Document Detail

Non-traumatic cervicomediastinal vascular lesions. A clinicopathological study in the different populations of Natal.
MedLine Citation:
PMID:  2180089     Owner:  NLM     Status:  MEDLINE    
Apart from those suffering from vascular trauma, 334 patients with cervicomediastinal lesions have been treated at Durban Metropolitan Hospitals over a period of 8 years. Sixty-seven of these were black (20%), 79 Indian (24%), 10 coloured (3%) and 178 white (53%). Atherosclerotic disease was found in 50% of black, 80% of Indian and 99% of white patients; the remaining patients suffered from miscellaneous conditions, such as arteritis, fibromuscular dysplasia, mucoid degeneration and radiation. Aneurysmal disease was found in 33% of blacks, but only 2% of Indians and 0.6% of whites; the remainder had occlusive lesions. More blacks presented with complete stroke (16%) than in the other population groups, who presented most frequently with episodic neurological dysfunction. It is concluded that atherosclerosis is as common as arteritis in blacks, while it is the most common precipitating factor for cervicomediastinal lesions in the other two groups. Aneurysms and complete stroke are also common in blacks.
T E Madiba; J V Robbs
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  77     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-04-16     Completed Date:  1990-04-16     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  252-3     Citation Subset:  IM    
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MeSH Terms
African Americans
African Continental Ancestry Group
Brachial Artery / pathology
Carotid Arteries / pathology
European Continental Ancestry Group
India / ethnology
Mediastinum / blood supply*
Middle Aged
South Africa
Subclavian Artery / pathology
Vascular Diseases / ethnology*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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