Monthly Archives: November 2016

Question: A 38-year-old man was referred to us with loss of consciousness and seizure. In the history taken, it was revealed that he had had tremor, low back pain, trismus, and hand/foot locking for 4 days before presentation and constipation for almos… Continue reading →

Question: A 29-year-old man with severe colonic Crohn’s disease (CD) with perianal involvement was admitted with a 1-week history of painful, nonpruritic, erythematous skin rash associated with fever, chills, myalgias, and arthralgias. The lesions star… Continue reading →

Question: A 29-year-old man with severe colonic Crohn’s disease (CD) with perianal involvement was admitted with a 1-week history of painful, nonpruritic, erythematous skin rash associated with fever, chills, myalgias, and arthralgias. The lesions star… Continue reading →

Question: A 19-year-old boy presented to our hospital because of a 6-month history of progressive dyspnea and generalized edema. He developed cough, abdominal fullness, diarrhea, and leg edema 5 years ago. Liver cirrhosis was suspected at that time. However, he seemed to have a poor response to medical treatment. Physical examination showed decreased breathing sounds and rales of bilateral lower chest area, a distended abdomen with multiple purple striae, and edema of bilateral lower legs. Laboratory tests showed a low serum total protein of 3.8 g/dL (normal range, 5.5–8), albumin of 2.0 g/dL (normal range, 3.8–5.4), total calcium 7 mg/dL (normal range, 8.4–10.8), C-reactive protein of 11.02 mg/dL (normal, <0.8). Continue reading →

Question: A 19-year-old boy presented to our hospital because of a 6-month history of progressive dyspnea and generalized edema. He developed cough, abdominal fullness, diarrhea, and leg edema 5 years ago. Liver cirrhosis was suspected at that time. However, he seemed to have a poor response to medical treatment. Physical examination showed decreased breathing sounds and rales of bilateral lower chest area, a distended abdomen with multiple purple striae, and edema of bilateral lower legs. Laboratory tests showed a low serum total protein of 3.8 g/dL (normal range, 5.5–8), albumin of 2.0 g/dL (normal range, 3.8–5.4), total calcium 7 mg/dL (normal range, 8.4–10.8), C-reactive protein of 11.02 mg/dL (normal, <0.8). Continue reading →

After careful pilot studies and planning, the national screening program for colorectal cancer (CRC), with biennial fecal immunochemical tests (FITs), was initiated in The Netherlands in 2014. A national information system for real-time monitoring was … Continue reading →

After careful pilot studies and planning, the national screening program for colorectal cancer (CRC), with biennial fecal immunochemical tests (FITs), was initiated in The Netherlands in 2014. A national information system for real-time monitoring was … Continue reading →

Proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs) suppress gastric acid production, which may inhibit iron absorption. However, little data exist regarding whether these medications increase the risk of clinical iron deficiency. Continue reading →