Unblinded by the Lights

A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdomina...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The New England journal of medicine 2013-08, Vol.369 (7), p.659-659
Hauptverfasser: Heithaus, Robert Evans, Hogan, Reed
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 659
container_issue 7
container_start_page 659
container_title The New England journal of medicine
container_volume 369
creator Heithaus, Robert Evans
Hogan, Reed
description A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. During the evaluation for abdominal pain, an initial upper endoscopy was negative. However, postendoscopy melena prompted a second look, which revealed multiple mucosal burns caused by the light source of the endoscope during the initial procedure (Panel A). Burns also developed on his fingers from the light source of a pulse oximeter (Panel B). A workup revealed elevated red-cell free protoporphyrin levels and elevated levels of porphyrin in . . .
doi_str_mv 10.1056/NEJMicm1211366
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1424397000</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3047000181</sourcerecordid><originalsourceid>FETCH-LOGICAL-c361t-fc105cab845bdc3b9ed47db1bb83ef20228897a13983cdd4b732769859a97de83</originalsourceid><addsrcrecordid>eNp1jztPwzAUhS0EEqGwwhoJwZZi-zp-jKhqeSjAQmfLr9BUTVrsdOi_J1UrJAbucpZzzncPQtcEjwku-cP79PWtcS2hhADnJygjJUDBGOanKMOYyoIJBefoIqUlHo4wlaGbeWdXTeeDz-0u7xchr5qvRZ8u0VltVilcHXWE5rPp5-S5qD6eXiaPVeGAk76o3YB2xkpWWu_AquCZ8JZYKyHUFFMqpRKGgJLgvGdWABVcyVIZJXyQMEK3h95NXH9vQ-r1cr2N3YDUhFEGSgyfDq7xweXiOqUYar2JTWviThOs9-P13_FD4O5Ya5IzqzqazjXpN0VFKYHjPf7-4GvbpLuwbP8r_AHPjWMI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1424397000</pqid></control><display><type>article</type><title>Unblinded by the Lights</title><source>EZB-FREE-00999 freely available EZB journals</source><source>ProQuest Central UK/Ireland</source><source>New England Journal of Medicine</source><creator>Heithaus, Robert Evans ; Hogan, Reed</creator><creatorcontrib>Heithaus, Robert Evans ; Hogan, Reed</creatorcontrib><description>A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. During the evaluation for abdominal pain, an initial upper endoscopy was negative. However, postendoscopy melena prompted a second look, which revealed multiple mucosal burns caused by the light source of the endoscope during the initial procedure (Panel A). Burns also developed on his fingers from the light source of a pulse oximeter (Panel B). A workup revealed elevated red-cell free protoporphyrin levels and elevated levels of porphyrin in . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMicm1211366</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Biological and medical sciences ; Burns ; Case reports ; Jaundice ; Medical sciences ; Metabolic diseases ; Other metabolic disorders ; Pain ; Photosensitivity ; Pigments (porphyrias, hyperbilirubinemias...) ; Traumas. Diseases due to physical agents</subject><ispartof>The New England journal of medicine, 2013-08, Vol.369 (7), p.659-659</ispartof><rights>Copyright © 2013 Massachusetts Medical Society. All rights reserved.</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-fc105cab845bdc3b9ed47db1bb83ef20228897a13983cdd4b732769859a97de83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMicm1211366$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1424397000?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2757,2758,26102,27923,27924,52381,54063,64384,64388,72240</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27583608$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Heithaus, Robert Evans</creatorcontrib><creatorcontrib>Hogan, Reed</creatorcontrib><title>Unblinded by the Lights</title><title>The New England journal of medicine</title><description>A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. During the evaluation for abdominal pain, an initial upper endoscopy was negative. However, postendoscopy melena prompted a second look, which revealed multiple mucosal burns caused by the light source of the endoscope during the initial procedure (Panel A). Burns also developed on his fingers from the light source of a pulse oximeter (Panel B). A workup revealed elevated red-cell free protoporphyrin levels and elevated levels of porphyrin in . . .</description><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Case reports</subject><subject>Jaundice</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Other metabolic disorders</subject><subject>Pain</subject><subject>Photosensitivity</subject><subject>Pigments (porphyrias, hyperbilirubinemias...)</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1jztPwzAUhS0EEqGwwhoJwZZi-zp-jKhqeSjAQmfLr9BUTVrsdOi_J1UrJAbucpZzzncPQtcEjwku-cP79PWtcS2hhADnJygjJUDBGOanKMOYyoIJBefoIqUlHo4wlaGbeWdXTeeDz-0u7xchr5qvRZ8u0VltVilcHXWE5rPp5-S5qD6eXiaPVeGAk76o3YB2xkpWWu_AquCZ8JZYKyHUFFMqpRKGgJLgvGdWABVcyVIZJXyQMEK3h95NXH9vQ-r1cr2N3YDUhFEGSgyfDq7xweXiOqUYar2JTWviThOs9-P13_FD4O5Ya5IzqzqazjXpN0VFKYHjPf7-4GvbpLuwbP8r_AHPjWMI</recordid><startdate>20130815</startdate><enddate>20130815</enddate><creator>Heithaus, Robert Evans</creator><creator>Hogan, Reed</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20130815</creationdate><title>Unblinded by the Lights</title><author>Heithaus, Robert Evans ; Hogan, Reed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-fc105cab845bdc3b9ed47db1bb83ef20228897a13983cdd4b732769859a97de83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biological and medical sciences</topic><topic>Burns</topic><topic>Case reports</topic><topic>Jaundice</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Other metabolic disorders</topic><topic>Pain</topic><topic>Photosensitivity</topic><topic>Pigments (porphyrias, hyperbilirubinemias...)</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heithaus, Robert Evans</creatorcontrib><creatorcontrib>Hogan, Reed</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heithaus, Robert Evans</au><au>Hogan, Reed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unblinded by the Lights</atitle><jtitle>The New England journal of medicine</jtitle><date>2013-08-15</date><risdate>2013</risdate><volume>369</volume><issue>7</issue><spage>659</spage><epage>659</epage><pages>659-659</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. A 24-year-old man was transferred to the hospital for evaluation of jaundice and abdominal pain. He had a lifelong history of severe photosensitivity and wore long-sleeved shirts and sunscreen to limit sunburn. During the evaluation for abdominal pain, an initial upper endoscopy was negative. However, postendoscopy melena prompted a second look, which revealed multiple mucosal burns caused by the light source of the endoscope during the initial procedure (Panel A). Burns also developed on his fingers from the light source of a pulse oximeter (Panel B). A workup revealed elevated red-cell free protoporphyrin levels and elevated levels of porphyrin in . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><doi>10.1056/NEJMicm1211366</doi><tpages>1</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0028-4793
ispartof The New England journal of medicine, 2013-08, Vol.369 (7), p.659-659
issn 0028-4793
1533-4406
language eng
recordid cdi_proquest_journals_1424397000
source EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine
subjects Biological and medical sciences
Burns
Case reports
Jaundice
Medical sciences
Metabolic diseases
Other metabolic disorders
Pain
Photosensitivity
Pigments (porphyrias, hyperbilirubinemias...)
Traumas. Diseases due to physical agents
title Unblinded by the Lights
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T10%3A36%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unblinded%20by%20the%20Lights&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Heithaus,%20Robert%20Evans&rft.date=2013-08-15&rft.volume=369&rft.issue=7&rft.spage=659&rft.epage=659&rft.pages=659-659&rft.issn=0028-4793&rft.eissn=1533-4406&rft.coden=NEJMAG&rft_id=info:doi/10.1056/NEJMicm1211366&rft_dat=%3Cproquest_cross%3E3047000181%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1424397000&rft_id=info:pmid/&rfr_iscdi=true