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3665 Articles
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The Dilemma of Graduates’ Skills Acquisition in free Trade Zones: A Political Study of Southwest Nigeria
Sidi Istifanus Abimiku
Free Trade Zones, Graduates’ Skills Acquisition, Employment Generation, Tertiary Institutions

Unemployment among graduates of tertiary institutions in Nigeria has remained a persistent socio-economic challenge, often attributed to a mismatch between graduates' skills and the demands of the l... 4 months ago

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Secondary Syphilis with Osteitis
Blanca Santos Latasa, Javier Perez-Bootello
secondary syphilis, osteitis, Treponema pallidum, HIV coinfection, lytic bone lesion, subgaleal nodules, technetium-99m bone scan, RPR titer, TPPA, penicillin G benzathine, CT imaging, macular rash, bone biopsy

A 32-year-old man with well-controlled HIV presented with a 1-month history of painful forehead nodules. He had engaged in condomless sex with four male partners in the preceding 3 months. Examination... 5 months ago

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Safety of Kidney Transplantation from Donors with HIV
Christine M. Durand, Allan Massie, Sander Florman, Tao Liang, Meenakshi M. Rana,...
kidney transplantation, HIV-positive donor, HIV-positive recipient, HOPE Act, organ equity, graft survival, HIV superinfection, antiretroviral therapy, opportunistic infection, immunosuppression, rejection, donor-derived infection

This multicenter, observational, noninferiority study evaluated the safety of kidney transplantation from deceased donors with HIV to recipients with HIV, comparing outcomes with transplants from dono... 5 months ago

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Safety and Efficacy of Immunization with a Late-Liver-Stage Attenuated Malaria Parasite
Olivia A.C. Lamers, Blandine M.D. Franke-Fayard, Jan Pieter R. Koopman, Geert V....
malaria vaccine, Plasmodium falciparum, genetically attenuated parasite, GA2, GA1, liver-stage arrest, controlled human malaria infection, CHMI, mosquito bite immunization, PfCSP, PfAMA1, PfMSP1, CD4+ T cells

   This double-blind, controlled clinical trial evaluated the safety and efficacy of immunization with a genetically attenuated Plasmodium falciparum parasite (GA2), which arrests late in th... 5 months ago

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RENOIR Trial — RSVpreF Vaccine Efficacy over Two Seasons
Edward E. Walsh, Gonzalo Pérez Marc, Ann R. Falsey, Qin Jiang, Daniel Eiras, Mi...
RSVpreF vaccine, RENOIR trial, respiratory syncytial virus, RSV A, RSV B, older adults, vaccine durability, lower respiratory tract illness, acute respiratory illness, bivalent vaccine, post hoc analysis, seasonal surveillance

his letter reports extended efficacy data from the phase 3 RENOIR trial evaluating the bivalent RSVpreF vaccine in adults aged 60 and older across two RSV seasons. Conducted in seven countries, the tr... 5 months ago

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Reducing the Cost of Saving Children’s Lives
Elizabeth Miller
pneumococcal conjugate vaccine, PCV10, PCV13, fractional dosing, reduced-dose schedule, vaccine immunogenicity, herd immunity, vaccine-serotype carriage, Gavi, cost-effectiveness, Kenya, Vietnam, Niger, Gambia

This editorial discusses two cost-saving strategies for pneumococcal conjugate vaccine (PCV) programs in low- and middle-income countries: fractional dosing and reduced-dose schedules. Gallagher et al... 5 months ago

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Primary Cutaneous Herpes Simplex Virus Infection of the Cheek
Alejandro Claudio-Oliva, Antonio Jose Duran-Romero
herpes simplex virus type 1, HSV-1, primary cutaneous infection, pediatric dermatology, impetigo mimic, vesicular lesion, satellite vesicles, cervical lymphadenopathy, herpes labialis, oral acyclovir, PCR diagnosis

A 9-year-old girl presented with a 7-day history of a cheek lesion and 4 days of fever. Initially treated for impetigo, her symptoms persisted. Examination revealed a 3-cm round plaque with crusting, ... 5 months ago

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Preventing and Controlling Global Antimicrobial Resistance — Implementing a Whole-System Approach
Don Goldmann, Sowmya Rajan, Krishna Udayakumar
antimicrobial resistance, AMR, SPIDAAR, whole-system approach, surveillance systems, microbiology laboratories, leapfrog innovations, frugal diagnostics, failure mode analysis, One Health, Uganda Ministry of Health

   This Perspective advocates for a whole-system approach to combating antimicrobial resistance (AMR), emphasizing the need to move beyond fragmented interventions toward integrated, sustain... 5 months ago

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Preparing for the Next Pandemic — Expanding and Coordinating Global Regulatory Capacity
Sam Halabi, George L. O’Hara
pandemic preparedness, global regulatory capacity, WHO-listed authorities, vaccine access, diagnostics, therapeutics, emergency use listing, prequalification, regulatory bottlenecks, maturity level, decentralized approval

   This Perspective argues for expanded and coordinated global regulatory capacity to ensure equitable access to diagnostics, therapeutics, and vaccines during future public health emergenci... 5 months ago

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Levofloxacin Preventive Treatment in Children Exposed to MDR Tuberculosis
Anneke C. Hesseling, Susan E. Purchase, Neil A. Martinson, Lee Fairlie, H. Simon...
levofloxacin, MDR tuberculosis, TB-CHAMP trial, pediatric TB prevention, household exposure, South Africa, fluoroquinolone, randomized controlled trial, IGRA, HIV, adverse events, tendonitis, preventive therapy

This double-blind, cluster-randomized, placebo-controlled trial (TB-CHAMP) evaluated the efficacy and safety of levofloxacin as preventive treatment in 922 children exposed to household contacts with ... 5 months ago

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Postacute Sequelae of SARS-CoV-2 Infection in the Pre-Delta, Delta, and Omicron Eras
Yan Xie, Taeyoung Choi, Ziyad Al-Aly
long Covid, postacute sequelae, SARS-CoV-2, Covid-19, PASC, pandemic era comparison, pre-delta, delta, omicron, vaccination, Veterans Affairs, cohort study, disability-adjusted life-years, DALY, viral evolution

   This retrospective cohort study used U.S. Department of Veterans Affairs health records to assess the cumulative incidence and burden of postacute sequelae of SARS-CoV-2 infection (PASC, ... 5 months ago

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Gender-Affirming Surgical Care in Carceral Settings
Matthew Murphy, Carl Streed Jr., Josiah D. Rich
Gender-affirming surgery, transgender health, carceral settings, prison healthcare, WPATH standards, Eighth Amendment, PREA, Medicaid, health equity

Abstract:Transgender and gender nonconforming (trans) individuals face disproportionate incarceration rates in the U.S., yet access to gender affirming surgical care in carceral settings remains limit... 5 months ago

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Oral Nirmatrelvir–Ritonavir as Postexposure Prophylaxis for Covid-19
Jennifer Hammond, Carla Yunis, Robert J. Fountaine, Gerald Luscan, Aimee M. Burr...
nirmatrelvir, ritonavir, Paxlovid, Covid-19, SARS-CoV-2, postexposure prophylaxis, household transmission, randomized controlled trial, omicron variant, dysgeusia, viral load, EPIC-HR trial, seroprevalence, antiviral safety

This phase 2–3 double-blind, placebo-controlled trial evaluated the efficacy and safety of oral nirmatrelvir–ritonavir as postexposure prophylaxis for Covid-19 among 2736 asymptomatic adults expos... 5 months ago

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Fracture Prevention with Infrequent Zoledronate in Women 50 to 60 Years of Age
Mark J. Bolland, Zaynah Nisa, Anna Mellar, Chiara Gasteiger, Veronica Pinel, Bor...
Zoledronate, fracture prevention, postmenopausal women, osteopenia, bone mineral density, vertebral fracture, bisphosphonates, osteoporosis, clinical trial

This 10 year, double blind, randomized, placebo controlled trial investigated the efficacy of infrequent zoledronate administration in preventing vertebral fractures among early postmenopausal women (... 5 months ago

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Oral Hairy Leukoplakia
Meropi Karakioulaki, Franziska Schauer
oral hairy leukoplakia, Epstein–Barr virus, EBV reactivation, immunocompromised host, kidney transplantation, tacrolimus, mycophenolate mofetil, tongue lesions, parakeratosis, hyperkeratosis, vacuolated keratinocytes

A 38-year-old man with a history of kidney transplantation presented with a 2-week history of burning, hairy lesions on his tongue. He was immunosuppressed with tacrolimus and mycophenolate mofetil. E... 5 months ago

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Estimates of Cardiovascular Risks and Benefits — When Knowing Is Not Enough
George A. Mensah, M.D.
Cardiovascular disease, risk factors, hypertension, hyperlipidemia, obesity, diabetes, smoking, prevention, lifetime risk, global health

Cardiovascular diseases remain the leading cause of global mortality, with over 19.8 million deaths in 2022, many of which were premature and preventable. This editorial highlights the critical role o... 5 months ago

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Nirsevimab and Hospitalization for RSV Bronchiolitis
Zein Assad, Anne-Sophie Romain, Camille Aupiais, Mickaël Shum, Cécile Schrimpf...
nirsevimab, RSV, bronchiolitis, hospitalization, monoclonal antibody, pediatric infectious disease, passive immunization, palivizumab, ventilatory support, PICU admission, real-world effectiveness, case-control study, French

This prospective, multicenter, matched case-control study assessed the real-world effectiveness of nirsevimab. a long-acting monoclonal antibody against hospitalization for RSV-associated bronchioliti... 5 months ago

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Enteral Nutrition in Hospitalized Adults
Leah Gramlich, M.D., Peggi Guenter, Ph.D., R.N.
Enteral nutrition, malnutrition, medical nutrition therapy, intensive care unit, hospitalized adults, inflammation, feeding protocols, critical illness, recovery, patient outcomes

Enteral nutrition is a critical intervention for preventing and treating disease related malnutrition in hospitalized adults who cannot meet their nutritional needs orally. This review highlights the ... 5 months ago

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Levofloxacin for the Prevention of Multidrug-Resistant Tuberculosis in Vietnam
Greg J. Fox, Nguyen Viet Nhung, Nguyen Cam Binh, Nguyen Binh Hoa, Frances L. Gar...
levofloxacin, multidrug-resistant tuberculosis, MDR-TB, rifampicin-resistant TB, Vietnam, household contacts, latent TB infection, preventive therapy, fluoroquinolone, randomized controlled trial, adverse events, drug resistance

This randomized, double-blind, placebo-controlled trial evaluated the efficacy and safety of a 6-month levofloxacin regimen to prevent active tuberculosis among 2041 household contacts of patients wit... 5 months ago

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Necrotizing Soft-Tissue and Retropharyngeal Space Infections and Mediastinitis
Martin A. Gomez, Beatriz Mejia
odontogenic infection, necrotizing soft-tissue infection, retropharyngeal space, mediastinitis, danger space, cervical fascia, periodontitis, periapical abscess, trismus, stridor, crepitus, broad-spectrum

A 50-year-old man from a rural area presented with a 3-day history of left-sided tooth and jaw pain, fever, and shortness of breath. Examination revealed poor dentition, trismus, stridor, and erythema... 5 months ago

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Efruxifermin in Compensated Liver Cirrhosis Caused by MASH
Mazen Noureddin, Mary E. Rinella, Naga P. Chalasani, Guy W. Neff, K. Jean Lucas,...
Efruxifermin, MASH (metabolic dysfunction-associated steatohepatitis), liver cirrhosis, FGF21 analogue, fibrosis reduction, compensated cirrhosis, clinical trial, metabolic liver disease

This phase 2b randomized, double blind, placebo controlled trial evaluated the efficacy and safety of efruxifermin, a bivalent fibroblast growth factor 21 (FGF21) analogue, in 181 patients with compen... 5 months ago

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Mpox in Pregnancy — Risks, Vertical Transmission, Prevention, and Treatment
Jean B. Nachega, Emma L. Mohr, Pradip Dashraath, Placide Mbala-Kingebeni, Jean R...
mpox, monkeypox virus (MPXV), pregnancy, vertical transmission, fetal demise, maternal mortality, clade I MPXV, clade IIb MPXV, tecovirimat, MVA-BN vaccine, LC16m8 vaccine, breast-feeding, zoonotic disease

This Perspective outlines the clinical, epidemiologic, and public health implications of mpox (monkeypox virus, MPXV) infection during pregnancy and breast-feeding. Drawing on recent outbreaks of clad... 5 months ago

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Effects of Food and Nutrition Insecurity on Global Health
Effects of Food and Nutrition Insecurity on Global Health
Food insecurity, nutrition insecurity, malnutrition, global health, hunger, poverty, health disparities, food security interventions, maternal and child health, chronic disease

This review examines the profound global health impacts of food and nutrition insecurity, affecting 2.33 billion people with moderate to severe food insecurity in 2023. Defined by the FAO as inadequat... 5 months ago

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Discovery of GLP-1–Based Drugs for the Treatment of Obesity
Daniel J. Drucker, M.D.
GLP-1 receptor agonists, obesity treatment, glucagon-like peptide-1, liraglutide, semaglutide, tirzepatide, diabetes, weight loss, metabolic benefits

This article chronicles the scientific and clinical breakthroughs behind GLP1 based drugs, which have transformed obesity treatment. The 2024 Lasker DeBakey Award recognized Joel Habener, Svetlana Moj... 5 months ago

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Long-Distance Spread of a Highly Drug-Resistant Epidemic Cholera Strain
Julie Figoni, Caroline Rouard, Louis Collet, Elisabeth Njamkepo, Claire Jenkins,...
cholera, Vibrio cholerae O1 El Tor, AFR13 sublineage, IncC plasmid, antimicrobial resistance, azithromycin resistance, ciprofloxacin resistance, cephalosporin resistance, plasmid pYA00120881, plasmid pCNRVC19024

This correspondence documents the transcontinental spread of a highly drug-resistant seventh-pandemic Vibrio cholerae O1 El Tor (7PET) strain, sublineage AFR13, from South Asia to East Africa and Euro... 5 months ago

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Long Covid Defined
E. Wesley Ely, Lisa M. Brown, Harvey V. Fineberg (for the National Academies of ...
long Covid, NASEM definition, infection-associated chronic condition, post-acute sequelae, SARS-CoV-2, systemic disease, relapsing-remitting symptoms, organ system involvement, postexertional malaise

This Sounding Board article presents the 2024 National Academies of Sciences, Engineering, and Medicine (NASEM) definition of long Covid, developed through extensive stakeholder engagement and literat... 5 months ago

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Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity
W.T. Garvey, M. Blüher, C.K. Osorto Contreras, M.J. Davies, E. Winning Lehmann,...
Cagrilintide, Semaglutide, Obesity, Weight Loss, Cardiometabolic Risk, GLP-1 Agonist, Amylin Analogue, Randomized Controlled Trial

This phase 3a trial evaluated the efficacy and safety of coadministered cagrilintide and semaglutide (CagriSema) in adults with overweight or obesity. Participants (N=3417) were randomized to receive ... 5 months ago

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Choice of Intravenous Fluid for Resuscitation in Diabetic Ketoacidosis
Suellen Li, Bassem Mikhael, Daniel G. van Zyl
Diabetic Ketoacidosis, Fluid Resuscitation, Balanced Crystalloids, Isotonic Saline, Hyperchloremic Acidosis, Electrolyte Management, Clinical Guidelines

This clinical decision article explores the debate over intravenous fluid choice for resuscitation in diabetic ketoacidosis (DKA). A case vignette presents a 34-year-old woman with DKA, hypovolemia, a... 5 months ago

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Levofloxacin Preventive Therapy for Persons Exposed to MDR Tuberculosis
Susan E. Dorman
levofloxacin, MDR tuberculosis, tuberculosis prevention, chemoprevention, VQUIN MDR trial, TB-CHAMP trial, fluoroquinolone resistance, delamanid, WHO guidelines, household contacts

   This editorial discusses the emerging role of levofloxacin as preventive therapy for individuals exposed to multidrug-resistant (MDR) tuberculosis, based on findings from two randomized c... 5 months ago

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Lemierre’s Syndrome Complicated by Cavernous Sinus Thrombosis
Matthew J. Heron, Francis Deng
Lemierre’s syndrome, cavernous sinus thrombosis, oculomotor nerve palsy, ptosis, diplopia, internal jugular vein thrombosis, Fusobacterium necrophorum, septic thrombophlebitis, CT venography, MRI, antimicrobial therapy

This clinical image report describes a 20-year-old woman who presented with headache, diplopia, and right eyelid ptosis one week after an influenza diagnosis. Examination revealed oculomotor nerve pal... 5 months ago

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Chemical Complexity of Food and Implications for Therapeutics
Nutrition Dark Matter, Food Chemistry, Therapeutics, Precision Nutrition, Netwo...
Giulia Menichetti, Albert-László Barabási, Joseph Loscalzo

Poor nutrition is a leading cause of illness and mortality, contributing to preventable diseases such as cardiovascular disease, diabetes, and cancer. This review explores the vast chemical complexity... 5 months ago

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Keeping SNAP in Line with Global Evidence on Food Security
Benjamin W. Chrisinger
SNAP, Supplemental Nutrition Assistance Program, food security, nutrition policy, item restrictions, sugar-sweetened beverages, Healthy Incentives Pilot, GusNIP, cash transfers, food vouchers, global evidence, chronic disease

This perspective critiques recent U.S. Congressional proposals to impose nutrition-based restrictions on the Supplemental Nutrition Assistance Program (SNAP), arguing that such changes diverge from gl... 5 months ago

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Intertriginous Rash in Secondary Syphilis
Mati Chuamanochan, Jetanat Chantrapitak
secondary syphilis, intertriginous rash, systemic lupus erythematosus (SLE), immunosuppression, hydroxychloroquine, prednisolone, Treponema pallidum, hemagglutination assay, rapid plasma reagin (RPR)

This clinical image report describes a 25-year-old woman with systemic lupus erythematosus (SLE) who presented with a 3-month history of erosive, violaceous plaques in intertriginous areas and scaly e... 5 months ago

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Influenza A(H5N1) Virus Infection in Two Dairy Farm Workers in Michigan
Jennifer Morse, Joseph Coyle, Lisa Mikesell, Becky Stoddard, Seth Eckel, Meghan ...
HPAI A(H5N1), avian influenza, dairy farm workers, zoonotic transmission, conjunctivitis, respiratory symptoms, genotype B3.13, clade 2.3.4.4b, nasopharyngeal swab, conjunctival swab, RT-PCR, coronavirus 229E

This correspondence describes two confirmed cases of highly pathogenic avian influenza (HPAI) A(H5N1) virus infection in dairy farm workers in Michigan, following outbreaks among lactating cows across... 5 months ago

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Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes
Melanie J. Davies, Harpreet S. Bajaj, Christa Broholm, Astrid Eliasen, W. Timot...
Cagrilintide, Semaglutide, Obesity, Type 2 Diabetes, Weight Management, Glycemic Control, Randomized Controlled Trial

This phase 3a, double-blind, randomized, placebo-controlled trial evaluated the efficacy and safety of once-weekly cagrilintide semaglutide (CagriSema) in adults with overweight or obesity and type 2 ... 5 months ago

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Beyond Glucocorticoids for IgG4-Related Disease
Robert Spiera
IgG4-related disease, glucocorticoids, inebilizumab, B-cell depletion, rituximab, immunosuppressive therapy, MITIGATE trial

This editorial evaluates emerging treatments for IgG4 related disease, a fibroinflammatory condition affecting multiple organs. While glucocorticoids remain the first line therapy, relapses are common... 5 months ago

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Automated Insulin Pump in Type 2 Diabetes
Betul Hatipoglu
Type 2 diabetes, automated insulin delivery (AID), insulin pump, continuous glucose monitoring (CGM), glycemic control, diabetes technology

This editorial discusses the efficacy and safety of automated insulin delivery (AID) systems for type 2 diabetes, based on a clinical trial by Kudva et al. involving 319 insulin treated patients. The ... 5 months ago

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Advancing Transgender Health amid Rising Policy Threats
David R.A. Coelho, Alexander L. Chen, Alex S. Keuroghlian
Transgender health, gender-affirming care, health policy, LGBTQ+ rights, discrimination, mental health, equity

This perspective article examines the escalating policy threats to transgender health under the Trump Vance administration, including executive orders restricting federal recognition of gender identit... 5 months ago

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Immunobridging for Pemivibart, a Monoclonal Antibody for Prevention of Covid-19
Pete Schmidt, Yong Li, Myra Popejoy
pemivibart, monoclonal antibody, Covid-19 prophylaxis, immunobridging, CANOPY trial, adintrevimab, delta variant, JN.1 variant, IC50, neutralizing titers, Emergency Use Authorization (EUA), immunocompromised patients

This correspondence outlines the immunobridging methodology used to support the Emergency Use Authorization (EUA) of pemivibart, a monoclonal antibody for preexposure prophylaxis of Covid-19 in immuno... 5 months ago

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Acquired Osteomalacia Associated with Autoantibodies against PHEX
Yoshitomo Hoshino, Kazuo Okamoto, Tomohiro Ogawa, Hajime Kato, Koki Irie, So Wat...
Osteomalacia, autoantibodies, PHEX, FGF23, hypophosphatemia, autoimmune disease, tumor-induced osteomalacia

This study identified autoantibodies against PHEX (phosphate-regulating endopeptidase Xlinked) in patients with unexplained acquired fibroblast growth factor 23 (FGF23)-related hypophosphatemic ricket... 5 months ago

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