Browsing by Author "Iranmanesh, Arya M."

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    Colitis as the Initial Presentation of Eosinophilic Granulomatosis with Polyangiitis
    (Hindawi, 2023-10-09) Menon, Sharika Gopakumar; Hugenberg, Steven; Alkashash, Ahmad M.; Lin, Jingmei; Iranmanesh, Arya M.; Medicine, School of Medicine
    A male patient in his early sixties with recurrent diarrhea was transferred to our hospital. The patient did not have any pulmonary or upper respiratory symptoms. He was noted to have peripheral eosinophilia. Further workup revealed a negative antineutrophilic cytoplasmic antibody titer but a positive myeloperoxidase antibody and positive proteinase 3 antibodies. A colon biopsy also revealed eosinophilic-rich granulomas in the mucosa, confirming a diagnosis of eosinophilic granulomatosis with polyangiitis. On cardiac imaging, eosinophilic myocarditis was also discovered. To treat active severe EGPA, the patient received high-dose corticosteroids and intravenous cyclophosphamide. The occurrence of gastrointestinal involvement as an initial manifestation of eosinophilic granulomatosis with polyangiitis is infrequent, emphasizing the significance of its recognition. This case underscores the importance of identifying and diagnosing such atypical presentations to facilitate timely and appropriate management.
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    Staged left ventricular recruitment facilitated by Sano conduit upsizing
    (Elsevier, 2022-03-31) Prabhu, Neel K.; Overbey, Douglas M.; Iranmanesh, Arya M.; Campbell, Michael J.; Andersen, Nicholas D.; Turek, Joseph W.; Radiology and Imaging Sciences, School of Medicine
    Sano conduit upsizing and fenestrated atrial septation is a simplified approach for staged left ventricular recruitment after the Norwood operation for select children with borderline left ventricles.