Journal of academic hospital medicine, volume 7, issue 3 (2015 July-September)

Permanent URI for this collection

https://hdl.handle.net/10355/65711

Table of Contents
Case Reports
- An unusual case of late recurrent Hodgkin lymphoma presenting with soft tissue masses / Aileen Deng, MD, Asad Javad, MD, Guldeep Uppal, MD, Margaret Kasner, MD
- Isolated Intestinal Angioedema Induced by an ACE-inhibitor / Paul J. Hampel, BS, Harleen Chela, MD, John Irish, MD, Rochelle Parker, MD
Ask a Specialist
- Ask a Pathologist / Emily Coberly, MD

[Collection created September 4, 2018]

Browse

Now showing 1 - 4 of 4

Table of Contents
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07)
Ask a pathologist
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07) Coberly, Emily
QUESTION: What is the difference between packed red blood cells that are called "CMV negative" and those that are called "CMV safe"?
An unusual case of late recurrent Hodgkin lymphoma presenting with soft tissue masses
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07) Deng, Aileen; Javad, Asad; Uppal, Guldeep; Kasner, Margaret
Hodgkin lymphoma remains primarily a nodal disease. Extranodal involvement in Hodgkin lymphoma is less common than that seen in non-Hodgkin lymphoma. In particular, extranodal Hodgkin lymphoma involving soft tissues is extremely rare. We report a case of extranodal Hodgkin lymphoma involving breast and thigh tissues in a 72 year-old female. CAT scan showed a complex mass like area centered around the distal aspect of the vastus medialis. Ultrasound showed an ovoid solid and cystic mass in the right breast. This case illustrates that, while rare, Hodgkin lymphoma can manifest as soft tissue masses.
Case Reports : Isolated intestinal angioedema induced by an ACE-inhibitor
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2015-07) Hampel, Paul; Chela, Harleen; Irish, John; Parker, Rochelle
INTRODUCTION: We report a case of isolated angioedema in a patient who presented with severe abdominal pain shortly after starting Lisinopril for treatment of hypertension. CASE DESCRIPTION: A 26 year old female presented with diffuse abdominal pain with onset and relief associated with Angiotensin-converting enzyme inhibitor (ACE-I) initiation and discontinuation, respectively. Additional history was not overly concerning for an infectious cause and no personal or family history suggestive of inflammatory bowel disease (IBD) was present. Physical examination revealed non-peritoneal abdominal pain, no associated IBD findings, and no apparent angioedema. Initial labs were unremarkable. Computed tomography (CT) imaging showed diffuse small bowel inflammation and was followed with direct visualization and biopsy via push enteroscopy. The small bowel appeared grossly normal, and biopsies confirmed normal mucosa. Her ACE-I was held upon admission; nausea and pain were treated symptomatically. The patient achieved complete resolution of her symptoms with no known recurrence. DISCUSSION: This case highlights an important diagnosis to consider in the differential of abdominal pain in a patient on an ACE-I in order to avoid expensive and invasive testing. Key words: Intestinal angioedema; ACE-Inhibitor; Lisinopril; Isolated angioedema

Browse

Recent Submissions