Jeffrey Loeffler
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View article: Acute non-rheumatic myocarditis following group G streptococcal pharyngitis: a rare mimic of acute myocardial ischemia in a young adult
Acute non-rheumatic myocarditis following group G streptococcal pharyngitis: a rare mimic of acute myocardial ischemia in a young adult Open
Background: Acute myocarditis is a rare but serious inflammatory condition of the myocardium, often triggered by infections or rheumatic heart disease. While group A Streptococcus is commonly associated with bacterial myocarditis, group G …
View article: Successful Endoscopic Management of Oxyntic Gland Adenoma: A Case Report
Successful Endoscopic Management of Oxyntic Gland Adenoma: A Case Report Open
Oxyntic gland adenomas (OGAs) are benign gastric neoplasms composed of gland-forming epithelial cells with predominantly chief cell differentiation resembling oxyntic glands confined to the mucosa. If the tumor has submucosal invasion, it …
View article: A Diagnosis of Gastric Inflammatory Myofibroblast Tumor: A Challenge Like No Other!
A Diagnosis of Gastric Inflammatory Myofibroblast Tumor: A Challenge Like No Other! Open
Inflammatory myofibroblastic tumors (IMTs) are mesenchymal tumors of intermediate malignant potential. Gastric IMTs are rare and commonly affect young adults. They are typically confused with gastrointestinal stromal tumors, inflammatory f…
View article: Is there an association between mesenteric panniculitis and lymphoma? Case report and review of the literature
Is there an association between mesenteric panniculitis and lymphoma? Case report and review of the literature Open
Mesenteric panniculitis (MP) is an inflammatory condition affecting the mesenteric adipose tissue, characterized by idiopathic inflammatory and fibrotic changes. We present a case of a 66-year-old woman initially diagnosed with MP, followe…
View article: Safety of Nonselective Beta-Blockers in Decompensated Liver Cirrhosis and Their Role in Inducing Hepatorenal Syndrome
Safety of Nonselective Beta-Blockers in Decompensated Liver Cirrhosis and Their Role in Inducing Hepatorenal Syndrome Open
Background Nonselective beta-blockers (NSBBs) have been used in the management of portal hypertension and the prevention of initial and recurrent variceal bleeding in patients with liver cirrhosis. However, there is controversy regarding t…
View article: Hyperammonemia Encephalopathy due to Urea Cycle Disorder Precipitated by Gastrointestinal Bleed in the Setting of Prior Bariatric Surgery
Hyperammonemia Encephalopathy due to Urea Cycle Disorder Precipitated by Gastrointestinal Bleed in the Setting of Prior Bariatric Surgery Open
The urea cycle is a metabolic pathway that excretes nitrogenous waste products from the body. Urea cycle disorders (UCDs) result from enzymatic deficiencies within this pathway, which can lead to life-threatening hyperammonemia. Gastric by…
View article: Pembrolizumab-Induced Myasthenia Gravis and Myositis: Literature Review on Neurological Toxicities of Programmed Death Protein 1 Inhibitors
Pembrolizumab-Induced Myasthenia Gravis and Myositis: Literature Review on Neurological Toxicities of Programmed Death Protein 1 Inhibitors Open
We present herein the case of an elderly male patient, who was receiving immunotherapy for his urothelial cancer and who presented to our facility with lower extremity weakness. The patient was diagnosed with myasthenia gravis, thyroiditis…
View article: Olfactory dysfunction in children and adults post‐COVID‐19 infection in Brooklyn, New York
Olfactory dysfunction in children and adults post‐COVID‐19 infection in Brooklyn, New York Open
Common symptoms of acute COVID-19 infection include fever, cough, headache, shortness of breath, and anosmia, i.e., partial, or complete loss of smell.1 Prior literature reported that COVID-19 patients (50%) developed sudden-onset anosmia …
View article: Azithromycin decreases Chlamydia pneumoniae-mediated Interleukin-4 responses but not Immunoglobulin E responses
Azithromycin decreases Chlamydia pneumoniae-mediated Interleukin-4 responses but not Immunoglobulin E responses Open
These findings indicate that azithromycin decreases IL-4 responses but has a bimodal effect on IgE responses in PBMC from atopic patients in vitro.
View article: Chlamydia pneumoniae immunoglobulin E antibody levels in patients with asthma compared with non-asthma
Chlamydia pneumoniae immunoglobulin E antibody levels in patients with asthma compared with non-asthma Open
Chlamydia pneumoniae is an obligate intracellular bacterium that causes respiratory infection in adults and children. There is evidence for an association between atypical bacterial pathogens and asthma pathogenesis. We sought to determine…