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Results 501 - 550 of 588
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Leicht M J - - 1987
Cricoarytenoid arthritis, principally as a result of long-standing rheumatoid arthritis, is a disorder that may present to the emergency physician with a number of symptoms and signs referable to the larynx. The presentation of this disorder as acute laryngeal obstruction and collapse is uncommon. It is important to recognize early ...
Galimberti D - - 1987
A rare complication of oral contraceptive therapy is the induction of chorea. We describe the case-history of a young woman who developed generalized chorea while receiving a low-dose estrogen-containing contraceptive. Dyskinesia resolved upon discontinuing the medication and after a brief treatment with an antidopaminergic agent. The literature of chorea associated ...
Christmas T I - - 1987
Ten cases of pyoderma gangrenosum were seen over a period of nine years at the Waikato Hospital dermatology clinic. Several associated conditions were found. Four cases were associated with inflammatory bowel disease, three cases with arthritis, one case was found in association with myelofibrosis. Four patients were diabetic, an incidence ...
Pearson M E - - 1987
We present the case of a patient who had rheumatoid nodules of the vertebrae, which had resulted in bony destruction of the spine at 3 levels. Although there have been only 3 previous reports of such findings with confirmation by histologic analysis, we believe the condition is more common than ...
Ross C B - - 1987
Arthritis and other inflammatory processes are well established complications of intestinal bypass operations, and recently have been reported after other gastrointestinal procedures. Bacterial overgrowth in blind intestinal loops, actual or functional, appears to be the underlying pathophysiologic mechanism responsible for these systemic inflammatory disorders. In the case we have reported, ...
Abrahamsson S O - - 1987
Gouty tenosynovitis in the hand may be misdiagnosed as infectious or rheumatoid synovitis. Our case initially was treated as infectious tenosynovitis, but at reoperation gouty deposits were found penetrating the flexor tendon sheath. Tenosynovectomy and excision of intratendinous tophi were performed with a good result. Gouty synovitis is diagnosed in ...
Poblete R B - - 1987
Cryptococcus neoformans is a rare cause of peritonitis; only four cases have been reported in the literature. A 63-year-old man in whom isolation of C. neoformans from ascitic fluid provided the initial clue to disseminated cryptococcosis is described. Review of this case and those previously reported reveals striking association between ...
Bounds G A - - 1987
A rare case of chronic septic arthritis of the temporo-mandibular joint is described, which presented as a pre-auricular swelling several weeks after a blow to the chin. Although the history indicated an inflammatory process precipitated by trauma, the clinical findings suggested a neoplastic aetiology. The treatment and problems in making ...
Nüsslein H G - - 1987
The case of a young woman is reported, presenting multiple peripheral lung nodules, preceding the onset of classical rheumatoid arthritis 3 months later. The nodules observed seemed to be of pleural origin because they all had contact with the pleura which was partly thickened as demonstrated by computer-assisted tomography. The ...
Mbakop A - - 1987
Sixty-five cases of synovitis corresponding to eight groups (seropositive and seronegative rheumatoid arthritis (RA), ankylosing spondylitis, psoriatic arthritis, post-traumatic arthritis, osteoarthritis, osteonecrosis and unclassified synovitis) were investigated in specimens stored as paraffin blocks. Immunoglobulin class content (heavy chains: G, A, M and their associated light chains: K, L) of the ...
Lønning P E - - 1986
The pathophysiology and treatment of accidental hypothermia are discussed. Special attention is paid to the pathophysiologic problems of rewarming. For severely hypothermic patients we would recommend peritoneal dialysis as the method of choice for rewarming in a hospital situation. In a "field situation" passive or slow active rewarming is recommended.
Rees T D - - 1986
Hydrogen peroxide has been advocated for many years as an oral rinse useful in control of various oral conditions. Several authorities, however, have suggested that this material may be harmful to oral tissues, especially if the tissues have been previously injured. This article presents two case reports demonstrating harmful oral ...
Morrison A J AJ - - 1986
We report the third human case of peritonitis caused by Alcaligenes denitrificans subsp. xylosoxydans and review the English literature regarding community-acquired and nonsocomial infection and colonization that results from this bacterium. The biochemical and genetic characteristics supporting the pathogenic potential of A. denitrificans subsp. xylosoxydans are reviewed, and the antimicrobial ...
Davies P G - - 1986
The results of immunofluorescence studies in nine cases of rheumatoid arthritis and nine cases of ankylosing spondylitis are presented. Antiglobulin activity was sought with fluorescein labelled, heat aggregated human IgG and rabbit immunoglobulin (indirect immunofluorescence). A similar degree of increased staining for rheumatoid factor activity was seen after pepsin digestion ...
Cohen M A - - 1986
The bacterium Hemophilus influenza, also known as the Pfeiffer bacillus, is generally regarded as a disease of infancy and early childhood. An occurrence in adulthood is rare. A 43-year-old woman developed septic arthritis of more than one joint caused by Hemophilus influenza. The infrequency of this infection and the degree ...
Wilson N I - - 1986
We have reviewed 61 children treated for septic arthritis from 1972 to 1981. The diagnosis in all cases was confirmed by bacteriology or by radiographic changes. Routine arthrotomy was not performed, but most patients had a joint aspiration. The management and outcome are described. We suggest that arthrotomy should be ...
Brenner P - - 1986
A bulbous or "sausage-shaped" finger may represent a special type of psoriatic arthritis without any rheumatoid factor activity. Dactylitis psoriatica must be suspected in cases of arthralgias progressing along the phalanges of a finger associated with global soft tissue swelling. Acute dactylitis psoriatica is characterized by an intermittent course combined ...
Stabile A - - 1986
A rare case of varicella with bilateral acute arthritis of the knee is described. Clinical features and laboratory results of the patient are briefly compared with those of other sixteen cases previously published. The study of immune response shows a decrease of helper T cells (OKT4+) and an increase of ...
Wahl R W - - 1986
A limited prospective study of 334 peritoneal and pleural fluids demonstrated Curschmann's spirals in 12 specimens, a prevalence of 1 in 28 cases. Nine of these 12 specimens were peritoneal washings, 2 specimens were pleural fluids, and 1 specimen was a peritoneal dialysis fluid. The fluids came from nine women ...
Bando M - - 1986
A typical case of transcortical sensory aphasia (TSA) is presented, in which the Wada test suggests that it is the right hemisphere which enables the patient to repeat orally. It is supposed that one of the mechanisms of preserved repetition in TSA is linked to an exceptional ability for repetition ...
Esdaile J M - - 1986
We review the structure of the two most common observational study designs, cohort and case-control studies, and outline guidelines to help clinicians evaluate the validity of studies that employ these designs. To demonstrate the use of these guidelines we apply them to the important issue of whether oral contraceptive usage ...
Prowant B - - 1986
Experiences with peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) program at a single center over 8 years were reviewed. Home-acquired peritonitis rates have been less than 1 episode per patient year since 1982. Gram-positive organisms continue to account for most episodes in a similar proportion. Actual known contamination could ...
Bittini A - - 1985
Nine cases of primary septic arthritis in heroin addicts are reported. Fibrous and cartilaginous joint localizations are prominent (four sternoarticular, three sacroiliac, one sacroccocygeal, and one knee). In all patients but one, conventional roentgenographic studies were negative. In six cases the causative agent was Staphylococcus aureus and in two cases, ...
Neutze J - - 1985
Radionuclide peritoneoscintigraphy has been used prior to chromic phosphate P-32 (P-32CP) intraperitoneal therapy to assure proper placement of the catheter in the peritoneal cavity, to exclude loculation, and to predict inadequate distribution of P-32CP. This is a case report of the detection of a peritoneal catheter improperly placed into the ...
Loiterman D L - - 1985
Fifty-six cases of chylous ascites in patients under the age of fifteen have been reported in the last three hundred years. A case of chylous ascites that presented with the signs and symptoms of peritonitis is reviewed. The normal anatomy and physiology of the intraabdominal lymphatic system, pathophysiology of the ...
Taylor P W - - 1985
A 20-year-old woman was found to have septic arthritis of the hip due to Aerococcus viridans. This organism closely resembles Streptococcus viridans, but forms gram positive tetrads rather than chains in broth media. The organism has been reported rarely to cause endocarditis and one case of osteomyelitis has been observed. ...
Vakil N - - 1985
A case of Pasteurella multocida septicemia and peritonitis in a patient with cirrhosis is reported and the literature reviewed. Patients with cirrhosis and exposure to domestic animals are at risk for this infection. Initial empiric therapy of spontaneous bacterial peritonitis in such patients should include a penicillin to which this ...
Harasen G L - - 1985
Two cases of noninfectious, nonerosive arthritis are presented. The diagnostic features, clinical course and treatment are reviewed. Potential etiologies are discussed in the light of relatively little current material on this subject in the veterinary literature.
Benz R L - - 1985
Recurrent hydrothorax complicating peritoneal dialysis has been considered a contraindication to continuing peritoneal dialysis. In the continuous ambulatory peritoneal dialysis (CAPD) population this problem has generally required a change of dialytic modality. Talc poudrage has been attempted to ameliorate the problem but has met with limited success. We report a ...
Cecchin E - - 1984
We report two cases of fungal peritonitis caused by Torulopsis glabrata, an uncommon opportunistic pathogen, in patients with end-stage renal disease receiving continuous ambulatory peritoneal dialysis (CAPD). The general clinical characteristic of T glabrata peritonitis was comparable to previously reported cases of Candida peritonitis. Although appropriate therapy of fungal peritonitis ...
Shapiro S D - - 1984
Oral manifestations of neurofibromatosis have been reported in only 4% to 7% of affected persons. All oral tissues, hard and soft, have been reported to be affected with tumors, but the tongue has been the most common site. We report on the oral and radiographic findings in twenty-two patients with ...
Leung A C - - 1984
Five patients on continuous ambulatory peritoneal dialysis (CAPD) developed peritonitis caused by diphtheroid bacteria. Peritoneal catheter exit site inflammation and/or discharge preceded all cases and relapses were common. Antimicrobial therapy alone failed to eradicate the bacteria and peritoneal catheter removal was required before peritonitis resolved. Laboratory culture of the diphtheroid ...
Lynch D P - - 1984
Myospherulosis is a unique, inflammatory, granulomatous lesion, which results from the action of lipid substances on extravasated erythrocytes. Petrolatum-based antibiotic ointments are the most frequent etiologic agents of iatrogenically acquired lesions. Six intraoral cases of myospherulosis are presented, including the first reported case in oral soft tissues. The literature of ...
Perry R P - - 1984
We describe a case with neurologic disease manifested as encephalopathy, generalized muscle fasciculations, and peripheral neuropathy occurring in a patient treated with therapeutic doses of gold for presumed rheumatoid arthritis. The illness remitted promptly during chelation therapy with dimercaprol (BAL). A review of the limited experience in the literature with ...
Clark J H - - 1984
Spontaneous bacterial peritonitis should be considered in the evaluation of any patient with acute abdominal complaints, especially in the presence of preexistent ascites. Paracentesis is indicated in all suspected cases of spontaneous peritonitis in order to obtain necessary studies, including microbial cultures. Broad-spectrum antibiotic coverage has become necessary because of ...
Dan M - - 1984
In order to assess and correlate the bacteriology of neonatal septic arthritis with its clinical presentation, the records of nine infants with this disease that were diagnosed at Edmonton hospitals between 1964 and 1981 were reviewed and 92 other cases reported in the English-language literature since 1960 were evaluated. All ...
Mesa M L - - 1984
Warty dyskeratoma of the oral mucosa is a rare cause of solitary mouth lesions. Of the thirteen reported patients, only three have been described in the dermatologic literature. We now present an additional patient, and review both the medical and the dental literature on warty dyskeratoma. Various factors possibly related ...
Kaye B R - - 1984
The literature relating to prevalence, characteristics, differential diagnosis, histologic features, pathogenesis, complications, and prognosis of rheumatoid nodules is tabulated and reviewed. The broad spectrum of conditions associated with rheumatoid nodules is discussed. A new classification of these clinical entities, reflecting disease characteristics and prognosis, is proposed. This classification is based ...
Ebright J R - - 1984
A case of acute erosive, reactive arthritis following Campylobacter jejuni-induced ulcerative colitis is presented. This is the 12th such case reported in the literature and the first in which destructive lesions of periarticular bone are demonstrated. A review of the literature suggests that reactive arthritis associated with C. jejuni infection ...
McGurk M - - 1984
Three cases of oral submucous fibrosis are reported, two of which were associated with oral carcinoma. The disease is described and aspects of its clinical presentation, aetiology and treatment are discussed. It is argued that the condition is not as rare amongst Asian immigrants as the small number of reported ...
Winroth G - - 1984
Trauma predisposes an individual to bacterial arthritis. This report describes a case of posttraumatic bacterial arthritis with luxation of the elbow. It was necessary to perform synovectomy as a complement to systemic antibiotic treatment in order to control infection and reduce the dislocation. The use of external fixation is demonstrated.
Császár A - - 1984
Rheumatoid nodule is an uncommon finding in rheumatoid arthritis (RA). A report is given on a case of RA which lasted for 15 years and nodules appeared diffusely in the skeletal muscles close to the fascia. These nodules had a histological structure similar to that found subcutaneously and a tendency ...
Khan M I - - 1983
Mimicry by fungal infection of other chronic bone and joint diseases may easily result in a tardy diagnosis with subsequent needless surgery or permanent damage to the joint and its function. A case of sporotrichosis arthritis involving both wrists and knee joints is described. Diagnostic pitfalls and therapeutic dilemmas are ...
Aho K - - 1983
A review of Yersinia reactive arthritis is presented with a description of clinical manifestations and immunological features. The pathogenesis of the reactive lesion has so far not been resolved since no conclusive data on the existence or nonexistence of Yersinia antigens in the inflamed joints have been reported. It does ...
Soffin C B - - 1983
A brief review of the literature on the use of thermography in medicine and dentistry is presented. This is followed by the presentation of eleven case reports of the use of thermography in dental clinic patients with various oral inflammatory conditions. The results showed that in seven of the eleven ...
Malik P A - - 1983
Condyloma acuminatum, an autoinoculable infectious growth that usually involves the anogenital regions, occurs very rarely in the oral cavity, including the first histologically proven case, reported by Knapp and Mohara in 1967, a total of 7 cases have been documented in the English literature. This report describes an oral condyloma ...
Ho G G - - 1983
Hemophilus influenzae is an important but uncommon cause of adult septic arthritis. We report two cases and review 23 previously published cases. Two-thirds of the patients had systemic diseases, local factors, or both which predisposed them to septic arthritis. The acute disease was monarticular in 48%, polyarticular in 24%, and ...
Nagler J - - 1983
A case of fulminant watery diarrhea after therapy with 485 mg of gold thioglucose in a 78-yr-old woman suffering from rheumatoid arthritis is presented. Evaluation failed to reveal evidence of infection, malabsorption, or mucosal inflammation. Treatment, after stopping therapy, was supportive over several months and the patient recovered completely. A ...
Cohen J M - - 1983
The finding of soft tissue lesions that present as rheumatoid nodules in a patient with no history or symptoms of rheumatoid arthritis or rheumatic fever sets the stage for a variety of differential diagnoses. One of the diagnoses that must be considered is the pseudorheumatoid nodule, which is rarely found ...
Armitage T G - - 1983
Five cases of primary peritonitis are presented, with a sixth related case of pneumococcal peritonitis secondary to a ruptured ovarian cyst. The patients comprised 4 young girls who recovered, and 2 elderly females who died. Pneumococci were isolated in 3 patients; no organism was found in the other 3. One ...
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