{"title":"Subcutaneous Sarcoid Nodules: A Dermatologic Presentation of Systemic Sarcoidosis for Primary Care Physicians","authors":"Kathryn Taylor, Clayton Curry, Evan Stalnaker, Hannah Leport, Morgan Stickler, Tammy Bannister","doi":"10.33470/2379-9536.1402","DOIUrl":"https://doi.org/10.33470/2379-9536.1402","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48793147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transdiaphragmatic Intercostal Hernia Repair in a Patient with Previous Thoracic Surgery","authors":"Lilyan T Starkey, Ruth Gerola, D. Denning","doi":"10.33470/2379-9536.1389","DOIUrl":"https://doi.org/10.33470/2379-9536.1389","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45016728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brandon Harris, Elizabeth C Taylor, John W Pickstone, E. Thompson
{"title":"Propofol Related Infusion Syndrome: A Subtle Adversary","authors":"Brandon Harris, Elizabeth C Taylor, John W Pickstone, E. Thompson","doi":"10.33470/2379-9536.1378","DOIUrl":"https://doi.org/10.33470/2379-9536.1378","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42562841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Azadi, Sydney Graham, S. Bush, R. Lee, Nadim Bou Zgheib
{"title":"Robotic Hysterectomy: Surgical Approach and Outcomes Among a Large Institutional Cohort","authors":"S. Azadi, Sydney Graham, S. Bush, R. Lee, Nadim Bou Zgheib","doi":"10.33470/2379-9536.1381","DOIUrl":"https://doi.org/10.33470/2379-9536.1381","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45536752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Immune-Mediated Necrotizing Myopathy in a 75-Year-Old with Anti-HMG-CoA Reductase Antibodies","authors":"Dylan Smith, Kassandra Flores, Adenrele Olajide","doi":"10.33470/2379-9536.1387","DOIUrl":"https://doi.org/10.33470/2379-9536.1387","url":null,"abstract":"","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46895278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The visually striking neurocutaneous manifestations of neurofibromatosis type 1 (NF1) are well recognized and extensively documented throughout the scientific literature. While not uncommon, the pulmonary manifestations of NF1 are largely unknown to many physicians. NF1-associated diffuse lung disease (NF-DLD) complications include pulmonary hypertension, pulmonary artery stenosis, subpleural cysts, and spontaneous pneumothorax. We present a rare case of a 34-year-old non-smoking male with NF-DLD found incidentally in adolescence with previous apical bleb repair, presenting nearly 20 years later with spontaneous pneumothorax. In NF1 patients with pulmonary complaints, NF-DLD should be assessed with computed tomography (CT), and physicians should be familiar with associated complications. Our case adds to the evidence that NF-DLD is a clinical entity distinct from the effects of smoking.
{"title":"Spontaneous Pneumothorax: A Rare Complication of Neurofibromatosis Type 1 Associated Diffuse Lung Disease","authors":"E. I. Sherfinski, M. Cooper","doi":"10.33470/2379-9536.1380","DOIUrl":"https://doi.org/10.33470/2379-9536.1380","url":null,"abstract":"The visually striking neurocutaneous manifestations of neurofibromatosis type 1 (NF1) are well recognized and extensively documented throughout the scientific literature. While not uncommon, the pulmonary manifestations of NF1 are largely unknown to many physicians. NF1-associated diffuse lung disease (NF-DLD) complications include pulmonary hypertension, pulmonary artery stenosis, subpleural cysts, and spontaneous pneumothorax. We present a rare case of a 34-year-old non-smoking male with NF-DLD found incidentally in adolescence with previous apical bleb repair, presenting nearly 20 years later with spontaneous pneumothorax. In NF1 patients with pulmonary complaints, NF-DLD should be assessed with computed tomography (CT), and physicians should be familiar with associated complications. Our case adds to the evidence that NF-DLD is a clinical entity distinct from the effects of smoking.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47367953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lyme disease is a systemic infection caused by the spirochete Borrelia burgdorferi often carried by the Ixodes tick. It is associated with dermatologic manifestations, most notably the “bullseye rash” of erythema migrans. The disease can progress in stages to involve other organs such as joints, the heart, and the nervous system. Lyme disease continues to spread, with West Virginia (WV) cases increasing dramatically in the last 2 decades. As a result, physicians are likely to encounter this disease more often, making recognition and early treatment a top priority to prevent potentially dangerous sequelae. We present a case of a 60-year-old man who presented with multiple erythematous annular plaques and was subsequently diagnosed with Lyme disease. This case is unique because he had no known exposure to ticks, was treated for Lyme Disease, and subsequently developed a Jarisch- Herxheimer reaction (JHR).
{"title":"The Expansion of Lyme Disease: A Case of Infection in the Absence of Known Exposure","authors":"James C Curry, S. Cook","doi":"10.33470/2379-9536.1384","DOIUrl":"https://doi.org/10.33470/2379-9536.1384","url":null,"abstract":"Lyme disease is a systemic infection caused by the spirochete Borrelia burgdorferi often carried by the Ixodes tick. It is associated with dermatologic manifestations, most notably the “bullseye rash” of erythema migrans. The disease can progress in stages to involve other organs such as joints, the heart, and the nervous system. Lyme disease continues to spread, with West Virginia (WV) cases increasing dramatically in the last 2 decades. As a result, physicians are likely to encounter this disease more often, making recognition and early treatment a top priority to prevent potentially dangerous sequelae. We present a case of a 60-year-old man who presented with multiple erythematous annular plaques and was subsequently diagnosed with Lyme disease. This case is unique because he had no known exposure to ticks, was treated for Lyme Disease, and subsequently developed a Jarisch- Herxheimer reaction (JHR).","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44238868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pulmonary Aspergillus infections are caused by the ubiquitous fungus mold when spores found in compost, dust, and plant material are inhaled. Manifestation of the disease is represented by a delicate balance between host and pathogen interactions, making Aspergillus infection more commonly observed in immunocompromised individuals. Chronic cavitary pulmonary aspergillosis (CCPA) is a subtype of pulmonary Aspergillosis associated with a history of chronic or prior lung disease. Here, we present the case of a non-immunocompromised 24-year-old male with a history of intermittent asthma with chronic pulmonary symptoms and a finding of a lung mass on imaging. We describe the diagnostic challenge and surgical treatment of CCPA in medically refractory disease. This case is unique because our patient is relatively young and otherwise healthy, with no associated chronic lung disease.
{"title":"Chronic Cavitary Pulmonary Aspergillosis: An Unusual Cause of Chronic Cough, Pleuritic Chest Pain, and Hemoptysis in a 24-Year-Old Coal Mine Worker","authors":"E. I. Sherfinski, E. Vore, M. Cooper, Peimei He","doi":"10.33470/2379-9536.1386","DOIUrl":"https://doi.org/10.33470/2379-9536.1386","url":null,"abstract":"Pulmonary Aspergillus infections are caused by the ubiquitous fungus mold when spores found in compost, dust, and plant material are inhaled. Manifestation of the disease is represented by a delicate balance between host and pathogen interactions, making Aspergillus infection more commonly observed in immunocompromised individuals. Chronic cavitary pulmonary aspergillosis (CCPA) is a subtype of pulmonary Aspergillosis associated with a history of chronic or prior lung disease. Here, we present the case of a non-immunocompromised 24-year-old male with a history of intermittent asthma with chronic pulmonary symptoms and a finding of a lung mass on imaging. We describe the diagnostic challenge and surgical treatment of CCPA in medically refractory disease. This case is unique because our patient is relatively young and otherwise healthy, with no associated chronic lung disease.","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49650281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dream enactment behavior (DEB) contains the hallmark criteria for the diagnosis of REM behavior disorder (RBD), and it is attributed as the underlying mechanism with its distinct pathology and presentation. The recently described condition, trauma associated sleep disorder (TSD), is closely related to posttraumatic stress disorder (PTSD) and shares the same diagnostic criteria as RBD; however, they differ significantly in their underlying pathophysiology. The transition from one to another has not been described well and is only self-reported in the medical literature. This article describes a case study of a patient with a history of PTSD in remission who developed symptoms typical of idiopathic RBD unrelated to the patient’s previous trauma. As RBD has not been well-studied within the general population, this case study is unique since the idiopathic RBD was captured via polysomnogram (PSG).
{"title":"Dream Enactment Behavior: A Documented Case Presenation with a Transition from Post Traumatic Stress Disorder to REM Behavior Disorder","authors":"S. Atassi, K. Atassi","doi":"10.33470/2379-9536.1377","DOIUrl":"https://doi.org/10.33470/2379-9536.1377","url":null,"abstract":"Dream enactment behavior (DEB) contains the hallmark criteria for the diagnosis of REM behavior disorder (RBD), and it is attributed as the underlying mechanism with its distinct pathology and presentation. The recently described condition, trauma associated sleep disorder (TSD), is closely related to posttraumatic stress disorder (PTSD) and shares the same diagnostic criteria as RBD; however, they differ significantly in their underlying pathophysiology. The transition from one to another has not been described well and is only self-reported in the medical literature. This article describes a case study of a patient with a history of PTSD in remission who developed symptoms typical of idiopathic RBD unrelated to the patient’s previous trauma. As RBD has not been well-studied within the general population, this case study is unique since the idiopathic RBD was captured via polysomnogram (PSG).","PeriodicalId":93035,"journal":{"name":"Marshall journal of medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44756831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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