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Lyme Disease Presenting As A Dermal Hypersensitivity Reaction, William T. Snider, Ian Depew, Rebecca Hicks, Shane Cook

Marshall Journal of Medicine

Background:

Lyme disease is a well-recognized illness commonly associated with skin manifestations such as erythema migrans. However, atypical presentations can complicate diagnosis, particularly when they deviate from classic clinical and histological findings.

Methods:

We report a potential case of Lyme disease presenting as a dermal hypersensitivity reaction (DHR), with clinical findings resembling urticaria rather than urticarial vasculitis. Skin biopsy findings were reviewed, and Lyme serology testing was performed.

Results:

The biopsy did not demonstrate the characteristic superficial perivascular lymphocytic infiltrate typically seen with erythema migrans. The patient's history included prior tick exposures, but while Lyme IgM was positive, the Lyme …

Diagnosis And Surgical Management Of Lymphoproliferative Unicentric Castleman Disease, Kristen E. Bowman, Jonathan Evans, Yancy Short, David Webb

Marshall Journal of Medicine

Castleman Disease (CD) describes a group of complex lymphoproliferative disorders that share common histopathological features. Classification largely centers around the number of affected lymph nodes and the presence or absence of Human Herpesvirus 8 (HHV-8). Unicentric CD (UCD) is estimated to make up 40% of all CD cases with the remaining 60% being multicentric CD (MCD), involving several regions of the body and increasing concern for HHV-8 involvement. While UCD is often discovered through incidental imaging or routine examination, swift confirmation via pathological diagnostics can often lead to a cure through simple resection. Presented here is the case of a …

A Severe And Unusual Case Of Propriospinal Myoclonus, Mouhannad Azzouz, Robert Young, Ammar Md Bata, Thaiddeus Dillie, Anam Sabzwari

Marshall Journal of Medicine

Propriospinal myoclonus (PSM) is a rare disorder characterized by axial muscle jerks originating in the thoracoabdominal region; medical management of this disease is extremely challenging given the paucity of trials and few reported cases only. Chronic cough has not been described in the literature in association with PSM. We describe a 51 year old female presenting with chronic unexplained cough along with myoclonic jerking, ultimately diagnosed with severe PSM. Fortunately our case after different medication trials showed great response to lacasomide which has been rarely reported in PSM management.

Mirm In An Adolescent Male: A Diagnostic Challenge And Review Of The Literature, Emily Saurborn, Savannah Carty, Shane Cook, Lauren Tufts

Marshall Journal of Medicine

Mycoplasma-Induced Rash and Mucositis (MIRM) is a subset of Reactive Infectious Mucocutaneous Eruption (RIME), most commonly associated with Mycoplasma pneumoniae. MIRM commonly presents with significant mucositis and mild or absent cutaneous involvement. MIRM exists on a spectrum with Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). Due to the significant clinical overlap, early diagnosis of MIRM can be challenging. We report a case of a 19-year-old male who presented with a two-day history of worsening throat pain and decreased oral intake after initiating Augmentin for treatment of community acquired pneumonia. During hospitalization, he developed progressive ocular, oral and genital …

Diagnosis Of Kasabach-Merritt Phenomenon In A Newborn, Kiersten Ricci, Sara Basala, Edward Raykhelson, Aaron Mcguffin

Marshall Journal of Medicine

Kasabach-Merritt Phenomenon (KMP) is a rare and potentially life-threatening coagulopathy that has high bleeding risk and is characterized by severe thrombocytopenia and hypofibrinogenemia. Timely diagnosis and intervention are essential, as untreated kaposiform hemangioendothelioma (KHE) or tufted angioma (TA) associated with Kasabach-Merritt phenomenon (KMP) can result in significant morbidity and mortality..

We report a case of a full-term female neonate who was noted to have a large vascular scalp mass at birth. The tumor was initially misidentified as an infantile and a congenital hemangioma. Upon specialty evaluation at a vascular anomaly center and additional diagnostics, the child was diagnosed with KHE …

The Tax Adviser, Volume 2, Number 7, July 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Index: Subject Index -12 Months Ended June 1971; Author Index-12 Months Ended June 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Tax Trends, Harry Z. Garian, John F. Kalben

Tax Adviser

No abstract provided.

Estate Planning: Putting Life Insurance In Trust, Edward S. Schlesinger

Tax Adviser

No abstract provided.

Recognizing And Avoiding Constructive Dividend Situations, William H. Hoffman Jr.

Tax Adviser

No abstract provided.

Adaptive Satellite Modem Management Based On User And Device Context For Power Optimization, Shailesh Maheshwari, Sat K, Sooraj Sasindran, Chinmay Dhodapkar

Defensive Publications Series

Inconsistent satellite service coverage for mobile devices, such as a smartphone or wearable device, may cause increased power consumption as a modem repeatedly searches for a stable signal, particularly in locations with compromised reception. A method is described for managing power usage by controlling satellite modem activity based on user and device context. The approach may use contextual triggers, for example, screen status, device location (e.g., indoors or in a pocket), battery level, and historical connectivity patterns, to place the modem into a dormant mode when a reliable connection is determined to be unlikely. The system can also use service …

Dynamic Management Of Radio Access Technologies For Calling, Max Mo, Yuantao Lee, Poying Chuang, Peggy Huang

Defensive Publications Series

A system is described for managing radio access technologies used for calling. A network carrier may provide call support on a particular radio access technology (RAT) that the user has disabled. The disclosed methods can involve a user equipment (UE) detecting the initiation of a call that requires access to a particular RAT. In response, the UE may automatically and temporarily re-enable the disabled RATs for the call's duration, and may optionally revert the setting afterward. An alternative method can involve the UE proactively identifying when it is in a region where a specific RAT is utilized for certain calls …

(((Qpie)))The Resonant Mind — Learning Andneurocognitive Evolution In The Coherence Era, Teddy Burroughs

Defensive Publications Series

Abstract QPIE (Quantum Perspective Is Everything) 7.6 reframes intelligence itself. Learning, memory, and creativity are not isolated brain events; they are local harmonics in a universal coherence field. This paper translates that revelation into the language of neuroscience, education, and social healing. It outlines how Homo resonans —the next stage of human cognition—emerges through phase alignment among neural, emotional, and social circuits. Drawing on Aetheris probe analytics, we show that compassion, gratitude, and trust (CGT) modulate neural entropy just as tuning stabilizes a resonator. The classroom, the workplace, and the city all become laboratories of resonance.

Strengthening On-Device Trust Anchors With Rotation And Multiple Sources, Darren Krahn

Defensive Publications Series

This disclosure describes a scheme to strengthen on-device trust anchors using key rotation and multiple sources. The trust anchors enable device-to-device authentication where software relies on the trust anchor. The described scheme includes rotating public keys over time. A device receives a list of trusted public keys from multiple sources, with the final trust anchor being the intersection of the copies of the list received from the different sources. This approach offers benefits such as enhanced security if individual sources are compromised and continued functionality for older devices. The described techniques can be implemented by operating system providers and/or device …

Stall Free Atomic Write-Merge Solution Via Self-Indexing, N/A

Defensive Publications Series

This publication describes handling simultaneous write requests from multiple processing pipelines to a single memory address without stalling. An atomic write-merge solution system (“system”) may resolve write-write hazards atomically within a single clock cycle, maintaining high throughput in parallel computing architectures. First, the system in a conflict detection stage may be configured to identify a group of pipelines targeting the identical memory address in the same cycle. Second, the system, in a self-indexing mechanism, may be configured to assign a unique, deterministic rank to each pipeline within the conflicting group. The deterministic rank may be calculated for each pipeline by …

The Tax Adviser, Volume 2, Number 6, June 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Index: Subject Index-12 Months Ended May 1971; Author Index-12 Months Ended May 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Tax Trends, Harry Z. Garian, John F. Kalben

Tax Adviser

No abstract provided.

Tax Clinic, Paul Farber

Tax Adviser

No abstract provided.

Private Foundations And Tax Reform: Mandatory Foundation Distributions And Problems As A Grantee, William J. Lehrfeld

Tax Adviser

No abstract provided.

Multiple Corporations: A Surprising Interpretation Of Sec. 1563(A)(2) In Temporary Regulations, Jerome B. Libin, George R. Abramowitz

Tax Adviser

No abstract provided.

The Tax Adviser, Volume 2, Number 5, May 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Index: Subject Index-12 Months Ended April 1971; Author Index-12 Months Ended April 1971

Tax Adviser

No abstract provided.

Tax Clinic, Jerome Toder

Tax Adviser

No abstract provided.

Professions At Work: Tra Proposed Regulations: Comments, Herbert Finkston

Tax Adviser

No abstract provided.

Private Foundations And Tax Reform: Mandatory Pay-Out Of Income And Corpus, William J. Lehrfeld

Tax Adviser

No abstract provided.

Adr Depreciation Regulations, K. Martin Worthy

Tax Adviser

No abstract provided.

Readers Write:, William A. Paton, Michael D. Bray, Irving Evall, Joseph W. Rebovich, Neil R. Bersch, Marion G. Fryar, Jack Mitnick, Barry B. Findley, Robert E. Decker, Abram J. Serotta, C. A. Nickerson, Earl F. Davis

Tax Adviser

No abstract provided.

The Tax Adviser, Volume 2, Number 4, Aril 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.

Index: Subject Index -12 Months Ended March 1971; Author Index-12 Months Ended March 1971, American Institute Of Certified Public Accountants

Tax Adviser

No abstract provided.