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10.1136/bcr-2015-210744 http://scihub22266oqcxt.onion/10.1136/bcr-2015-210744 C4577633!4577633 !26376699     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26376699 &cmd=llinks): Failed to open stream: HTTP request failed! 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From past sailors eras to the present day: scurvy as a surprising manifestation of an uncommon gastrointestinal disease |pdf=|usr=}}{{26376699 }} gab.com Text From past sailors eras to the present day: scurvy as a surprising manifestation of an uncommon gastrointestinal disease JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26376699 #FOAvip A 45-year-old man presented with follicular exanthema in his lower limbs, alternating bowel habits and significant weight loss. His medical history included seronegative arthritis, bipolar disease and an inconclusive diagnostic laparoscopy. Diagnostic work up revealed microcytic anaemia and multivitamin deficiency. Skin biopsy of the exanthema suggested scurvy. Owing to these signs of malabsorption, upper endoscopy with duodenal biopsies was performed, exhibiting villous atrophy and extensive periodic acid-Schiff-positive material in the lamina propria, therefore diagnosing Whipple's disease (WD). After starting treatment with ceftriaxone and co-trimoxazole, an impressive recovery was noted, as the wide spectrum of malabsorption signs quickly disappeared. After a year of antibiotics, articular and cutaneous manifestations improved, allowing the patient to stop taking corticosteroids and antidepressants. This truly unusual presentation reflects the multisystemic nature of WD, often leading to misdiagnosis of other entities. Scurvy is a rare finding in developed countries, but its presence should raise suspicion for small bowel disease. Twit Text FOAVip From past sailors eras to the present day: scurvy as a surprising manifestation of an uncommon gastrointestinal disease ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26376699 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26376699 #FOAvip English Wikipedia <ref>{{Cite pmid|26376699 }}</ref> From past sailors eras to the present day: scurvy as a surprising manifestation of an uncommon gastrointestinal disease #MMPMID26376699 Branquinho DF ; Pinto-Gouveia M ; Mendes S ; Sofia C BMJ Case Rep 2015[Sep]; 2015 (ä): ä PMID26376699 show ga A 45-year-old man presented with follicular exanthema in his lower limbs, alternating bowel habits and significant weight loss. His medical history included seronegative arthritis, bipolar disease and an inconclusive diagnostic laparoscopy. Diagnostic work up revealed microcytic anaemia and multivitamin deficiency. Skin biopsy of the exanthema suggested scurvy. Owing to these signs of malabsorption, upper endoscopy with duodenal biopsies was performed, exhibiting villous atrophy and extensive periodic acid-Schiff-positive material in the lamina propria, therefore diagnosing Whipple's disease (WD). After starting treatment with ceftriaxone and co-trimoxazole, an impressive recovery was noted, as the wide spectrum of malabsorption signs quickly disappeared. After a year of antibiotics, articular and cutaneous manifestations improved, allowing the patient to stop taking corticosteroids and antidepressants. This truly unusual presentation reflects the multisystemic nature of WD, often leading to misdiagnosis of other entities. Scurvy is a rare finding in developed countries, but its presence should raise suspicion for small bowel disease. |Anti-Bacterial Agents/administration & dosage [MESH] |Biopsy [MESH] |Ceftriaxone/administration & dosage [MESH] |Diagnostic Errors [MESH] |Exanthema/pathology [MESH] |Follow-Up Studies [MESH] |Humans [MESH] |Middle Aged [MESH] |Scurvy/*diagnosis/drug therapy/pathology [MESH] |Skin/pathology [MESH] |Treatment Outcome [MESH] |Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosage [MESH] |Tropheryma/isolation & purification [MESH]From past sailors eras to the present day: scurvy as a surprising man(epmc).pdf DeepDyve Pubget Overpricing