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Clinical problems in patient with Ehlers-Danlos syndrome and Multiple Chemical Sensitivity undergoing total thyroidectomy.

Abstract Clinical practice sometimes brings to face with situations quite peculiar, potentially dangerous for the patient's life. In the great majority of cases, pathologies associated with each other (cardiovascular, respiratory, neurological), while in other cases we can treat rare diseases or syndromes. It's considered exceptional the simultaneous presence of "rare" pathologies in a single patient. This exceptionality has been a push to treat a patient as a "unique" asking for help to deeper studies of pharmacogenetics. Our case reports the management of a patient with Ehlers-Danlos syndrome (EDS) and Multiple Chemical Sensitivity (MCS), undergoing a total thyroidectomy. We found several problems, and we tried to find effective solutions for the management of the patient during the whole peri-operative process, from a clinical, pharmacological and also from a surgical point of view.
PMID
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Authors

Mayor MeshTerms

Thyroidectomy

Keywords
Journal Title il giornale di chirurgia
Publication Year Start




PMID- 26712072
OWN - NLM
STAT- MEDLINE
DA  - 20151229
DCOM- 20160525
LR  - 20160218
IS  - 0391-9005 (Print)
IS  - 0391-9005 (Linking)
VI  - 36
IP  - 4
DP  - 2015 Jul-Aug
TI  - Clinical problems in patient with Ehlers-Danlos syndrome and Multiple Chemical
      Sensitivity undergoing total thyroidectomy.
PG  - 168-71
AB  - Clinical practice sometimes brings to face with situations quite peculiar,
      potentially dangerous for the patient's life. In the great majority of cases,
      pathologies associated with each other (cardiovascular, respiratory,
      neurological), while in other cases we can treat rare diseases or syndromes. It's
      considered exceptional the simultaneous presence of "rare" pathologies in a
      single patient. This exceptionality has been a push to treat a patient as a
      "unique" asking for help to deeper studies of pharmacogenetics. Our case reports 
      the management of a patient with Ehlers-Danlos syndrome (EDS) and Multiple
      Chemical Sensitivity (MCS), undergoing a total thyroidectomy. We found several
      problems, and we tried to find effective solutions for the management of the
      patient during the whole peri-operative process, from a clinical, pharmacological
      and also from a surgical point of view.
FAU - Pasta, V
AU  - Pasta V
FAU - D'Orazi, V
AU  - D'Orazi V
FAU - Ruggeri, L
AU  - Ruggeri L
FAU - Toni, M F
AU  - Toni MF
FAU - Urciuoli, P
AU  - Urciuoli P
FAU - Tellan, G
AU  - Tellan G
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Italy
TA  - G Chir
JT  - Il Giornale di chirurgia
JID - 9011768
SB  - IM
MH  - Body Mass Index
MH  - Ehlers-Danlos Syndrome/*complications
MH  - Goiter, Nodular/*complications/diagnosis/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/methods
MH  - Multiple Chemical Sensitivity/*complications
MH  - Obesity/complications
MH  - Risk Factors
MH  - *Thyroidectomy
MH  - Treatment Outcome
PMC - PMC4732587
OID - NLM: PMC4732587
EDAT- 2015/12/30 06:00
MHDA- 2016/05/26 06:00
CRDT- 2015/12/30 06:00
AID - 7253 [pii]
PST - ppublish
SO  - G Chir. 2015 Jul-Aug;36(4):168-71.

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