Cases reported "Diabetes Complications"

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1/6. Progressive opacification of hydrophilic acrylic intraocular lenses in diabetic patients.

    Four patients with diabetes mellitus had cataract extraction with implantation of a hydrophilic acrylic intraocular lens (IOL) (ACRL-C160, Ophthalmed). The IOLs showed progressive and generalized opacification 10 to 20 months after implantation, decreasing visual acuity. All 4 IOLs were removed. By light microscopic examination, the IOL surfaces were wrinkled and encrusted with microspheres. Electron microscopy revealed the material to be crystalline in nature. Energy dispersive x-ray spectrum analysis showed that the deposits were mainly composed of calcium and phosphate.
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2/6. Clostridial deep neck infection developed after extraction of a tooth: a case report and review of the literature in japan.

    A rare case of severe deep neck infection caused by clostridia after extraction of the left lower canine is presented. The patient was a 63-year-old Japanese woman who had a history of diabetes. The pertinent literature in japan is reviewed and discussed.
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keywords = extraction
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3/6. Bloom's syndrome. XIV. The disorder in japan.

    Fourteen persons have been diagnosed Bloom's syndrome in japan, with cytological verification in 11. Widely separated birthplaces throughout Honshu, Shikoku, and Kyushu and a parental consanguinity incidence greater than in the general population suggest that the Bloom's syndrome mutation, although very rare, is distributed widely throughout the Japanese population. The locus mutated is the same as in jews and persons of Western European extraction. The phenotype differs somewhat from most cases recognized elsewhere, in that dolichocephaly is a less constant feature, the facial skin lesion is less prominent, and life-threatening infections are less common. The characteristic predisposition to neoplasia exists, however, as probably does that to diabetes mellitus.
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keywords = extraction
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4/6. Penetrating keratoplasty in Mooren's ulcer.

    Two patients had bilateral, simultaneous Mooren's ulcers that progressed to almost total loss of the corneal stroma in all eyes. The conjunctival epithelium eventually healed over these thinned corneas and the eyes were free of pain and inflammation. Three of the four eyes had combined 7.5-mm penetrating corneal transplants and cataract extractions performed at least four months after disease activity had subsided. All transplants have remained transparent from one to three years postoperatively and there has been no evidence of recurrence of Mooren's ulcers.
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keywords = extraction
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5/6. diagnosis of self-induced hyperinsulinism in an insulin-dependent diabetic patient by radioimmunoassay of free c-peptide.

    On the basis of results of simultaneous determinations of plasma free insulin and free c-peptide, episodes of hypoglycemia in an insulin-dependent diabetic were attributed to surreptitious self-administration of insulin. Immunoreactive c-peptide values were falsely increased and diagnostically misleading when measured in unextracted plasma. After preliminary removal of antigen/antibody complexes from the plasma by extraction with polyethylene glycol, the c-peptide values, referred to as "free c-peptide," were suppressed. We suggest that insulin antibodies formed complexes with proinsulin-like material in the plasma of this patient, which accounted for most of the c-peptide immunoreactivity in her unextracted plasma. These complexes must be removed if c-peptide measurements are to be accurate.
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keywords = extraction
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6/6. Candidal infection as a complication of barrier membrane placement in a diabetic patient.

    This report describes candidal infection as a complication of barrier membrane placement in a diabetic patient. This resulted in failure of the regenerative procedure and necessitated extraction of the tooth involved. Candidal hyphae were demonstrated within the dentinal tubules of the tooth. Subsequent to appropriate medical treatment to regain control of the diabetes there was an improvement in oral health.
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keywords = extraction
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