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58421por Jee, Youn Hee, Gangat, Mariam, Hauser, Benjamin, Mancuso, Bethany, Miller, Jennifer, Radovick, Sally“…After GH treatment, she reached a normal adult height. The remainder of her pituitary function was normal. Exome sequencing was performed on the probands, their affected mother, and unaffected maternal grandparents to identify the underlying genetic cause. …”
Publicado 2022
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58422por Cadeliña, Jekrylei, Salvador-Badilles, Fidela Anne, Aribon-Lopez, Pamela Ann, Cabral, Monica Therese, Villa, Michael“…She presented with one-week history of generalized weakness, blurring of vision, and elevated blood pressure. Her blood glucose level was high at 523 mg/dL, associated with ketosis and metabolic acidosis. …”
Publicado 2022
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58423“…Medical treatment with pasireotide was recommended, but the patient temporarily declined further treatment to explore other options with her Naturopath.Gangliocytomas are a rare, benign, slow-growing, differentiated form of neuroblastic tumors of sympathetic nerve fibers, largely extracranial and rarely present in the sellar region, most frequently in association with a PitNET, forming the so-called mixed gangliocytoma PitNET. …”
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58424“…CASE: - 66-year-old female with complaints of difficulty in swallowing, breathing, and sensation of a lump in her throat for last 6 months, was noted to have left thyroid mass on ultrasound. …”
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58425por Ortiz-Rivera, Monica, Ortega, Nydia Burgos, Madera-Marin, Luis, Burgos, Alexandra Rosado, Cordero, Nicole Hernandez, Musa-Pena, Laurianne E, Nieves, Yadiel Rivera, Vick, Margarita Ramirez, Santiago, Milliette Alvarado, Rodriguez, Loida Gonzalez“…PET/CT scan showed hypermetabolic focus at the right thyroid lobe (previously biopsied with benign findings), but otherwise no pathologic 18 FDG uptake related to known oncologic disease. Due to her high risk of recurrence, the patient was started on mitotane 2 g daily as adjuvant therapy but had to discontinue therapy after 1 month due to lack of availability. …”
Publicado 2022
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58426“…LH, FSH, Estradiol, Cortisol LCMS, and Chromogranin A were within normal limits for her sex and age. Further work up ruled out pheochromocytoma, paraganglioma, Cushing's syndrome and congenital adrenal hyperplasia. …”
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58427por Boucher, Kimberly, Dham, Niti, Kanakatti Shankar, Roopa, McCarthy, Tara, Merchant, Nadia, Zhang, Anqing, Dauber, Andrew“…One subject had a brief episode of syncope with her first injection which self-resolved, and she continued on therapy with no further incidents. …”
Publicado 2022
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58428“…At the time of presentation patient had been using her insulin pump per home settings, was NPO for at least 24 hours due to nausea and mild abdominal pain. …”
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58429“…There were no signs of thyroid associated orbitopathy. Her TSH was <0. 009 uIU/ml (0.30-4) and FT4 29. 06pmol/L (10-22). …”
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58430“…Patient was reassured about the normal thyroid labs and advised that her symptoms are not thyroid related. The repeat TSH level continues to remain normal and was 2.18 in December 2021. …”
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58431“…CASE PRESENTATION: 60 y.o female presented to her primary care physician with a neck mass without any compressive symptoms. …”
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58432por Zweibach, Eugenia, Izkhakov, Neriy, Zweibach, Eugenia, Vernetti, Nicholas, Nakhle, Samer“…Following morning hypoglycemia repeat serum labs showed insulin 1.3 (Normal 2.6-24.9), c-peptide 0.9 ng/dL, and serum glucose of 114 mg/dL confirming that her hypoglycemia was not insulin induced. She was not on any medications known to cause hypoglycemia. …”
Publicado 2022
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58433“…TSI and TRAB were elevated at 1.03 (normal < 0.54 IU/L) and 2.20 (normal<1.75 IU/L) respectively and the diagnosis of Graves’ disease was made. At her 3 weeks follow up, TSH was <0.02 (0.34–5.60 uIU/mL) with normal FT4. …”
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58434“…Subjectively, patient reports improvement of her hot flashes, insomnia and anxiety. CONCLUSION: This case emphasizes the importance of surveillance for a lipid poor adrenal nodule. …”
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58435por Hathi, Deep, Baidya, Arjun, Tarenia, Silima Subhasnigdha, Das, Niladri, Gaikwad, Prashant Manohar, Pathak, Yashaswi, Banerjee, Abhirup, Chatterjee, Mounam, goswami, Soumik, Sengupta, Nilanjan“…Consistent with hypocalcaemia, hyperphosphatemia, high serum PTH levels, and lack of stigmata of AHO, we considered PHP type Ib. Her parents refused further examinations, so PTH infusion and molecular analysis of the GNAS gene could not be performed. …”
Publicado 2022
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58436por Li, Yan, Chen, Lili, Lv, Jinxing, Chen, Xiaobin, Zeng, Bangwei, Chen, Minyan, Guo, Wenhui, Lin, Yuxiang, Yu, Liuwen, Hou, Jialin, Li, Jing, Zhou, Peng, Zhang, Wenzhe, Li, Shengmei, Jin, Xuan, Cai, Weifeng, Zhang, Kun, Huang, Yeyuan, Wang, Chuan, Fu, Fangmeng“…Deleterious variants carriers were younger at first diagnosis (P = 0.0003), with longer interval between two tumors (P = 0.015), at least one medullary carcinoma (P = 0.001), and more likely to be hormone receptor negative (P = 0.006) and HER2 negative (P = 0.001). Area under the receiver operating characteristic curve was 0.903 in ANN and 0.828 in nomogram modeling individually (P = 0.02). …”
Publicado 2022
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58437“…The patient's procedure was postponed due to a COVID-19 surge and patient was begun on alpha- and beta-blockade, instead of pure alpha-blockade with phenoxybenzamine, in view of her recent history of NSTEMI. CONCLUSION: We present a rare case of an incidentally-found cardiac mass, discovered during cardiac catheterization, with biochemical and radiographic evaluations concerning for a retro-atrial paraganglioma. …”
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58438“…CLINICAL CASE: A 71-year-old woman with RCC metastasized to the lungs experienced adverse effects leading discontinued sunitinib therapy. Her imaging showed increased pulmonary nodules with tumor extension into left superior and inferior pulmonary veins. …”
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58439“…After thorough risk-benefit discussion, these outcomes were deemed unacceptable by the patient who affirmed that her priority was to avoid insulin-dependence. She was thus discharged on diazoxide 75 mg BID. …”
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58440por Elizalde, Patricia Virginia, Izzo, Franco, Chervo, Maria Florencia, Merin, Sharon Salma, Dupont, Agustina, Chiauzzi, Violeta, Bruni, Sofia, Petrillo, Ezequiel, Montero, Diego, Mercogliano, Maria Florencia, Proietti, Cecilia Jazmin, Schillaci, Roxana, Madera, Santiago, Russo, Rosalia Ines Cordo“…Triple negative breast cancer (TNBC) is clinically defined by the absence of estrogen and progesterone receptors and the lack of membrane overexpression or gene amplification of the receptor tyrosine kinase ErbB-2/HER2. Due to its heterogeneity, clinical biomarkers and targeted therapies for this disease remain elusive, and chemotherapy has been the standard of care for TNBC. …”
Publicado 2022
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