1,956 results match your criteria 28-year-old man

Efficacy of Hybrid Closed-Loop Insulin Delivery System in a Hospital Setting: A Case Series.

AACE Clin Case Rep 2021 May-Jun;7(3):184-188. Epub 2021 Jan 6.

Division of Endocrinology, NYU Long Island School of Medicine, Mineola, New York.

Objective: We report a case series of 4 patients with type 1 diabetes who used hybrid closed-loop insulin pumps (Medtronic MiniMed 670 G) during hospitalization.

Methods: Clinical data and point-of-care glucose values are presented for each patient. Glucose values are shown graphically while in manual mode as well as in auto mode. Read More

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January 2021

Scaphoid Cortical Desmoid in a Snowboarder With Persistent Wrist Pain.

Cureus 2021 May 1;13(5):e14793. Epub 2021 May 1.

Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.

A 28-year-old man presented to our clinic with persistent left wrist pain. Three months earlier, he had fallen on an outstretched hand while snowboarding. Initial radiographs showed no fractures or dislocations; however, magnetic resonance imaging revealed evidence of a dorsal projection from the scaphoid waist. Read More

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Obstructive oligospermia: the role of interventional radiology in its diagnosis and treatment.

Pol J Radiol 2021 12;86:e204-e207. Epub 2021 Apr 12.

Department of Advanced Biomedical Sciences, University Federico II of Naples (UNINA), Naples, Italy.

Purpose: According to the latest World Health Organization guidelines (2010), oligo-sperm it is due to a sperm concentration of less than 15 million/ml of seminal fluid. The cause can be obstructive and non-obstructive. Interventional radiology allows diagnosis and, in some cases, minimally invasive treatment. Read More

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Co-existence of multiple sclerosis and germinoma in an adult male: Case report.

Surg Neurol Int 2021 19;12:177. Epub 2021 Apr 19.

Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.

Background: Concurrent diagnosis of multiple sclerosis (MS) and the central nervous system (CNS) germinoma is rare. The diagnostic criteria for MS rely primarily on clinical presentation, and CNS germinoma can present as an MS mimic. These factors contribute to the rarity of dual diagnosis. Read More

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NGS-Based Diagnosis of Treatable Neurogenetic Disorders in Adults: Opportunities and Challenges.

Genes (Basel) 2021 May 6;12(5). Epub 2021 May 6.

Division of Genetic Medicine, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland.

The identification of neurological disorders by next-generation sequencing (NGS)-based gene panels has helped clinicians understand the underlying physiopathology, resulting in personalized treatment for some rare diseases. While the phenotype of distinct neurogenetic disorders is generally well-known in childhood, in adulthood, the phenotype can be unspecific and make the standard diagnostic approach more complex. Here we present three unrelated adults with various neurological manifestations who were successfully diagnosed using NGS, allowing for the initiation of potentially life-changing treatments. Read More

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28-Year-Old Man With an Organism Extracted From the Eyelid.

Clin Infect Dis 2021 Jun;72(11):2049-2051

Department of Pathology, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA.

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Vimentin-positive and Alpha-fetoprotein-elevated Nuclear Protein of the Testis Midline Carcinoma: A Case Report and Review of the Literature.

Intern Med 2021 May 29. Epub 2021 May 29.

Department of Clinical Oncology, Yamagata University Faculty of Medicine, Japan.

Nuclear protein of the testis (NUT) midline carcinoma (NMC) is a rare malignant tumor expressing NUT with BRD4/3 rearrangements and is sometimes misdiagnosed as germinoma, especially in alpha-fetoprotein (AFP)-elevated cases. A 28-year-old man had a mediastinal tumor with multiple bone metastases and elevated AFP levels. Imaging/laboratory findings led to a pathological diagnosis of extragonadal germinoma. Read More

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Keratoconus Management With Customized Photorefractive Keratectomy by Artificial Intelligence Ray-Tracing Optimization Combined With Higher Fluence Corneal Crosslinking: The Ray-Tracing Athens Protocol.

Cornea 2021 May 27. Epub 2021 May 27.

Department of Ophthalmology, the Laservision.gr Clinical and Research Institute, Athens, Greece; and Department of Ophthalmology, New York University, School of Medicine, New York City, NY.

Purpose: The aim of this study was to report novel ray-tracing customization of surface excimer laser ablation combined with higher fluence corneal crosslinking (CXL) in the stabilization and normalization of ectasia and visual rehabilitation of progressive keratoconus.

Methods: A 28-year-old man with bilateral progressive keratoconus was treated with Athens protocol: CXL combined with photorefractive surface ablation customized by a novel artificial intelligence platform calculating lower- and higher-order aberrations based on wavefront, Scheimpflug tomography, and interferometry axial length data from a single diagnostic device. Visual acuity, refractive error, keratometry, optical coherence tomography and Scheimpflug tomography, and endothelial cell density were evaluated over 12 months. Read More

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Life-Threatening Intraparenchymal Hemorrhage of Steroid-Induced Hepatic Adenomas in a Healthy Man.

ACG Case Rep J 2021 May 24;8(5):e00601. Epub 2021 May 24.

Department of Surgery, Beacon Hospital, Sandyford, Dublin, Ireland.

Hepatocellular adenomas are uncommon benign epithelial tumors of the liver that are associated with several risk factors such as anabolic androgens and oral contraceptive pills. They may present as incidental findings, with abdominal pain or hemorrhage. This case report details the presentation and management of a life-threatening hepatocellular adenomas hemorrhage in a seemingly healthy 28-year-old man. Read More

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A novel mutation causing congenital myasthenic syndrome with limb-girdle weakness: case series of three family members.

Heliyon 2021 May 7;7(5):e06869. Epub 2021 May 7.

Center of Excellence in Genomic Medicine Research and Faculty of Applied Medical Sciences, King Abdulaziz University, P.O. Box: 80200, 21589, Saudi Arabia.

Congenital myasthenia syndrome (CMS) is a group of heterogeneous diseases affecting the neuromuscular endplate. CMS has a considerably different phenotypic presentations, with the onset time ranging from early infancy to late adulthood. Here, we report a case of a CMS due to a new DOK7 mutation in a 28-year-old man and two of his sisters, who have a pure limb-girdle weakness. Read More

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Use of saline to evaluate a cavity due to infection during ultrathin bronchoscopy and endobronchial ultrasonography.

Respirol Case Rep 2021 Jun 10;9(6):e00766. Epub 2021 May 10.

Department of Internal Medicine, Division of Medical Oncology & Respiratory Medicine Shimane University Shimane Japan.

A 28-year-old man had a cavitary lesion in the upper right lobe with a tree-in-bud appearance on chest computed tomography (CT). Diagnostic bronchoscopy was performed. An ultrathin bronchoscope in the right B2aiiβxyy reached the cavity. Read More

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Rare presentation of multisystem inflammatory syndrome in an adult associated with SARS-CoV-2 infection: unilateral neck swelling.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Multisystem inflammatory syndrome in adults (MIS-A) is a rare but often severe complication of SARS-CoV-2 infection. While several case reports about MIS-A in the setting of COVID-19 have been published since the term was first coined in June 2020, a clear description of the underlying pathophysiology and guideline-based recommendations on the diagnostic and therapeutic approach are lacking. What has been reported is that in the absence of severe respiratory illness, MIS-A can present with hypotension or shock, high-grade fever, abdominal pain, diarrhoea and severe weakness days to weeks after SARS-CoV-2 infection. Read More

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A Rare Case of Thyroid Carcinoma Showing Thymus-Like Differentiation in a Young Adult.

Case Rep Oncol 2021 Jan-Apr;14(1):671-675. Epub 2021 Apr 12.

Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama, Japan.

Thyroid carcinoma showing thymus-like differentiation (CASTLE) is thought to originate from ectopic thymic tissue or remnants of the developing thymus within or adjacent to the thyroid. This case report describes a mass located on the left thyroid of a 28-year-old man. Fine-needle aspiration cytology revealed a number of lymphoid cells without atypia that were similar to those seen in a malignant lymphoma of the thyroid, and surgery was performed. Read More

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Use of flow diverter stent for treatment of a cervical carotid artery dissection and pseudoaneurysm causing Horner's syndrome.

BMJ Case Rep 2021 May 10;14(5). Epub 2021 May 10.

Department of Neurosurgery, Tallahassee Neurological Clinic, Tallahassee, Florida, USA.

A 28-year-old man in 2004 was identified with a spontaneous pseudoaneurysm and distal left cervical internal carotid artery (ICA) dissection. The patient was followed conservatively for 12 years with cross-sectional imaging. The patient was initially diagnosed with an acute left ICA dissection, with significant luminal narrowing. Read More

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28-Year-Old Man With Recurrent Vertigo, Syncope, and Progressive Memory Impairment.

Mayo Clin Proc 2021 05;96(5):1309-1314

Advisor to residents and Consultant in Rheumatology, Mayo Clinic, Rochester, MN. Electronic address:

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A novel stop codon mutation in exon 5 (c.639G>A) of the cadherin-1 gene in a Vietnamese man with hereditary diffuse gastric cancer: a case report.

J Med Case Rep 2021 May 4;15(1):263. Epub 2021 May 4.

Biochemistry Department, Hanoi Medical University, Hanoi, Vietnam.

Background: Germline pathogenic variants in the cadherin-1 (CDH1) gene cause a predisposition to hereditary diffuse gastric cancer (HDGC). We report an HDGC case in Vietnam and identify a novel mutation in the CDH1 gene.

Case Presentation: A 28-year-old Vietnamese man was diagnosed with HDGC and a novel mutation at c. Read More

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Iatrogenic Hypotension Induced by the Improper Treatment of Normal Grief.

Kyle E Robinson

Case Rep Psychiatry 2021 13;2021:6661943. Epub 2021 Apr 13.

Mayo Clinic, Rochester, MN, USA.

We report the case of a 28-year-old male in rural Madagascar with iatrogenic hypotension induced by improper treatment of a normal grief response. The man lost both of his children in the spring of 2019 during a measles outbreak that infected at minimum 152,000 individuals on the island. After developing symptoms of chest pain, intermittent tachycardia, and widespread pain when he would think of his children in the weeks following their loss, he was prescribed gabapentin, lisinopril, and metoprolol by a general practice nurse. Read More

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Is Occult Genetic Substrate the Missing Link Between Arrhythmic Mitral Annular Disjunction Syndrome and Sudden Cardiac Death?

Can J Cardiol 2021 Apr 29. Epub 2021 Apr 29.

Department of Neuroscience, Imaging and Clinical Sciences, "G.d'Annunzio" University of Chieti-Pescara, Italy. Electronic address:

We present the case of a 28-year-old man with a history of unexplained syncope, frequent ventricular arrhythmias, familial LMNA-related dilated cardiomyopathy (DCM) and mitral annular disjunction (MAD). We provide the first association of a novel truncating LMNA variant serving as a potential vulnerable substrate for arrhythmogenic MAD syndrome. This could suggest a possible synergistic role between concealed genetic variants (resulting in fibrosis as a 'substrate' for arrhythmogenesis) and the presence of mitral annular disjunction (the 'trigger' with mechanical stretch initiating ventricular arrhythmias), which may provide a link between mitral valve prolapse and sudden cardiac death. Read More

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Crescentic postinfectious glomerulonephritis in an adult patient with juvenile nasopharyngeal angiofibroma.

BMJ Case Rep 2021 Apr 23;14(4). Epub 2021 Apr 23.

Division of Nephrology, Department of Medicine, University of the Philippines Manila, Manila, Philippines.

Crescentic glomerulonephritis is usually associated with an acute nephritic syndrome with rapidly declining renal function. Postinfectious cases usually have a higher possibility of recovery. Juvenile nasopharyngeal angiofibroma (JNA) is a rare, locally aggressive tumour affecting mostly young men. Read More

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complex and co-infection in a patient with acquired immunodeficiency syndrome: a case report.

Acta Clin Belg 2021 Apr 22:1-6. Epub 2021 Apr 22.

Department of Internal Medicine and Infectious Diseases, Centre Hospitalier Universitaire (CHU), Liege, Belgium.

Opportunistic infections (OI) are common in patients with acquired immunodeficiency syndrome (AIDS). Cryptococcus neoformans and Mycobacterium avium complex (MAC) are frequently responsible of such infections. However, concurrent infection with these two pathogens is uncommon and underreported in the literature. Read More

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"Unusual Pattern of Cerebral Microbleeds and Petechial Hemorrhages after Veno-Arterial Extracorporeal Membrane Oxygenation Support. A Report of 2 Cases".

J Stroke Cerebrovasc Dis 2021 Jul 15;30(7):105792. Epub 2021 Apr 15.

Department of Radiology, Bichat Hospital, 46 rue Henri Huchard, 75018 -Paris, France; Assistance Publique-Hôpitaux de Paris. Electronic address:

Objective: to report an unusual pattern of brain petechial hemorrhages in 2 patients after veno-arterial extracorporeal membrane oxygenation support (VA-ECMO) CASE 1: a 28-year-old man (Marfan disease) presented in the early post-operative period a multi-organ failure associated with a disseminated intravascular coagulation (DIC). He was placed on continuous veno-venous hemofiltration and VA-ECMO. He was weaned from ECMO 4 days later. Read More

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The enigmatic fascia: eosinophilic fasciitis.

J Osteopath Med 2021 03 30;121(6):555-559. Epub 2021 Mar 30.

Department of Dermatology, Keesler Medical Center, Biloxi, MS, USA.

This case report highlights the potentially underrecognized subtype of unilateral eosinophilic fasciitis (EF) in a 28 year old man. With fewer than 300 reported encounters to date, EF is a rare disease that eludes clinicians by presenting as a scleroderma like syndrome. As EF remains a clinical diagnosis, biopsy results may be nonspecific, and the disease can easily be misdiagnosed (or missed entirely) if a full thickness biopsy is not reviewed by a dermatopathologist. Read More

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Infectious Mononucleosis Complicated with Bilateral Peritonsillar Abscess and Splenic Infarction.

Case Rep Infect Dis 2021 12;2021:6623834. Epub 2021 Mar 12.

Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Infectious mononucleosis (IM) due to Epstein-Barr virus (EBV) infection is usually self-limited. It presents with fever, pharyngitis, fatigue, and cervical lymph node enlargement. It is common among adolescents and young adults. Read More

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Myositis ossificans causing ulnar neuropathy: a case report.

J Int Med Res 2021 Mar;49(3):3000605211002680

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

Myositis ossificans (MO) can compress peripheral nerves and cause neuropathy. We herein describe a patient with ulnar neuropathy caused by MO at the medial elbow. A 28-year-old man with a drowsy mentality and multiple organ damage following a traffic accident was admitted to our hospital. Read More

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Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher:a case report.

Fukushima J Med Sci 2021 Apr 16;67(1):33-37. Epub 2021 Mar 16.

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine.

Thoracic ossification of the ligamentum flavum (OLF) is a pathological condition that causes myelopathy, with unilateral lower extremity pain rarely a feature in the presenting complaint. Moreover, most symptomatic cases of thoracic OLF occur in middle-aged men, with younger individuals rarely affected. We present a rare case of severe and chronic unilateral buttock and leg pain mimicking sciatica due to thoracic OLF in a professional baseball pitcher. Read More

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28-Year-Old Man With an Enlarged Left Testicle.

Mayo Clin Proc 2021 04 10;96(4):1047-1051. Epub 2021 Mar 10.

Advisor to residents and Consultant in General Internal Medicine, Mayo Clinic, Rochester, MN. Electronic address:

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Isolated Dislocation of Hamate with Hook Fracture in Setting of Acute Hand Compartment Syndrome: A Case Report and Review of the Literature.

J Orthop Case Rep 2020 Nov;10(8):76-79

Department of Orthopaedic Surgery, University of California Davis Medical Center, Suite 3800, Sacramento, CA 95817, USA.

Introduction: A rare case of traumatic, isolated dislocation of the hamate with hook fracture in the setting of concomitant acute hand compartment syndrome is presented. This is the first described case of isolated hamate dislocation presenting with symptoms and examination consistent with acute compartment syndrome of the hand.

Case Report: A 28-year-old man presented with a left hand crush injury. Read More

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November 2020

Giant Brain Hydatid Cyst in an Adult: A New Case Report

Turkiye Parazitol Derg 2021 03;45(1):76-79

Birjand University Faculty of Medicine, Infectious Disease Research Center, Birjand, İran

Cystic echinococcosis is an important zoonotic disease that occurs in humans and mammals in general, which causes considerable economic loss and poses health concerns in different parts of the world. The patient involved in this case report was a 28-year old man living in Birjand city who had been suffering from intermittent headache, nausea and vomiting for the past two weeks. The other symptoms presented by the patient were dizziness, blurred vision, seizures and imbalance. Read More

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Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman.

Plast Reconstr Surg Glob Open 2021 Feb 16;9(2):e3393. Epub 2021 Feb 16.

Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, Japan.

Adenoid cystic carcinoma (ACC) is a relatively rare malignant tumor. It is more common in women than in men and typically develops in the lacrimal, salivary, and breast glands. ACC of the external auditory canal (EAC) is exceedingly rare, and its invasion into the ear lobe is even more unusual. Read More

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February 2021