1/3. Otolaryngological aspects of relapsing polychondritis: course and outcome.Relapsing Polychondritis (RP) is a rare disorder characterised by episodic inflammation of the cartilaginous structures. Differential diagnosis of this pathology is a challenging enigma since it appears only intermittently and none of the clinical features are pathognomonic, although most of the patients are usually referred to an ENT physician initially. The natural history of the disease is unpredictable. Initiating effective treatment sooner considerably reduces the rate of mortality. patients with RP should be seen on a regular basis even if the patient is non-symptomatic. This study reports a retrospective analysis of the otolaryngological manifestations of 7 patients with RP as well as their long-term progress and reviews the symptomatology, histopathology, immunology and management.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/3. The role of the psychiatrist in otolaryngology.The patient, staff, and physician benefit when the otolaryngologist and psychiatrist are able to work closely together. Not only is clinical care improved, but time can be spent more efficiently in dealing directly with the patient's problem.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/3. Otologic neurotologic manifestations of hiv-related disease.Human immunodeficiency virus (hiv), the causative agent of acquired immunodeficiency syndrome (AIDS), has reached worldwide epidemic proportions and is increasing. Otologists, neurotologists, and audiologists practicing in metropolitan centers in north america can expect to encounter patients with hiv-related illnesses, including patients with aids-related complex (ARC) and AIDS. Five representative cases are presented: chronic otitis media, facial palsy, Gradenigo's syndrome with facial paralysis, otosyphilis, and Kaposi sarcoma of the mastoid. The common link in all cases was hiv infection. This presentation discusses the management of several hiv-infected patients with otologic and neurotologic findings. hiv infection has extended to all parts of north america. The worldwide incidence is increasing. As the epidemic continues to unfold, new challenges to both the diagnosis and treatment of otologic and neurotologic disease in hiv-positive patients will confront the audiologist and otolaryngologist. Recommendations for the safety of the examining audiologist and treating physician are given.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |