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  1. Article ; Online: Calcinosis cutis of the thumb.

    Hunter-Dickson, Mitchell / Conway, Jessica

    The Medical journal of Australia

    2023  Volume 219, Issue 2, Page(s) 56

    MeSH term(s) Humans ; Calcinosis Cutis ; Thumb ; Skin Diseases/diagnosis ; Calcinosis/diagnostic imaging
    Language English
    Publishing date 2023-06-06
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.51999
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Case Report of Primaquine Associated Methemoglobinemia in a Man With Pneumocystis Jirovecii Pneumonia Following Cardiac and Renal Transplantation.

    Carrozzi, Anthony / Hunter-Dickson, Mitchell / Li, John Wing

    Transplantation proceedings

    2024  Volume 56, Issue 2, Page(s) 453–455

    Abstract: We describe the case of a 51-year-old Caucasian man with a background of a cardiac and renal transplant who developed Enterocytozoon bieneusi colitis and pneumocystis jirovecii (PJP) pneumonia following treatment for suspected rejection. The patient ... ...

    Abstract We describe the case of a 51-year-old Caucasian man with a background of a cardiac and renal transplant who developed Enterocytozoon bieneusi colitis and pneumocystis jirovecii (PJP) pneumonia following treatment for suspected rejection. The patient developed methemoglobinemia which was attributed to primaquine. He was treated with intravenous methylene blue leading to clinical and biochemical resolution. We describe in detail the pathophysiological mechanism for methemoglobinemia and its treatment, in particular with methylene blue.
    MeSH term(s) Humans ; Male ; Middle Aged ; Kidney Transplantation/adverse effects ; Methemoglobinemia/chemically induced ; Methemoglobinemia/diagnosis ; Methemoglobinemia/complications ; Methylene Blue ; Pneumocystis carinii ; Pneumonia, Pneumocystis/diagnosis ; Pneumonia, Pneumocystis/drug therapy ; Pneumonia, Pneumocystis/complications ; Primaquine/adverse effects
    Chemical Substances Methylene Blue (T42P99266K) ; Primaquine (MVR3634GX1)
    Language English
    Publishing date 2024-02-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 82046-5
    ISSN 1873-2623 ; 0041-1345
    ISSN (online) 1873-2623
    ISSN 0041-1345
    DOI 10.1016/j.transproceed.2023.12.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Management of Renal Angiomyolipomas in Tuberous Sclerosis Complex: A Case Report and Literature Review.

    Hunter-Dickson, Mitchell / Wu, Patrick / Athavale, Akshay / Wang, Amanda Ying

    Journal of clinical medicine

    2022  Volume 11, Issue 20

    Abstract: We report a case of misdiagnosed tuberous sclerosis complex (TSC) in a patient without TSC gene variant presenting with bilateral renal angiomyolipomas and seizures in the context of strong family history of polycystic kidney disease. Clinical diagnosis ... ...

    Abstract We report a case of misdiagnosed tuberous sclerosis complex (TSC) in a patient without TSC gene variant presenting with bilateral renal angiomyolipomas and seizures in the context of strong family history of polycystic kidney disease. Clinical diagnosis of tuberous sclerosis complex was made and treatment with everolimus reduced size of renal angiomyolipomas. In this case, report we discuss the association between tuberous sclerosis complex and polycystic kidney disease and novel treatment for TSC.
    Language English
    Publishing date 2022-10-15
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11206084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Comparison of CG, CKD-EPI[AS] and CKD-EPI[ASR] equations to estimate glomerular filtration rate and predict mortality in treatment naïve people living with HIV in Zimbabwe.

    Hunter-Dickson, Mitchell / Drak, Douglas / Anderson, Matthew / Shamu, Tinei / Chimbetete, Cleophas / Dahwa, Rumbidzai / Gracey, David M

    BMC nephrology

    2023  Volume 24, Issue 1, Page(s) 129

    Abstract: Background: Renal impairment in people living with HIV (PWH) in Sub-Saharan Africa is common and associated with increased morbidity and mortality. The ideal equation to estimate glomerular filtration rate (eGFR) in this population remains unclear. That ...

    Abstract Background: Renal impairment in people living with HIV (PWH) in Sub-Saharan Africa is common and associated with increased morbidity and mortality. The ideal equation to estimate glomerular filtration rate (eGFR) in this population remains unclear. That which best predicts clinical risk may be the most appropriate while validation studies are awaited. Here we compare the Cockcroft-Gault (CG), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI[ASR]) and the CKD-EPI equation with the race coefficient removed (CKD-EPI[AS]), in a population of anti-retroviral therapy (ART) naïve PWH in Zimbabwe to assess which equation best predicts mortality.
    Methods: A retrospective cohort study of treatment naïve PWH at the Newlands Clinic in Harare, Zimbabwe was completed. The study included all patients commencing ART between 2007 and 2019. Predictors of mortality were assessed by multivariable logistic regression.
    Results: A total of 2991 patients were followed-up for a median of 4.6 years. The cohort was 62.1% female, with 26.1% of patients having at least one comorbidity. The CG equation identified 21.6% of patients as having renal impairment compared with 17.6% with CKD-EPI[AS] and 9.3% with CKD-EPI[ASR]. There was a mortality rate of 9.1% across the study period. The highest mortality risk was seen in those with renal impairment as determined by the CKD-EPI[ASR] equation for both eGFR < 90 and eGFR < 60 with OR 2.97 (95%CI 1.86-4.76) and OR 10.6 (95%CI 3.15-18.04) respectively.
    Conclusion: In treatment naïve PWH in Zimbabwe, the CKD-EPI[ASR] equation identifies patients at highest risk of mortality when compared to the CKD-EPI[AS] and CG equations.
    MeSH term(s) Female ; Humans ; Male ; Glomerular Filtration Rate ; Renal Insufficiency ; Renal Insufficiency, Chronic/mortality ; Retrospective Studies ; Zimbabwe/epidemiology ; HIV Infections/complications
    Language English
    Publishing date 2023-05-08
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2041348-8
    ISSN 1471-2369 ; 1471-2369
    ISSN (online) 1471-2369
    ISSN 1471-2369
    DOI 10.1186/s12882-023-03159-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Incidence, Management, and Outcomes of Aortic Graft Infection.

    Shiraev, Timothy / Barrett, Sean / Heywood, Sean / Mirza, Wasif / Hunter-Dickson, Mitchell / Bradshaw, Camilla / Hardman, David / Neilson, Wendell / Bradshaw, Stephen

    Annals of vascular surgery

    2019  Volume 59, Page(s) 73–83

    Abstract: Background: Infection complicates 1% of aortic grafts, and although uncommon, the associated morbidity and mortality are significant. We sought to determine risk factors for aortic graft infection (AGI), the long-term outcomes in patients managed both ... ...

    Abstract Background: Infection complicates 1% of aortic grafts, and although uncommon, the associated morbidity and mortality are significant. We sought to determine risk factors for aortic graft infection (AGI), the long-term outcomes in patients managed both nonoperatively and via explantation.
    Methods: This observational study reviewed sequential aortic grafts (thoracic or abdominal) inserted via open or endovascular means between 2000 and 2017. We used Cox proportional hazards regression analyses to compare risk factors between groups who did and did not acquire an AGI and recorded method of management, morbidity, mortality, and duration to adverse event.
    Results: There were 883 aortic repairs, 49% were endovascular. 17.2% were for ruptured aneurysms, 1.1% for symptomatic aneurysms, 1.4% for type B dissections, and 0.5% for occlusive disease. Twelve patients presented with AGI, of which ten had their index procedure performed at our institution (AGI incidence of 1.1%). There was no difference in rates of AGI between open and endovascular repairs (0.9 vs. 1.4%, P = 0.24). AGI was significantly associated with emergency aortic repair (HR 3.63, 95% CI 1.13-11.57, P = 0.03), septic process requiring in-patient management during follow-up (HR 5.44, 95% CI 1.21-24.26, P = 0.02), and suprarenal clamping during open repair (HR 5.21, 95% CI 1.00-26.99, P = 0.05). Four patients were managed with explantation and revascularization (3 extra-anatomical bypasses) and remained well at a median follow-up of 46 months. Of the 8 patients managed nonoperatively, 4 died at an average of 13.5 days after representation, and the other 4 remained well on oral antibiotics at a median follow-up of 26.5 months. No patient suffered limb loss, and there was no change in the rate of infection over the period.
    Conclusions: Incidence of AGI remains low but is associated with significant mortality. Patients with aortic grafts in situ require aggressive treatment of septic foci to prevent graft infection.
    MeSH term(s) Administration, Oral ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents/administration & dosage ; Anti-Bacterial Agents/adverse effects ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/mortality ; Aortic Aneurysm, Thoracic/surgery ; Aortography/methods ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Blood Vessel Prosthesis Implantation/mortality ; Computed Tomography Angiography ; Device Removal/adverse effects ; Device Removal/mortality ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Female ; Humans ; Incidence ; Male ; Middle Aged ; New South Wales/epidemiology ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Prosthesis-Related Infections/mortality ; Prosthesis-Related Infections/therapy ; Reoperation ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2019-04-19
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article ; Observational Study
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2019.01.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Morphometric analysis of thalamic volume in progressive supranuclear palsy: In vivo evidence of regionally specific bilateral thalamic atrophy.

    Power, Brian D / Jakabek, David / Hunter-Dickson, Mitchell / Wilkes, Fiona A / van Westen, Danielle / Santillo, Alexander F / Walterfang, Mark / Velakoulis, Dennis / Nilsson, Christer / Looi, Jeffrey C L

    Psychiatry research

    2017  Volume 265, Page(s) 65–71

    Abstract: We investigated whether differences were detectable in the volume and shape of the dorsal thalamus on magnetic resonance imaging in patients with progressive supranuclear palsy (PSP). Manual segmentation of the left and right thalami on magnetic ... ...

    Abstract We investigated whether differences were detectable in the volume and shape of the dorsal thalamus on magnetic resonance imaging in patients with progressive supranuclear palsy (PSP). Manual segmentation of the left and right thalami on magnetic resonance imaging scans occurred in 22 patients with clinically diagnosed PSP and 23 healthy controls; thalamic volumes (left, right, total) were calculated. Between group differences were explored by multivariate analysis of co-variance, using age and intracranial volume as covariates. Analysis of the shape of the thalamus was performed using the spherical harmonic point distribution method software package. Patients with PSP were found to have significant bilateral thalamic atrophy on magnetic resonance imaging; there was significant shape deflation over the anterior-lateral and anterior-ventral surfaces bilaterally, and over the right caudal thalamus. Recognizing decreased thalamic morphology in PSP patients in vivo may be an important component of an ensemble of diagnostic biomarkers in the future, particularly given the difficulty of distinguishing PSP from other Parkinsonian conditions early in the disease course.
    Language English
    Publishing date 2017-07-30
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.pscychresns.2017.05.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Validation of a protocol for manual segmentation of the thalamus on magnetic resonance imaging scans.

    Power, Brian D / Wilkes, Fiona A / Hunter-Dickson, Mitchell / van Westen, Danielle / Santillo, Alexander F / Walterfang, Mark / Nilsson, Christer / Velakoulis, Dennis / Looi, Jeffrey C L

    Psychiatry research

    2015  Volume 232, Issue 1, Page(s) 98–105

    Abstract: We present a validated protocol for manual segmentation of the thalamus on T1-weighted magnetic resonance imaging (MRI) scans using brain image analysis software. The MRI scans of five normal control subjects were randomly selected from a larger cohort ... ...

    Abstract We present a validated protocol for manual segmentation of the thalamus on T1-weighted magnetic resonance imaging (MRI) scans using brain image analysis software. The MRI scans of five normal control subjects were randomly selected from a larger cohort recruited from Lund University Hospital and Landskrona Hospital, Sweden. MRIs were performed using a 3.0T Philips MR scanner, with an eight-channel head coil, and high resolution images were acquired using a T1-weighted turbo field echo (T1 TFE) pulse sequence, with resulting voxel size 1×1×1 mm3. Manual segmentation of the left and right thalami and volume measurement was performed on 28-30 contiguous coronal slices, using ANALYZE 11.0 software. Reliability of image analysis was performed by measuring intra-class correlations between initial segmentation and random repeated segmentation of the left and right thalami (in total 10 thalami for segmentation); inter-rater reliability was measured using volumes obtained by two other experienced tracers. Intra-class correlations for two independent raters were 0.95 and 0.98; inter-class correlations between the expert rater and two independent raters were 0.92 and 0.98. We anticipate that mapping thalamic morphology in various neuropsychiatric disorders may yield clinically useful disease-specific biomarkers.
    MeSH term(s) Biomarkers ; Humans ; Magnetic Resonance Imaging/methods ; Neurodegenerative Diseases/diagnosis ; Reproducibility of Results ; Software ; Sweden ; Thalamus/anatomy & histology
    Chemical Substances Biomarkers
    Language English
    Publishing date 2015-04-30
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Validation Studies
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.pscychresns.2015.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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