11/336. Complications of total abdominal and spleen irradiation in patients with lymphomas.Fifty patients with non-Hodgkin's lymphoma were treated with total abdominal irradiation to a dose of 3000 rad by anterior and posterior fields treated the same day. Fourteen patients developed complications, four with intestinal obstruction due to stenosis and three with total or partial intestinal irradiation damage. These bowel complications were only seen in patients who had previously had a laparotomy. The ways of preventing these complications are discussed. We have studied renal function by means of clinical examination, biologic and radiologic investigations, and scanning in 75 patients who have received splenic irradiation to a dose of 4000 rad. With a mean follow-up time of 36 months, this study has shown that there was no significant change in blood pressure or in biochemical measurements. However, at the 17th month, nephrotomograms demonstrated cortical atrophy of the upper role of the kidney; at the 8th month, low uptake in the irradiated area was seen on 197Hg neohydrine scanning and a decrease in renal plasma flow in the left kidney during dynamic studies with Hippuran.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
12/336. Identification of supernumerary marker chromosomes derived from chromosomes 5, 6, 19, and 20 using FISH.A large number of cases with supernumerary marker chromosomes (SMCs) should be compared to achieve a better delineation of karyotype-phenotype correlations. Here we present four phenotypically abnormal patients with autosomal marker chromosomes analysed by fluorescence in situ hybridisation using centromeric, telomeric, and unique sequence probes, as well as forward and reverse painting. We also report the first case, to the best of our knowledge, of an SMC derived from chromosome 5. Furthermore, a marker chromosome 20 in a patient with sex differentiation abnormalities, a double mar(6) in a boy with psychomotor retardation, and the association of r(19) with dup(21q21.2q22.12) are described. Although the mar(6) was very small, the presence of euchromatin was shown, suggesting that the partial trisomy of pericentric region derived sequences is implicated in the aetiology of the abnormal phenotypes.- - - - - - - - - - ranking = 2.537203844754keywords = pain (Clic here for more details about this article) |
13/336. Bilateral hand oedema related to acupuncture.We report the case of bilateral hand swelling following acupuncture therapy for chronic low back pain. Despite thorough history, examination and laboratory testing no systemic cause for the swelling could be elicited. This case highlights the incomplete knowledge of acupuncture mechanisms and that limited acupuncture therapy can have significant adverse effects.- - - - - - - - - - ranking = 2.6717768058067keywords = pain, back (Clic here for more details about this article) |
14/336. A sighting of orbital pseudotumor.A 39-year-old woman developed bilateral proptosis, photophobia, and pain with extraocular movements over the course of 5 days. Her findings initially were ocular pain and photophobia which progressed to periorbital edema and nasal discharge ultimately resulting in proptosis with vertical globe displacement and decreased visual acuity. She was diagnosed with corneal abrasion and sinusitis respectively during two initial emergency department visits. On her third visit to the emergency department within 4 days, she developed acute visual deficits. The patient was subsequently diagnosed with orbital pseudotumor after computed tomography scan revealed inflammation of orbital structures bilaterally.- - - - - - - - - - ranking = 5.074407689508keywords = pain (Clic here for more details about this article) |
15/336. melkersson-rosenthal syndrome: new clinicopathologic findings in 4 cases.OBJECTIVE: To define the clinicopathologic features of eyelid involvement in melkersson-rosenthal syndrome (MRS). methods: Four patients with eyelid edema consistent with MRS were evaluated clinically, including diagnostic imaging in 2 patients. Eyelid tissue from these patients was examined by light microscopy and immunohistochemistry. polymerase chain reaction for herpes simplex virus was performed in 1 case. RESULTS: The 3 men and 1 woman ranged in age from 33 to 74 years. All patients had insidious, painless, nonpitting eyelid edema. Three patients had unilateral edema; one had bilateral, asymmetric involvement. Ipsilateral lip edema was present in 1 case. Computed tomography demonstrated periorbital heterogeneous thickening that corresponded to the microscopic finding of scattered granulomas. All 4 patients demonstrated epithelioid granulomas inside and adjacent to dilated lymphatic vessels. polymerase chain reaction testing was negative for herpes simplex virus. CONCLUSIONS: Isolated eyelid swelling that mimics thyroid-associated ophthalmopathy may occur in MRS. Computed tomography may be useful in the diagnosis. biopsy should be performed in all cases of unexplained nonpitting eyelid edema. In the eyelid, MRS is characterized histopathologically by a granulomatous lymphangitis, a finding that seems to be unique to this condition.- - - - - - - - - - ranking = 2.537203844754keywords = pain (Clic here for more details about this article) |
16/336. Orbital edema resulting from Haller's cell pathology: 3 case reports and review of literature.Sinuspathology must be considered when rapid onset of unilateral orbital edema is found in the absence of ophtalmologic signs. Urgent medical treatment is necessary in these patients when headache, fever, facial pain and vision problems are present. However, symptoms may be more subtle. Three female patients with unilateral orbital edema and facial pain are presented. inflammation of an ipsilateral Haller's cell should be considered as one of the potential causes of unilateral orbital edema and it can be the only cause. To our knowledge this is the first report of Haller's cell disease resulting in an orbital complication.- - - - - - - - - - ranking = 5.2740205510689keywords = pain, headache (Clic here for more details about this article) |
17/336. Solid facial edema in a patient with rosacea.We report a 53-year old man with symmetrical nonpitting edema, conjunctivitis, and acneiform eruptions on the face. Histopathological examination showed perifollicular lymphohistiocytic infiltration and telangiectasias in the upper dermis. Loosely aggregated non-caseating granulomas were scattered through the dermis; some of them were seen in the perifollicular regions. The patient was treated with fleroxacin (100 mg/day, orally) for two weeks with a marked reduction of both solid facial edema and periorbital edema.- - - - - - - - - - ranking = 1keywords = upper (Clic here for more details about this article) |
18/336. First-trimester prenatal diagnosis of a thoracic cystic lesion associated with fetal skin edema.An unusual case of chest cyst diagnosed at the end of the first trimester in a dizygotic twin pregnancy and managed conservatively is reported. Between 11 and 14 weeks of gestation, ultrasound revealed a relatively large echopoor lung cyst occupying the left side of the chest, displacing the mediastinum and the heart. This was associated with increased nuchal translucency thickness and generalized skin edema. Subsequent sonograms showed complete resolution of the cyst together with the skin edema. The fetuses were delivered at term and had an uncomplicated postnatal outcome. This case emphasizes the role of reduced venous return as a cause of early fetal hydrops. Diagnosis and follow-up of a congenital lung cyst from the end of the first trimester should enable early intervention to be made.- - - - - - - - - - ranking = 0.16362306936816keywords = chest (Clic here for more details about this article) |
19/336. Pulmonary thrombosis, homocysteinemia, and reperfusion edema in an adolescent.Deep vein thrombosis, pulmonary embolism, and pulmonary thrombosis in situ are rare in childhood and adolescence [1,2]. Unfortunately, these diagnoses may be unsuspected in a pediatric patient with dyspnea and chest pain. This article illustrates the diagnostic and therapeutic challenges that arose from unrecognized chronic thrombotic disease in an adolescent.- - - - - - - - - - ranking = 2.6190153794381keywords = pain, chest (Clic here for more details about this article) |
20/336. Spiral CT in an acute spontaneous aorto-caval fistula.A patient with a known infrarenal atherosclerotic aneurysm measuring 8 cm presented with sudden dyspnoe, lower back pain and enormous venous congestion of the lower extremities. Spiral CT rendered precise diagnosis and localisation of a large and acute spontaneous aorto-caval fistula and made early surgical intervention possible. Abdominal aorto-caval fistulas are rare complications and can occur after surgery, trauma or spontaneously in an atherosclerotic or inflammatory aneurysm. Spiral CT enables a rapid and precise diagnosis facilitating the planning of the therapeutic approach to this complication.- - - - - - - - - - ranking = 2.6717768058067keywords = pain, back (Clic here for more details about this article) |
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