- Gallbladder and Bile Duct Disorders
- Inflammatory Bowel Disease
- Gastrointestinal disorders and treatments
- Cerebrospinal fluid and hydrocephalus
- Microscopic Colitis
- Systemic Lupus Erythematosus Research
- Spinal Dysraphism and Malformations
- Bladder and Urothelial Cancer Treatments
- Cancer Research and Treatments
- Carcinogens and Genotoxicity Assessment
- Folate and B Vitamins Research
- Urinary and Genital Oncology Studies
- Bariatric Surgery and Outcomes
- Alcoholism and Thiamine Deficiency
- Chronic Lymphocytic Leukemia Research
- Gut microbiota and health
- Fetal and Pediatric Neurological Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Whipple's Disease and Interleukins
- Mycobacterium research and diagnosis
- Mycotoxins in Agriculture and Food
- Esophageal and GI Pathology
- Biliary and Gastrointestinal Fistulas
- Monoclonal and Polyclonal Antibodies Research
- Advanced Neuroimaging Techniques and Applications
Vanderbilt University Medical Center
2024
University of South Florida
2023-2024
University of Florida
2022
ABSTRACT Drug-induced lupus is an autoimmune phenomenon characterized by the development of systemic erythematosus–like clinical features after drug exposure. The entity a diagnosis. Evaluation consists recognizing features, identifying appropriate causative agent, observing elevations characteristic autoantibodies, and obtaining positive response with discontinuation. Vedolizumab anti-α 4 β 7 antibody used in treatment ulcerative colitis Crohn's disease. We report novel case drug-induced...
Risk factors for pancreatic ductal adenocarcinoma (PDAC) include tobacco/alcohol abuse, genetic predisposition, insulin resistance, and cysts. Despite these well-established risk the screening of high-risk individuals, some people still develop PDAC. This study aims to explore a potential factor PDAC by investigating association between fungal toxins (FT) environmental (ET) disease. We predicted that individuals with would have higher levels compared healthy controls. The rationale behind...
Micronutrient deficiencies may develop as a long-term complication of bariatric surgery due to alteration gut anatomy and disruption normal absorption. Inadequate repletion essential vitamin mineral can lead multisystem dysfunction. We present case woman in her 50s, with history Roux-en-Y gastric bypass over 10 years ago, who presented generalised weakness diffuse desquamating rash. A punch biopsy performed was compatible nutritional deficiency. Labs revealed low levels micronutrients A, B 1...
Bladder cancer with cutaneous metastasis is a rare manifestation of the advanced stage disease. It can result from direct invasion, lymphatic or hematogenous spread, iatrogenic implantation. We present case 67-year-old patient initially diagnosed urothelial carcinoma (UC) in situ bladder, who underwent transurethral resection bladder tumor, along induction and maintenance Bacillus Calmette-Guerin immunotherapy. Six years post-diagnosis, developed multiple ulcerating fungating lesions right...
INTRODUCTION: Crohn's disease and ulcerative colitis are characterized by chronic inflammation of the gastrointestinal tract. Mucosal healing (MH) is a therapeutic goal in patients with inflammatory bowel (IBD). Current data suggest that Black may experience worse clinical outcomes than White IBD. This study assessed MH between METHODS: Retrospective analysis was performed on adults IBD who were hospitalized for an active flare. The presence at 6–18 months after hospitalization. treatments...
Sarcoidosis is an immune-mediated inflammatory disorder with unknown aetiology that marked by non-caseating granulomas in affected organs. Pulmonary sarcoidosis the most common manifestation, but gastrointestinal involvement, particularly small bowel, exceedingly rare. While symptom-driven treatment guidelines are steroid based well established for pulmonary and few extrapulmonary manifestations (ie, cardiac, neurologic, renal), largely extrapolation optimal management under investigation....
A man in his forties with a history of multiple ventriculoperitoneal shunt (VPS) placements presented to the hospital for abdominal pain. Abdominal/pelvic computed tomography revealed VPS entering abdomen and extending along region transverse colon, suggesting migration into lumen (Figure 1). However, intracolonic shunting was deemed unlikely because patient remained afebrile, hemodynamically stable, exhibited no leukocytosis or signs peritonitis. Because continued concern colon perforation,...
Introduction: Drug-induced lupus (DIL) is an autoimmune phenomenon characterized by the development of systemic erythematosus (SLE)-like clinical features following drug exposure. This a concern in patients with inflammatory bowel disease due to use agents known cause DIL. Vedolizumab antibody used treatment ulcerative colitis (UC) and Crohn’s (CD). It has safe therapeutic profile low rates infusion-related reactions or infection during treatment. We report case DIL recurrence secondary...
Introduction: Achalasia is primarily a motility disorder of the esophagus driven by aberrant peristalsis and failure sphincter relaxation. Per review current literature regarding achalasia, patients present with dysphagia, usually to solids and, if progressed, liquids. Seldomly, untreated achalasia results in thiamine deficiency presents as Wernicke’s-Korsakoff (WK). This acute neurologic condition affects central peripheral nervous system known triad ataxia, ophthalmoplegia confusion....
Introduction: Placement of a ventriculoperitoneal shunt (VPS) is common neurosurgical procedure used to treat hydrocephalus via diversion excess cerebrospinal fluid into the peritoneal cavity. Perforation bowel by catheter tubing migrated VPS rare complication. Although rare, it significantly increases mortality rate. Therefore, familiarity with clinical presentation perforation secondary placement essential for early diagnosis and treatment. Case Description/Methods: A man in his 40s...