First presentation of pyoderma gangrenosum in a patient with partial immunoglobulin A deficiency [0.03%]
一名部分免疫球蛋白A缺乏症患者首次出现坏疽性脓皮病
S Demirel,M Shetty,M Patel et al.
S Demirel et al.
We describe the case of a 58-year-old female with an intensely painful and rapidly enlarging necrotic cutaneous ulcer to the right shin on a background of partial immunoglobulin A deficiency (IgAD). She was seen by various healthcare profes...
Diogo André,Fabiana Gouveia,Rafael Nascimento et al.
Diogo André et al.
Introduction: Adjuvant-Induced Autoimmune / Auto-inflammatory Syndrome (ASIA) is an immune-mediated condition by the exposure of material previously considered inert, such as silicone, aluminum salts, mineral oils, hyalur...
Jonathan La-Crette,Ahmed Abdelhamid,Andrew Chadwick et al.
Jonathan La-Crette et al.
While Eosinophilic Asthma is frequently underdiagnosed, COPD is often misdiagnosed. This case focusses on a COPD misdiagnosis that had life-threatening consequences. The patient was a 59-year-old, male smoker, who presented to the Emergency...
Shameer Deen,Emmanuel Ogbu,Nicholas Faure Walker et al.
Shameer Deen et al.
Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High ...
Pneumomediastinum and subcutaneous emphysema post cocaine and amphetamine insufflation [0.03%]
吸食可卡因和安非他命后的纵隔气肿和皮下气肿
Leah Hawkins,Mohammed Ayaz Khalid,Alan Barton
Leah Hawkins
A 20-year-old gentleman presented with blood-streaked vomitus after insufflation of an unknown amount of powder cocaine and amphetamine. This was taken with an unspecified amount of alcohol. Other notable symptoms were dysphagia, chest pain...
Clinical frailty as a key characteristic of the patient population of the NHS Nightingale North West COVID-19 temporary emergency field hospital: cohort study April to June 2020 [0.03%]
临床脆弱性是英国国民卫生服务北区临时应急野战医院新冠肺炎患者的显著特征：2020年4月～6月的队列研究
M Trent Herdman,Tim Seers,Cassandra Ng et al.
M Trent Herdman et al.
Objectives: COVID-19 temporary emergency 'field' hospitals have been established in the UK to support the surge capacity of the National Health Service while protecting the community from onward infection. We described th...
Peter Greaves
Peter Greaves
This study examines the impact of diet on health in different districts of mid-19th century London. Surveys of London diets and living condition were compared with mortality data between 1851 and 1880. Despite an abundance of fresh foods re...
Laparoscopic diagnosis of idiopathic left ovarian vein thrombosis in a 27-year-old woman [0.03%]
青年女性特发性左侧卵巢静脉血栓 laparoscopic 诊断1例
Jasper Markus,Robin M F van der Weiden
Jasper Markus
Idiopathic left ovarian vein thrombosis was diagnosed in a 27-year-old woman at the time of a diagnostic laparoscopy performed because of a suspected ovarian torsion. The diagnosis was confirmed by abdominal computed tomography scanning. Su...
Smartwatch helps detects lung cancer: Using personal technology to advance healthcare [0.03%]
智能手表可检测肺癌：运用个人技术提高医疗水平
Andrew Paul Charles Cole,Ashok Kar,Kofi Nimako et al.
Andrew Paul Charles Cole et al.
The prevalence of smartwatches and other wearable medical technology has been increasing yearly. These watches offer a sensitive tool for capturing cardiac dysrhythmias and can lead to patients seeking earlier medical advice. This case repo...
Diogo André,Fabiana Gouveia,Helena Luís et al.
Diogo André et al.
Leiomyomas are benign tumours of smooth muscle cells that most often affect the female genital tract, but their metastasis to extra-uterine locations represent rare, yet misunderstood phenomena. The authors present a clinical case of a 42-y...