-old man with mitral leaflet prolapse syndrome.
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CONCLUSION: A 37-year-old African- American man with G6PD deficiency developed hemolytic anemia, hepatitis, orthostatic hypotension, and aseptic meningitis simultaneously after using trimethoprim-sulfamethoxazole.
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Our findings suggested that the antecedent use of high-dose corticosteroids is involved in precipitating normotensive renal crisis.
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Acute syphilitic meningitis in a patient with systemic lupus erythematosus.
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OBJECTIVES: A delayed stroke-like leukoencephalopathy has been observed in patients receiving methotrexate (MTX) for childhood leukemia.
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This report describes the sudden appearance of mixed mania in three children with delusional depression soon after the commencement of tricyclic antidepressant therapy.
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The skin lesions spread rapidly to most of the body, and ulcers of the ocular and oral mucosa appeared.
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Both dogs had nonspecific respiratory signs and depression.
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We present a case of hemolytic-uremic syndrome that developed during the 4th cycle of combination chemotherapy with oxaliplatin, 5-fluorouracil and leucovorin.
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Spinal epidural lipomatosis (SEDL), an abnormal localized or tumor-like accumulation of fat in the epidural space, is an infrequent complication of chronic steroid usage and an uncommon cause of spinal cord compression.
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Skin histology revealed peri-follicular, peri-bublar and supra-bublar lymphocyte infiltration.
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Recent evidence has suggested several available methods to monitor free SDC during Fab therapy.
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The cosmetic contact lens user should receive professional advice before accessing the lenses, and this must be communicated to the public.
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The cycle of admissions was eventually broken by the intervention of a social worker, who provided structured non-medical support.
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Thus, an immunological mechanism might be involved in the mechanism of pirmenol-induced QT prolongation and T wave inversion on the electrocardiogram.
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Cutaneous rashes and eruptions can be caused by many medications, including carbamazepine.
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Quantification of circulating varicella-zoster virus DNA for follow-up in a case of visceral varicella-zoster infection ameliorated with intravenous acyclovir.
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Irritability is often a problem for patients with Post-Traumatic Stress Disorder (PTSD).
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Intravenous phenytoin was urgently administered into the dorsum of the right hand.
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Although rare in the adult population, it is associated even in the nonimmunocompromised host with increased morbidity and mortality.
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Renal function was restored after withdrawal of enalapril and initiation of steroid therapy.
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OBJECTIVE: Quetiapine is a recently introduced atypical antipsychotic.
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We concluded that leflunomide is a new immunosuppressive agent with anti-CMV activity, which may be useful in the treatment of multiresistant CMV.
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Is it quinine TTP/HUS or quinine TMA? ADAMTS13 levels and implications for therapy.
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Rofecoxib and inflammatory bowel disease: clinical and pathologic observations.
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We reviewed the cases of PnM in patients with DM treated with CsA.
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In our patient, DIAN possibly was related to cefuroxime, but the patient did not experience associated allergic symptoms.
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Case #3 was considered a mixed drug overdose.
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When the dermatology service consulted the following day, the patient had developed an erythematous, edematous, tender plaque on his chest.
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Decrease of TTKG was possibly the result of suppressed K+ secretion.
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The association between heparin and priapism is often recognized; abnormal platelet aggregation could play a role in the pathogenesis of this side effect.
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Serum antinuclear antibodies were present in high titer, and hypocomplementemia developed.
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Penicillin-induced Jarisch-Herxheimer reaction.
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The other woman had rheumatoid arthritis and developed acute tubular necrosis after treatment with gentamicin and cefoxitin.
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Methotrexate (MTX) is a commonly used second line agent for RA, and there have been several recent reports of Epstein-Barr virus (EBV)-associated polyclonal B cell lymphoproliferative disorder in MTX-treated RA patients.
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Priapism associated with olanzapine.
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Copperhead envenomations in the Carolinas.
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Two patients with ovarian cancer who had received multiple courses of cisplatin without complications experienced hypersensitivity reactions to cisplatin: one, involving intrahepatic artery infusion, manifested general erythema, dyspnea, and hypotension; the other, involving intravenous infusion, manifested abdominal pain, general erythema, and fever.
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Most cardiac surgical patients have had previous exposure to heparin for diagnostic or therapeutic interventions and hence have an increased susceptibility to developing heparin-induced thrombocytopenia (HIT) postoperatively.
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Seizures associated with fluoxetine therapy are uncommon.
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The mean follow-up was 33 months (range, 26-48 months), and the mean treatment duration was 22.6 months (range, 13-32 months).
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A case is reported of a subphrenic abscess 12 months post-laparoscopic cholecystectomy in a 72-year-old male with identification of Actinomyces meyeri and the oropharyngeal commensal Klebsiella ozaenae.
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In four of 10 patients with PR, the tumor was not observable, although the tumor marker did not completely decline to the normal range.
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Botulinum toxin is effective and safe for palatal tremor: a report of five cases and a review of the literature.
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This proved to be extensive forearm deep venous thrombosis.
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We compared the serum laboratory values and liver biopsy findings from group 1 with those from 10 patients with sporadic autoimmune hepatitis (group 2).
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Eleven patients developed infection requiring hospitalization while taking leflunomide including: lower respiratory tract infections (3), cellulitis (2), disseminated herpes zoster (2), probable TB liver (1), abdominal sepsis (1), mycotic aneurysm (1) and gastroenteritis (1).
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Colchicine-induced myopathy in a teenager with familial Mediterranean fever.
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Because contact dermatitis due to a topical medication was suspected, patch testing was performed after disappearance of her eruption.
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