Hawaii medical journal
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Hawaii medical journal · Jan 2005
Case ReportsConcomitant cerebral and coronary arterial gas emboli in a sport diver: a case report.
This report presents a case of concomitant cerebral and coronary gas emboli seen in a sport scuba diver after suffering from pulmonary barotrauma. Except for massive fatal gas embolism, no case of concomitant cerebral and coronary arterial gas emboli has been reported. ⋯ EKG and cardiac enzymes suggested myocardial ischemia. He received three recompression treatments and recovered completely.
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Hawaii medical journal · Dec 2004
Case ReportsCatastrophic antiphospholipid syndrome; a "CATASTROPHIC" case of systemic lupus erythematosus.
Less than 1% of patients with the antiphospholipid antibody syndrome (APS) can develop multiple, simultaneous organ-system thromboembolic disease, which is referred to as the catastrophic antiphospholipid antibody syndrome (CAPS). Roughly one-half of these patients have systemic lupus erythematosus (SLE). ⋯ Optimal treatment includes anticoagulation and high-dose corticosteroids, although IVIG and plasma exchange may also have a role. The overall mortality of CAPS is roughly 50%, but prompt clinical recognition of this rare but devastating syndrome may lead to improved outcomes.