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Forward2024 Clinician Corner - A rare cause of hypokalemia
AbstractHypokalemia is a common electrolyte derangement seen in the inpatient setting, often with multiple plausible explanations.
2024 Clinician Corner - Enterohemorrhagic Escherichia Coli: Trigger for Small Vessel Vasculitis
AbstractWe describe the case of a 19-year-old woman who presented with abdominal pain, vomiting, and a palpable purpuric rash. The patient subsequently developed dysentery and was found to have an infection from Shiga toxin–producing Escherichia coli.
2024 Clinician Corner - A premenopausal woman with fragmentation of a nonexpired copper intrauterine device and concomitant presence of Actinomyces species
Abstract Actinomyces spp. has been shown to form biofilms when exposed to copper, possibly enhancing its degradation. Fragmentation and migration of the copper coil on an intrauterine device (IUD) is rare, but the concomitant presence of Actinomyces spp. may increase its incidence.
2024 Clinician Corner - Central hemangioma of the maxilla: variance in clinical and radiographic features
Abstract Central hemangioma is a rare benign proliferation of blood vessels most often seen in the vertebral column and skull, but rarely in the jaws. It mainly occurs in the second decade of life with a female predilection.
2025 Updates on Enhanced Recovery after Surgery protocols for plastic surgery of the breast and future directions
Perioperative pain control is an important component of any plastic surgery practice. Due to the incorporation of
Enhanced Recovery after Surgery (ERAS) protocols, reported pain level, opioid consumption, and hospital length of stay numbers
have decreased significantly. This article provides an up-to-date review of current ERAS protocols in use, reviews individual
aspects of ERAS protocols, and discusses future directions for the continual improvement of ERAS protocols and control of postoperative pain.
2025 Clinician Corner - Vitamin B12-induced acneiform eruption
Cutaneous acneiform eruptions are a side effect of many medications, including vitamin B12 therapy. However, reports of vitamin B12–induced acne are rare. We present a 67-year-old woman with a new diagnosis of pernicious anemia who developed a sudden acneiform eruption on the face after treatment with high-dose vitamin B12. Other medications that have been implicated in drug-induced acne include but are not limited to steroids, antibiotics, immunosuppressants, biologics, and vitamin B1 and B6. The pathogenesis is likely due to a transcriptome change in Propionibacterum acnes, the organism responsible for acne vulgaris. Cessation of the offending agent leads to a regression in symptoms.
2025 The potential impact of computed tomography coronary calcium score screening on patients with dyslipidemia
Coronary artery calcium (CAC) scoring helps determine whether patients with known coronary artery disease (CAD) should initiate medical management by predicting future cardiac event risk. CAC scoring is underutilized because many insurance companies consider it experimental. This study aims to determine whether CAC screening of patients at risk for CAD can decrease the risk of myocardial infarction and improve survival.
2024 Clinician Corner - VEXAS syndrome unveiled: a multidimensional journey from clinical presentation to management
AbstractAn 83-year-old man with a history of monoclonal gammopathy of unknown significance, macrocytic anemia, and cytopenias presented with hemorrhagic bullae on his left hand, alongside intermittent fevers and joint pain.
2025 Clinician Corner - Amaurosis fugax in Takayasu arteritis mimicking migraine with visual aura
Takayasu arteritis is a rare vasculitis commonly seen in young women. Amaurosis fugax and headache are visual presentations of Takayasu arteritis. Migraine with visual aura is a common condition affecting young women, and differentiating migraine from Takayasu presenting with visual symptoms and headache can be challenging. We present a case of a young woman initially misdiagnosed with migraine with aura, who was later found to have Amaurosis fugax as an early manifestation of Takayasu arteritis.
2025 Clinician Corner - Aceruloplasminemia as a rare hereditary disease: four case reports in a single center
Aceruloplasminemia, which is a very rare iron metabolism disorder, may present with extremely nonspecific complaints, and disease screening should be considered, especially in patients with consanguineous marriages. We share four cases diagnosed with aceruloplasminemia and their characteristics. The first three cases were related to each other and have consanguineous marriages in their family history. Our first and fourth cases were diagnosed with aceruloplasminemia upon detecting hypochromic microcytic anemia, low transferrin saturation, and a high ferritin level in the examinations performed after a nonspecific complaint such as fatigue. Even though the second and third cases had no complaints, they were diagnosed during screening tests because they were relatives of the first case.