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Mitotic disorders such as juvenile xanthogranuloma may present secondary congenital glaucoma as their ocular manifestation [ 84].
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However, considering that an asthma episode may present in secondary care and that most UK primary and secondary care data are not linked, it will be challenging to identify with certainty if an asthma episode presenting in secondary care represents the first occurrence of the asthma case.
Older patients may present with secondary infections or with exacerbations of underlying chronic conditions, and these patients may not be tested for the causal viral infection.
Herbal medicines may be an alternative because they present secondary metabolites that are active against a wide range of microorganisms.
Patients may present with cardiac tamponade secondary to purulent pericarditis in Lemierre's syndrome, where emergency pericardiocentesis is lifesaving.
Children with end-stage renal disease may present with pericardiopleural effusion secondary to volume overload and overhydration.
Patients with metastatic disease may present with liver enlargement secondary to liver metastases or ascites due to peritoneal deposits.
Also, the secondary phase may present in the matrix in the form of large particles after FSP as there is no control over the breakdown of the layers during the process.
The acute symptoms usually resolve after three to six weeks; however, about 25% of people may present with a recurrence of secondary symptoms.
Furthermore, such processes may present low efficiencies and produce secondary pollution, such as toxic byproducts [ 15– 17].
Diagnosis is usually incidental or on screening but patients may present with pain or anaemia secondary to haemorrhage or renal failure.
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