The first report of a known 4A syndrome patient with suspected manifestations of COVID-19, what was the final outcome?
4A syndrome
Achalasia
Addison’s disease
Alacrima
COVID-19
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
20
05
2022
revised:
01
09
2022
accepted:
14
11
2022
pubmed:
29
11
2022
medline:
29
11
2022
entrez:
28
11
2022
Statut:
ppublish
Résumé
The present study was performed on a 24-year-old Iranian man referred to Hospital with suspected symptoms of COVID-19, including fever, weakness, and cough. According to medical history, he had Alacrima, esophageal Achalasia, and adrenal insufficiency from childhood. Based on medical records and clinical examinations, the physician suspected 3A syndrome in the patient and requested further examination for MRI, CXR, and COVID-19 RT-PCR test. The result of the COVID-19 RT-PCR test was negative the next day. The patient's CXR showed ground-glass opacity (GGO) and pulmonary fibrosis. Based on images and MRI reports, severe posterior cortical atrophy disproportionate to chronological age and bilateral atrophy of the lacrimal gland were reported. After reviewing and summarizing the records, history, examinations, and Paraclinical tests, the patient was identified as a case of 4A syndrome.
Identifiants
pubmed: 36440457
doi: 10.1016/j.heliyon.2022.e11766
pii: S2405-8440(22)03054-7
pmc: PMC9675088
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e11766Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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