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Long journeys, disrupted sleep, time-zone changes, and irregular eating habits may lead to fatigue

When this is found, consideration should be given to the possibility of any one of a number of rarely encountered conditions such as Peutz-Jehgers syndrome, Laugier-Hunziger syndrome, Bannayan-Riley-Ruvalcaba syndrome, LEOPARD syndrome, and the several syndromes in which lentigines and cardiocutaneus myxomas are found

This case highlights the importance of precautionary G6PD deficiency testing in patients that are at high risk for TLS and may receive rasburicase

Ortega AL, Mena S, Estrela JM

Alogliptin is currently the only DPP-4 inhibitor in the U.S