RESUMEN
CASE PRESENTATION: A 72-year-old woman presented to our institution with gradually worsening shortness of breath and bilateral lower extremity edema of 3 weeks' duration. She had associated complaints of cough and intermittent hemoptysis. Her medical history was significant for hypertension and hypothyroidism. She was a former cigarette smoker with a 35 pack-year smoking history. She had no recent travel history and had a pet dog at home. Six months before the current hospitalization, evaluation for cough had revealed mediastinal lymphadenopathy at an outside institution. She underwent evaluation with an endobrachial ultrasound procedure at an outside facility 8 weeks before the current admission. The procedure demonstrated both acute and chronic inflammation, with one specimen showing few atypical cells on cytopathology and no growth on bacterial, fungal, and mycobacterial cultures. She was treated empirically with oral steroids for presumed sarcoidosis. However, this did not result in clinical benefit, and because of progressive symptoms, she presented to our institution.
Asunto(s)
Linfadenopatía , Nódulos Pulmonares Múltiples , Femenino , Humanos , Perros , Animales , Nódulos Pulmonares Múltiples/diagnóstico , Tos/diagnóstico , Diagnóstico Diferencial , Disnea/etiología , Disnea/diagnóstico , Linfadenopatía/diagnóstico por imagen , Linfadenopatía/etiologíaAsunto(s)
Infecciones Relacionadas con Catéteres , Cardiopatías , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Diálisis Renal/efectos adversos , Trombosis , Ultrasonografía/métodos , Trombosis de la Vena , Adulto , Encéfalo/diagnóstico por imagen , Procedimientos Quirúrgicos Cardiovasculares/métodos , Infecciones Relacionadas con Catéteres/complicaciones , Infecciones Relacionadas con Catéteres/etiología , Infecciones Relacionadas con Catéteres/microbiología , Infarto Cerebral/diagnóstico por imagen , Drenaje/métodos , Femenino , Cardiopatías/diagnóstico , Cardiopatías/etiología , Humanos , Fallo Renal Crónico/terapia , Pruebas en el Punto de Atención , Diálisis Renal/instrumentación , Supuración , Trombosis/complicaciones , Trombosis/diagnóstico por imagen , Trombosis/fisiopatología , Trombosis/cirugía , Resultado del Tratamiento , Trombosis de la Vena/complicaciones , Trombosis de la Vena/etiologíaRESUMEN
CASE PRESENTATION: A 44-year-old woman was referred for evaluation of dyspnea on exertion and multiple nodular opacities on a chest CT scan. She had a medical history of autoimmune encephalitis, diabetes mellitus, hypertension, migraines, and allergic rhinitis. Ten years earlier, the patient was admitted to an outside institution with symptoms of shortness of breath. She was found to have multiple pulmonary nodules and was diagnosed empirically with and treated for sarcoidosis. She was told that her pulmonary nodules had improved on follow up. However, she continued to have symptoms of dyspnea. Due to progressive symptoms of shortness of breath, she was referred to pulmonology. She reported a weight gain of 80 pounds over the last year. She denied fever, chills, hemoptysis, night sweats, joint swelling, or skin rash. She is a former cigarette smoker with a 15 pack-year smoking history, quit smoking in 2005. She denied alcohol or drug use. She resided in Arkansas and Texas over the past decade. She previously worked as a teacher and is currently unemployed. She had no other relevant exposures. She denied a family history of autoimmune diseases or malignancies.
Asunto(s)
Disnea/etiología , Predicción , Neoplasias Pulmonares/complicaciones , Pulmón/diagnóstico por imagen , Linfoma de Células B de la Zona Marginal/complicaciones , Nódulos Pulmonares Múltiples/etiología , Adulto , Biopsia , Diagnóstico Diferencial , Progresión de la Enfermedad , Disnea/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Neoplasias Pulmonares/diagnóstico , Linfoma de Células B de la Zona Marginal/diagnóstico , Nódulos Pulmonares Múltiples/diagnósticoRESUMEN
CASE PRESENTATION: A 41-year-old man presented to our institution with shortness of breath for 1 day, and nausea, vomiting, and diarrhea for 10 days. He has a medical history of gastroesophageal reflux disease, migraines, and anxiety. He is a 10 pack-year former cigarette smoker and an active vaper. He quit smoking cigarettes in 2013 but reports vaping flavored nicotine from 2013 to 2018. Since 2018, he has been vaping tetrahydrocannabinol products of different flavors and brands. A few weeks prior to admission, the subject had changed the brand of his vaping product to "Cookies High Flyers" with a "Biscotti" flavor. The new product contains 1,000 mg (883 mg tetrahydrocannabinol and 117 mg cannabidiol) in a 0.04 oz cartridge. He vapes five times a day, taking two to three puffs every time. He had recently traveled to Texas and had a sick contact with his 18-month-old daughter. She recently recovered from a diarrheal illness of presumed viral origin. Prior to admission, the subject tested negative for influenza and completed outpatient antibiotic treatment, with no improvement.
Asunto(s)
Diarrea/etiología , Disnea/etiología , Náusea/etiología , Vapeo/efectos adversos , Vómitos/etiología , Adulto , Diagnóstico Diferencial , Disnea/tratamiento farmacológico , Humanos , Masculino , Esteroides/uso terapéuticoRESUMEN
To compare the prevalence of cardiovascular disease (CVD) and major CVD risk factors among rheumatoid arthritis (RA) patients enrolled in a large US and multinational registry. We compared CVD and CVD risk factor prevalence from 11 countries enrolled in the CORRONA US and CORRONA International registries; patients from the 10 ex-US participating countries were grouped by region (Eastern Europe, Latin America, and India). Unadjusted summary data were presented for demographics and disease characteristics; comparisons for prevalence of CVD risk factors and CVD were age/gender standardized to the age/gender distribution of the US enrolled patients. Overall, 25,987 patients were included in this analysis. Compared to patients from the ex-US regions, US participants had longer disease duration and lower disease activity, yet were more likely to receive a biologic agent. Additionally, CORRONA US participants had the highest body mass index (BMI). Enrolled patients in India had the lowest BMI, were more rarely smokers, and had a low prevalence of hyperlipidemia, hypertension, and prior CVD compared to the US and other ex-US regions. Participants from Eastern Europe had a higher prevalence of hypertension and hyperlipidemia and highest prevalence of all manifestations of CVD. Differences in the prevalence of both CVD and major CVD risk factors were observed across the four regions investigated. Observed differences may be influenced by variations in both non-modifiable/modifiable characteristics of patient populations, and may contribute to heterogeneity on the observed safety of investigational and approved therapies in studies involving RA patients from different origins.