Abstract:
RATIONALE:Spinal involvement in adult Langerhans cell histiocytosis (LCH) is rare, and epidural involvement is unusual. LCH is mostly indistinguishable from other spinal lesions such as infection, lymphoma, and metastasis. So, it could be easily misdiagnosed without suspicion. PATIENT CONCERNS:We report a case of a 33-year-old man who complained of gait disturbance with weakness in both legs and severe back pain. DIAGNOSES:A continuous enhancing epidural lesion with cord compression from the T7 to L1 level was detected in magnetic resonance imaging. Laboratory analysis indicated the possibility of spinal infectious disease. We assumed that the lesion could be tuberculous spondylitis. INTERVENTIONS AND OUTCOMES:The patient underwent posterior laminectomy with marginal excision of the epidural mass to relieve cord compression. Pathological examination confirmed the diagnosis of LCH. The 12-month follow-up evaluation revealed that the patient was neurologically intact and had no gait disturbance. LESSONS:This case report presents a patient with epidural LCH of the thoracic spinal cord, which can mimic spinal infections such as tuberculous spondylitis with abscess formation. Therefore, LCH could be considered as a possible diagnosis when a patient presents with features of infectious spondylitis with vertebral involvement.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Lim CS,Cho JHdoi
10.1097/MD.0000000000018794subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e18794issue
3eissn
0025-7974issn
1536-5964pii
00005792-202001170-00051journal_volume
99pub_type
杂志文章相关文献
MEDICINE文献大全abstract::Bazex syndrome, a rare paraneoplastic syndrome characterized by psoriasiform eruptions, palmoplantar keratosis, and symmetric onychodystrophy, is most prevalent with squamous cell carcinomas of the upper aerodigestive tract.Here, we reported an uncommon case of Bazex syndrome about an 83-year-old man with pulmonary ad...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002415
更新日期:2016-01-01 00:00:00
abstract::The purpose of this study is to confirm and complement previous data regarding an association between gastroesophageal reflux disease and appendectomy.The Korean National Health Insurance Service-National Sample Cohort includes data from people ≥ 20 years old collected from 2002 to 2013. A total of 13,484 participants...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013700
更新日期:2018-12-01 00:00:00
abstract::To summarize the results of prenatal diagnoses and pregnancy outcomes of fetuses with thickened nuchal fold (TNF) in the second trimester.From 2009 to 2016, we studied 72 pregnant women with fetal nuchal fold (NF) measurements over 5 mm at 14 to 19 + 6 weeks or 6 mm at 20 to 28 weeks of gestation who received prenatal...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013334
更新日期:2018-11-01 00:00:00
abstract::Premature ventricular complexes are very common, appearing most frequently in patients with hypertension, obesity, sleep apnea, and structural heart disease. Sympathetic hyperactivity plays a critical role in the development, maintenance, and aggravation of ventricular arrhythmias. Recently, Armaganijan et al reported...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002287
更新日期:2015-12-01 00:00:00
abstract:RATIONALE:Myoepithelial carcinoma mainly occurs in the salivary glands, but myoepithelial carcinoma of the lung is extremely rare neoplasm whose biological behavior and clinical course still remain to be fully elucidated. Although considered as low-grade carcinoma, these tumors have a high rate of recurrence or distant...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000010049
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Many observational studies have reported an association between weight fluctuation and all-cause mortality. However, the conclusions obtained from these studies have been unclear. OBJECTIVE:The current meta-analysis aimed to clarify the association between weight fluctuation and all-cause mortality. DATA S...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017513
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Nutrients related to serum vitamin D level were previously shown to be significantly associated with the risk of many chronic diseases. This study aimed to assess potential relationships between serum vitamin D level and otitis media (OM) risk. METHODS:PubMed, EMBASE, and Cochrane Library databases were sea...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004739
更新日期:2016-10-01 00:00:00
abstract::The influence of somatostatin/octreotide treatment on outcomes of neonates with congenital chylothorax remains controversial. We retrospectively reviewed our experience with somatostatin/octreotide therapy in neonates with this very rare disease.Fourteen neonates with congenital chylothorax who were treated with somat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007594
更新日期:2017-07-01 00:00:00
abstract::Portal vein thrombosis (PVT) might impair the prognosis of cirrhotic patients. However, formation of de novo PVT after transjugular intrahepatic portosystemic shunt (TIPS) in cirrhotic patients without preexisting PVT was rarely reported. Moreover, it is not known whether warfarin is efficient in preventing de novo PV...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018737
更新日期:2020-01-01 00:00:00
abstract:RATIONALE:Lymphatic embolization is a minimally invasive treatment option for managing chyle leakage after nodal dissection in the neck. After the procedure, the embolic material may cause foreign body granulomatous lymphadenitis and can be a diagnostic challenge for radiologists because of sonographic similarity to me...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012744
更新日期:2018-10-01 00:00:00
abstract::Pheochromocytoma and paraganglioma (PPG) are rare and late-diagnosed catecholamine secreting tumors, which may be associated with unrecognized and/or severe cardiomyopathies. We performed a computer-assisted systematic search of the electronic Medline databases using the MESH terms "myocarditis," "myocardial infarctio...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000002198
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:Metastatic neuroblastoma (NB) is an aggressive malignancy with a poor prognosis. Many patients present with relapsed high-risk NB after undergoing first-line treatment, and there is no standard therapy available in this setting. PATIENT CONCERNS:The present study aimed to present the cases of 2 patients w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020896
更新日期:2020-06-26 00:00:00
abstract::Our previously studies indicated that inflammatory responses are involved in the hematoma expansion (HE) after intracranial hemorrhage (ICH) ictus. Here, we aim to evaluate the correlations among the ratio of neutrophil to lymphocyte ratio (NLR), HE, and island sign in patients with ICH.Patients with spontaneous ICH w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013057
更新日期:2018-11-01 00:00:00
abstract:RATIONALE:Metastatic involvement of the gastrointestinal tract is an uncommon scenario encountered in the clinical practice. Our case represents a gastric outlet obstruction (GOO) as a consequence of distant Transitional cell carcinoma (TCC) metastasis without any lymph node involvement in association with inflammatory...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007059
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:To evaluate the effect of probiotic supplementation on functional constipation in children. METHODS:We performed electronic searches in PubMed, Embase, and Cochrane Library without language restriction to identify relevant studies from the time of inception of these databases to March 2018. The relative ris...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012174
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Recently, many studies have been carried out to investigate the clinicopathological significance of E-cadherin expression in thyroid cancer. However, the results remained inconsistent. In the present study, we performed a meta-analysis to evaluate the associations of E-cadherin expression with susceptibility...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016187
更新日期:2019-07-01 00:00:00
abstract:RATIONALE:Cranial arterial air embolism is a rare but potentially fatal complication after computed tomography (CT)-guided pulmonary interventions. PATIENT CONCERNS:A 64-year-old man was diagnosed with a pulmonary nodule (diameter: approximately 1 cm) in the right lower lobe. The patient developed convulsions after CT...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015437
更新日期:2019-05-01 00:00:00
abstract::A significant rise in the prevalence of type 2 diabetes mellitus (T2DM) in the Middle-east and North Africa (MENA) region has seen over the last few decades. The present observational study aimed to evaluate and compare the risk of developing T2DM in the cities of Riyadh and Amman using the Arab Diabetes Risk Assessme...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012689
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Placenta increta/percreta is an increasingly common and life-threatening obstetric complication. It poses a management challenge to clinicians. The present study aimed to evaluate efficacy and safety of preoperative placement of infrarenal abdominal aorta balloon catheter (IAABC) alone or combined with Bakri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008114
更新日期:2017-09-01 00:00:00
abstract::The aim of this study was to analyze the distribution of clusters and drug resistance of CRF01_AE among newly diagnosed, treatment-naïve HIV-infected teenagers and young adults in 3 major HIV-affected geographic regions of Guangxi Province, including the cities of Hezhou, Liuzhou, and Nanning. Samples were sequentiall...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000894
更新日期:2015-05-01 00:00:00
abstract::The neoadjuvant chemotherapy (NAC) is the gold standard initial treatment of the locally advanced breast cancer (LABC). However, the reliability of methods that used to assess response the NAC is still controversial. In this study, patients with LABC who underwent NAC were evaluated retrospectively. The assessment of ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023538
更新日期:2020-12-04 00:00:00
abstract::The effect of intracranial internal carotid artery (ICA) calcification on cognitive impairment is uncertain. Our objective was to investigate whether intracranial ICA calcification is a significant cognitive predictor for cognitive impairment. Global cognition and degrees of intracranial ICA calcification of 579 subje...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001546
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:Smoking is well-known to increase cancer risk, particularly risk of lung cancer, and negatively affects efficacy of cancer treatment. However, recent evidence suggests that among cancer patients, paradoxically, smokers respond to treatment better than non-smokers. We propose to conduct a focused review and...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022104
更新日期:2020-09-18 00:00:00
abstract::Ramadan is the holy month for Muslims whereby they fast from predawn to after sunset and is observed by all healthy Muslim adults as well as a large population of type 2 diabetic Muslims.To determine the comparative effectiveness of various strategies that have been used for type 2 diabetic Muslim who fast during Rama...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000002457
更新日期:2016-01-01 00:00:00
abstract::The objective to assess the association between gastrectomy and the risk of pulmonary tuberculosis among patients without gastric cancer in Taiwan.There were 762 subjects with newly performing gastrectomy as the gastrectomy group since 2000 to 2012, and 2963 randomly selected subjects without gastrectomy as the non-ga...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011388
更新日期:2018-07-01 00:00:00
abstract:RATIONALE:The preoperative diagnosis of massive pulmonary tumor embolism associated with renal neoplasms is relatively rare. In most cases, pulmonary tumor embolism is detected intraoperatively during renal tumor resection. Moreover, primary renal sarcoma is rare, and primary renal sarcoma complicated by pulmonary tumo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019943
更新日期:2020-05-01 00:00:00
abstract:RATIONALE:Infertility is a common medical condition that affects nearly 15% of the world population. Non-obstructive azoospermia (NOA) is one of the most severe forms of male infertility. Some common structural variants, single nucleotide polymorphisms (SNPs), and genetic factors were reported to be associated with NOA...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021107
更新日期:2020-07-31 00:00:00
abstract::Since the 1990s, changing trends have been documented in species distribution and susceptibility to bloodstream infections caused by Candida species in cancer patients. However, few data are available regarding the association between in vitro antifungal susceptibility and outcome of candidemia in this patient populat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/01.md.0000091182.93122.8e
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD) with abnormal transaminase were main targeted disorder in clinical intervention. Acupuncture embedding has been used as a modified acupuncture therapy in current management, while no comprehensive summarization has been established. Hence, we conducted a systematic r...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018775
更新日期:2020-01-01 00:00:00
abstract:RATIONALE:Intravesical migrated intrauterine devices (IUDs) have been reported to cause bladder perforation, stone formation, or malignant transition. However, such extensive intravesical benign hyperplasia caused by an extravesical migrated IUD is firstly reported. PATIENT CONCERNS:A 38-year-old woman suffered from r...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015671
更新日期:2019-05-01 00:00:00