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Pernicious Anemia and Vitiligo in an HIV Patient: An Unfamiliar Case Presentation. Case Rep Gastrointest Med 2020; 2020:7942453. [PMID: 32551143 PMCID: PMC7277020 DOI: 10.1155/2020/7942453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Revised: 05/15/2020] [Accepted: 05/16/2020] [Indexed: 11/18/2022] Open
Abstract
Pernicious anemia (PA) is a rarely considered cause of anemia in HIV-infected population and is seldom on the list of differential diagnoses. However, PA can have serious consequences if misdiagnosed or left untreated. We present the case of a 38-year-old HIV-positive man who was diagnosed with PA, which was preceded by a one-year history of vitiligo. Our case is a reminder for clinicians to have a high index of suspicion for an autoimmune process as a potential cause of anemia in HIV-infected individuals.
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Alghamdi N, Balaraman L, Emhoff KA, Salem AMH, Wei R, Zhou A, Boyd WC. Cobalt(II) Diphenylazodioxide Complexes Induce Apoptosis in SK-HEP-1 Cells. ACS OMEGA 2019; 4:14503-14510. [PMID: 31528804 PMCID: PMC6740190 DOI: 10.1021/acsomega.9b01684] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Accepted: 08/13/2019] [Indexed: 06/10/2023]
Abstract
The cobalt(II) complex salts [Co(bpy)(az)2](PF6)2 and [Co(az)4](PF6), each bearing the unusual cis-N,N'-diphenylazodioxide ligand, were both screened as possible anticancer agents against SK-HEP-1 liver cancer cells. Both compounds were found to induce substantial apoptosis as an increasing function of concentration and time. Measurement of apoptosis-related proteins indicated that both the extrinsic and intrinsic pathways of apoptosis were activated. The apoptotic activity induced by these salts is not displayed either by simple cobalt(II) salts or complexes or by the free nitrosobenzene ligand. Additionally, these compounds did not induce apoptosis, as assessed by poly(adenosine diphosphate-ribose) polymerase cleavage, in several other cell lines.
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Affiliation(s)
- Norah
J. Alghamdi
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - Lakshmi Balaraman
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - Kylin A. Emhoff
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - Ahmed M. H. Salem
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - Ruhan Wei
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - Aimin Zhou
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
| | - W. Christopher Boyd
- Department
of Chemistry and Center for Gene Regulation in Health and Disease
(GRHD), Cleveland State University, 2121 Euclid Avenue, Cleveland, Ohio 44114, United States
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