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Francis Essien
Public Documents
5
A rare presentation of an ACTH-producing high grade large cell neuroendocrine carcino...
Francis Essien
and 4 more
April 24, 2021
Large cell neuroendocrine carcinoma (LCNEC) was first proposed by Travis et al. in 1991 and subsequently classified as high grade neuroendocrine carcinoma (HGNEC) by the world health organization. It is a rare tumor with unclear clinicopathologic features. Herein, we describe a rare case of LCNEC with a unique Cushing’s presentation.
Nocardia asteroides Occipital Abscess as a Cause of Lupus Nephritis?
Francis Essien
and 2 more
April 25, 2021
Systemic lupus erythematosus (SLE) is a multisystem disease with a complex etiology which manifests in a multitude of manners. We present a case of lupus nephritis in a patient who developed complications of immunosuppressive treatment with eventual resolution of her nephritis following cure of her Nocardia brain abscess
APPENDICEAL DISEASE IN HEMATOPOIETIC CELL TRANSPLANTATION
Zachary Wright
and 5 more
April 05, 2021
Appendiceal diseases are relatively rare reported complications during hematopoietic stem cell transplantation with no guidance on management. Pre- and post-transplant patients should receive a trial of medical therapy with appendectomy after recovery but prior to transplant in the former and plan for appendectomy after completion of immunosuppression in the latter.
Cutaneous ulcers in association with sprue-like enteropathy secondary to losartan
Francis Essien
and 3 more
May 18, 2021
Angiotensin receptor antagonist associated enteropathy is becoming increasingly prevalent within the literature. We report a case of sprue-like enteropathy associated with Losartan with a unique cutaneous manifestation. Our case of Losartan associated enteropathy further suggests that sprue-like disease may be a class effect of ARBs.
Manifestation of Marine Lenhart Syndrome after failed Radioactive Iodine therapy
Francis Essien
and 3 more
April 06, 2021
Marine Lenhart Syndrome (MLS) is caused by a coexistence of active thyroid nodules and Graves’ disease1. Here, we present a case of hyperthyroidism characterized by the presence of stimulating TSH receptor antibodies, unsuccessful radioactive iodine ablation, ultimately requiring Methimazole followed by thyroidectomy. We review the current literature.