Document Detail


Pigmented nails and Strongyloides stercoralis infestation causing clinical worsening in a patient treated for immunoproliferative small intestinal disease: two unusual observations.
MedLine Citation:
PMID:  10892497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Immunoproliferative small intestinal disease (IPSID) is commonly reported from developing countries with poor socioeconomic conditions, hygiene, and high frequency of gastrointestinal infections and infestations. The disease requires anti-malignant chemotherapy in lymphomatous stage. Reported here is a 20-year old man with IPSID lymphoma who responded to anti-malignant chemotherapy initially, but later deteriorated due to Strongyloides stercoralis infestation, which was treated successfully with mebendazole. Importance of an early recognition and adequate treatment for gastrointestinal infections and infestations before anti-malignant chemotherapy for this disease is highlighted considering the occurrence of this disease in the developing world. The patient developed alternate brown black and white lines in the finger nails after combination chemotherapy, which has not been reported earlier in this disease; the nail changes disappeared 6 months after the withdrawal of doxorubicin suggesting this drug as the cause for such nail changes during anti-malignant combination chemotherapy.
Authors:
U C Ghoshal; J Saha; U Ghoshal; B K Ray; A Santra; S Naik; D N Mazumder
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of diarrhoeal diseases research     Volume:  17     ISSN:  0253-8768     ISO Abbreviation:  J Diarrhoeal Dis Res     Publication Date:  1999 Mar 
Date Detail:
Created Date:  2000-08-02     Completed Date:  2000-08-02     Revised Date:  2006-04-24    
Medline Journal Info:
Nlm Unique ID:  8402695     Medline TA:  J Diarrhoeal Dis Res     Country:  BANGLADESH    
Other Details:
Languages:  eng     Pagination:  43-5     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Institute of Postgraduate Medical Education and Research, Calcutta, India. shanti@cal2.vsnl.net.in
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Antinematodal Agents / therapeutic use
Antineoplastic Combined Chemotherapy Protocols / adverse effects*
Humans
Immunoproliferative Small Intestinal Disease / complications*,  drug therapy
Intestinal Neoplasms / complications*,  drug therapy
Male
Mebendazole / therapeutic use
Nails / drug effects*,  pathology
Strongyloides stercoralis*
Strongyloidiasis / complications*,  drug therapy,  parasitology
Chemical
Reg. No./Substance:
0/Antinematodal Agents; 31431-39-7/Mebendazole

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


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