An Under Recognized Cause of Progressive Dyspnea

An under-recognized cause of polyarthritis: leprosy.

An under recognized cause of chest pain

Aortic intramural hematoma (IMH) is related to but is pathologically distinct from aortic dissection. In this potentially lethal entity, there is hemorrhage into the aortic media in the absence of an intimal tear. With recent advances in imaging techniques, IMH is now increasingly recognized. The limited data available suggest that the clinical course of IMH mimics that of acute aortic dissecti...

Orlistat, an under-recognised cause of progressive renal impairment.

Obesity is an emerging risk factor for chronic kidney disease (CKD) in the developed world. Orlistat, an intestinal lipase inhibitor, used in the treatment of obesity is available as an over-the-counter medication across the European union and in many countries worldwide. It is associated with acute kidney injury (AKI). We present three adults, followed up from 1 to 6 years, who developed de no...

Malignant peripheral nerve sheath tumor of the vagus nerve: an uncommon cause of progressive dyspnea

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Metoclopramide, an Increasingly Recognized Cause

T ardive dyskinesia (TD), a hyperkinetic movement disorder causally related to dopamine receptorblocking drug (DRBD) exposure, is a well-recognized iatrogenic disorder in adults1 and less commonly seen in children and i n f a n t ~ . ~ J Although the literature on TD mainly focuses on patients treated with DRBDs used as antipsychotics, DRBDs are also used to treat a wide array of medical, chief...