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Clinical Case Reports

Cover image for Vol. 2 Issue 2

April 2014

Volume 2, Issue 2

Pages i–iii, 23–63

  1. Issue Information

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
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      Issue Information (pages i–iii)

      Article first published online: 9 APR 2014 | DOI: 10.1002/ccr3.14

  2. Editorial

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
  3. Case Reports

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
      Prenatal phenotype of Williams–Beuren syndrome and of the reciprocal duplication syndrome (pages 25–32)

      Livia Marcato, Licia Turolla, Eva Pompilii, Celine Dupont, Nicolas Gruchy, Simona De Toffol, Gabriella Bracalente, Severine Bacrot, Enzo Troilo, Anne C. Tabet, Sabrina Rossi, Anne L. Delezoïde, Demetrio Baldo, Nathalie Leporrier, Federico Maggi, Arnaud Molin, Gianluigi Pilu, Giuseppe Simoni, Francois Vialard and Francesca R. Grati

      Article first published online: 6 FEB 2014 | DOI: 10.1002/ccr3.48

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      Copy losses/gains of the Williams–Beuren syndrome (WBS) region cause neurodevelopmental disorders with variable expressivity. The WBS prenatal diagnosis cannot be easily performed by ultrasound because only few phenotypic features can be assessed. Three WBS and the first reciprocal duplication prenatal cases are described with a review of the literature.

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      A new mutation in the CSB gene in a Chinese patient with mild Cockayne syndrome (pages 33–36)

      Yu Luo, Yan Ling, Jiachao Chen, Xi Xu, Chen Chen, Fei Leng, Jing Cheng, Min Chen and Zhiqiang Lu

      Article first published online: 7 FEB 2014 | DOI: 10.1002/ccr3.47

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      Cockayne syndrome (CS) is a rare autosomal recessive genetic disease characterized by growth failure and progressive neurological degeneration. Here we report a mild form of CS patient who was homozygous for the C526T transition resulting in a new nonsense mutation, which converts Arg176 to a stop codon.

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      Long-term survival after two surgical resections of peritoneal metastases from hepatocellular carcinoma with an interval of 4 years (pages 37–41)

      Toshihiro Kitajima, Masaji Hashimoto, Kazunari Sasaki, Masamichi Matsuda, Yoko Kuroda, Takeshi Fujii and Goro Watanabe

      Article first published online: 24 FEB 2014 | DOI: 10.1002/ccr3.50

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      We propose that surgical resections of peritoneal metastases arising from hepatocellular carcinoma are an option for selected patients with controlled HCC in the liver, and without metastases in other organs, when the complete removal of such metastases can be achieved, especially in the case of patients with normal liver function.

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      Chronic myelomonocytic leukemia presenting with polyserositis due to an immune-mediated monocyte activation (pages 42–44)

      Osamu Imataki, Naoki Watanabe, Kensuke Matsumoto and Makiko Uemura

      Article first published online: 28 FEB 2014 | DOI: 10.1002/ccr3.55

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      Monocytosis is often profoundly implicated in chronic myelomonocytic leukemia (CMML). We diagnosed a 63-year-old woman with CMML involving hetero-chronological systemic polyserositis with infiltrating benign monocytes. The patient's pleural effusion was eliminated completely with corticosteroid therapy. We speculate that our case represents an immunologic reaction with activated monocytes triggered by infection.

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      A case of self-harm by alcohol intoxication resulted in unintended in-hospital death (pages 45–47)

      Goro Nagashima, Miho Kamimura, Akihito Kato, Yasunobu Fukuda, Masayuki Noda, Hiroyuki Morishima, Taku Tanaka and Yuki Umano

      Article first published online: 3 MAR 2014 | DOI: 10.1002/ccr3.51

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      In-hospital hanging during a confusional state from alcohol intoxication is rare. To treat cases of acute alcohol intoxication, careful observation will be needed to avoid accidental psychological reactions.

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      Renal failure with a large bladder calculus related to a foreign body: a case report (pages 48–50)

      Janelle Minter and Joseph Chiovaro

      Article first published online: 3 MAR 2014 | DOI: 10.1002/ccr3.52

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      We encountered a patient with renal failure in the setting of long-standing difficulty urinating, which he previously treated with intermittent self-catheterizations. Imaging showed a large urinary calculus in the bladder. This case illustrates the importance of taking a detailed history and the dramatic long-term effects of bladder calculi.

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      Traumatic dissection of the internal carotid artery: simultaneous infarct of optic nerve and brain (pages 51–56)

      Edgar Correa and Braulio Martinez

      Article first published online: 3 MAR 2014 | DOI: 10.1002/ccr3.53

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      Traumatic intracranial internal carotid artery dissection is a rare but significant cause of stroke in patients in their forties, leading to high morbidity and mortality. Simultaneous ischemic stroke and optic nerve infarction can occur. Clinical suspicion of dissection is determining in the acute management.

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      How atypical can Atypical Hemolytic Uremic Syndrome be? (pages 57–59)

      Thomas Sajan, Srinivasa Vinay, Nigam Sonu and Parnham Alan

      Article first published online: 6 MAR 2014 | DOI: 10.1002/ccr3.59

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      A 24-year-old man with diarrhea found to have acute renal failure with MAHA. A diagnosis of hemolytic uraemic syndrome (HUS) was made. He was initiated on PE and hemodialysis. On day 6, he was started on eculizumab. His renal functions progressively improved. His main complication during eculizumab therapy was hypertension-related posterior reversible encephalopathy syndrome

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      Lemierre's syndrome after evacuation of the uterus: a case report (pages 60–61)

      Katrine Kaare Hedengran and Jens Hertz

      Article first published online: 6 MAR 2014 | DOI: 10.1002/ccr3.62

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      Even minor surgical interventions can have serious complications. Lemierre's syndrome is rare and to our best knowledge never before described after gynecological surgery, however, it should be considered in case of rapidly developing respiratory problems after even simple surgical procedures.

  4. Clinical Image

    1. Top of page
    2. Issue Information
    3. Editorial
    4. Case Reports
    5. Clinical Image
    1. You have full text access to this OnlineOpen article
      What is the cause of the opthalmoplegia in this young child? What treatment is necessary? (pages 62–63)

      Karim Kassam and Bhavin Visavadia

      Article first published online: 12 FEB 2014 | DOI: 10.1002/ccr3.38

      Thumbnail image of graphical abstract

      Not all orbital fractures are associated with clinical signs of swelling, ecchymosis, and subconjunctival hemorrhage. The “white-eyed” blowout fracture is more commonly seen in children and is associated with entrapment of the extraocular muscles. Early surgical intervention is indicated and it must have been in the differential diagnosis of the head injury patient with opthalmoplegia.

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