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Finally, the normal cortisol response to synacthen stimulation in a one-month-old sibling, followed by profound cortisol insufficiency at one year of age, shows that FGD1 may be a clinically progressive condition, and ongoing clinical vigilance or molecular analysis are needed in relatives even if physiological tests of cortisol reserve are initially normal.
Our cases demonstrate the vitality to maintain a high level of clinical vigilance for paraneoplastia and assessment for malignancy upon initial diagnosis to prevent delayed management and irreversible damage, neurological or otherwise.
However, a person with a disabling condition requiring ongoing clinical vigilance, supportive care, and other assistive services or technologies faces special difficulties: that person is the "canary in the mine," warning others about fundamental problems within our health care system.
Furthermore a continuous clinical vigilance was performed.
Clinical vigilance and strong epidemiologic and laboratory surveillance are essential.
The need for longitudinal care and clinical vigilance in this setting is paramount.
The numbers are not high, but clinical vigilance is necessary to minimize the risk.
Our study reiterates the importance of continued clinical vigilance for desmoid tumor disease.
Recommendations also include routine TB screening for patients being considered for biologic therapy and clinical vigilance during long-term treatment.
Because of the atypical presentation of CVA6-associated HFMD, clinical vigilance is needed to recognize emerging regional outbreaks.
To limit the mortality toll of such infections, increased clinical vigilance and a multifaceted diagnostic approach is mandatory.
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