hemophagocytic syndrome (hps) is an uncommon manifestation in systemic lupus erythematosus (sle). clinical features of hps include fever, pancytopenia, abnormal liver enzyme, hepatosplenomegaly, lymphadenopathy, and coagulation disorder. hps comprises primary and reactive forms. herein, we describe a case of untreated sle with hps as one of the first manifestations of systemic lupus.

abstract: background: systemic thinking can provide practice in multidisciplinary team working and improve the organizational efficacy. this study aimed to determine the association between systemic thinking and partnership working in the employees of a medical sciences university in the south of iran. methods: a cross-sectional study was performed in zahedan university of medical sciences (zau...

gastrointestinal (gi) and hepatic manifestations are not uncommon in patients with systemic lupus erythematosus (sle). they include nonspecific symptoms as well as serious, life-threatening complications necessitating urgent, aggressive therapy. in addition to direct involvement of the gi system by the disease, many drug-induced side effects and opportunistic infections have gi and hepatic mani...

Background: Brucellosis is a zoonotic infection which is endemic in many countries. It is a multisystem disease which may present with a broad spectrum of clinical manifestations and complications. Neurobrucellosis is an uncommon complication of brucellosis. Case presentation: A 25-year-old woman with a history of lupus for 5 months referred to the emergency ward of Shahid Beheshti Hosp...

with recently widespread use of mobile phones and sms communication in iran and reformulation of conventional communication practices, short message advertisements have recently started to gain prominence in the world of advertisement as a quick, less costly, available and reliable means of introducing the products and services offered by the companies and institutions. with this in mind, the p...

introduction: pulmonary arterial hypertension (pah) is a late progressive sclerodermarelated complication, which can lead to right heart failure and cor pulmonale. given that cardiac catheterization is a diagnostic method of choice for pah, and considering the high risks of this method, the purpose of this study was to evaluate the relationship between serum pro‐brain natriuretic peptide (pro‐b...

the purpose of this investigation was to assess the effect of captopril on both systemic (p.a) and pulmonary arterial pressures (ppa) in patients with high-altitude pulmonary hypertension (haph). seventeen patients (mean age 44±6.8 years) with haph and mild to moderate systemic arterial hypertension were included in the study. all patients underwent right heart catheterization with measurements...

procalcitonin (pct) is a precursor peptide for the hormone calcitonin and is frequently increased in overt sepsis. the aim of this study was to test diagnostic accuracy of procalcitonin among patients with positive systemic inflammatory response syndrome (sirs) in identifying sepsis. in this cross sectional study, from 563 patients with positive sirs admitted through the emergency department of...

the empiric antibiotic therapy can result in antibiotic overuse, development of bacterial resistance and increasing costs in critically ill patients. the aim of the present study was to evaluate the effect of procalcitonin (pct) guide treatment on antibiotic use and clinical outcomes of patients admitted to intensive care unit (icu) with systemic inflammatory response syndrome (sirs).  a total ...

background: the aim of this study was to investigate the prevalence and associated factors of glucocorticoid-induced diabetes mellitus (gidm) in patients with systemic lupus erythematosus (sle) under glucocorticoid therapy. methods: patients with sle who had received high-dose glucocorticoid therapy (prednisolone≥1 mg/kg/day) at rasoul akram and firoozgar hospitals were recruited during 2006-20...