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Manoharan A - - 1989
We describe a 55-year-old female with acquired amegakaryocytic thrombocytopenia who has been successfully treated with antithymocyte globulin. In-vitro studies assessing megakaryocytopoiesis in the presence of the patient's plasma and peripheral blood adherent cells showed normal or increased stimulation. This patient brings to 30 the number of adult cases of acquired ...
Njai D M - - 1989
An 11-month old male infant presented with dry idiopathic peripheral gangrene (IPG) of both feet. Subsequently spontaneous autoamputation occurred and the stump healed. Including this patient, 8 cases of IPG under 12 years of age seen at the Kenyatta National Hospital between 1978 and 1986 were analysed. 5 were males ...
Rao R H - - 1989
PURPOSE: To develop a clinical perspective on bilateral massive adrenal hemorrhage and an algorithm for its diagnosis and treatment. DATA IDENTIFICATION: Case reports were identified through a computer search using MEDLIN (1976 to 1987), and from bibliographies in review articles (up to 1978). STUDY SELECTION: Twelve reports published since 1978 ...
Hirsch B Z - - 1989
This is a case of a 14 1/2-year-old black male with isolated granulomatous gastritis. The case is unusual in several aspects. For the first time this disorder has been seen in the pediatric age group. The symptoms and signs were more acute and severe than previously reported, and the inflammatory ...
Zahr L K - - 1989
This article describes a very uncommon phenomenon that can result from surgery to correct gastroesophageal reflux (GER). Although, GER is a common illness in infants, the methods of management and nursing care are diverse. Review of the literature on GER and dumping are discussed and a case study of a ...
Wicks R E - - 1989
In this article a review of literature and clinical review of alternobaric vertigo is presented. The population of patients discharged from the USAF School of Aerospace Medicine with a diagnosis of alternobaric vertigo from 1 January 1970 to 31 December 1986 is described. The common characteristics of the seven cases ...
Albanese S A - - 1989
Three cases in which wrist pain developed in skeletally immature competitive gymnasts are presented. In all three cases there is radiographic evidence of premature growth plate closure, resulting in shortening of the radius and alterations in the normal distal radioulnar articulation. Repetitive compressive loading of the distal growth plate of ...
Rendina E A - - 1989
A case of a heterotopic intrathoracic lobe of the liver connected through a normal diaphragm to the main organ by a vascular and biliary pedicle is described. Eight similar cases reported in the literature are reviewed and a comparative evaluation is undertaken to elucidate the correct clinical diagnosis and the ...
Solé M - - 1989
The morphologic features of amyloidosis associated with long-term hemodialysis for chronic renal failure were studied in a series of 16 patients in all of whom immunohistochemical evidence of beta 2-microglobulin-related amyloidosis was obtained. Osteoarticular involvement was present in 15 cases, as demonstrated in synovial biopsies, articular fluid sediments, three surgically ...
Olier J - - 1989
Urea cycle enzymopathies are rare in the literature. They are accompanied by neurological disorders somehow related to the increase in blood ammonia. Reviewing the possible physiopathological course we present a case in which during an eight month period severe cerebral atrophy developed, more intense in the occipital region but totally ...
Castillo J J - - 1988
Eosinophilic cystitis is a rare disease with only 42 cases reported since first described in 1960. We report a case in a twenty-four-year-old woman and present the different therapeutic alternatives. A review of all reported cases shows that except for children and male adults with benign prostatic hypertrophy, this is ...
Humber K A - - 1988
Bacillus piliformis infection (Tyzzer's disease) in foals is rarely observed clinically because of the peracute course of the disease. Clinical and clinicopathologic findings as well as information on therapeutic attempts in two foals are described. Clinicopathologic abnormalities common to both cases included leukopenia, hyperfibrinogenemia, metabolic acidosis, and hypoglycemia. Treatment was ...
Matsushima T - - 1988
A case of Moyamoya disease in a child starting with unilateral lesion and developing into bilateral involvement is reported. Angiographic findings at onset showed unilateral involvement, hence, it was filed as a "probable" case according to the diagnostic criteria of the Japanese Cooperative Research Committee. The carotid angiograms, on the ...
Posteraro L - - 1988
The case of an Italian dysgraphic patient (S.E.), who showed a deficit of both written and oral spelling capacities, without significant differences between words and nonwords, is reported. The pattern of the patient's performance was identical on writing to dictation, delayed copying, and written naming. The most common category of ...
Piérard G E - - 1988
We have reviewed the clinical and histological presentations of six cases of lipoid proteinosis. Deposits in the dermis were heterogeneous in nature and location. In the first stage of the disease's evolution, basement membrane components accumulate at the normal site of vascular, muscular, and epithelial basement membranes. Later on, lipids ...
Rex D K - - 1988
Pseudomelanosis duodeni is a rare condition in which dark pigment accumulates in macrophages located in the lamina propria of the duodenal mucosa. Three cases are reported here and the literature is reviewed. No clinical association can be found that points clearly to the underlying etiology. Electron probe x-ray microanalysis was ...
Kimura T - - 1988
We report the clinical and histological changes of small pustules that developed in four patients with Kawasaki disease (KD). The small pustules were superimposed on the urticarial erythema and symmetrically arranged on the genital area, buttocks, axillae, and extensor surface of the extremities. These lesions showed spongiform pustules histologically and ...
Schwartz J G - - 1988
The occurrence of human nocardiosis is increasing in both immunocompetent as well as immunosuppressed patients. We report three rare cases of primary lymphocutaneous Nocardia brasiliensis infection. The mode of inoculation in each case was that of a puncture wound that occurred 1-3 wk prior to the development of the clinically ...
Gardner D G - - 1988
There is a lack of well-documented evidence in the literature concerning the relative radioresponsiveness or radioresistance of ameloblastomas, although they are generally considered radioresistant. Most of the previous papers referring to this subject lack acceptable histopathologic proof of the diagnosis, adequate radiotherapeutic data, and/or follow-up information; many predate the use ...
Lin H J - - 1988
Pseudomelanosis duodeni is an extremely rare disease that has been only recently recognized. We present what we take to be the first Oriental case with typical endoscopic and histological manifestations. With detailed studies of histochemistry and electron microscopy, we have confirmed that the pigment is composed of iron and lipofuscin. ...
Suri R - - 1988
Common Variable Immunodeficiency is a rare primary immunodeficiency presenting usually in young adults with repeated sinopulmonary infections as a result of profound hypogammaglobulinemia. A clinical report of the first documented patient in this region is presented along with a brief review of the recent advances made especially in understanding pathogenesis ...
Montany P F - - 1988
Six cases of mesenteric venous thrombosis have occurred in the metropolitan area from 1982 through 1985. The most common findings were nonspecific abdominal pain associated with nausea and vomiting, subjective distress disproportionate to the objective findings, and signs of decreased intravascular fluid volume. In all six cases there was a ...
Stack K M - - 1988
There are many possible causes of yellow-orange discoloration of the skin. It is important to ascertain the presence or absence of scleral icterus in determining the diagnosis. Yellow sclerae are found in patients with all causes of hyperbilirubinemia due to the predilection of bilirubin for elastic tissue. The sclerae are ...
Fenger C - - 1988
The normal gross and microscopic morphology of the anal canal is described, including the more common variants. Constant problems in the literature are the confusing terminology and the relation of the histological zones to the so-called cloacal membrane. For this reason, the review includes remarks on the history, embryology, and ...
Gardner G - - 1988
This paper reviews the principal English literature on hearing preservation in unilateral acoustic neuroma surgery. Seventeen case reports and 13 surgical series are included. In addition, we report ten cases of our own, two with successful hearing preservation. The purpose of this report is to study feasibility, success rate, and ...
Rycroft R J - - 1988
I hope that this brief review has been sufficient to prove the importance that looking at patients' work should have in the investigation of suspected occupational dermatoses. For the dermatologist subspecializing in occupational cases, visits are, I believe, a continuing necessity in the weekly routine. For all other dermatologists, even ...
Fillyaw M J - - 1987
In this case report, we describe the serial evaluation of neuromuscular function of a woman with chronic inflammatory demyelinating polyneuropathy and document the return of limb strength and hand function after plasmapheresis and immunosuppressive therapy. The assessment of muscle strength and functional abilities by physical therapists can provide timely, objective, ...
Or S - - 1987
49 cases of odontoma from the files of the University of Ankara, Faculty of Dentistry, and the published Turkish literature for the last 10 years were reviewed. The cases were analyzed according to their location, age, sex distribution, clinical findings, presenting complaint and radiographic appearance. Details were discussed as compared ...
Iijima S - - 1987
We have recently seen two cases of hyperpigmentation in children, which was reticulate and distributed in a zosteriform fashion. As another two cases of hyperpigmentation of this kind in children have been reported previously, described as reticulate hyperpigmentation distributed in a zosteriform fashion, this gives a total of four cases ...
Schwartzentruber D J - - 1987
Thrombofibrinous sheath occlusion of peritoneovenous shunts is described in two case presentations. In reviewing the literature, we found only 17 other such cases mentioned. Most patients were seen initially with recurrence of ascites and only one with superior vena cava syndrome. A shuntogram documented a characteristic sheath in 17 patients, ...
Hogewind W F - - 1987
A review of the literature on reverse smoking is presented, followed by a report of a case of reverse smoking in a 59-year-old woman, living in the Netherlands. This is the first report of a case of reverse smoking in the Netherlands so far. The clinical and histological findings are ...
Bourget D - - 1987
From the 19th century and early writings on the subject, psychosexual factors have been reported to play a role in pyromania. After a brief review of the literature on firesetting and pyromania, two cases of arsonists are presented in which fire appears to be part of a fetish. Full sexual ...
Tanner J R - - 1987
A rare case of morbid vasospasm, together with striking angiographic findings, is described secondary to the ingestion of methysergide by a 48-year-old woman. A brief review of the literature on similar cases is presented. A discussion of the history of ergot includes its original discovery, the epidemics of gangrene that ...
Wilson J A - - 1987
A case of intrahepatic cholestasis of pregnancy (ICP) in a black American is presented. This is the first case reported in a black. Marked elevation of transaminases with mild biochemical evidence of cholestasis was initially suggestive of viral hepatitis. A clinical course characterized by pruritus with minimal constitutional symptoms, rapid ...
Littner M M - - 1987
Migratory stomatitis is a unique oral condition with several descriptive names. The diagnosis is based on the clinical appearance and the history of the lesions. The etiology of this entity is still open to debate. A review of the literature and a clinical description of a study group consisting of ...
Nakano T - - 1987
A case of pseudoidiopathic hypoparathyroidism is described. The patient, 47-year-old male, developed numbness and muscle spasms in the extremities in July 1980. Physical and laboratory examinations revealed positive Chvostek and Trousseau's signs, hypocalcemea, mild hyperphosphatemia, normal serum magnesium, prolongation of QTc on EKG, normal reaction to Ellsworth-Howard test and high ...
Stept L L - - 1987
Technical defects threaten the early patency of infrainguinal bypass grafts. We reviewed 849 cases of femorodistal bypass to determine the incidence of technical graft failure, as well as other causes of early graft occlusion. The efficacy of adjunctive intraoperative arteriography was assessed. Early graft failure occurred in 62 (7.3%) cases ...
Pratt P C - - 1987
Although recognizing that the subject is controversial, most authors of textbooks about diagnostic radiology conclude that chest radiography is of little value for either confirmation or exclusion of the diagnosis of emphysema. Yet several reports in the literature show a high degree of accuracy in the interpretation of films for ...
Crowley J S - - 1987
"Simulator Sickness" describes a symptom complex frequently reported by pilots during or after flight simulator training. There were 112 helicopter pilots at a U.S. Army AH-1 Cobra Flight Weapons Simulator (FWS) who completed a symptom-oriented subjective questionnaire. Of these, 40% reported symptoms of dysequilibrium; pilots developing simulator sickness had significantly ...
Gomez C R - - 1987
A case of ischemic infarction in a young woman who also had angiographic findings consistent with "Moya Moya" disease is presented. Unusual features of the case, such as the presentation as an infarction rather than subarachnoid hemorrhage and the unilaterality of the angiographic abnormalities, are discussed. The literature is reviewed ...
Putterman C - - 1987
Only 70 cases of recurrent intrahepatic cholestasis have been reported in the literature since the original description of this entity in 1959. The benign nature of the disease has been questioned, some authors suggesting progression to biliary cirrhosis. We report our follow-up of one such patient for over 25 years ...
Damron T A - - 1987
Retrospective review of 363 consecutive autopsy reports in which adrenal examination was noted reveal 8 cases of pigmented adrenal nodules. Black pigmented adrenal nodules have been reported infrequently both as incidental autopsy findings and in association with Cushing's syndrome. The nature of the pigment in these lesions has been assumed ...
Stein P - - 1987
Clinical and biochemical features of transient hyperphosphatasemia of infancy and early childhood are reviewed in 21 patients we have studied and in a further 93 cases reported in the literature. The diagnosis is suggested by the finding of an increased activity of alkaline phosphatase (EC 3.1.3.1) in plasma, typically more ...
Sherry K M - - 1987
The case histories of two patients who required the insertion of intratracheal stents are presented. The peroperative anaesthetic management of one case included the use of high frequency jet ventilation of the lungs; in the other case, partial cardiopulmonary bypass was used. The advantages and disadvantages of these two methods ...
Shields M B - - 1987
In a clinicopathologic study of ten patients, utilizing a modified trabeculectomy technique for acquisition of histologic specimens, a high insertion of the iris was observed in four types of developmental glaucoma. A survey of the literature revealed additional developmental disorders with this abnormality of the anterior chamber angle. The common ...
Olson C M - - 1987
With regionalization of specialized health care services, some patients must be transferred between hospital to receive needed care. The authors evaluated 100 transfers to their emergency department as to the adequacy of stabilization prior to transport. Problems were identified in the areas of communication (nine cases), oxygenation (two cases), cardiac ...
Warshawski J - - 1986
Epiglottitis (supraglottitis) in the adult, once thought a rare entity, has been reported in the literature with increasing frequency since the late 1960s. Five cases occurring in our hospital over a 12-week period prompted this report. Historical and literature reviews followed by five case reports and discussion, illustrate the important ...
Muluka E A - - 1986
Four case reports are presented of psychotic patients seen in clinical practice in Nairobi over a period of one year, who inflicted serious bodily harm to themselves during that period. Possible psychopathological basis for this self-damage is briefly considered. A review of the literature reveals paucity of similar reports from ...
Kaye J A - - 1986
Three adult patients with neuroblastoma have been treated recently at the Dana-Farber Cancer Institute. One adult neuroblastoma patient experienced two distinct paraneoplastic syndromes that have not been reported previously in association with neuroblastoma. The clinical data on our three patients are presented in detail and the important features of 27 ...
Marks V J - - 1986
We describe a case of atrophia maculosa varioliformis cutis (AMVC), a rare form of idiopathic facial macular atrophy. A biopsy revealed only a depression in the epidermis, probably caused by loss of dermal collagen. Because AMVC may be confused with scarring, and factitial disease may be suggested, it is important ...
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