A spontaneous tracheal rupture is rare and life-threatening.We postulate that long-term steroid administration is an under-reported risk factor.We present a case of an impending spontaneous Primer tracheal rupture in a 51-year-old female with a significant medical history of systemic lupus erythematosus and interstitial lung disease, and a drug his
Rituximab Therapy for Severe Cutaneous Leukocytoclastic Angiitis Refractory to Corticosteroids, Cellcept and Cyclophosphamide
We report our clinical experience with rituximab in the treatment of 2 patients with idiopathic cutaneous angiitis who relapsed after Stash Gear treatment with high-dose corticosteroids and cyclophosphamide.A 39-year-old woman and a 51-year-old man presented with ulcerating maculopapular rash in both lower limbs which relapsed 6 months after treatm
Close Proximity of Left Anterior Descending Artery to the Right Ventricular Lead Apparently Implanted into the Mid-septum
Right ventricular (RV) mid-septal pacing should have fewer negative effects on left ventricular function compared to apical pacing.However, targeting Oven Shelf Support Rack Screw the mid-septum may be technically challenging since it is usually done with two-dimensional fluoroscopy.The rotation of the heart and various shapes of the RV make it dif