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Medicina Clinica最新文献

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Syphilis as a cause of rectal tumour in an HIV-infected patient. 梅毒是一名艾滋病病毒感染者直肠肿瘤的病因。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-28 DOI: 10.1016/j.medcli.2024.07.013
Lucía Isabel Martínez Minuesa, Alba Manuel Vázquez, José Luis Ramos Rodríguez
{"title":"Syphilis as a cause of rectal tumour in an HIV-infected patient.","authors":"Lucía Isabel Martínez Minuesa, Alba Manuel Vázquez, José Luis Ramos Rodríguez","doi":"10.1016/j.medcli.2024.07.013","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.07.013","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful rapid one-bag desensitization protocol toagalsidase-beta after a severe reaction. 在发生严重反应后，成功地对柚皮苷酶-beta 进行了单袋快速脱敏处理。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-28 DOI: 10.1016/j.medcli.2024.07.016
Filip Skrabski, Berta Valor-Llácer, Vanessa Gázquez
{"title":"Successful rapid one-bag desensitization protocol toagalsidase-beta after a severe reaction.","authors":"Filip Skrabski, Berta Valor-Llácer, Vanessa Gázquez","doi":"10.1016/j.medcli.2024.07.016","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.07.016","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of LGI1 antibody-positive Morvan syndrome with myasthenia gravis. 一例罕见的 LGI1 抗体阳性莫凡综合征合并重症肌无力病例。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-28 DOI: 10.1016/j.medcli.2024.07.011
Chunge Xie, Chizhong He, Tengyun Ma
{"title":"A rare case of LGI1 antibody-positive Morvan syndrome with myasthenia gravis.","authors":"Chunge Xie, Chizhong He, Tengyun Ma","doi":"10.1016/j.medcli.2024.07.011","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.07.011","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes insipidus as presentation of hypothalamus and infundibulum involvement of mantle cell lymphoma relapse. 套细胞淋巴瘤复发导致下丘脑和肾小球受累引起的血脂异常。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-25 DOI: 10.1016/j.medcli.2024.05.030
Pedro Parra Caballero, Jaime Bustos Carpio, Jimena Cannata-Ortiz
{"title":"Diabetes insipidus as presentation of hypothalamus and infundibulum involvement of mantle cell lymphoma relapse.","authors":"Pedro Parra Caballero, Jaime Bustos Carpio, Jimena Cannata-Ortiz","doi":"10.1016/j.medcli.2024.05.030","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.05.030","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction of publications in Spain: A retrospective analysis using the Retraction Watch database. 西班牙出版物撤稿情况：利用撤稿观察数据库进行的回顾性分析。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-13 DOI: 10.1016/j.medcli.2024.07.003
Cristina Candal-Pedreira, Joseph S Ross, Julia Rey-Brandariz, Alberto Ruano-Ravina
{"title":"Retraction of publications in Spain: A retrospective analysis using the Retraction Watch database.","authors":"Cristina Candal-Pedreira, Joseph S Ross, Julia Rey-Brandariz, Alberto Ruano-Ravina","doi":"10.1016/j.medcli.2024.07.003","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.07.003","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142291198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sweet syndrome after vaccination. 接种疫苗后出现甜味综合征。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-12 DOI: 10.1016/j.medcli.2024.07.009
Carme Malvárez Martín-Aragón, Raúl Gutiérrez-Meré, Nuria Vázquez-Temprano
{"title":"Sweet syndrome after vaccination.","authors":"Carme Malvárez Martín-Aragón, Raúl Gutiérrez-Meré, Nuria Vázquez-Temprano","doi":"10.1016/j.medcli.2024.07.009","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.07.009","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142291199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multicentric reticulohistiocytosis with good response to tocilizumab. 对西利珠单抗反应良好的多中心网状组织细胞增多症
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-07 DOI: 10.1016/j.medcli.2024.06.015
Jose Pablo Serrano Serra, Javier Ruiz Martínez, José Francisco Orts Paco
{"title":"Multicentric reticulohistiocytosis with good response to tocilizumab.","authors":"Jose Pablo Serrano Serra, Javier Ruiz Martínez, José Francisco Orts Paco","doi":"10.1016/j.medcli.2024.06.015","DOIUrl":"https://doi.org/10.1016/j.medcli.2024.06.015","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of brain magnetic resonance imaging in the early diagnosis and characterization of dementias; a systematic review. 脑磁共振成像在痴呆症早期诊断和定性方面的有效性；系统性综述。
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-09-07 DOI: 10.1016/j.medcli.2024.05.028
Ana María Ruiz Tornero, Esther E García Carpintero, Begoña Rodríguez Ortiz de Salazar

Introduction: Magnetic resonance imaging (MRI) is a frequently used test in the diagnosis of dementia. The objective was to evaluate its effectiveness for the early diagnosis of dementia in patients with mild cognitive impairment (MCI).

Material and methods: Original studies were selected from systematic reviews between 2011 and 2021, according to PRISMA 2020 criteria. QUADAS-2 and GRADE tools were used, and a meta-analysis was performed.

Results: Final selection of 23 articles. Patient selection and index test had a high probability of bias. The certainty of the evidence was very low. In the hippocampus, sensitivity was 0.62 (95%CI 0.48-0.79) and specificity 0.70 (95%CI 0.55-0.80). In the temporal lobe, sensitivity was 0.65 (range 0.45) and specificity 0.69 (range 0.32).

Conclusions: There is insufficient evidence to recommend routine brain MRI for the early diagnosis of dementia in patients with MCI.

简介磁共振成像（MRI）是诊断痴呆症的常用检查方法。本文旨在评估磁共振成像在早期诊断轻度认知障碍（MCI）患者痴呆症方面的有效性：根据 PRISMA 2020 标准，从 2011 年至 2021 年的系统综述中筛选出原创研究。采用 QUADAS-2 和 GRADE 工具，并进行荟萃分析：最终筛选出 23 篇文章。患者选择和指标测试存在较高的偏倚概率。证据的确定性很低。在海马区，灵敏度为 0.62（95%CI 0.48-0.79），特异性为 0.70（95%CI 0.55-0.80）。在颞叶，敏感性为 0.65（范围 0.45），特异性为 0.69（范围 0.32）：没有足够的证据建议将常规脑磁共振成像用于MCI患者痴呆症的早期诊断。
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引用次数: 0
Recurrent Guillain Barré 格林-巴利复发
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-08-31 DOI: 10.1016/j.medcli.2024.06.013
Carlos Piquero Fernández, Carolina Saenz Lafourcada, Ana Pinel González
{"title":"Recurrent Guillain Barré","authors":"Carlos Piquero Fernández,&nbsp;Carolina Saenz Lafourcada,&nbsp;Ana Pinel González","doi":"10.1016/j.medcli.2024.06.013","DOIUrl":"10.1016/j.medcli.2024.06.013","url":null,"abstract":"","PeriodicalId":18578,"journal":{"name":"Medicina Clinica","volume":"163 10","pages":"Pages 530-531"},"PeriodicalIF":2.6,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142109362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atypical POEMS syndrome: Report of a patient. 非典型 POEMS 综合征：一名患者的报告
IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Medicina Clinica
Pub Date : 2024-08-29 DOI: 10.1016/j.medcli.2024.05.020
Shanshan Liang, Li Zhang, Chuanmin Tao

Background: The order of clinical symptoms of POEMS syndrome is different, and the first diagnosis department is different accordingly, which is easy to cause misdiagnosis by clinicians.

Methods: A retrospective study was conducted between 2019 and 2023 in West China Hospital. Demographic, clinical and laboratory test indicators data were collected.

Results: Out of a total of 48 patients, 32 patients were from outpatient clinics and 16 were inpatients. The median age was 51 years old, and 30 were male. The most prevalent initial symptom is polyneuropathy (77.1%). 22 out of the 48 patients had an elevated VEGF. The most prevalent serum M protein was lgA λ(54.2%), and one patient had no M protein which could be regarded as the atypical POEMS syndrome.

Conclusions: At present, the diagnosis of POEMS syndrome is based on the combination of clinical manifestations and laboratory tests. Emphasizing pluralism is of great significance for the diagnosis of this disease.

背景POEMS综合征的临床症状顺序不同，首诊科室也相应不同，容易造成临床医生的误诊：2019年至2023年在华西医院进行回顾性研究。收集人口学、临床和实验室检查指标数据：在48例患者中，32例来自门诊，16例为住院患者。中位年龄为 51 岁，男性 30 人。最常见的初期症状是多发性神经病（77.1%）。48 名患者中有 22 人的血管内皮生长因子升高。最常见的血清M蛋白是lgA λ（54.2%），1名患者没有M蛋白，可视为非典型POEMS综合征：结论：目前，POEMS 综合征的诊断主要依据临床表现和实验室检查。结论：目前，POEMS 综合征的诊断依据是临床表现和实验室检查的结合，强调多元化对该病的诊断具有重要意义。
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引用次数: 0
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