Articles: middle-aged.
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ILD Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Isolated extra-pulmonary manifestations of sarcoidosis occur in only 10% of cases. Exclusive splenic involvement is extremely rare; a review revealed only 5 prior cases reported in the literature. We report the case of a middle-aged female incidentally found to have splenomegaly on physical exam after presenting with non-specific constitutional symptoms. After extensive work-up, splenic resection confirmed sarcoidosis. One year follow-up revealed no development of pulmonary manifestations. ⋯ This case illustrates the importance of including sarcoidosis in the differential diagnosis of patients presenting with isolated splenomegaly and no pulmonary symptoms.Reference #1: Giovinale M, Fonnesu C, Soriano A, et al. European Review for Medical and Pharmacological Sciences 2009; 13(Suppl 1): 37-44.Reference #2: Zia H, Zemon H, Brody F. Journal of Laparoendoscopic & Advanced Surgical Techniques. April 2005, 15(2): 160-162.Reference #3: Warshauer DM, Lee JKT. AJR 2004; 182: 15-28DISCLOSURE: The following authors have nothing to disclose: Abhay Vakil, Hineshkumar Upadhyay, Khalid Sherani, Kelly Cervellione, Alan FeinNo Product/Research Disclosure Information.
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Surgery Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Congenital anomalies of the lower respiratory tract are rare. Bronchopulmonary sequestration (BPS) is estimated to comprise 0.15 to 6.4% of all congenital pulmonary malformations, making it an extremely rare disorder. In several reports, even tertiary care referral centers diagnose less than one case per year. We report a rare congenital malformation known as BPS in an uncommon age range, middle aged adult. ⋯ Due to the relatively small prevalence and often asymptomatic presentation of this disease entity, one must have a heightened awareness of this process even in older adults. While it was not the case in our patient, this entity may be the unrecognized cause of recurrent pneumonias, abscesses, hemoptysis, and heart failure from persistent left-to-right shunting.Reference #1: Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung: a report of seven cases. J Pathol Bacteriol.1946;58:457-467Reference #2: Gustafson, et al. Intralobar sequestration: a missed diagnosis. Ann Thorac Surg. 1989;47:841-84DISCLOSURE: The following authors have nothing to disclose: Anita Rajagopal, Edward Mintz, Anthony AsciotiNo Product/Research Disclosure Information.
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Cardiovascular Case Report Posters IISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Spontaneous Coronary Artery Dissection (SCAD) is defined as a hemorrhagic separation of the media of the coronary artery with creation of a false lumen. It is a rare clinical entity with an estimated incidence of around 0.2% in patients undergoing cardiac catheterization for Acute Coronary Syndrome. ⋯ The following authors have nothing to disclose: Sameer Chadha, Ankur Lodha, Bilal Malik, Vijay Shetty, Gerald Hollander, Jacob ShaniNo Product/Research Disclosure Information.
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Health Technol Assess · Feb 2014
Randomized Controlled Trial Clinical TrialA randomised controlled trial and cost-effectiveness evaluation of 'booster' interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods.
More evidence is needed on the potential role of 'booster' interventions in the maintenance of increases in physical activity levels after a brief intervention in relatively sedentary populations. ⋯ This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 18, No. 13. See the NIHR Journals Library website for further project information.