Pongsathorn Kue-A-Pai

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CONTEXT Amyloidosis is a disease of extracellular deposition of misfolded proteinaceous subunits, which could be systemic or localized disease. Though hepatic amyloidosis was not uncommon in autopsy series, most cases of hepatic amyloidosis were asymptomatic. Ascites, jaundice, portal hypertension, and gastrointestinal bleeding from esophageal varices were(More)
Warburg effect is a rare metabolic complication in hematologic malignancies, commonly presented with lactic acidosis and hypoglycemia. Mechanism explained by abnormality of mitochondrial oxidative phosphorylation in cancer cells and energy production is mostly dependent on anaerobic respiration or glycolysis pathway to meet large tumor demand. We present a(More)
Ecthyma gangrenosum (EG) is a well-recognized dermatological condition caused by gram-negative bacillary infection, particularly Pseudomonas aeruginosa. Association with gram-positive cocci is very rarely reported in the literature. To the best of our knowledge, we describe the third case of EG caused by methicillin-resistant Staphylococcus aureus in a(More)
We thank Chiang et al for their article on “Unilateral paralysis associated with profound hypokalemia” [1]. The authors demonstrated an interesting case of idiopathic distal renal tubular acidosis (RTA) with hypokalemic paralysis. Distal RTA is commonly associated with autoimmune disorders; however, the authors already ruled out these possibilities by a(More)
In Thailand Gnathostoma spinigerum is the major causative agent of human gnathostomiasis. Usually, humans acquire the infection by consumption of G. spinigerum L3s infected hosts as partially cooked or uncooked food. Of several uncooked food, the highest prevalence of G. spinigerum L3s was found in Fluta alba (swamp eels). In Thailand, data of the(More)
Cancer Control 233 guidelines9 and deemed to be an intermediate risk with regard to recurrence as defined by the National Comprehensive Cancer Network and the American Urologic Association (AUA).10,11 Treatment options, including radical prostatectomy, external beam radiation therapy, and interstitial brachytherapy, were discussed with the patient in(More)
Chronic Kidney Disease (CKD) is a growing epidemic in the United States. There are hormonal changes that develop long before the mineral changes in patients with CKD occur. Increased Parathyroid Hormone (PTH) levels first become evident when the estimated Glomerular Filtration Rate (eGFR) is below 60 mL/min/1.73m. High serum phosphate stimulates the(More)
A 44-year-old man with Down’s syndrome and neurogenic bladder which required a suprapubic catheter presented with fever and change in his urine color for one day. Physical examination revealed a temperature of 38.3°C, blood pressure of 60/30 mmHg, pulse rate of 120/min and urine with purple discoloration in the urine catheter and bag (Figure 1). A urine(More)