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In the multivariable analysis, current cigarette smoking, gastro-oesophageal reflux disease (GORD), symptoms of asthma and COPD had been identified as risk aspects for persistent cough. Chronic cough is frequent among adults and very commonplace within the older populace. Present smoking cigarettes, GORD, symptoms of asthma and COPD are independent risk factors for persistent cough. Individuals susceptible to building chronic coughing may benefit from smoking cessation and control of the underlying illness. Copyright laws ©ERS 2020.BACKGROUND the purpose of this study would be to report a case of a patient whom suffered from serious concentrated sulfuric acid burns while working at high-altitude. This client restored after systemic treatment. We provide a literature review for a better understanding of the illness. CASE SUMMARY A 30-year-old male, who had been employed in an area chemical plant in Xining (the Qinghai provincial capital, China) at an altitude of 2261 m, suffered from burns 85% TBSA (III° 70%TBSA, deep II° 15%TBSA) after a tank containing 80% concentration of sulfuric acid exploded. The patient straight away received a number of medical treatments, in addition to rigorous injury managements after admission, which included protection for the entire body and body organs, prevention and remedy for eye burns off, plus the appropriate oxygen therapy. After 65 d of therapy, the burn injuries had totally healed, in addition to client was transferred to another specific hospital for further attention therapy. The initial aid before admission and the disaster remedy for wounds after entry were appropriate. No serious complications of sepsis, severe renal insufficiency, septic costal chondritis, corneal perforation or other burns took place through the treatment. CONCLUSION the key causes of concentrated sulfuric acid burns consisted of bay80-6946 inhibitor accidental burns off at the office, accidents within the outside, factitious injuries and poor laboratory functions. The clinical manifestations had been mainly deep II° and III° burns, with a formation of brown-black, leather-like eschar in the wound area and locally embolized dendrite-like vessels. The obvious cause of the damage and typical clinical manifestations in this instance caused it to be easy to analysis. Nonetheless, person cases with serious concentrated sulfuric acid burns off in high-altitude areas tend to be rare, so the successful remedy for this situation is of good value. ©The Author(s) 2020. Posted by Baishideng Publishing Group Inc. All rights set aside.BACKGROUND Apatinib is a small-molecule multitargeted tyrosine kinase inhibitor. Apatinib has demonstrated motivating antitumor activities. This research aimed to see or watch the effectiveness and protection of apatinib to treat multiple mind micrometastases. CASE OVERVIEW We report two customers with several mind micrometastases after failure of second-line therapy. Both clients had extracerebral metastases. If the clients took 250 mg/d apatinib orally, the intracerebral lesions vanished. The extracerebral lesions were partially alleviated. Both patients had a progression-free survival of more than 12 mo and were still steady. The security was great. The primary undesirable events (AEs) had been moderate high blood pressure and proteinuria, that could be controlled. CONCLUSION Apatinib has clear effectiveness and great threshold in patients with numerous mind micrometastases after failure of second-line treatment. ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All liberties set aside.BACKGROUND Sjögren syndrome (SS) is a chronic and systemic autoimmune infection characterized by lymphocytic infiltration of this exocrine glands. And histoplasmosis is an invasive mycosis caused by the saprophytic dimorphic fungus H. capsulatum. In customers with major SS (PSS), disseminated histoplasmosis (DH) is very uncommon. CASE OVERVIEW We report a 37-year-old feminine patient admitted to the hospital with exacerbating fatigue, somnolence, and pancytopenia whilst the primary signs. She was eventually diagnosed with DH according to pancytopenia, splenomegaly, and conclusions of bone marrow smears. The atypical clinical symptoms made the diagnosis process much more tortuous. Sadly, she passed away of breathing failure on the day the analysis was verified. SUMMARY We present an unusual and interesting instance of DH in a PSS client. This situation updates the geographic distribution of histoplasmosis in Asia, and expands the medical manifestations of DH in PSS, highlighting the importance of constantly enhancing the understanding of PSS with DH. ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All legal rights reserved.BACKGROUND The occurrence of venous thromboembolism (VTE) in pregnant women is substantially higher than that in non-pregnant ladies. VTE is much more typical after distribution than before distribution, and this condition is concealed and develops quickly. VTE mainly includes deep vein thrombosis and pulmonary embolism. Thrombophilia is a vital danger factor for VTE in expectant mothers and includes acquired thrombophilia and hereditary thrombophilia. CASE OVERVIEW A 24-year-old nulliparous female patient underwent cesarean part of the reduced uterus due to fetal distress. Anti-inflammatory rehydration was handed after the operation to avoid thrombosis. The in-patient had no obvious vexation after surgery. Ten times following the procedure, the in-patient developed a fever. The in-patient's mother revealed that she had a previous history of a lesser extremity venous thrombosis. Colors Doppler ultrasound showed deep vein thrombosis when you look at the left lower extremity. The results of computed tomography angiography indicated that the in-patient had a double pulmonary artery embolism. Bilateral lower extremity antegrade venography, inferior vena cava angiography and filter placement were done.
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