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...
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Veröffentlicht in: | The New England journal of medicine 2013-08, Vol.369 (7), p.659-659 |
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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 |
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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&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. 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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> |
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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 |
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