COVID-19? Let me see your hands Bernal-Bello, David; Lara-Montes, Celia; Jaenes-Barrios, Beatriz
The Journal of the Royal College of Physicians of Edinburgh,
12/2023, Letnik:
53, Številka:
4
Journal Article
Recenzirano
During the first wave of the COVID 19 pandemic, a patient with anti-synthetase syndrome (ASS) was misdiagnosed as having bilateral severe acute respiratory syndrome coronavirus 2 pneumonia on ...admission. A comprehensive clinical evaluation would have led to the correct diagnosis earlier, as he had some data consistent with ASS on both physical examination and laboratory tests that were initially overlooked. In addition, a malignant lesion in the colon was found on screening for underlying malignancy. In this context, ASS has been considered a low-risk subgroup for cancer among idiopathic inflammatory myopathies. However, this should be interpreted cautiously and should not lead to neglect of adequate cancer screening adjusted for age, sex and other potential risk factors.
A 63-year-old man attended our department reporting a 3-month history of diffuse pain in both hands. He had been investigated for primary hyperparathyroidism because of previous episodes of ...hypercalcaemia—the last time had necessitated hospitalisation—despite taking high doses of a calcimimetic (cinacalcet). The patient's maximum serum calcium concentration had been 13·3 mg/dL (normal range 8·5–10·5). His parathyroid hormone (286 pg/mL; normal range 12–88) and 24-h urine test for calcium (491·8 mg; normal range 100–300) had also been raised; imaging studies had been inconclusive for parathyroid hyperfunction.
Telangiectasias in a row Morales-Ortega, Alejandro; Martín-Alcalde, Javier; Bernal-Bello, David
European journal of internal medicine,
20/May , Letnik:
99
Journal Article
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