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      bowel disease. Because of this, periodic urological evaluation of patients with chronic has particularly in a patient whose intestinal and other associated symptoms may overshadow the complaint of chest pain,
      Cardiac Rarely, children with can develop myopericarditis and pleuropericarditis with symptoms of and dyspnea. Cardiac manifestations are not necessarily associated with active bowel disease and respond to corticosteroids
      The clinical reported in patients with anti-TNF associated heart failure are similar to those seen in classic Patients may present with fatigue, dyspnea, paroxysmal nocturnal dyspnea, lower extremity edema, and/or [92].
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      Fever, chest pain, and pleural or pericardial effusion are the usual findings. Early recognition of inflammatory-bowel-disease-related pericarditis is important as the condition may progress to cardiac tamponade.” Most cases have been seen in
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      Thus, we no longer accept as specific diagnostic entities such broad descriptors as headache’, ‘chest pain’, ‘anaemia’, or ‘cancer’. Likewise, within the specialty of gastroenterology, it is hardly fashionable – much less informative – to use such

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