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Because the patient did not mention the cosmetic intervention, the diagnosis of polyacrylamide gel-induced granuloma was complicated.
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CONCLUSIONS: Photodynamic therapy for cholangiocarcinoma is safe and technically feasible with a preloaded biliary catheter and a monorail technique for catheter positioning.
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Intravitreal triamcinolone has been suggested as an adjunctive to photodynamic therapy in the treatment of exudative macular degeneration.
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Acute interstitial pneumonia induced by ONO-1078 (pranlukast), a leukotriene receptor antagonist.
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Acute INH neurotoxicity was not suspected on the first admission; however, when readmitted 4 weeks later with another seizure, the diagnosis of acute INH neurotoxicity was made.
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He was first treated with intravenous fluids, furosemide and glucocorticoids without significant improvement, but became eucalcemic within 24 hours after receiving a single dose of pamidronate.
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The microorganism was identified with a molecular diagnostic method as Schizophyllum commune, which had not been reported in English literature as a pathogen inducing pulmonary nodules after transplantation.
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BTX-B has also been shown to be a safe and effective alternative for patients who are resistant to BTX-A.
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The anticonvulsant hypersensitivity syndrome (AHS) is an idiosyncratic immunologic reaction to certain anticonvulsant medications, in which internal organ involvement may lead to fatal multisystemic failure.
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Trigeminal trophic syndrome (TTS) is an exceedingly rare complication following injury to the trigeminal ganglion, characterized by painless ulcerations, which has only rarely been reported with intraoral features.
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The patient was diagnosed and treated for Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), a syndrome of fever, rash, and internal organ involvement secondary to medication administration.
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A healthy 42 yr-old woman presented with a left keratitis which she had had for 3 months.
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Intralesional injection of corticosteroid is widely regarded as the treatment of choice for hemangiomas which induce strabismus or significant refractive error, or occlude the visual axis.
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Complete allergy study, including an oral challenge test, should be considered in these patients.
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An embolic mechanism of stroke was suspected in this patient, considering the normal results of blood analysis, echocardiogram and cerebral arteriograms.
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Five of these patients had an Ahmed shunt implant, 3 had anterior vitrectomy during surgery, and 4 had a soft contact lens in place.
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INTERVENTION: Volume resuscitation, vasopressors, high PEEP mechanical ventilation, paralysis, nitric oxide, steroids, rapid albumin infusion.
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The catheter was safely removed surgically; pathology examination showed no residual thrombus.
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This therapeutic complication has been termed 'fat overloading syndrome' but bears a clinical similarity to post-traumatic fat embolism.
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However, side effects and nonresponders to these approaches are not uncommon.
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METHODS: Report of a case.
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Oral anticoagulant therapy: a precipitating factor in the pathogenesis of cholesterol embolization?
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Zolpidem tissue concentrations in a multiple drug related death involving Ambien.
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In one patient, karyotypic abnormalities (-5, 7q-) typical of a therapy induced malignancy were associated with rapid progression of a refractory anemia with excess blasts in transformation to an acute non-lymphocytic leukemia.
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During the last 15-year period, this atypical antipsychotic agent has been administered to 750 patients managed at the Emergency Psychiatry Services and Clinical Pharmacology Unit of the National Institute of Psychiatry and Neurology (NIPandN; Budapest, Hungary).
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Delivery was at term by caesarean section 2 days after spontaneous rupture of membranes and failure to progress in labour.
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A computed tomographic (CT) scan confirmed a massive renal tumour associated with extensive retroperitoneal lymph node involvement, bony metastases and a right hip fracture.
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On the third post-procedural day, the laboratory results showed increases in his uric acid and potassium levels, which were compatible with a tumor lysis syndrome.
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CONCLUSIONS: Patients most commonly affected by ICD, such as pathologic gambling and hypersexuality, are males who develop PD at a younger age, and those with a previous history of mood disorder, alcohol abuse, or obsessive-compulsive disorder.
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We report here a case of delirium that occurred after discontinuation of glucocorticoid therapy.
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The origin of NIS is outlined briefly and some fundamental clinical and experimental facts are presented, all of which stress the importance of the acute blockade of postsynaptic DA-ergic receptors.
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Pregnancy limits the therapeutic options for managing thrombocytopenia which occurs in 5% of patients on heparin.
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Hemodialysis was performed in eleven patients (69%) because of visual disturbances and/or metabolic acidosis.
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Candida parapsilosis was the causative agent.
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METHODS: Cases were identified by using a questionnaire sent to nephrologists and pathologists in French university and general hospitals.
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This series of articles facilitated by the Australian Cochrane Musculoskeletal Group (CMSG), aims to place the findings of recent Cochrane musculoskeletal reviews in a context immediately relevant to general practitioners.
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CONCLUSIONS: This phenomenon of sudden vitritis after KPro, with few other symptoms and with complete recovery, would be uncharacteristic of a bacterial endophthalmitis.
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The patient was successfully treated by anticoagulant therapy.
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A high dose of cotrimoxazole induced hyperkalaemia with the elevation of serum creatinine and blood urea, and increased urinary N-acetyl glucosaminase after several days of the drug administration in these patients; one patient became unconscious.
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We describe a 49-year-old woman who presented in 2002 with pure red cell aplasia (PRCA), systemic lupus erythematosus (SLE), and idiopathic portal hypertension (IPH) that developed following a thymectomy.
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Complications were mild and only one child was removed from therapy because of a complication.
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Hypoglycaemia did not recur despite continued treatment.
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Tacrolimus (FK506)-induced mutism after liver transplant.
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Several hypersensitivity reactions to cloxacillin have been reported, although IgE-mediated allergic reactions to the drug are rare and there is little information about possible tolerance to other semisynthetic penicillins or cephalosporins in patients with cloxacillin allergy.
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We report the case of intoxication of a 41-year-old female patient suffering from major depression with mirtazapine complicated by severe hypothermia.
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The authors report a case of severe lactic acidosis in a 3-year-old boy, after 20 days of total parenteral nutrition without vitamin supplementation.
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It is associated with localized, sometimes extensive necrosis of the skin.
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A fracture of the diffuser tip occurred during 1 of the treatments.
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We present a case of carbamazepine intoxication, successfully treated with three hours of high-flux haemodialysis.
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Nummular headache: a series with symptomatic and primary cases.
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Water-suppressed proton magnetic resonance spectra from a supraventricular volume of central white and gray matter revealed an abnormal lipid signal.
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In healthy persons, Candida-induced denture stomatitis is not serious; however, it should be considered a possible spearhead of systemic yeast infections in seriously ill patients, especially in those subjected to prolonged treatment with antibiotics, corticosteroids, or immunosuppressive drugs.
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Even though only a few cases of this adverse event have been reported in the literature, severe docetaxel-induced pulmonary toxicity needs to be considered in the differential diagnosis when such patients present with respiratory symptoms.
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Effects of pergolide on nocturia in Parkinson's disease: three female cases selected from over 400 patients.
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The final diagnosis in each of these patients was drug-induced pneumonitis, which responded to treatment with corticosteroids.
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Chlormadinone acetate withdrawal syndrome under combined androgen blockade for advanced prostate cancer.
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Ramipril-induced cutaneous vasculitis is particularly rare and our case was atypical because the patient had tolerated lisinopril before.
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Their past histories were remarkable in that all three had recently undergone chemotherapy for malignancy (2 lymphoma, 1 malignant thymoma).
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We present a case of PG arising in the context of DA use for restless legs syndrome.
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DESIGN: Observational case report.
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CASE SUMMARY: A 45-year-old white man with a history of hypertension and gout was treated with losartan/hydrochlorothiazide, allopurinol, and colchicine.
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Both patients were followed carefully for more than a year without the appearance of the resistant virus.
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Verapamil may thus improve an inadequate vasodilatatory response of the coronary vascular bed to effort.
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Symptoms resolved without consequence 48 hours after discontinuation of venlafaxine.
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It helps to reduce the serious toxic side effects of calcineurin inhibitors (CNIs).
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A 67-year-old man was admitted for management of a diabetic foot ulcer.
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RESULTS: Extensive laboratory investigations failed to yield any diagnosis and allograft nephrectomy was performed in one patient, with a probable diagnosis of inflammation of the allograft, which resulted in no improvement.
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Possible drug interaction between warfarin and combination of levamisole and fluorouracil.
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It is proposed that neuroleptic-induced dysphoric responses may be responsible for therapeutic failure in some cases of psychotic depression.
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Therapy-related CD7+ acute myeloid leukemia with trisomy 8 following acute monocytic leukemia.
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90% of the gadolinium was removed from the circulation in 2 days with a regimen of 10-15 exchanges per day of PD.
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Significant bleeding from retroperitoneal hematomas is more often associated with major pelvic fractures from high energy blunt force mechanisms, and the blood loss may be tamponaded by the retroperitoneal structures if natural clotting mechanisms are intact.
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On histological examination, reddish-purple crystals were identified at frozen section but not in the paraffin sections.
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Because recombinant human granulocyte colony-stimulating factor (G-CSF) has been reported to increase the sensitivity of acute myelogenous leukemia (AML) blast cells to cytosine arabinoside (Ara-C) in vitro, we treated a patient with refractory AML with an Ara-C-based regimen in combination with G-CSF (G-CSF/Ara-C therapy).
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Sudden cardiac death due to hypersensitivity myocarditis during clozapine treatment.
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Observations in our patient suggest that the leukoencephalopathy that developed in previously reported patients who received 5-fluorouracil and levamisole may have been caused at least partly by levamisole.
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Propylthiouracil-induced sensorineural hearing loss associated with antineutrophil cytoplasmic antibodies.
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Urinary incontinence is an important medical condition with clinical and social implications.
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This myoclonus is considered to be a new form of spinal reflex myoclonus, because the abdominal myoclonic jerk seems to trigger another myoclonic jerk involving the paraspinal muscles.
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Colchicine-induced myopathy in renal failure.
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This is the first reported case to our knowledge of successful use of maternal ganciclovir to treat intrauterine CMV infection in a pregnant renal transplant recipient.
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In both cases, healing began a few days after moxifloxacin was discontinued, and topical gatifloxacin and corticosteroids were initiated.
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Severe allergic reactions, although uncommon, have been reported.
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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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We propose that the arrhythmias were a complication of steroid pulse therapy.
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To the best of our knowledge, this is the first report from Japan about contact dermatitis caused by this medication.
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METHOD: Clinical and radiological observations during a rehabilitation program.
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Myoclonus is a well-known side effect of anticonvulsant drugs.
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No other side-effects were detected.
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Sulfasalazine-induced lupus erythematosus.
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Postoperative necrotizing scleritis is a rare complication that occurs at the site of previous ocular surgery.
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Cushing's syndrome persisted more than 6 months while TCA concentrations remained detectable for at least 80 days.
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With continued ganciclovir treatment, the graft remained clear and no recurrence or rejection occurred until 12 months after the last PKP.
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In addition to glomerulonephritis and a butterfly rash, previously negative tests for antinuclear, anti-dsDNA and anti-Sm antibodies became positive.
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Withdrawal of the medication was associated with return of the patient's normal mental status.
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In high-grade tumors, BCG therapy has proven to be superior to intravesical chemotherapy.
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OBJECTIVE: To report a case of linear immunoglobulin (Ig) A bullous dermatosis (LABD) induced by gemcitabine.
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As a direct result of leukocyte imaging, all three underwent fiberoptic bronchoscopy and transbronchial biopsy.
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In case no. 2, the pathogenic mechanism seemed to be persistent light reaction preceded by systemic photoallergy, as he had taken mequitazine for 6 months, and there were strong positive photopatch test results with immediate erythema reaction, cross-reaction to promethazine, decreased MED to both UVA and UVB, and persistence of the photosensitivity over a 3-year follow-up period after discontinuation of the mequitazine.
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The incidence of pulmonary nodules after cardiac transplantation is not uncommon, and prompt diagnostic procedures are necessary to minimize disease-related morbidity and mortality.
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