Delusions of Glass Under Skin: An Unusual Case of Somatic-Type Delusional Disorder Treated with Olanzapine by Nicholas Comardelle, Amber Edinoff, Juliana Fort

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Hypogonadism in a Man With Cystic Fibrosis and an Unusually Low Serum Testosterone: A Cautionary Tale by Khemaporn Lertdetkajorn, MD, Crystal Cobb, DO, Rebecca J. Kapolka, MD, William R. Hunt, MD, Vin Tangpricha, MD, PhD

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Unusual Benign Middle Ear Tumors: How Does the Presentation Differ from Otitis Media? by Krutika Sonvane, Navnit Makwana, Rahul Gupta, Hardik Patel, R G Aiyer

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Q Fever with Unusual Exposure History: A Classic Presentation of a Commonly Misdiagnosed Disease by Randall J. Nett, Earl Book, Alicia D. Anderson

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Wernicke’s Encephalopathy: An Unusual Consequence of the Acquired Immune Deficiency Syndrome—Case Report and Literature Review by Timothy R. Larsen, Dritan Dragu, Michael Williams

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Vesicoureteral Reflux, a Scarred kidney, and Minimal Proteinuria: An Unusual Cause of Adult Secondary Hypertension by Shaifali Sandal, Apurv Khanna

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Unusual Presentation with Orbital Mass in a Child with Precursor B-Cell Acute Lymphoblastic Leukemia by Lalita Sathitsamitphong, Rungrote Natesirinilkul, Worawut Choeyprasert, Pimlak Charoenkwan

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High-Grade Transformation (Dedifferentiation) of Acinic Cell Carcinoma of the Parotid Gland: Report of an Unusual Variant by Sarah S. Al-Otaibi, Faiza Alotaibi, Yaseer Al Zaher, Nabil Al Zaher, M. A. Dababo

“…Acinic cell carcinoma with high-grade transformation of the salivary gland is an unusual variant with less than fifty cases being reported in the literature. …”
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Unusual free trisaccharides in caprine colostrum discovered by logically derived sequence tandem mass spectrometry by Wei-Chien Weng, Hung-En Liao, Cheng-Hsiu Chang, Shang-Cheng Hung, Kai Du, Zhijay Tu, Chun-Hung Lin, Chi-Kung Ni

“…Instead, the reducing end is either Glcβ-(1–4)-Glc or Glcβ-(1–4)-GlcNAc. These unusual oligosaccharides are higher in concentration and more structurally diverse in caprine colostrum than that in caprine mature milk and human milk. …”
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Immune-Mediated Neutropenia and Thrombocytopenia in a Patient with Ulcerative Colitis: An Unusual Hematological Association with IBD by Young-In Kim, Aaron Brzezinski, Joseph Brandwein, Jeffrey P Baker

“…Although a definitive cause-effect relationship cannot be established, the immune-mediated neutropenia and thrombocytopenia may be an unusual hematological manifestation associated with ulcerative colitis.…”
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Persistent Hiccups—An Unusual Presentation of Bilateral Pheochromocytoma without Syndromic Association: A Case Report by Nitin Aherrao, Nilesh Kumar, Indarajeet Singh Gambhir, Dhiraj Kishore, Suryakumar Singh, Abhinandan Mishra, Aravind Anand

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Rhabdomyolysis: An Unusual Presentation of Mycoplasma pneumoniae Infection in an Adult—A Case Report and Literature Review by Jaspreet Kaler, Osama Mukhtar, Bilal Khan, Binav Shrestha, Ravinder Kaler, Brandon Ting, Mazin Khalid

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Purulent Meningitis as an Unusual Presentation of Staphylococcus aureus Endocarditis: A Case Report and Literature Review by Giancarlo Ceccarelli, Gabriella d'Ettorre, Vincenzo Vullo

“…On presentation of Staphylococcus aureus endocarditis, unusual manifestations may represent the main clinical features of the disease. …”
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Gastric and Duodenal Pseudomelanosis: An Extended Unusual Finding in a Patient with End Stage Kidney Disease by Noor Ul Ain Qureshi, Muhammad Faraz Younus, Kourosh Alavi, Muhammad Yasin Sheikh

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Unusual Ant Hosts of the Socially Parasitic Ant Anergates atratulus (Schenck, 1852) (Hymenoptera, Formicidae) by Albena Lapeva-Gjonova, Kadri Kiran, Volkan Aksoy

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A Rare Normal Variant with an Unusual Presentation on a Male Mammogram: A Case Report by Victoria Kai Lin Tay, Si Ying Tan, Chow Yin Wong, Lester Chee Hao Leong

“…Imaging findings were consistent with bilateral sternalis muscles, unusually hypertrophic in size due to intense upper body weight training by the patient. …”
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Neisseria meningitidis Infecting a Prosthetic Knee Joint: A New Case of an Unusual Disease by Berta Becerril Carral, Elvira Alarcón Manoja, Salvador López Cárdenas, Jesús Canueto Quintero

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Gastric Plexiform Fibromyxoma Arising in the Cardia in an Adolescent Male: A Rare Tumor with an Unusual Location by Awrad Nasralla, Mufeed Alwabari, Osama Alsaif, Samir S. Amr

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An Unusual Case of an Acquired Aortopulmonary Fistula after Surgical Replacement of a Bicuspid Aortic Valve by Y. Khalid, N. Dasu, M. Daneshvar, P. Jang, A. Patel, K. Dasu, A. Shah

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Unusual Clinical Presentation of Cutaneous Angiosarcoma Masquerading as Eczema: A Case Report and Review of the Literature by Nhat Q. Trinh, Issra Rashed, Kelli A. Hutchens, Aileen Go, Edward Melian, Rebecca Tung

“…An unusual case of cutaneous angiosarcoma clinically mimicking eczema is described. …”
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