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  1. 18621
    por Tarín-Vicente, Eloy José, Alemany, Andrea, Agud-Dios, Manuel, Ubals, Maria, Suñer, Clara, Antón, Andrés, Arando, Maider, Arroyo-Andrés, Jorge, Calderón-Lozano, Lorena, Casañ, Cristina, Cabrera, José Miguel, Coll, Pep, Descalzo, Vicente, Folgueira, María Dolores, García-Pérez, Jorge N, Gil-Cruz, Elena, González-Rodríguez, Borja, Gutiérrez-Collar, Christian, Hernández-Rodríguez, Águeda, López-Roa, Paula, de los Ángeles Meléndez, María, Montero-Menárguez, Julia, Muñoz-Gallego, Irene, Palencia-Pérez, Sara Isabel, Paredes, Roger, Pérez-Rivilla, Alfredo, Piñana, María, Prat, Nuria, Ramirez, Aída, Rivero, Ángel, Rubio-Muñiz, Carmen Alejandra, Vall, Martí, Acosta-Velásquez, Kevin Stephen, Wang, An, Galván-Casas, Cristina, Marks, Michael, Ortiz-Romero, Pablo L, Mitjà, Oriol
    Publicado 2022
    “…Because of the variability of presentations, clinicians should have a low threshold for suspicion of monkeypox. Lesion swabs showed the highest viral loads, which, combined with the history of sexual exposure and the distribution of lesions, suggests close contact is probably the dominant transmission route in the current outbreak. …”
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    Clinical presentation and virological assessment of confirmed human monkeypox virus cases in Spain: a prospective observational cohort study
  2. 18622
    “…However, protection estimates greater than 90% might be too high if individuals with a previous infection were more likely than those without one to come forward for a test for reasons other than suspicion of COVID-19. Our analysis also showed that vaccine protection against BA.5 infection was similar to, or slightly weaker than, protection against BA.2 infection. …”
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    Risk of reinfection, vaccine protection, and severity of infection with the BA.5 omicron subvariant: a nation-wide population-based study in Denmark
  3. 18623
    “…Avaient diminué les CUG pour douleurs abdomino-pelviennes, suspicion d’infection génitale et urinaire (respectivement 44,1 % vs 52,5 % p = 0,0002 ; 4,3 % vs 8,2 % p = 0,0006 ; 2,3 % vs 4,5 % p = 0,01). …”
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    Impact du 1(er) confinement pour COVID-19 sur les consultations aux urgences gynécologiques d’un CHU
  4. 18624
    “…To the authors’ knowledge, this is the first study to raise the suspicion that quadriceps tendon graft harvest could lead to the development of super patellar OCD as this occurred in two patients from this cohort. …”
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    Poster 324: Complications following Quadriceps Tendon Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A Case Series
  5. 18625
    por Rajeswaran, Thurkka, Mackie, Sarah
    Publicado 2023
    “…During clinical review, it was evident that she suffered from proximal myopathy, needing to use her arms to rise from the chair, alongside weakness to her core muscles and rotators cuff. This raised our suspicion that perhaps muscle weakness was mimicking her PMR symptoms. …”
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    OA04 Muscle weakness in chronic rheumatic diseases: the need for early diagnosis and tailored exercise programme
  6. 18626
    por Mason, Alice, Williams, Emma
    Publicado 2019
    “…Patient characteristics which should prompt screening for anti-synthetase syndrome with extended myositis panel testing include clinical suspicion of CTD, female gender, middle age, CTD symptoms or signs and NSIP pattern on HRCT. …”
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    27. A new presentation of interstitial lung disease
  7. 18627
    “…Our patient was at high risk for developing ischaemic cerebral vascular event in view of large vessel vasculitis, his age and co-morbid hypertension but radiological imaging wasn’t typical for this and raised the suspicion of active cerebral vasculitis.  One should suspect multifocal brain disease like vasculitis when neurological deficit can’t be explained easily by territorial distribution of cerebral circulation. …”
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    39. Atypical presentation of giant cell arteritis confirmed on brain biopsy
  8. 18628
    “…TRIAL DESIGN: Randomised, parallel 3-arm (1:1:1 ratio), open-label, Phase IV platform trial of immunomodulatory therapies in patients with late stage 1 or stage 2 COVID-19-related disease, with a diagnosis based either on a positive assay or high suspicion of COVID-19 infection by clinical and/or radiological assessment. …”
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    Repurposed immunomodulatory drugs for Covid-19 in pre-ICu patients - mulTi-Arm Therapeutic study in pre-ICu patients admitted with Covid-19 – Repurposed Drugs (TACTIC-R): A structured summary of a study protocol for a randomised controlled trial
  9. 18629
    “…Given the strong clinical suspicion of EPGA, a decision to start high dose steroid therapy was made, despite the pending immunology results. …”
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    EP07 Eosinophilic granulomatosis with polyangiitis: diagnostic and therapeutic challenges during COVID-19 pandemic
  10. 18630
    por Saulite, Vera, Sharma, Poonam
    Publicado 2020
    “…She did not report classic sicca symptoms initially, therefore the index of suspicion of underlying primary Sjögren’s syndrome was low. …”
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    EP32 Gastroparesis in Sjögren’s syndrome
  11. 18631
    “…She represents a common scenario of the balance between the high clinical suspicion and the failure to meet the ACR/EULAR diagnostic criteria for SS and the resultant management dilemma. …”
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    O12 Pulseless electrical activity arrest in a young woman: could renal tubular acidosis due to Sjögren’s syndrome be the underlying cause?
  12. 18632
    “…Symptoms often present sequentially over an extended period of time, requiring a high index of suspicion and careful clinical evaluation to diagnose. …”
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    O18 The Rollercoaster Reality of Mixed Connective Tissue disease
  13. 18633
    “…This case highlights the importance of clinicians retaining a high degree of suspicion of a ‘subclinical MAS’ in children on cytokine blockade therapies. …”
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    O15 Recognition of subclinical macrophage activation syndrome in an adolescent systemic juvenile idiopathic arthritis patient receiving tocilizumab: a case report
  14. 18634
    “…Athletes continue to exhibit an alarmingly long duration of symptoms before diagnosis is made; a high index of suspicion must be maintained, therefore, and adjunct CT imaging is strongly recommended in the case of any work-up. …”
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    Return to sport following navicular stress fracture: a systematic review and meta-analysis of three hundred and fifteen fractures
  15. 18635
    “…Children who did not meet the case definition for ASD were classified as having suspected ASD if their records contained a qualified professional’s statement indicating a suspicion of ASD. RESULTS: For 2018, the overall ASD prevalence was 17.0 per 1,000 (one in 59) children aged 4 years. …”
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    Early Identification of Autism Spectrum Disorder Among Children Aged 4 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018
  16. 18636
    “…Eligibility required physician’s clinical suspicion of acute infection and reported fever. Reference standard etiology was adjudicated by experts based on clinical, laboratory, radiological, microbiological and follow-up data. …”
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    112. A Rapid Host-Protein Signature Based on TNF-related Apoptosis-Induced Ligand (TRAIL), Interferon Gamma Induced Protein-10 (IP-10) and C-Reactive Protein (CRP) Accurately Differentiates Between Bacterial and Viral Infection in Febrile Children: Apollo Sub-Study
  17. 18637
    “…Myocardial infarction (MI) was diagnosed based on the suspicion of the attending physician using clinical criteria as well as biomarker elevations or electrocardiographic changes. …”
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    Comparison of Thrombotic Complications in Critically Ill Patients between COVID-19 and Mers-COV
  18. 18638
    por Gor, Shivani, Waller, Rosemary
    Publicado 2021
    “…The symptoms can be present for many months before the insidious nature of the underlying WM manifests and thus a high index of suspicion is necessary. Another important learning point is, if a patient presents with Raynaud’s symptoms and they do not meet the typical demographic for primary Raynaud’s disease (young onset, relatively mild disease with female preponderance) it is crucial to investigate for secondary causes. …”
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    P06 Waldenström macroglobulinemia – beware the label of primary Raynaud’s Phenomenon
  19. 18639
    “…Although our index of suspicion was high, our patient was not displaying typical manifestations of transformation to AML. …”
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    P05 Blast transformation of essential thrombocythemia presenting as hip monoarthritis
  20. 18640
    “…TED-associated adrenal dysfunction is typically mild; an index of suspicion should be considered due to potential life-threatening complications. …”
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    New Entity—Thalassemic Endocrine Disease: Major Beta-Thalassemia and Endocrine Involvement
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