Siobhan Proksell

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BACKGROUND Studies have found that depression is more frequent in patients with inflammatory bowel disease (IBD) than the general population. Clinicians are now trying to pinpoint risk factors for psychological impairment in the IBD population. AIMS To examine the demographic and phenotypic variables associated with the development of depression among a(More)
Human polyomavirus 7 (HPyV7) is one of 11 HPyVs recently discovered through genomic sequencing technologies. Two lung transplant recipients receiving immunosuppressive therapy developed pruritic, brown plaques on the trunk and extremities showing a distinctive epidermal hyperplasia with virus-laden keratinocytes containing densely packed 36-45-nm(More)
BACKGROUND Patient-reported Crohn's disease (CD) symptoms and endoscopic evaluation have historically guided routine care, but the risk of complications in asymptomatic patients with elevated C-reactive protein (CRP) is unknown. METHODS We conducted a prospective observational cohort study of patients with CD from a tertiary care center. Subjects with(More)
Iron-deficiency anemia is a prevalent condition treated with iron supplementation. Iron pill-induced gastritis is an under-recognized, albeit serious potential complication of iron pill ingestion. This entity must be identified by healthcare providers who prescribe iron. We present a case of a 59-year-old male with iron deficiency anemia on ferrous sulfate(More)
A78-year-old woman was evaluated for fatigue, unintentional weight loss of 38 pounds, and diarrhea over the past year. She appeared in no acute distress. Her blood pressure was 120/80 mm Hg and her heart rate was 76 beats/min. She was 61 inches tall and weighed 96 pounds, with a body mass index of 18 kg/m. An abdominal examination was significant for mild(More)
Question: A 27-year-old Caucasian male with Crohn’s disease (CD) presented to our gastroenterology suite for a colonoscopy to further evaluate his abdominal pain and diarrhea. The patient was diagnosed with CD at 12 years of age and underwent an extended right hemicolectomy with an ileocolonic anastomosis at age 14 for refractory CD. He had been maintained(More)
GASTR Question: A 57-year-old Caucasian man with history of orthotopic liver transplantation for cryptogenic cirrhosis (5 years before admission) and kidney transplantation for focal segmental glomerulosclerosis (3 years before admission) presented to our institution with sudden onset chest pain. His posttransplant course was unremarkable. Other medical(More)
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