<論文紹介:NEJM 2021;385:165-175.他>

NEJMがとても役立ちますよ、ということを以前お話ししましたが、
最近のNEJM論文を紹介します。

Case 20-2021: A 69-Year-Old Man with Ataxia.(NEJM 2021;385:165-175.)
最近良く報告をみる、「Cerebellar ataxia, neuropathy, and vestibular areflexia syndrome (CANVAS)」のケースです。

Case 19-2021: A 54-Year-Old Man with Irritability, Confusion, and Odd Behaviors.(NEJM 2021;384:2438-2445.)
MRIが決め手になると思います。

CLINICAL PROBLEM-SOLVING: Inside and Out.(NEJM 2021;384:1753-1760.)
このような原因の心筋梗塞もあります。

Case 13-2021: A Newborn Girl with a Neck Mass. (NEJM 2021;384:1647-1655.)
先天性頸部腫瘤の鑑別を学べます。
Table 2がおすすめですが、これにも入っていない難問です。

 

他のNEJM関連は、こちら。
(かなり数がたまったので今後はリンクははりません。ご了承ください。
内容を記載しますので、ご関心があればリンク先アドレスをコピペしてご参照く ださい。)

(https://ocu-radiology.jp/news/news-3354/)
Adrenal Incidentaloma.
Bartonella henselae infection (cat scratch disease).
Suprasellar CNS germinoma.
Extrahepatic Manifestations of Chronic HCV Infection.
Leptospirosis.

(https://ocu-radiology.jp/news/news-3212/)
Lymphoplasmacytic lymphoma of the central nervous system (Bing–Neel syndrome).
Disseminated Mycobacterium bovis infection.
Diffuse idiopathic pulmonary neuroendocrine cell hyperplasia.
Systemic primary amyloidosis.

(https://ocu-radiology.jp/news/news-3133/)
Mycobacterium tuberculosis meningitis.
Vaginal Transmission of Cancer from Mothers with Cervical Cancer to Infants.
Somatic Mutations in UBA1 and Severe Adult-Onset Autoinflammatory Disease.
Cryptococcal meningoencephalitis and advanced human immunodeficiency virus infection.

(https://ocu-radiology.jp/news/news-3082/)
Primary hyperparathyroidism due to an ectopic parathyroid carcinoma.
Necrotizing granulomatous lymphadenitis due to Mycobacterium tuberculosis complex.
Tuberculous pericarditis.
Aceruloplasminemia, hereditary.
Sensory Ganglionopathy.
Borrelia miyamotoi infection.
Autophagy in Human Diseas

(https://ocu-radiology.jp/news/news-3050/)
Disseminated cryptococcosis.
Cryptococcus neoformans.
Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.
boric acid toxicity.
Human immunodeficiency virus type 2 infection and cerebral toxoplasmosis.
New-Onset Diabetes in Covid-19.

(https://ocu-radiology.jp/news/news-3023/)
Pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
Lead poisoning.
Acute Ischemic Stroke.
Degenerative Cervical Spondylosis.

(https://ocu-radiology.jp/news/news-2980/)
Whipple’s disease.
Variant Creutzfeldt–Jakob Disease.
Down Syndrome.
Phosphaturic mesenchymal tumor.
LGI1 autoimmune encephalitis.

(https://ocu-radiology.jp/news/news-2903/)
Fascioliasis (Eosinophilia).
Proteinase 3 antineutrophil cytoplasmic antibody–associated vasculitis consistent with granulomatosis with polyangiitis.
Hantavirus cardiopulmonary syndrome.
PSA Screening.

(https://ocu-radiology.jp/news/news-2788/)
Intraparenchymal and intracranial hemorrhage presumably due to birth trauma.
小児虐待.
Pulmonary tumor thrombotic microangiopathy

(https://ocu-radiology.jp/news/news-2758/)
A Novel Coronavirus from Patients with Pneumonia in China, 2019.
Treatment for Spontaneous Pneumothorax.
Fatal Cytomegalovirus Infection with Inherited NOS2 Deficiency.
Strongyloidiasis with human T-lymphotropic virus type 1 infection.
Disseminated coccidioidomycosis and ANCA-associated glomerulonephritis.
Photopheresis for Colitis Induced by Checkpoint-Inhibitor Therapy.
Machine Learning and the Cancer-Diagnosis Problem.
Diffuse pulmonary alveolar hemorrhage with focal infarction with vaping.

(https://ocu-radiology.jp/news/news-2601/):
Identification of Anonymous MRI Research Participants with Face-Recognition Software.
Cerebellar form of Creutzfeldt–Jakob disease.
Adenovirus meningoencephalitis.
Imaging of Vaping-Associated Lung Disease.

(https://ocu-radiology.jp/news/news-2550/):
Interstitial lung disease associated with FLNA mutation.
Spondyloarthritis in patients with inflammatory bowel disease (Crohn’s disease).
Inhaled GM-CSF for Pulmonary Alveolar Proteinosis.

(https://ocu-radiology.jp/news/news-2464/):
Pregnant woman with Acute suppurative appendicitis and periappendicitis.
Pheochromocytoma and Paraganglioma.
Drug-Induced Liver Injury.
New Guidelines for Statistical Reporting in the Journal.

(https://ocu-radiology.jp/news/news-2436/):
Leber’s hereditary optic neuropathy.
Kelch-like Protein 11 Antibodies in Seminoma-Associated Paraneoplastic Encephalitis.
Intestinal tuberculosis.

(https://ocu-radiology.jp/news/news-2403/):
Anaplastic carcinoma arising in association with intestinal-type mucinous carcinoma of the ovary.
(いわゆる Mucinous cystic tumours with mural nodules)
West Nile virus encephalitis/West Nile virus meningoencephalitis.

(https://ocu-radiology.jp/news/news-2371):
Systemic lupus erythematosus.
Contrast-Associated Acute Kidney Injury.
Mesenchymal Hamartoma of the Liver and DICER1 Syndrome.
Metastatic postpubertal immature teratoma.
Machine Learning in Medicine.

(https://ocu-radiology.jp/news/news-2148/):
Idiopathic pulmonary fibrosis.
Pulmonary alveolar proteinosis.
Mucinous Ovarian Carcinoma.
Ocular syphilis.

(https://ocu-radiology.jp/news/news-2115/):
Herpes simplex virus lymphadenitis, Chronic lymphocytic leukemia.
Perforation of the sigmoid colon by a foreign body (toothpick) that caused a fistula to the right common iliac artery.
Powassan virus encephalitis.

(https://ocu-radiology.jp/news/news-2037/):
Papulonecrotic tuberculid (cutaneous tuberculosis).
Hepatobiliary Tuberculosis.
Sudden death caused by pulmonary fat embolism in a patient with miliary tuberculosis.

(https://ocu-radiology.jp/news/news-1974/):
眼窩領域Granulomatosis with polyangiitis, Susac’s syndrome.
Clostridium perfringens bacteremia with a hepatic abscess.
Osteoblastic and Osteolytic Spine Metastases by Using SWI.

(https://ocu-radiology.jp/news/news-1921/):
The t(6;11) TFEB translocation variant of renal-cell carcinoma.
比較的新しい病理組織概念でUncommonな腎腫瘤の復習.

(https://ocu-radiology.jp/news/news-1901/):
Pulmonary adenocarcinoma, hypercoagulable state with nonbacterial thrombotic endocarditis.
BK Virus–Progressive Multifocal Leukoencephalopathy.

(https://ocu-radiology.jp/news/news-1843/):
Anti–N-methyl-d-aspartate (NMDA) receptor encephalitis.
The drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome, associated with human herpesvirus 6.
Acute Viral Encephalitis. 特にarbovirus encephalitisについて.

(https://ocu-radiology.jp/news/news-1793/):
Vitamin C deficiency (scurvy).“bachelor scurvy”
Vitamin B6, folate, zinc, and selenium deficiencies.
Alcohol-use disorder.
Multiple vitamin deficiencies.

(https://ocu-radiology.jp/news/news-1681/):
Polyarteritis nodosa. HBVとの関連.

(https://ocu-radiology.jp/news/news-1605/):
Membranous nephropathy, PLA2R type. IgG4との関連性など.
Idiopathic Pulmonary Fibrosis.

(https://ocu-radiology.jp/news/news-1588/):
Giant-cell myocarditis.
Takotsubo cardiomyopathy and catecholamine-induced crisis due to pheochromocytoma.
Fulminant Myocarditis with Combination Immune Checkpoint Blockade.

(https://ocu-radiology.jp/news/news-1462/):
Homocystinuriaの様々な表現型:Cystathionine β-synthase deficiency, Methylenetetrahydrofolate reductase deficiency.
Primary Sjögren’s Syndrome.
Antibody-Mediated Encephalitis.

(https://ocu-radiology.jp/news/news-1374/):
Immune-Related Adverse Events Associated with Immune Checkpoint Blockade.
Multiple Sclerosis. Neuromyelitis Optica Spectrum Disorders.
Adenovirus infection, disseminated.

(https://ocu-radiology.jp/news/news-1253/):
Biotin–thiamine–responsive basal ganglia disease.

(https://ocu-radiology.jp/news/news-1109/):
好酸球増多症(Eosinophilia)について.

(https://ocu-radiology.jp/news/news-897/):
Copper deficiency. Zincとの関連.

(https://ocu-radiology.jp/news/news-891/):
Takayasu’s arteritis.
Atypical immunoblastic reaction that was consistent with primary Epstein–Barr virus infection.

(https://ocu-radiology.jp/news/news-783/):
NEJMの紹介、Case Recordsの変遷についての私見.