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Popa SL, Chiarioni G, David L, Golea GI, Dumitrascu DL. Rare causes of emesis. Med Pharm Rep 2020; 93:127-132. [PMID: 32478318 PMCID: PMC7243886 DOI: 10.15386/mpr-1509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 02/20/2020] [Accepted: 03/05/2020] [Indexed: 12/04/2022] Open
Abstract
Prompt diagnosis in the emergency department in the case of a patient with emesis may be difficult due to the increasing prevalence of diseases which manifest with emesis. Furthermore, in the case of chronic symptomatology, management and therapy are even more complicated. One episode of emesis rarely causes complications, but severe or repetitive episodes of emesis can cause life-threatening complications. For this reason, the diagnosis of the underlying disease which manifests with emesis is mandatory to be established in a short time in order to choose the correct therapeutic option. In order to systemize the process of diagnosis, this clinical narrative review will discuss only rare causes of emesis.
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Affiliation(s)
- Stefan L Popa
- 2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania
| | - Giuseppe Chiarioni
- Division of Gastroenterology of the University of Verona, AOUI Verona, Italy and Division of Gastroenterology and Hepatology & Center for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Liliana David
- 2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania
| | - George I Golea
- 2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania
| | - Dan L Dumitrascu
- 2 Medical Department, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania
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Saracino D, Allegorico L, Barbarulo AM, Pollo B, Giaccone G, D'Amico A, D'Incerti L, Bugiani O, Di Iorio G, Sampaolo S, Melone MAB. Neuro-Behçet's disease presenting as an isolated progressive cognitive and behavioral syndrome. Neurocase 2018; 24:238-241. [PMID: 30583716 DOI: 10.1080/13554794.2018.1561898] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Behçet's disease is a chronic inflammatory disorder manifesting as a vasculitis that affects arteries and veins of any size. Up to 44% of cases may also present with neurological symptoms, thus defining Neuro-Behçet's disease. We describe a case of Neuro-Behçet's disease characterized by progressive behavioral and cognitive deterioration prevailing over other neurological symptoms, without evident systemic involvement.
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Affiliation(s)
- Dario Saracino
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy
| | - Lia Allegorico
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy
| | - Anna Maria Barbarulo
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy
| | - Bianca Pollo
- b Division of Neurology V - Neuropathology , Fondazione IRCCS Istituto Neurologico Carlo Besta , Milan , Italy
| | - Giorgio Giaccone
- b Division of Neurology V - Neuropathology , Fondazione IRCCS Istituto Neurologico Carlo Besta , Milan , Italy
| | - Alessandra D'Amico
- c Department of Advanced Biomedical Sciences , Neuroradiology, University "Federico II" , Naples , Italy
| | - Ludovico D'Incerti
- d Neuroradiology Unit , Fondazione IRCCS Istituto Neurologico Carlo Besta , Milan , Italy
| | - Orso Bugiani
- b Division of Neurology V - Neuropathology , Fondazione IRCCS Istituto Neurologico Carlo Besta , Milan , Italy
| | - Giuseppe Di Iorio
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy
| | - Simone Sampaolo
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy
| | - Mariarosa Anna Beatrice Melone
- a Second Division of Neurology , Center for Rare Neurological and Neuromuscular Diseases & Inter University Center for Research in Neurosciences, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli , Naples , Italy.,e Sbarro Institute for Cancer Research and Molecular Medicine, Department of Biology , Center for Biotechnology, College of Science and Technology, Temple University , Philadelphia , PA , USA
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Galgano MA, Goulart CR, Chisholm K, Hazen M, Stone S. Rapid-Onset Thoracic Myelopathy due to an Epidural Sarcoid-Like Lesion in a Pediatric Patient. World Neurosurg 2018; 111:377-380. [DOI: 10.1016/j.wneu.2017.12.185] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Revised: 12/26/2017] [Accepted: 12/30/2017] [Indexed: 10/18/2022]
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HAO XIAOSHENG, WANG JIANGTAO, LIU SONGYAN, CHEN YINBO, ZHANG YAN, HAO YUNPENG. 3-Hydroxy-3-methylglutaric aciduria with bilateral basal ganglia lesion: A case report. Exp Ther Med 2016; 11:2573-2576. [DOI: 10.3892/etm.2016.3243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Accepted: 03/18/2016] [Indexed: 11/05/2022] Open
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