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Leukocyte histamine release test with salmon calcitonin and serum tryptase levels at baseline and after intramuscular challenge test were performed.
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A number of patients also had acute gastrointestinal hemorrhage.
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Acute renal insufficiency is known to occur in patients who are taking ciprofloxacin, particularly the elderly.
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Acetazolamide (AZ) is mostly excreted in the urine, therefore, the blood levels of AZ often tend to increase in patients with chronic renal failure.
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It produces clinically malignant multivesicular infiltrating lesions most often in the liver, and is quite different from the usual cystic variety caused by E. granulosus.
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Therapy with the zinc-saline dressings was continued and restoration of all tissues was documented within 225 days.
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Recombinant hirudin (lepirudin), a thrombin-specific inhibitor, provides safe and effective anticoagulation in such patients.
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Ninety-nine of 171 (57.9%) patients were also prescribed prednisone.
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RESULTS: Twenty-five patients were recruited in each treatment arm (50 in total).
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CD4 count was 326 +/- 124 cells/mL (range, 198-467) and all patients presented HIV viral load < 75 copes/mL.
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Gemcitabine-associated hemolytic-uremic syndrome.
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Cytomegalovirus (CMV) pneumonia in the setting of non-transplantation patients is a rarity.
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The drug should be withdrawn immediately if there is a suspicion of blood disorders.
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Palatal tremor (formerly palatal myoclonus) is an extremely rare, but potentially treatable cause, of objective tinnitus.
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Methemoglobinemia may occur after the administration of various drugs, including some local anesthetics.
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2). These findings were characteristic of granular parakeratosis.
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Although the cornerstone of treatment for AWS remains benzodiazepines, this case highlights the potential utility of phenobarbital in patients with resistant AWS.
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Within days, she developed paranoid ideation, profound psychomotor retardation, increased depression, and fatigue.
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Here, we describe two patients who developed severe proteinuria after renal transplantation, despite effective blood pressure control with an ACE inhibitor.
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After the switch to aripiprazole, the patient's psychotic condition improved.
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Here, we report for the first time the induction of a subfulminant autoimmune hepatitis (AIH) after four months of a successful treatment of HCV-1b infection using peg-IFN and ribavirin, in a 48-year-old woman co-infected with HIV.
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The most common causes of sudden cardiac arrest are massive pulmonary embolism (PE) and acute myocardial infarction (MI).
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This is the first report to document ocular motor abnormalities associated with midbrain dysfunction in ODS.
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Videopolysomnographic and pharmacokinetic studies with monitoring of plasma levodopa levels demonstrated marked motor hyperactivity during augmentation, with anarchic discharges of motor unit potentials, tonic grouped discharges and flexor spasms, associated with painful dysesthesia.
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Three patients presented with myoclonic seizures refractory to valproic acid and the usual antiepileptic therapy.
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The parasite that causes this infection is usually transmitted by the sandfly and occasionally by nonsterile needles among intravenous drug users.
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Pulmonary hemorrhage as a clinical manifestation of hemolytic-uremic syndrome associated with mitomycin C therapy.
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CONCLUSIONS: Itraconazole-induced liver injury presents with a cholestatic pattern of injury with damage to the interlobular bile ducts, possibly leading to ductopenia.
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It may become manifest as perilesional linear, depigmented, atrophic streaks, which are usually most prominent in patients with dark-colored skin.
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Two weeks later he was seen with a 5-kg weight gain, shortness of breath, bibasilar rales, +S3 gallop, and increased jugular venous distention.
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Almost all of the suspected adverse drug reactions (ADR) from 1% lindane have involved substantial misuse.
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Verapamil in effort-induced angina pectoris in patients with normal coronary arteries.
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PAS was stopped and the patient's blood glucose concentrations became normal.
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We describe the development of severe lipoatrophy in a patient treated with biphasic aspart.
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We underline the association between this pathogen and inguinal skin breaks, and discuss the potential diagnostic pitfalls in clinical and laboratory diagnosis.
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We postulate that cyclosporin, possibly together with ganciclovir, can produce transient brain stem or neuromuscular dysfunction with eye movement abnormality in occasional patients.
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Endogenous catecholamines in excess are known to cause dilated cardiomyopathy.
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Slow acetylator genotypes as a possible risk factor for infectious mononucleosis-like syndrome induced by salazosulfapyridine.
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The overall tolerability was considered to be very good; however, initial sleepiness appeared in four patients.
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An 82-year-old woman with type 2 diabetes had been treated with recombinant human insulin for 16 years.
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The hospital course of the acute renal failure is presented with a review of the literature on cases of acute renal failure after IVIG.
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These asymptomatic papules with a tendency to coalesce became more prominent with prolonged exposure (Figs 1 and 2).
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The objective of this presentation is to document the salient clinical findings in a case of aflatoxicosis and to review the literature on the same so as to increase the index of suspicion, enhance early diagnosis and improve management.
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Hyperhidrosis is a debilitating condition characterised by sweating that exceeds the need of normal thermoregulation.
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BACKGROUND: Chronic pain is one of the most common reasons for therapeutic cannabis use.
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Generalized and partial complex seizures, other neurological signs and symptoms, and laboratory data were improved after modification of her anticonvulsant regimen.
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Potential advantages and hazards of transvaginal intratubal insemination and single-dose MTX for ectopic pregnancy are discussed.
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Nail staining from hydroquinone cream.
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Case report: severe gastrointestinal inflammation and persistent HHV-6B infection in a paediatric cancer patient.
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It is concluded that boldo leaf extracts might be hepatotoxic, at least in elderly patients with fatty liver.
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Linezolid, the first approved oxazolidinone, appears to be a promising new agent for the treatment of serious Gram-positive infections.
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Her serum creatinine phosphokinase level was 19,190 IU/L.
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Very elderly patients with nephrotic syndrome frequently suffer from oliguric renal failure, which has a potentially high mortality.
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Rapamycin/sirolimus (SR), trade named Rapammune (Wyeth-Ayerst, Sydney, Australia), is a potent immunosuppressive drug associated with myelosuppression, hypertension, hyperlipidemia, and infection.
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Laboratory studies demonstrated eosinophilia, elevated serum IgE, and elevated T suppressor/cytotoxic cells in the peripheral blood.
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Arterial hypotension, which improved with inotropic agents, was the only complication that seemed related to the inhaled anaesthetic.
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Renal biopsy showed a type I membranous glomerulonephropathy.
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After the chlorambucil was discontinued, the wbc count began to slowly rise and the patient developed clinical AML.
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He was maintained on cyclosporine A, mycophenolate mofetil, and prednisone.
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We describe the case of a 10-year-old girl with two epileptic seizures and subcontinuous spike-waves during sleep, who presented unusual side-effects related to clobazam (CLB) monotherapy.
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We do not suggest that epidural steroid therapy is the treatment of choice for patients with multiple back operations or that it is efficacious for these patients.
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Dihydropyrimidine dehydrogenase (DPD) is the rate-limiting enzyme in the catabolism of 5-FU.
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Neuropathies masquerading as an epidural complication.
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Her serum calcium level was finally stabilized in the 2.37-2.95 mmol/L by administration of a single intravenous dose of pamidronate.
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Hematologic toxicity was mainly granulocytopenia, but thrombocytopenia occurred in two patients.
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Complementary examinations and follow-up disclosed a sarcoidosis.
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Ifosfamide is an alkylating agent used in the treatment of a variety of solid tumours.
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Two patients had a predominantly axonal and sensory polyneuropathy of the lower legs with fasciculations in one of them.
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A case of stage 4 neuroblastoma that developed excessive hypertension on day 120 of chemotherapy is presented.
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Cross-sensitivity reaction between tacrolimus and macrolide antibiotics.
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Isoniazid-induced anaphylaxis.
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The case of a 67-year-old man with acute myocardial infarction with ST-segment elevation after a wasp sting treated with fibrinolysis and without significant coronary atherosclerosis is reported.
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We followed these patients by A scan ultrasonographic ocular measurements, documenting reduction of the anterior chamber depth combined with lens thickening.
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Exposures to 4-hydroxycyclophosphamide, the combination of thiotepa/tepa and carboplatin were 94%, 117% and 71% higher than the median respective exposures in a non-obese population of patients ( n=24) receiving similar doses.
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Hyperkalaemia with renal tubular dysfunction by sulfamethoxazole-trimethoprim for Pneumocystis carinii pneumonia in patients with lymphoid malignancy.
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Hypercalcemia occurs frequently after renal transplantation.
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The patient was sent to a rehabilitation hospital and had a partial recovery.
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A case of allopurinol hypersensitivity, possibly the first in a black African, is reported.
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We present the case of a nine-year-old boy with hypoplastic left heart syndrome and immune thrombocytopenic purpura who subsequently developed pneumatosis intestinails with a benign clinical examination.
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Rifampin can be associated with severe adverse effects such as hepatitis, acute renal failure, hemolytic anemia, and thrombocytopenia.
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Six patients developed peripheral neuropathy and five patients bone marrow depression, blood transfusions were given to three patients and in all five patients bone marrow function normalized after cessation of linezolid.
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We describe a patient with idiopathic RLS who developed augmentation after 8 months of levodopa treatment.
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Thalidomide neuropathy in childhood.
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Administration of multiple doses of meperidine in patients with hepatic disease should be discouraged.
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Glucocorticoids may be useful as short-term palliative therapy for acute exacerbations of Crohn disease.
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There were a small number of damaged follicles infiltrated by macrophages, which were immunopositive for HAM56.
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Glomerulonephritis in procainamide induced lupus erythematosus: report of a case and review of the literature.
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A 46-year-old man began taking nicotinic acid, 3 g daily, for hypercholesterolemia.
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The syndrome is characterized by hyperuricemia, hyperphosphatemia, hypocalcemia, hyperkalemia, and acute oliguric or anuric renal failure due to uric acid precipitation within the tubules (acute uric acid nephropathy) and to calcium phosphate deposition in the renal parenchyma and vessels.We report a case of acute spontaneous TLS in a patient with Crohn s disease treated with immunosuppressive drugs, who developed a plasmocytoma, in which serum uric acid concentration attained exceptionally high levels (44 mg/dL).
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In the last years intravenous cyclosporine (CyA) has been reported to be rapidly effective and relatively safe in patients with severe corticosteroid-resistant UC.
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A case of normotensive scleroderma renal crisis after high-dose methylprednisolone treatment.
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CASE SUMMARY: A 65-year-old patient chronically treated with the selective serotonin reuptake inhibitor (SSRI) citalopram developed confusion, agitation, tachycardia, tremors, myoclonic jerks and unsteady gait, consistent with serotonin syndrome, following initiation of fentanyl, and all symptoms and signs resolved following discontinuation of fentanyl.
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Dapsone syndrome in cutaneous lupus erythematosus.
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For 4.5 months after surgery, the bird had no recurrence of clinical signs; however, dyspnea recurred and during evaluation, the bird died.
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Our patient illustrates the importance of early recognition and treatment of hyponatremia before the onset of seizures.
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Phytonadione 10 mg was administered subcutaneously, and warfarin was held for 3 days until her INR fell to 2.10.
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A 10-year-old asthmatic boy began to suffer from urticarial rash and moderately severe bronchospasm after 8 weeks' treatment with disodium cromoglycate.
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In one case, PVT occurred in the absence of HVOD in a patient with pre-existing periportal lymphomatous infiltration.
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A novel side effect of antithyroid drugs.
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Although all patients recovered, hemodialysis hastened the rate of recovery.
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