Imipramine, phenelzine, and alprazolam have each been shown to be efficacious in the treatment of panic disorder and in agoraphobia with panic attacks. Clonazepam is a high-potency 1,4-benzodiazepine derivative with an intermediate to long elimination half-life that is used mainly in neurology as an antiepileptic. Eight cases of recurrent panic ...

A case of giant hydroureteronephrosis in a man is reported. Diagnostic evaluation included ultrasound, urethrocystoscopy and percutaneous puncture to assess the outline of the urinary tract and to locate a suspected ectopic ureteral orifice. Standard treatment usually consists of primary nephroureterectomy. A review of the literature with respect to etiology, ...

Occasionally periodontal complications arise during adult orthodontic therapy, although conditions may also occur in adolescent patients. This case report describes the periodontal condition that developed during orthodontic treatment of an adolescent girl. Eleven months after the start of treatment, an unusual hyperplastic soft-tissue lesion developed that did not respond to ...

Lymphangioma circumscriptum (LC) is usually treated by excision. Radiotherapy is not considered suitable primary treatment (Kinmonth, 1972). We report a case which was treated by superficial X-rays with almost complete regression. Regression was very slow. Reviewing the literature we discovered that X-ray therapy has never been properly tested for treating ...

In the evaluation of the success of orthodontic treatment, an analysis of posttreatment changes was essential. Twenty-eight patients with increased overjet and overbite, a high mandibular plane angle, and perioral dysfunction had been treated by means of normal maximal restriction of maxillary development. The posttreatment changes of the skeletal morphology ...

Steroid therapy remains the treatment of choice for immunologic thrombocytopenia in pregnancy. However, for cases refractory to steroid therapy, alternate forms of treatment must be used. This case report and review discusses a successful technique for acute, short-term correction of thrombocytopenia. In limited experience the administration of high-dose immunoglobulin appears ...

Computerized tomography (CT) provides a non-invasive method for making a reasonably confident diagnosis of intracranial tuberculosis and an opportunity to study the response to treatment. Using this facility a series of 50 patients with intracranial tuberculomas, whose vision or life was not threatened by severe intracranial hypertension, were treated with ...

Five orthodontists were asked to predict for 64 patients a particular dichotomous outcome of treatment based on pre-treatment X-ray films. The orthodontists rated the cases in blocks of size 4-6 with the knowledge of the number of positive outcomes in each block. We discuss the reasons why this blocked design ...

Forty-nine cases of slipped capital femoral epiphysis or physiolysis colli femoris (PCF) without primary treatment were evaluated 20-60 years after diagnosis by questionnaire and in 44 cases by clinical and radiographic reexamination. The cases represent PCF cases without primary treatment from three different orthopedic centers from 1910 to 1960. Only ...

We report two cases of paroxysmal localized hyperhidrosis (PLH), a rare disorder usually of undetermined origin. The patients were treated with clonidine hydrochloride on the assumption that this paroxysmal phenomenon is of CNS origin, probably hypothalamic. Both patients responded favorably to treatment. In treating PLH, clonidine may serve as an ...

To achieve effective case holding in SET programme "treatment reminder" through home visits by field personnel is of much importance as drug compliance of leprosy cases is known to be very poor in general. A field study was undertaken to followup (A) school detected 158 leprosy cases (B) patients residing ...

Two cases of obsessional ruminations apparently secondary to functional hypoglycaemia are described. Both patients are young Caucasian males with obsessional histories at the start of dietary treatment of 18 and 6 years, respectively. In both cases, reactive hypoglycaemia was confirmed by glucose tolerance test. The first case made a complete ...

139 patients with vitiligo of long duration were treated with oral 8-MOP and UVA. 22 patients had focal and 117 generalized vitiligo. 27 had vitiligo on the skin of their face and/or neck and 58 on their hands and/or feet. Vitiligo of the face and/or neck responded very well to ...

Chronic stool retention with soiling is a common and distressing condition in children. Diagnosis and treatment generally involve both medical and psychological aspects. This case addresses a potentially life-threatening complication of shock occurring during treatment of chronic stool retention with castor oil, and also explores the psychosocial factors felt to ...

Fracture of the penis is rare. Ninety-three cases are reported in the English literature up to December, 1981. Review of the literature after March, 1971, reveals 35 cases, including 3 cases of the authors. The complication rate of conservative treatment before and after 1971 was 10 per cent and 53 ...

The case is described of a 16-yr-old girl whose agoraphobia was of recent onset. In the light of a rapidly increasing pattern of escape and avoidance behavior associated with several phobic situations, treatment consisted of a paradoxical instruction to embellish subjective anxiety and elicit anticipated negative consequences during prolonged in ...

Recent evidence has suggested that the detection and treatment of hypertension can result in adverse psychological and behavioural consequences. Furthermore, there is evidence to suggest that these consequences may outweigh the gains in the case of mild hypertension where the benefit of treatment has not yet been established. This paper ...

This case report describes the successful behavioral treatment of compulsive lip-biting and face scarring in a 12 yr-old boy. The condition had been long standing, self-mutilating and intractable. A regime of tracking (self-recording), aversive response substitution, and relaxation effected immediate and long lasting tissue repair and cure.

It is argued that fear of fear, or phobophobia, can be an important maintaining factor in cases of seemingly free-floating anxiety with periodic panic attacks and that effective treatment consists of exposure to the feared neurovegetative sensations. The case history presented suggests that inhalation of CO2-O2 mixtures induces the phobic ...

A case of green tobacco sickness (GTS) in a 37-year-old male migrant worker and the use of dimenhydrinate in its treatment/prophylaxis is presented. A brief discussion of the etiology and symptomatology of GTS is included. Dimenhydrinate is a useful over-the-counter product for the treatment of this occupational illness in the ...

The 12th reported case of anorexia nervosa in association with the 45,XO genotype and Turner's phenotype is presented. This patient received hormonal treatment but had a poor psychological outcome. Reasons for a possible increased coincidence of the two disorders, and the relationships among hormonal treatment, onset of puberty, and development ...

One hundred and thirty eight septic cases were treated with specific bacteriophages. According to the International Classification of the Diseases (WHO, 1977), the treated cases were divided to 9 categories. Nearly all cases were long-term infections with antibiotic resistant organisms. Only specific bacteriophages were used in association with several types ...

A case report of overt bleeding in a young woman on warfarin given the anabolic steroid danazol for menorrhagia is reported. This interaction appears to be poorly recognised and we suggest that when commencing such a treatment the dose of anticoagulant should initially be halved and thereafter tailored to the ...

Erythroplasia Queyrat is now generally considered to be Bowen's disease of the glans penis. The literature is reviewed and the need for a treatment that is destructive to abnormal tissue yet cosmetically acceptable is stressed. Cryosurgery appears to be a very appropriate form of treatment for this condition--its effectiveness was ...

The definition, pathogenesis, incidence, diagnosis, and treatment of neurosyphilis are discussed. Controlled trials of benzathine penicillin in the treatment of neurosyphilis are reviewed, as are recent case reports of benzathine penicillin failures. Although few well-controlled studies exist to document conclusively the efficacy of benzathine penicillin in the treatment of neurosyphilis, ...

A case of anicteric idiopathic intrahepatic cholestasis in association with ankylosing spondylitis is described. No primary cause for the cholestatic syndrome was found and the liver histology was repeatedly normal. Results of treatment with clofibrate (2 g daily) were very satisfactory, as the symptoms and signs of cholestasis had gradually ...

Two cases of leishmaniasis recidivans of twenty years' duration were treated intravenously with sodium stibogluconate (Pentostam) with good results. Before treatment, histologic examination of a biopsy specimen revealed many Leishman-Donovan (LD) bodies. After treatment, repeated biopsies done in one of the cases revealed only scar tissue. We recommended treatment with ...

A case of fulminant meningococcal septicemia is reported in which an acute gastroenteritis was the presenting symptom. Disseminated intravascular coagulation, profound hypotension and a haemorrhagic skin rash were the dominant clinical features. Successful treatment was directed towards the replacement of coagulation factors, treatment of the underlying infection and reversal of ...

Two case reports of accidental appendage strangulation by hair wrapping are presented. The literature is reviewed, and treatment modalities are discussed.

Vascular compression of the duodenum, the so-called cast syndrome, which is due to the mechanical compression of the third part of the duodenum from the superior mesenteric artery, was developed postoperatively in six patients treated for their spine deformities. The early recognition of the clinical signs of the obstructive ileus ...

At present, both the treatment, and the results of treatment, for ameloblastoma are variable, with high recurrence rates being reported. Since 1951, seven cases of extensive mandibular tumours have been treated by local excision, combined with diathermy and/or cryosurgery. After long-term follow-up there is no evidence of recurrence. In this ...

Thalidomide is found effective and useful in cases of lepromatous ENL in Corticosteroid dependent cases which had been on treatment with dapsone and lamprene. But eventually due to recurrence these cases had to be put back on steroids because of easier availability. Cases of neuritis responded much more satisfactorily and ...

During Predictive Studies IV (PS IV), the fourth in a series of collaborative undersea investigations, plans were made for excursion compressions to 1200 and 1600 feet of sea water (fsw) from saturation depths of 800 and 1200 fsw, respectively. Three cases of decompression sickness (DCS) occurred in the excursion phases ...

Severe depersonalization at times constitutes a chronic and disabling syndrome for which there is no generally established etiology or treatment. Two cases in which young female patients with severe depersonalization became floridly manic in response to stimulant and antidepressant drug treatment are reported, and the clinical and theoretical implications of ...

A retrospective epidemiological study was conducted in Greece during 1975 to assess the incidence of agranulocytosis following treatment with dipyrone. Twenty-four cases of agranulocytosis were reported, of which fifteen were possibly associated with medication. If all fifteen cases are attributed to dipyrone, the incidence of agranulocytosis following treatment with this ...

We report a case of Pseudoxanthoma Elasticum with exudative retinopathy which was treated with the Argon laser and in which the visual acuity was preserved and the subretinal neovascular membrane obliterated for ten months. Laser treatment seems to have helped this case although the same treatment has stimulated the development ...

This paper reports on the practice of behaviour therapy with children and families in a clinical setting. The behavioural treatment of 33 cases is discussed. The cases are characterized by the range of problems treated and the variety of behavioural techniques used. Behaviour therapy is shown to be an approach ...

Five cases are presented of adolescent girls with severe problems in leaving home. Though the psychodynamics were similar (preoedipal conflicts in the separation-individuation phase), the psychopathology and underlying causative factors were different in each case. Factors to be considered in the initial diagnostic assessment are outlined. These include constitutional and ...

A case of childhood pemphigus is reported. The natural history of this rare entity and past methods of treatment are reviewed. We also report on what is to our knowledge the first known use of gold in the treatment of childhood pemphigus. This modality appears to have been of benefit ...

One hundred and sixty-one cases of chyluria have been studied. The possible aetiological factors, the approach to investigation and the methods and results of treatment have been discussed. In this series, the diagnosis was established by the presence of chyle in the urine. Lymphography was carried out in 90 patients ...

This paper reports a 2-year experience in treating sexual dysfunction in 22 gay male couples. The full range of arousal, orgasmic and desire phase disorders as well as case examples and variations in treatment techniques are discussed. To date, this comparative neglected area of research and treatment has yielded encouraging ...

A 10-year-old asthmatic boy began to suffer from urticarial rash and moderately severe bronchospasm after 8 weeks' treatment with disodium cromoglycate. Initially, DSCG had helped to control his asthmatic attacks, and steroid therapy could be discontinued. Inhalation provocation test with DSCG aerosol, 4 months after stopping DSCG treatment, showed an ...

We describe a case of central anticholinergic syndrome with choreiform movements after an overdose of pheniramine aminosalicylate. The symptoms and signs of the condition were reversed by the intravenous administration of the cholinesterase-inhibitor tetrahydroaminacrine. We also discuss the concept of adrenergic-cholinergic imbalance in relation to this case and recommend the ...

A brief review of the superior mesenteric artery syndrome is given. A case is reported which occurred after 9 weeks of treatment of a fractured femur by continuous traction with balanced suspension. The condition was successfully treated by conservative measures including a plaster hip spica allowing frequent changes of position. ...

The assessment and treatment by rapid maxillary expansion of 516 cases referred by medical practitioners for the treatment of poor nasal airway is reported. The technique is simple and most suitable for the correction of crossbite and Class III malocclusion and for establishing a nasal airway in habitual mouth breathers ...

Post-pill amenorrhea, a relatively rare but important sequela of oral contraceptive use, is often accompanied by galactorrhea. A review of women with post-pill amenorrhea-galactorrhea (PPAG) showed that it has more than one cause. Clinical and laboratory methods of evaluation are reviewed, and appropriate methods of treatment are suggested.

Twenty-eight psoriatic patients received PUVA treatment (psoralen and long ultraviolet irradiations. Two preparations were used; 8-methoxypsoralen and a mixture of 5-methoxypsoralen and 8-methoxypsoralen. Both gave considerable improvement, but in 6 cases the lesions reappeared after 2 to 8 weeks, in spite of maintenance treatment. In this report, photochemotherapy of psoriasis ...

This paper presents a case study of the background and treatment of a patient with prolonged LSD flashbacks. The hypothesis that flashbacks can be psychologically determined symptoms is supported by the dynamics of the case and the course of treatment. A second focus is a partial explanation for the often ...

In a series of three articles, clinical treatment with the Begg appliance has been discussed. In the March, 1973 article, the standard procedures in the three stages commonly used in the Begg method were illustrated in a series of eight cases showing the wide range of orthodontic treatment possibilities of ...

Recompression remains the primary form of treatment in decompression sickness, but severe cases require ancillary treatment. The case of a compressed air worker with decompression sickness is presented who, in addition to recompression, required 5.5 of I.V. fluids in the first 8 h, heparin, digitalis, steroids, and respiratory support, to ...