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Results 351 - 400 of 588
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Brown E S - - 1998
There is little information in the literature concerning the use of droperidol in psychiatry. This article presents three cases in which extremely agitated and treatment-refractory persons with mixed mania derived benefit from droperidol administered orally. Symptomatic improvement, including decreased agitation and intrusiveness, improved sleep, and decreased rates of sleep, was ...
Bloom B J - - 1998
To describe a case of Felty syndrome (FS) in a child with (JRA) and review the previous literature on this rare entity. Review of clinical data including results of serial blood counts, bone marrow aspirate, human leukocyte antigen (HLA)-typing, and abdominal sonography. Serial blood counts over 2 years revealed persistent ...
Jayaraj K - - 1998
Spontaneous bacterial peritonitis is a frequent and often serious complication of long-standing ascites in the presence of advanced liver disease. Coliform bacteria account for the infection in most cases and are thought to be related to translocation of bacteria from the bowel into the peritoneal cavity. The empiric use of ...
Sanders T G - - 1998
Subcutaneous rheumatoid nodules occur commonly in advanced cases of rheumatoid arthritis, but only rarely appear in the feet. We present a case of a subcutaneous rheumatoid nodule arising in the heel pad of a 68-year-old man with a long history of rheumatoid arthritis, along with a review of the literature. ...
Redding S W - - 1998
Chronic graft-versus-host disease commonly appears with oral manifestations subsequent to allogeneic bone marrow transplantation. These manifestations include leukoplakia, mucosal atrophy, erythema, ulcers, and xerostomia. Some lesions are resistant to treatment with immunosuppressive medications. Ultraviolet A irradiation therapy with oral psoralen has been shown to be effective in treating these resistant ...
Agrawal V - - 1998
One hundred four Rheumatoid factor (RF) positive Rheumatoid Arthritis (RA) patients fulfilling ARA criteria were screened for extraarticular manifestations. Rheumatoid nodules were present in 2.8% cases. Other extraarticular manifestations such as pulmonary, cardiac, occular, renal or GI involvement were absent in these cases. However, circulating immune complexes (CICs) were highly ...
Shin J H - - 1998
We report a fatal case a fungal peritonitis caused by the yeast-like dematiaceous mould Hormonema dematioides in a 45-year-old woman. The woman had a 13-year history of insulin-dependent diabetes mellitus and had been on continuous ambulatory peritoneal dialysis for chronic renal failure. H. dematioides was repeatedly isolated from the dialysate ...
Meraw S J - - 1998
The authors describe a case of localized refractory idiopathic gingivitis in a 29-year-old patient that was successfully treated with hydrogen peroxide (Superoxol, Sultan Chemists, Inc.). The gingivitis was refractory to previous oral hygiene measures and was persistent in the face of meticulous oral hygiene. This case illustrates a successful treatment ...
Schnitzler N - - 1998
We report on a severe case of peritonitis due to Staphylococcus lugdunensis. The clinical course resembled an infection due to S. aureus more than one due to other coagulase-negative staphylococci. Therefore, we strongly recommend identification and propose an easy-to-perform procedure for screening of this pathogen.
Renard M - - 1998
The present paper reports the fourth case of hypocomplementaemic urticarial vasculitis in a child. We describe a boy who, after many years of arthritis, urticaria, eye inflammation and hypocomplementaemia, developed rapidly progressive glomerulonephritis which was completely reversed by immunosuppressive therapy. Only three paediatric patients with hypocomplementaemic urticarial vasculitis have been ...
Huang J L - - 1998
We report the simultaneous development of fulminant hepatic failure, thrombocytopenia and erythroid hypoplasia in a child treated with sulphasalazine. A 12-year-old girl with juvenile rheumatoid arthritis developed fulminant hepatic failure, thrombocytopenia and erythroid hypoplasia, which was confirmed by liver histology and bone marrow examination, 2 weeks after initiation of sulphasalazine ...
Nakase T - - 1998
We describe a case of rheumatoid arthritis (RA) with collapse of the L3 lumbar vertebra for which surgery was performed. The pathogenesis of lumbar lesions affected by RA is discussed and the literature reviewed.
Toussirot E - - 1998
Atypical mycobacteria can induce soft tissue infections such as tenosynovitis. We observed one case of finger flexor tendon tenosynovitis infected with Mycobacterium avium intracellulare and one case of knee and ankle arthritis with lateral peroneal tendon tenosynovitis due to M. chelonei. In the first patient, a tenosynovectomy only was performed ...
Stebbings S - - 1997
AIM: To emphasise osteitis as a feature of the spondyloarthritides. METHOD: We describe four cases spanning a spectrum of the spondyloarthritides in which osteitis was a feature. RESULTS: One patient had psoriatic arthritis with palmar-plantar pustular psoriasis and extensive osteitis involving the tibia and fibula. This case provides a link ...
Steinfeld S - - 1997
We report two cases of septic arthritis of the knee caused by Aspergillus: one by Aspergillus terreus in a cirrhotic patient and the other by Aspergillus fumigatus after vascular graft infection. The recovery of these organisms in synovial fluid should be considered as pathogenic, particularly in immunocompromised hosts. The pathogenic ...
Wells M - - 1997
Meningococcal arthritis is a recognized manifestation of Neisseria meningitidis infection, the presentation of which may be confusing. Although arthritis occurs in the setting of meningococcal meningitis, it may also be seen as a primary event without neurological involvement and with or without cutaneous manifestations. We describe a patient with primary ...
Robinson J C - - 1997
Twelve cases of oral pemphigus vulgaris are described to illustrate the long-term behavior of the disease and the treatment challenges it presents to the oral medicine practitioner. In addition, we review the literature on oral pemphigus vulgaris with respect to clinical history, signs and symptoms, management, and treatment outcome. Pemphigus ...
Côté C - - 1997
There is uncertainty regarding the role, if any, of oral contraceptive steroids in the development of focal nodular hyperplasia of the liver. A case of focal nodular hyperplasia of the liver diagnosed by scintigraphy in a 33-year-old woman is presented. The lesion regressed in a dramatic way after oral contraceptive ...
Spector J - - 1997
This case report describes an association of chronic diurnal urticaria with the onset of seronegative arthritis in a 38-year-old woman after her first pregnancy. Remission of the urticaria and rheumatoid arthritis occurred with methotrexate therapy. The variety of urticarial lesions that can be seen with arthritis are noted.
Afzal M N - - 1997
Pathological calcifications of skin manifest as small or large deposits of calcium in the dermis and subcutaneous tissues. One form of these conditions is described as subepidermal calcified nodule seen on the facial skin of young children without any underlying connective tissue disease or any abnormality in calcium or phosphorus ...
Mroz B J - - 1997
Bronchiolitis obliterans organizing pneumonia (BOOP) is an uncommon but increasingly recognized pulmonary entity that usually presents with symptoms of dyspnea, cough, and fever. The medical literature describes rare cases of hemoptysis in BOOP, with very small quantities of blood expectorated. We describe two cases of BOOP, one idiopathic and one ...
Gentiloni N - - 1997
A 39-year-old man had a 2-year history of fatigue, weight loss, drug-resistant ascites, and decreased intestinal motility. During adolescence he began to suffer frequent episodes of acute benign peritonitis that spontaneously subsided at age 35. The fact that his younger brother was taking colchicine for the same symptoms led us ...
Mashek H A - - 1997
BACKGROUND: Rheumatoid neutrophilic dermatitis (RND) is a recently recognized, rare cutaneous manifestation of rheumatoid arthritis. It occurs in patients with severe rheumatoid arthritis and is typically asymptomatic. Rheumatoid neutrophilic dermatitis was originally described by Ackerman in 1978. Since that time, 8 patients with this disease have been described in the ...
Toussirot E - - 1997
We report two cases of rheumatoid arthritis (RA) associated with Crohn's disease (CD). The first case was a 60-year-old man with longstanding CD who next developed a seropositive, nodular RA. This patient also had bilateral sacroiliitis, but without positive HLA B27. The second was a 65-year-old female with a 15-year ...
Finger D R - - 1997
Reactive arthritis following antibiotic-associated Clostridium difficile (CD) colitis is becoming increasingly recognized in adults; 20 cases have been reported in the medical literature. We describe a 3-year-old patient with reactive arthritis following CD colitis, the first such reported case in a pediatric patient. The clinical features of reactive arthritis following ...
Weers-Pothoff G - - 1997
The case of a 77-year-old woman with acute myeloid leukemia who developed Candida tropicalis septic arthritis of the knee after remission-inducing chemotherapy is reported. A literature review of C. tropicalis non-prosthetic arthritis is included. The isolate was susceptible to fluconazole (MIC 0.25 mg/l). She was treated with fluconazole (400 mg ...
Sandorfi N - - 1997
Although a relationship between psoriatic arthritis or other spondyloarthropathies and trauma is discussed in the literature and rheumatology textbooks, there are few well documented case reports that substantiate this association. We describe 3 patients who developed psoriatic arthritis and a 4th who developed unilateral spondyloarthropathy rapidly after trauma. The argument ...
Hayem G - - 1996
We describe 3 cases of tophaceous gout affecting premenopausal women. The only precipitating factor to be found was the chronic and unnecessary overuse of furosemide, apparently resulting from a psychological profile of anorexia nervosa. Our cases emphasize the need for physicians to look for hidden abuse of diuretics in the ...
Tam M M - - 1996
A case is reported of multiple subcutaneous nodules over the forehead and scalp of a 67-year-old male with moderately severe seropositive rheumatoid arthritis and corticosteroid-induced diabetes mellitus. The histology was initially reported as consistent with a rheumatoid nodule, but on review, was regarded as typical of subcutaneous granuloma annulare (SCGA). ...
Estrada A - - 1996
Tarsal tunnel syndrome (TTS), first described in 1962, has been associated with a variety of causes, including trauma, neurilemomas, rheumatoid arthritis, and hypothyroidism. We report the first case of TTS caused by a tophaceous mass in the tarsal tunnel and review etiologies, clinical descriptions, and diagnostic studies for TTS. We ...
Fasika O M - - 1996
The often difficult problem of graft immobilisation in the oral cavity may be surmounted by use of a material which is cheap and readily available. A case in which honey impregnated foam material was used as a stent in oral grafting is described. Foam constitutes an ideal material which is ...
Birmingham C L - - 1996
A case of anorexia nervosa (AN) is reported where heart failure occurred secondary to severe hypophosphatemia despite oral phosphate supplementation. We recommend starting patients with AN on oral phosphate when refeeding is begun, monitoring serum phosphate every 1 to 2 days for at least the first week of refeeding, and ...
Zarbin M A - - 1996
Amphotericin B is the usual treatment for fungal endophthalmitis, but its toxicity and lack of oral bioavailability may limit its use in some patients. The authors report the successful management of two cases of presumed metastatic fungal endophthalmitis with oral fluconazole, a bis-triazole compound with a broad antifungal spectrum.
Kwan C Y - - 1996
Juvenile xanthogranuloma rarely occurs in the oral cavity and has received little attention. A case of histologically documented juvenile xanthogranuloma of the oral cavity is described. This is the first intraoral case reported in the Oriental race and in the vestibule. Pertinent literature regarding intraoral lesions of this condition is ...
Nair S - - 1996
We report a case of a 39-year old African-American man with an eosinophilic (86%) pleural effusion. The finding of rheumatoid nodules in the pleura, with positive assays for rheumatoid factor in both the pleural fluid and blood, suggests rheumatoid disease as the etiology, although the patient did not have any ...
Iglesias A - - 1996
Subcutaneous tophaceous deposits of monosodium urate, in the absence of arthritis, may occasionally occur as the initial manifestation of gout. In this report, we describe a 35-year-old man who presented with a 6-year history of multiple subcutaneous nodules and no history of previous articular complaints. Needle aspirations of the nodules ...
Le Dantec L - - 1996
A retrospective medical record-based study of cases of peripheral pyogenic arthritis diagnosed in a rheumatology department between 1966 and 1993 was conducted. Of the 197 cases, 179 were evaluable. Pyogenic arthritis accounted for 0.68% of admissions and 30.3% of bone and joint infections during the study period. Incidence rose gradually ...
Robinson P - - 1996
Mycobacterium avium complex infection is a common complication of the later stages of AIDS. Although a recognized cause of oral lesions, atypical mycobacteria are rarely detected in AIDS-related oral ulceration. Here we report a case of oral ulceration in a patient in the later stages of AIDS in which atypical ...
Chogle A R - - 1996
The American Rheumatism Association (ARA) criteria for rheumatoid arthritis (RA) were evaluated in 52 newly referred consecutive, clinically diagnosed cases of RA. The 1958 and 1987 criteria were highly correlated (r = 0.795). By the 1958 criteria, 48 cases (92.3%) had classical/definite RA while 40 cases (76.9%) satisfied the 1987 ...
Merle-Melet M - - 1996
The first case of early-onset postsplenectomy arthritis due to intermediately penicillin-resistant Streptococcus pneumoniae is reported. After initial parenteral vancomycin and rifampin followed by oral prystinamycin-rifampin, the patient recovered without any sequelae. This case should increase awareness of the risk of invasive disease caused by penicillin-resistant Streptococcus pneumoniae in the early ...
Gunaydin I - - 1996
Our objective was to compare the therapeutic approaches of German and Turkish physicians to rheumatoid arthritis (RA) and to osteoarthritis (OA) of the knee, by means of a mailed survey. The survey contained four case histories representing a mild, a moderate and a severe case of RA and a case ...
Reber P - - 1996
We report four cases with very unusual manifestations of tophaceous gout. All patients were male, aged between 29 and 67 years. Only one patient had an acute gouty arthritis in his medical history, whereas the other three had never developed clinical symptoms from their hyperuricemia. Two patients had gout tophi ...
Velez A - - 1995
We report a 16-year-old male in whom pyoderma gangrenosum appeared in conjunction with acne conglobata. The patient also developed a seronegative spondyloarthropathy that was the main presenting complaint. There was no evidence of inflammatory bowel disease. Treatment with isotretinoin was successful. Both acne and pyoderma lesions healed and the articular ...
Fortin L - - 1995
Bursitis of the iliopsoas is a clinical entity rarely encountered, and may be underdiagnosed. Reports in the literature have usually considered the condition to result from an increase in bursal volume. Bursitis of the iliopsoas is most commonly observed in conjunction with pathologies such as rheumatoid arthritis or osteoarthritis of ...
Kahn M F - - 1995
Although valuable progress has been made in the study of the etiopathogenesis of rheumatoid arthritis, available treatments have up to now been unable to control severe and resistant cases. Different approaches have been tried in order to stop the articular and/or systemic features of this disease. The present report reviews ...
Lingen M W - - 1995
Solitary infantile myofibromatosis or myofibroma of the oral cavity is an uncommon condition with only 32 reported cases in the English-language literature. This article presents four additional cases of these solitary myofibroblastic lesions. In addition, the clinical and histologic features of this uncommon spindle cell neoplasm have been reviewed. The ...
Berthelot J M - - 1995
Severe adverse effects of low-dose methotrexate (less than 20 mg per week) are believed to be rare. We report eight cases of severe tricytopenia or pancytopenia seen in two medical departments of the same hospital in patients receiving low-dose methotrexate. Three patients had been under methotrexate for less than one ...
Romero de Leon E - - 1995
Although cysticercosis is a common disease in developing countries, oral lesions produced by this parasitic infestation are rare. In this report we document a case of oral cysticercosis in a 7-year-old girl who sought treatment for an asymptomatic nodule of the left buccal mucosa that had been clinically diagnosed as ...
Mabee C L - - 1995
Etodolac is a new pyranocarboxylic acid nonsteroidal anti-inflammatory agent with a unique chemical structure indicated for use in patients with painful musculoskeletal disorders and rheumatoid disease. Hepatotoxicity, in the form of reversible elevations in transaminases or bilirubin, occurs rarely. We present the first reported case of fulminant hepatic failure related ...
Rajangam K - - 1995
The cervical spine x-rays of a random number of patients with confirmed rheumatoid arthritis were taken. The presence of atlanto-axial subluxation, atlanto-axial impaction, subaxial subluxation and any other associated abnormalities was noted. The spinal canal diameter was also measured which was not significantly altered in rheumatoid arthritis cases. Cervical spine ...
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