2020
A Tale of Three Rarities: Secondary Amyloid A (AA) Amyloidosis Caused by Recurrent Sialadenitis and Complicated by Pulmonary Hypertension and Adrenal Insufficiency
Desai P, Mbachi C, Joshi U, Mba B. A Tale of Three Rarities: Secondary Amyloid A (AA) Amyloidosis Caused by Recurrent Sialadenitis and Complicated by Pulmonary Hypertension and Adrenal Insufficiency. Cureus 2020, 12: e7792. PMID: 32455087, PMCID: PMC7243608, DOI: 10.7759/cureus.7792.Peer-Reviewed Original ResearchAmyloid A (AA) amyloidosisRecurrent sialadenitisPulmonary hypertensionAdrenal insufficiencyAcute hypoxic respiratory failureA (AA) amyloidosisElevated gamma gapHypoxic respiratory failureSystemic amyloid A (AA) amyloidosisSystemic AA amyloidosisAlkaline phosphatase elevationConstellation of findingsGamma gapAdrenal involvementRenal dysfunctionRespiratory failureLiver biopsyRare sequelaAmyloid depositionMental statusAA amyloidosisParotid massPulmonary nodulesMicrocytic anemiaHypertension
2019
2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review
Flores E, Mbachi C, Randhawa T, Vohra I, Agrawal R, Mba B. 2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review. The American Journal Of Gastroenterology 2019, 114: s1262-s1264. DOI: 10.14309/01.ajg.0000598564.97179.71.Peer-Reviewed Original ResearchLiver injuryTotal bilirubinCascara sagradaHerbal supplementsDrug-induced liver injuryClay-colored stoolsDark-colored urineMild transaminase elevationsBile duct injuryLiver function testsChronic inflammatory infiltrateShort-term treatmentAnabolic steroid useSerum enzyme elevationsAutoimmune panelDuct injuryPortal hypertensionTransaminase elevationStool softenersClose followEnzyme elevationInitial presentationLiver biopsyLiver ultrasoundBiliary dilatation