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CPC Archives 2004 - Present

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   1992-1995, or 1996-1999, or 2000-2003

Year Case # Date Published Citation Diagnosis Specialties Patient History
2004 1 1/8/2004 N Engl J Med 2004; 350: 166-176 Lepromatous leprosy EMG; Neurology; ID A woman with asymmetric, painful neuropathy
2004 2 1/15/2004 N Engl J Med 2004; 350: 267-275 Osteosarcoma of mandible. Oromaxillofacial Surgery; Hematology/Oncology A man admitted with pain and swelling of the jaw
2004 3 1/22/2004 N Engl J Med 2004; 350: 394-402 Bladder Cancer; Management of bladder cancer with bladder sparing therapy. Urology, Oncology A man with invasive transitional-cell carcinoma of the bladder
2004 4 1/29/2004 N Engl J Med 2004; 350: 494-502 Orbital rhabdomyosarcoma Pediatrics; Oncology A boy with an orbital rhabdomyosarcoma
2004 5 2/12/2004 N Engl J Med 2004; 350: 707-716 Stroke involving the right middle cerebral artery, with the malignant middle-cerebral-artery edema syndrome. Neurosurgery A man with slurred speech and left hemiparesis
2004 6 2/19/2004 N Engl J Med 2004; 350: 810-821 Burns Surgery; Burns A woman with extensive, deep burns from a nightclub fire
2004 7 2/26/2004 N Engl J Med 2004; 350: 924-932 Melanoma with atypical nevi with germline mutation Oncology; Dermatology A woman with multiple pigmented lesions and a personal and family history of melanoma
2004 8 3/11/2004 N Eng J Med 2004; 350: 1131-1138 M. TB involving peripancreatic lymph nodes. Gastroenterology, Infectious Disease A man with abdominal pain, fever, and a mass in the region of the pancreas
2004 9 3/18/2004 N Eng J Med 2004; 350: 1236-1247 Influenza A infection with rhabdomyolysis, severe; myoglobinuria; viral tracheobronchitis and pneumonia; virus-associated cardiac changes ("borderline myocarditis") and catecholamine-induced myonecrosis; pericardial effusion. Disseminated intravascular coagulation. Hepatic centrilobular necrosis. Cardiac hypertrophy of unknown cause.
Pediatrics; Infectious Disease A man with respiratory symptoms and shock
2004 10 3/25/2004 N Eng J Med 2004; 350: 1339-1347 Acute myeloid leukemia with multilineage dysplasia after a myelodysplastic syndrome. Hematology/Oncology; Dermatology A man with acute myeloid leukemia and fever after chemotherapy
2004 11 4/8/2004 N Eng J Med 2004; 350: 1550-1559 Severe lupus nephritis with mixed proliferative and membranous features (World Health Organization class IV or V), with high activity and moderate chronicity indexes. Renal A boy with rash, edema, and hypertension
2004 12 4/15/2004 N Eng J Med 2004; 350: 1666-1674 Proximal aortic disection, associated with pregnancy Cardiology A woman with acute onset of pain in the chest
2004 13 4/22/2004 N Eng J Med 2004; 350: 1764-1775. Kaposiform hemangioma with Kasabach-Merritt syndrome. Hematology/Oncology; Pediatrics; Dermatology A newborn girl with a large cutaneous lesion, thrombocytopenia, and anemia
2004 14 4/29/2004 N Eng J Med 2004; 350: 1882-1893 Progressive multifocal leukoencephalopathy. Infectious Disease; Neurology A man with progressive neurological deficits
2004 15 5/13/2004 N Eng J Med 2004; 350: 2081-2087 Lymphoblastic lymphoma Oncology A man with bilateral testicular enlargement
2004 16 5/20/2004 N Eng J Med 2004; 350: 2181-2189 Small fiber neuropathy. Neurology A woman with numbness and pain in the feet and legs
2004 17 5/27/2004 N Eng J Med 2004; 350: 2281-2290 Cardiac arrest due to a pulmonary embolus. Emergency Medicine A woman with cardiac arrest several weeks after an ankle fracture
2004 18 6/10/2004 N Eng J Med 2004; 350: 2500-2509 Adenocarcinoma of the rectum, stage T3N2M0 Surgery; Radiation Oncology A man with rectal bleeding and a 2-cm mass in the rectum
2004 19 6/17/2004 N Eng J Med 2004; 350: 2604-2612 Precursor B acute lymphoblastic leukemia with eosinophilia and t(5; 14) (q31; q32) translocation Oncology A boy with fatigue and eosinophilia
2004 20 6/24/2004 N Eng J Med 2004; 350: 2699-2706 Uterine prolapse. OB/Gyn A woman with pelvic-floor relaxation after a second vaginal delivery
2004 21 7/8/2004 N Eng J Med 2004; 351: 171-178 Prostate cancer Oncology; Genitourinary, Urology A man with metastatic carcinoma refractory to hormone therapy
2004 22 7/15/2004 N Eng J Med 2004; 351: 279-287 Tuberculosis Internal Medicine, Infectious Disease A woman with pericardial effusion
2004 23 7/22/2004 N Eng J Med 2004; 351: 380-387 Methemoglobin reductase deficiency Pulmonary; Anesthesiology A woman with low oxygen saturation
2004 24 7/29/2004 N Eng J Med 2004; 351: 488-495 Inverted Meckel's diverticulum of small bowel Gastroenterology A man with recurrent gastrointestinal bleeding
2004 25 8/12/2004 N Eng J Med 2004; 351: 696-705 Evaluation of the obese patient (nutritional, psychological); Medical management of obesity and its complications; Surgical management of obesity Surgery A woman with severe obesity, diabetes and hypertension
2004 26 8/19/2004 N Eng J Med 2004; 351: 809-817 Large-cell undifferentiated carcinoma of the lung, stage IIIA (T1N2M0) Oncology; Thoracic Surgery A woman with cough and a lung nodule
2004 27 8/26/2004 N Eng J Med 2004; 351: 912-922 Multisystem atrophy (MSA). Cerebral arteriolar sclerosis Neurology A woman with a disturbances in gait, cognition, and autonomic function
2004 28 9/9/2004 N Eng J Med 2004; 351: 1120-1130 Familial hemophagocytic lymphohistiocytosis (HLH) caused by a mutation in the perforin gene. Pediatrics; Genetics, Neonatology Newborn twins with thrombocytopenia, coagulation defects, and hepatosplenomegaly
2004 29 9/16/2004 N Eng J Med 2004; 351:1240-1248 Bacterial endocarditis with myocardial abscess due to Strep. Milleri. Cardiology/Cardiac Surgery A woman with acute onset of chest pain followed by fever
2004 30 9/23/2004 N Eng J Med 2004; 351:1333-1341 Pernicious Anemia Hematology/Oncology A woman with paresthesias of the rms and legs
2004 00 10/7/2004 N Engl J Med 2004; 351:1548-1563 Normal Laboratory Values Normal Laboratory Values Normal Laboratory Values
2004 31 10/14/2004 N Engl J Med 2004; 351:1667-1675 Hepatopulmonary syndrome due to the Abernethy malformation, type 1 Pediatrics; Pulmonary; Gastroenterology A boy with hypoxemia
2004 32 10/21/2004 N Engl J Med 2004; 351: 1779-1787 Gastrointestinal stromal tumor Oncology; Gastroenterology A man with a large retroperitoneal mass
2004 33 10/28/2004 N Engl J Med 2004; 351:1875-1882 Anaplastic oligodendroglioma with allelic loss of chromosomes 1p and 19q Neurosurgery A man with a seizure and frontal-lobe brain lesion
2004 34 11/11/2004 N Engl J Med 2004; 351:2102-2110 Papillary transitional-cell carcinoma of the renal pelvis, low grade Genitourinary; Urology; Oncology A man with right flank pain and hematuria
2004 35 11/18/2004 N Engl J Med 2004; 351: 2219-2227 Nephrogenic fibrosing dermopathy Dermatology A man with end-stage renal disease and thickened skin
2004 36 11/25/2004 N Engl J Med 2004; 351: 2319-2326 Congenital abnormalities due to a chromosomal imbalance, karotype 46, XY, rec (16)dup(16q)inv(16)(p13q22)pat, resulting from the recombination between the normal chromosome 16 and the inverted chromosome 16 in the patient's father. Pediatrics; Genetics An infant with hypospadias and failure to thrive
2004 37 12/9/2004 N Engl J Med 2004; 351: 2531-2538 Right ovary: papillary serous cystadenocarcinoma, grade 2 to 3 of 3, arising as a polypoid intracystic mass in a serous tumor containing benign, typical borderline, and micropapillary borderline areas. Left ovary: serous borderline tumor, typical type, small. Uterus, omentum, and lymph nodes: no evidence of cancer. Pathology; OB/Gyn, Oncology A woman with postmenopausal bleeding and a cystic ovarian mass
2004 38 12/16/2004 N Engl J Med 2004; 351: 2637-2645 Plasma-cell myeloma Oncology A man with a large tumor of the skull.
2004 39 12/23/2004 N Engl J Med 2004; 351: 2741-2749 Smoking-related interstitial lung disease (respiratory bronchiolitus with interstitial lung-disease-desquamative interstitial pneumonitis) Pulmonary A woman admitted because of yellow sputum and worsening dyspnea.
2004 40 12/30/2004 N Engl J Med 2004; 351: 2851-2859 Nephropathy with thin and focally disrupted glomerular basement membranes and decreased a3 and a5 chains of type IV collagen, consistent with a carrier state of X-linked Alport's syndrome Nephrology A woman with long standing hematuria.
2005 1 1/13/2005 N Engl J Med 2005; 352:185-194 Primary diffuse large B-cell lymphoma of brain. Neurology; Oncology A woman with difficulty walking, headache and nausea
2005 2 1/20/2005 N Engl J Med 2005; 352: 274-283 Acute Myeloid Leukemia (AML), not otherwise categorized, with normal karyotype, mutation of the FLT3 tyrosine kinase domain, and cytoplasmic localization of NPM Hematology/Oncology A woman with headache, stiff neck, and photophobia
2005 3 1/27/2005 N Engl J Med 2005; 352: 393-403 Celiac disease Pediatrics; Pediatric Endocrinology, Gastroenterology A boy with recent slowing of growth and delayed puberty
2005 4 2/10/2005 N Engl J Med 2005; 352: 609-615 Mucocutaneous leishmaniasis due to infection by Leishmania viannia braziliensis Infectious Disease A man with nasal congestion, swelling and pain
2005 5 2/17/2005 N Engl J Med 2005; 352: 709-716 Invasive endocarditis, possibly due to bartonella Emergency Medicine; Cardiology A man with depression and sudden shortness of breath
2005 6 2/24/2005 N Engl J Med 2005; 352: 817-825 Adenocarcinoma of the esophagus with gastric linitis plastica and functional duodenal obstruction Oncology; Gastroenterology, Palliative Care A man with esophageal cancer and nausea, vomiting and intractable hiccups
2005 7 3/10/2005 N Engl J Med 2005; 352: 1025-1032 Functional adrenal cortical adenoma Endocrinology, Oncology A woman with incidentally discovered adrenal nodule
2005 8 3/17/2005 N Engl J Med 2005; 352: 1122-1129 Osteoid Osteoma Radiology, Oncology A boy with pain in the right thigh
2005 9 3/24/2005 N Engl J Med 2005; 352: 1238-1246 Hypersensitivity pneumonitis due to M. avium complex infection (hot-tub lung). Pulmonary; Infectious Disease A man with acute respiratory failure
2005 10 3/31/2005 N Engl J Med 2005; 352: 1358-1364 Human granulocytic ehrlichiosis (A. phagocytophilum infection). Infectious Disease A man with weakness and pain in the legs
2005 11 4/14/2005 N Engl J Med 2005; 352: 1579-87 Balanced chromosomal translocation - 46 XX, t(1;18)(q42.1;m11.2) - resulting in an unbalanced fetal transkocation - 46, XY, der( 18) t(1;18) (q42.1;p11.2) mat. OB/Gyn, Genetics A woman with a fetal trisomy 18
2005 12 4/21/2005 N Engl J Med 2005; 352: 1697-1704 Mediastinal large-cell lymphoma Hematology/Oncology; Pathology A woman with a mediastinal mass
2005 13 4/28/2005 N Engl J Med 2005; 352: 1800-1808 Neurofibromatosis type 1 affecting the patient and his nephew, with multiple spinal neurofibromas. Genetics, Neurology A man with weakness of the limbs and multiple tumors of spinal nerves
2005 14 5/12/2005 N Engl J Med 2005; 352: 2003-2012 Systemic small-vessel vasculitis involving small vessels and small arteries; probably immune-complex vasculitis Gastroenterology, Ophthalmology, Rheumatology A man with fever and blurred vision.
2005 15 5/19/2005 N Engl J Med 2005; 352: 2111-2119 Systemic amyloidosis involving the heart and colon, in the setting of a monoclonal gammopathy; probably AL amyloidosis Renal, Cardiology; Dermatology A man with shortness of breath, edema, and proteinuria
2005 16 5/26/2005 N Engl J Med 2005; 352: 2223-2231 Pheochromocytoma Pediatric Nephrology A girl with headaches and hypertension
2005 17 6/9/2005 N Engl J Med 2005; 352: 2425-2434 Sickle Cell disease with acute chest syndrome, caused by infarction of the bone marrow and embolization to the lungs Medicine, Pulmonary; Hematology A woman with back pain and respiratory failure
2005 18 6/16/2005 N Engl J Med 2005; 352: 2535-2542 Endometriosis associated with a surgical scar. OB/Gyn, surgery A woman with a painful mass in the abdomen
2005 19 6/23/2005 N Engl J Med 2005; 352: 2628-2636 Tsunami -related aspiration pneumonia with lung and brain abcesses, probably polymicrobial. Infectious Disease; Pediatrics; Neurology Respiratory distress and hemiparesis after a tsunami.
2005 20 6/30/2005 N Engl J Med 2005; 352: 2734-2741 Ductal carcinoma of pancreas, with residual microscopic tumor after chemoradiation therapy. Pancreatic intraepithelial neoplasia, grade 3, present at the distal resection margin. Resection margins and lymph nodes free of invasive carcinoma. Heme/Onc, Gastroenterology A man with locally advanced pancreatic cancer.
2005 21 7/14/2005 N Engl J Med 2005; 353:189-98 Neonatal giant-cell hepatitis with bridging fibrosis and early regenerative nodules, with iron deposition in hepatocytes and Kupffer cells (consistent with - but not diagnostic of - hemochromatosis) Pediatrics; OB/Gyn A male infant with jaundice and thrombocytopenia
2005 22 7/21/2005 N Engl J Med 2005; 353: 287-295 Encephalomyelitis due to West Nile Virus. CLL with involvement of the lymph nodes, bone marrow, spleen, lung, kidney, liver, heart, prostate, and hypoglossal canal. Neurology/Neurosurgery; Infectious Disease A man with cough, fever, and altered mental status
2005
23 7/28/2005 N Engl J Med 2005; 353: 401-410 Hepatocellular carcinoma Surgery; Oncology, Gastroenterology A man with a mass in the liver
2005 24 8/11/2005 N Engl J Med 2005; 353: 617-22 Breast cancer Hematology/Oncology A woman with early -stage breast cancer
2005 25 8/18/2005 N Engl J Med 2005; 353: 713-22 Portal vein thrombosis; B. fragilis sepsis Infectious Disease A man with prolonged fevers and weight loss
2005 26 8/25/2005 N Engl J Med 2005; 353: 824-32 Hypertrophic cardiomyopathy Emergency Medicine; Cardiology A man with sudden loss of consciousness while jogging
2005 27 9/8/2005 N Engl J Med 2005; 353: 1042-50 Creutzfeldt-Jakob disease Infectious Disease; Neurology/Neurosurgery An man with a gait disturbance, altered mental status and insomnia
2005 28 9/15/2005 N Engl J Med 2005; 353: 1148-57 Churg-Strauss syndrome Renal A man with weight loss, weakness, cough and a rash on the legs
2005 29 9/22/2005 N Engl J Med 2005; 353: 1275-84 Dermatomyositis; Large B-cell lymphoma of spleen Internal Medicine; Oncology A man with periorbital swelling, skin rash, and weakness
2005 30 9/29/2005 N Engl J Med 2005; 353: 1387-94 Bartonella henselae infection (cat scratch disease) in an immunocompromised host. Infectious Disease; Dermatology A man with low grade fever and axillary lymphadenopathy
2005 31 10/13/2005 N Engl J Med. 2005; 353:1605-13 Type II cryoglobulinemia with renal disease. Rheumatology, Renal, Dermatology A 60-year-old man with skin lesions and renal insufficiency.
2005 32 10/20/2005 N Engl J Med. 2005; 353:1725-32 HIV infection, asymptomatic Infectious Disease; OB/Gyn A 34-year-old HIV-positive woman who desired to become pregnant
2005 33 10/27/2005 N Engl J Med. 2005; 353:1836-44 Osler-Weber-Rendu syndrome (hereditary hemorrhagic telangiectasia) and juvenile polyposis Gastroenterology A 43-year-old man with lower gastrointestinal bleeding.
page last updated 11/03/05