Abstract:
RATIONALE:Multiple system atrophy is a late-onset rare neurodegenerative movement disorder which results in debilitating disease. Fever frequently ensues in the context of infections which can be associated with significant morbidity and mortality, but among alternative diagnostic possibilities neoplasms and autoimmune disorders should be considered. PATIENT CONCERNS:We describe a case of a prolonged febrile syndrome in a 55-year-old female patient with onset of multiple system atrophy two years before presentation. Patient history and symptoms were not contributive to guide the diagnostic work-up. DIAGNOSIS:Initial evaluation provided no specific findings. Repeat testing of auto-antibodies revealed positive antinuclear and anti-ds DNA antibodies coupled with low complement which in conjunction with renal biopsy substantiated the diagnosis of systemic lupus erythematosus flare. INTERVENTION:Pending the biopsy result, treatment with hydroxychloroquine and corticosteroids was initiated. Due to failure to achieve remission, azathioprine was added, but symptoms persisted. Following the diagnosis of lupus nephritis, azathioprine was discontinued and induction treatment with cyclophosphamide in accordance with the Euro-Lupus regimen was initiated and upon completion followed by maintenance therapy with mycophenolate mofetil. OUTCOMES:The patient achieved remission after cyclophosphamide was added to treatment with corticosteroids and has not experienced new flares during the next two years. The neurological syndrome has remained stable during this period. LESSONS:To our knowledge, we report the first case of concurrent systemic lupus erythematosus and multiple system atrophy. Prolonged fever presents unique challenges in patients with rare diseases.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Pilalas D,Chatzopoulos G,Kaiafa GD,Ztriva E,Spyridonakou S,Bisbinas V,Ioannidis P,Hatzitolios AI,Savopoulos Cdoi
10.1097/MD.0000000000018005subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e18005issue
46eissn
0025-7974issn
1536-5964pii
00005792-201911150-00072journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Insomnia is a prevalent and bothersome disorder of sleep initiation and maintenance. Although efficacious treatments for insomnia have been available for decades, they all have their own limitations. Guizhi Gancao Longgu Muli Decoction (GGLMD), a popular complementary and alternative therapy, has been widely...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019198
更新日期:2020-02-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000006192.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000007121
更新日期:2017-06-02 00:00:00
abstract:OBJECTIVE:This study was performed to explore the effects of probucol on contrast-induced acute kidney injury (CIAKI) in patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). METHODS:In total, 220 patients undergoing PCI were randomly assigned to either the control group (hydration ...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000016049
更新日期:2019-06-01 00:00:00
abstract::Patients with infective endocarditis (IE), have high mortality and morbidity, however, its early diagnosis is difficult. Few studies have examined the delayed diagnosis of IE. We aimed to investigate the factors associated with the diagnostic delay of IE.A retrospective cohort study was conducted for consecutive patie...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021418
更新日期:2020-07-24 00:00:00
abstract::CD34 is a transmembrane phosphoglycoprotein that was first identified on hematopoietic stem and progenitor cells. CD34 is known as an optimum marker for microvascular density studies and it is positively stained in pathological and physiologic vessels. The use of CD34 for the prognosis, diagnosis, and treatment of neo...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000002830
更新日期:2016-02-01 00:00:00
abstract::This study is to investigate the relationship of P-selectin (Ps) gene rs1800807 and rs1800808 polymorphisms with plasma soluble P-selectin (sPs) in Han, Uygur, and Kazakh people with atrial fibrillation (AF) and thromboembolism (TE) in Xinjiang, China.A total of 778 Han patients (including 131 patients with AF and TE,...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018937
更新日期:2020-01-01 00:00:00
abstract::Identification of tumor imaging features associated with metastatic pattern may allow better understanding of cancer dissemination. Here, we investigated how primary tumor F-fluorodeoxyglucose (FDG) avidity influences the first site of breast cancer metastasis.Subjects were 264 patients with advanced breast cancer who...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004266
更新日期:2016-08-01 00:00:00
abstract:RATIONALE:The outbreak of coronavirus disease 2019 (COVID-19) in 2019 has become a global pandemic. It is not known whether the disease is associated with a higher risk of infection in pregnant women or whether intrauterine vertical transmission can occur. We report 2 cases of pregnant women diagnosed with COVID-19. P...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021334
更新日期:2020-07-17 00:00:00
abstract::Some of HER-2 positive breast cancer patients failed to trastuzumab treatment. Recent reports have indicated the correlation between plasma coagulation parameters and clinical characteristics in breast cancer. The aim of this study was to analyze the role of coagulation parameters in trastuzumab treated patients. Coag...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000481
更新日期:2015-02-01 00:00:00
abstract::Acute kidney injury requiring dialysis (AKI-D) treatment has significantly increased in incidence over the years, with more than 400 new cases per million population/y, 2/3 of which concern noncritically ill patients. In these patients, there are little data on mortality or on information of care organization and its ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004277
更新日期:2016-07-01 00:00:00
abstract:RATIONALE:Multiorgan/system injury was observed in severely infected coronavirus disease 2019 (COVID-19) patients, in addition to viral pneumonia. Recognizing and correcting the key and immediate dysfunctions may reduce mortality. PATIENT CONCERNS:A 66-year-old previously healthy male patient was referred to the isola...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023449
更新日期:2020-12-04 00:00:00
abstract:BACKGROUND:To investigate the radiation dose and image quality for iterative reconstruction combined with the CARE kV technique in chest computed tomography (CT) scanning for physical examination. METHODS:A total of 130 patients who underwent chest CT scanning were randomly chosen and the quality reference value was s...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000006175
更新日期:2017-03-01 00:00:00
abstract:RATIONALE:The incidence of severe hyperandrogenism associated with masculinity in women is very low. While rare and difficult to diagnose, androgen secreting tumors should be suspected in women with hyperandrogenism and hirsutism, especially in the postmenopausal population. Herein we present one case of ovarian Leydig...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010093
更新日期:2018-03-01 00:00:00
abstract:RATIONALE:IgG4-related disease (IgG4-RD) is an emerging immune-mediated disease characterized by multi-organ involvement and variable clinical behavior. PATIENT CONCERNS:We describe the case of a 50-year-old woman affected by a rare variant of IgG4-RD, characterized by eyelid xanthelasmas, adult-onset asthma and saliv...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011143
更新日期:2018-06-01 00:00:00
abstract::Cardiovascular disease (CVD) is a common cause of death in patients with chronic kidney disease (CKD). Aortic and mitral valve calcification (AVC and MVC, respectively) are critical indicators of CVD and all-cause mortality in CKD patients.We conducted a single center retrospective study of Chinese inpatients with CKD...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009804
更新日期:2018-02-01 00:00:00
abstract::The modified Blumgart method for pancreaticojejunostomy has been shown to reduce the rate of postoperative pancreatic fistula (POPF) in open surgery. We describe a modified Blumgart method using LAPRA-TY suture clips to facilitate laparoscopic pancreaticojejunostomy.We prepared a double-armed 4-0 nonabsorbable monofil...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019474
更新日期:2020-03-01 00:00:00
abstract::Hydration with sodium bicarbonate is one of the strategies to prevent contrast-induced acute kidney injury (CI-AKI). The purpose of this study was to determine how strong is the evidence for sodium bicarbonate to prevent CI-AKI after coronary angiography (CAG) and/or percutaneous coronary intervention (PCI).We conduct...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000002715
更新日期:2016-02-01 00:00:00
abstract::The gradient monotonicity of existing tumor, node, metastases staging systems for colorectal cancer is unsatisfactory. Our proposed T-plus staging system strengthens weighting of the T stage. In this study, applicability of the T-plus staging system was verified with data of a Chinese colorectal cancer center.Records ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002711
更新日期:2016-02-01 00:00:00
abstract:RATIONALE:West syndrome (WS) is an age-dependent epileptic encephalopathy that is characterized by intractable epileptic seizures, hypsarrhythmia, and observed through electroencephalogram (EEG) and significant neurodevelopmental regression. The spontaneous remission of epileptic seizure is clinically rare and has not ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016441
更新日期:2019-07-01 00:00:00
abstract::The relevance of LP(a), Hcy, and D-D in ischemic cerebrovascular disease remains undefined. This study aimed to assess the associations of plasma LP(a), Hcy and D-D levels with the subtype of ischemic cerebrovascular disease.Patients with ischemic cerebrovascular disease admitted to the Taixing People's Hospital were ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014910
更新日期:2019-03-01 00:00:00
abstract::We aim to screen the mutations of 3 hearing loss (HL) genes (GJB2, SLC26A4, and 12S rRNA) in 71 cases with nonsyndromic hearing loss (NSHL) using microarray and SNPscan, and identify the roles of nonhotspot mutation of these genes in the screening of NSHL. Seventy-one cases with moderate or severe neurosensory deafnes...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007149
更新日期:2017-06-01 00:00:00
abstract:RATIONALE:A 76-year-old female patient was diagnosed with an aneurysmal subarachnoid hemorrhage following rupture of a right posterior communicating artery aneurysm. PATIENT CONCERNS:She was treated surgically with clipping of the aneurysmal neck. Six months after onset, when starting rehabilitation at our hospital, s...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009117
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Characterized by diffuse hepatic fibrosis and nodule formation, hepatitis B cirrhosis (HBC), an important result of chronic hepatitis B development, mainly contains compensated and decompensated stage. Compensated cirrhosis can further develop into decompensated stage and hepatocellular carcinoma with seriou...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000013482
更新日期:2018-12-01 00:00:00
abstract::Chronic hepatitis B (CHB) remains a global health problem. Therapeutic vaccination has been successfully employed to treat a subpopulation of CHB patients. Personalized treatment can not only improve therapeutic efficacy, but also decrease the cost of medical care. Since microRNAs (miRNAs) are highly conserved and are...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000002511
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The role of real-time elastography (RTE)-targeted biopsy in the detection and diagnosis of prostate cancer (PCa) remains controversial. METHODS:We searched Medline, Embase, and Cochrane Library from inception to July 31, 2017 and used the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool to ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000010220
更新日期:2018-03-01 00:00:00
abstract::The prognostic impact of incomplete revascularization (ICR) on patients underwent percutaneous coronary intervention (PCI) was vague. Our research aimed to objectify the level of ICR by residual SYNTAX score (rSS) and evaluate the impact of ICR on exercise tolerance.We enrolled 87 patients who completed cardiopulmonar...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022221
更新日期:2020-09-18 00:00:00
abstract::The current study was to evaluate soluble ST-2 level and left ventricular ejection fraction (LVEF) in patients with breast cancer receiving doxorubicin or trastuzumab treatment for 6 months and determine whether soluble ST-2 level can be used to predictive left ventricular function impairment.Patients who were diagnos...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012447
更新日期:2018-09-01 00:00:00
abstract::In spinal fusion surgery, total blood loss (TBL) is composed of visible blood loss from the surgical field and wound drainage, and hidden blood loss (HBL). Until now, no published studies exist reporting the effect of topical use of tranexamic acid (tTXA) on HBL in patients undergoing posterior lumbar spinal fusion su...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008233
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION:The Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder. The obstetric course of women with KTS varies. Complications include bleeding, disseminated intravascular coagulation (DIC), thromboembolic events, etc. PATIENT CONCERNS:: Here, we report a case of late puerperal hemorrhage of a Chinese pu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018378
更新日期:2019-12-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000002985.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000488768.90771.b8
更新日期:2016-07-01 00:00:00