Irish journal of medical science
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Gianotti-Crosti Syndrome (GCS) is a characteristic cutaneous eruption following a viral infection. Incidence peaks in early childhood and the syndrome rarely occurs in adulthood. Hepatitis associated with GCS is usually anicteric and acute form. ⋯ GCS may be seen in adults and may be associated with icteric HBV infection.
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Cystic diseases of the liver and intrahepatic biliary tree are uncommon. The majority of cases are detected only when patients become symptomatic, or as an incidental finding on radiological imaging. ⋯ Intervention is recommended in patients with symptomatic simple cysts of the liver. Surgical cystectomy is the treatment of choice for large deep seated cysts.
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Solitary plasmacytoma localised to bone or soft tissue without myeloma. ⋯ Solitary plasmacytoma cases should be followed carefully regarding local relapse and progression to myeloma.
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Efficacy of intra-articular injections is controversial and published studies on efficacy and risks are few. ⋯ Correct patient selection, proper indications for use, and a limited number of appropriately spaced injections were all perceived to be important to achieve maximum benefit without serious side-effects.
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Diarrhoea in hospitalised patients is usually attributed to medications especially antibiotics, enteral tube feeding or enteropathogenic bacteria particularly Clostridium difficile. ⋯ The majority of cases of diarrhoea were related to medications and enteral tube feeding. A small but significant number did develop bacterial infections. In contrast to some suggested guidelines, when investigating hospital acquired diarrhoea, it is considered worthwhile to perform microbiological stool examinations.