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We demonstrated the importance of PAG involvement in a patient presenting with acute worsening migraine headache as an initial manifestation of MS. The presence of worsening migraine as a symptom of MS could lead to diagnostic difficulties.
It may be either an initial manifestation of the disease or of recurrence[ 16].
Pleural effusions can be present as an initial manifestation of the disease or as the disease progresses.
Our case is unique due to the presentation of severe colitis without an initial manifestation of intestinal symptoms.
Furthermore, episodes of dehydration as an initial manifestation of disease were more frequent in patients with mutations in ATP6V0A4 (14/38 vs. 6/41; p = 0.024).
Vertigo was more frequently observed as an initial manifestation in the infratentorial group than in the supratentorial group (32% and 0%; p=0.017).
Similar(52)
Juvenile PTC (jPCT), a rare disease in children and adolescents, presents with an aggressive initial manifestation, though patients have an excellent overall prognosis, showing longer periods of survival and a lower incidence of recurrence [ 9, 10].
Rigidity may be associated with joint pain; such pain being a frequent initial manifestation of the disease.
Painful shoulder is a common initial manifestation of PD and usually misdiagnosed as of musculoskeletal origin.
[ 10] Although cavitary lesions are a rare initial manifestation of Hodgkin's disease, it should be considered in the differential once tuberculosis and other infectious etiologies are ruled out.
In the vast majority of cases, ECFs arise from the diseased distal ileum and are associated with long-standing or active fistulising CD; exceptionally, an ECF may be the initial manifestation of an undiagnosed IBD.
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