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Schistosoma Japonicum and Colon Polyps

We read the report on Schistosoma japonicum with great interest.1 Kiyani et al reported a case of “hyperplastic polyps with numerous parasite eggs most consistent with Schistosoma japonicum” detected from colorectal cancer screening.1 Indeed, S. japonicum infection is an important fluke infestation. The colon abnormality in the patient with S. japonicum infection is sporadically reported. Imai et al mentioned that “Colonic schistosomiasis is a probable independent […]

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The Physician From Vienna

On March 12, 1938, Nazi troops invaded Austria. Three days later, in Vienna, a nearly 80-year-old physician named Ismar Boas (1858-1938) (Figure) committed suicide. Thus ended the life of a pioneering founder of gastroenterology.1 In 1886, Boas opened the first specialty clinic for digestive diseases in Berlin. In 1895, he founded the first gastroenterology journal, […]

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Nutritional Nightmare: Hypoparathyroidism Secondary to Celiac Disease

A 33-year-old woman with history of diverticulitis status post hemicolectomy and idiopathic hypoparathyroidism presented with tetany and facial twitching for 3 months. She was transferred to a tertiary medical center for refractory tetany. She presented to her physician earlier in the week for diffuse muscle cramps and facial twitching. On review of her medical record, […]

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Delay in Diagnosis of Celiac Disease in Patients Without Gastrointestinal Complaints

The purpose of our study is to investigate the delay in diagnosis of patients with biopsy-proven celiac disease in those who present with gastrointestinal complaints vs nongastrointestinal complaints at our tertiary care center. Celiac disease is an autoimmune disorder that affects approximately 1% of the population worldwide. Celiac disease can have variable clinical presentations; it […]

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Digital Rectal Exam: Still Relevant After All These Years (video)

In the world of high-tech medicine, the digital rectal exam still has a place. In this current study, researchers showed that performing the digital rectal exam on patients with acute gastrointestinal bleeding provided valuable clinical information. American Journal of Medicine Editor-in-Chief Dr. Joseph S. Alpert explains the clinical implications of this research. (Get out your exam […]

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