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6281“…Primary physicians should be able to perform initial assessment based on clinical examination and investigations for early diagnosis. High index of suspicion and strategic approach leads to early diagnosis and prevents further morbidity and mortality. …”
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6282por Mangana, Joanna, Guenova, Emmanuella, Kerl, Katrin, Urosevic-Maiwald, Mirjana, Amann, Valerie C., Bayard, Cornelia, Dummer, Reinhard, French, Lars E.“…Here we report on the case of a female patient who presented with clinical features resembling drug reaction with eosinophilia and systemic symptoms (DRESS syndrome) prior to the definitive diagnosis of AITCL. The index of suspicion for cutaneous manifestations of lymphoma, and especially AITCL, must be high, particularly in atypical clinical courses of drug eruptions or if skin lesions relapse and are refractory to standard high-dose systemic corticosteroids.…”
Publicado 2017
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6283“…LP often goes unrecognized due to a low index of suspicion and nonspecific symptoms. We present a case of a 48-year-old man who had recurring abdominal pain with anemia that was misdiagnosed. …”
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6284por Athanasiou, Vasilis, Iliopoulos, Ilias D., Pantazis, Konstantinos, Panagopoulos, Andreas“…Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination. CASE REPORT: We present a case of a 36-year-old male patient who sustained an intraarticular fracture of the body of the hamate along with dorsal dislocation of the 4(th) and 5(th) metacarpals on his right dominant hand. …”
Publicado 2017
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6285“…WD can be a rare cause of pathological fracture. A high index of suspicion must be maintained in patients of pathological fracture presenting with associated neuropsychiatric or hepatic manifestations.…”
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6286por Spiridakis, Konstadinos G., Sfakianakis, Elefterios E., Flamourakis, Manthos E., Intzepogazoglou, Dimitra S., Tsagataki, Eleni S., Ximeris, Nikolaos E., Rachmanis, Efstathios K., Gionis, Ioannis G., Kostakis, Giorgos E., Christodoulakis, Manousos S.“…CONCLUSIONS: This case highlights the importance of high suspicion, further investigation and the need of biopsy in all anal fistulae.…”
Publicado 2017
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6287“…Detecting Whipple’s disease, a “great imitator”, requires a high index of suspicion so that antimicrobial treatment can be initiated in a timely manner; a missed diagnosis can be fatal. …”
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6288por García de León, Sira Carrasco, González, Amalia Hernández, Alonso, Carmen Orellana, Lobo, Laura Burriel“…Familial amyloidotic polyneuropathy is a genetically determined disease characterized by deposition of an anomalous transthyretin. A high index of suspicion is needed for this multisymptomatic and lethal disease to be diagnosed. …”
Publicado 2017
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6289“…This case is reported for its rarity and to highlight the high index of suspicion needed to diagnose CDH in adulthood. This is specially important as CDH, masquerades as other acute conditions in older individuals thereby delaying the diagnosis.…”
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6290por Kartik, Munta, Kanala, Arun, Sunilnadikuda, Rao, S. Manimala, Prakasham, P. Swathi“…This case report highlights the need for higher suspicion in such cases of mediastinal masses and early tissue biopsy which can help in reducing mortality.…”
Publicado 2017
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6291por Vasconcelos, Artur Cunha, Castro, Paulo Henrique de Souza, Borges, Alvaro Henrique, Volpato, Luiz Evaristo Ricci“…The images led to the suspicion of Gorlin–Goltz syndrome which was discarded after analyzing the patient's medical history and complementary examinations. …”
Publicado 2017
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6292por Paul, Sayanti, Mandal, Saumen, Upadhyaya, Mansi, Pramanik, Sumit Ranjan, Biswas, Subhas Chandra, Biswas, Ranu Roy“…On the third surgical attempt, the clinical suspicion was considered and by meticulous dissection the cysts were removed thoroughly without undue complications. …”
Publicado 2017
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6293por Mesquita, Evandro Tinoco, Jorge, Antonio José Lagoeiro, Souza Junior, Celso Vale, de Andrade, Thais Ribeiro“…Recently, pictures of senile amyloidosis have been described in patients with HFpEF, demonstrating the need for clinical cardiologists to investigate this etiology in suspect cases. The clinical suspicion of amyloidosis should be increased in cases of HFPS where the cardio imaging methods are compatible with infiltrative cardiomyopathy. …”
Publicado 2017
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6294“…The uveitis resolved 1 week later, but macular edema persisted in spite of treatment. Under the suspicion of drug-related complication, we try to discontinue hydroxychloroquine. …”
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6295por Grigoriou, Marios, Kofina, Konstantinia E., Ioannidis, Aristeidis, Gerasimidou, Domniki K., Efthimiadis, Christoforos, Zaramboukas, Thomas“…CONCLUSIONS: Non-HIV-related Kaposi sarcoma is an HHV-8-related, angioproliferating skin cancer that can cause pain, disfigurement, and limb dysfunction. High suspicion of this condition can lead to early treatment and delay progression.…”
Publicado 2017
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6296“…This case highlights the importance of a high index of suspicion for adrenal infarction in pregnancy on the clinical grounds of otherwise unexplained acute abdominal pain accompanied by suggestive radiological findings, especially in the presence of thrombophilia.…”
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6297por Varshney, Neha, Kebede, Amanuel A., Owusu-Dapaah, Harry, Lather, Jason, Kaushik, Manu, Bhullar, Jasneet S.“…Diagnosis of VHL is prompted by clinical suspicion and confirmed by molecular testing. Management of VHL patients is complex and multidisciplinary. …”
Publicado 2017
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6298“…Fibrosing mediastinitis (FM), also known as sclerosing mediastinitis, is an uncommon but serious disease involving the mediastinal structures. A high index of suspicion is essential to establish the diagnosis of FM and starting the appropriate therapy for patients. …”
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6299por Ballivet-de-Régloix, Stanislas, Crambert, Anna, Maurin, Olga, Bonfort, Gratien, Marty, Salome, Pons, Yoann“…The complementary investigation by CT scan and/or oesophagoscopy must be reserved in cases of suspicion of oesophageal localization or complication. …”
Publicado 2017
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6300por Franco-Garcia, Alexandra, Varughese, Tilly A, Lee, Yeon Joo, Papanicolaou, Genovefa, Rosenblum, Marc K, Hollmann, Travis J, Koehne, Guenther, Boulad, Farid, Babady, N Esther, Tang, Yi-Wei, Seo, Susan K“…Identifying extrapulmonary legionellosis is difficult due to the lack of clinical suspicion and limitations of conventional microbiologic methods. …”
Publicado 2017
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