ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718321

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryThis paper describes clinical findings in subjects heterozygous for hemoglobin C and in compounds heterozygotes SC. Most of our patients were coming from lands hording the Guinea Gulf, on the inside of the loop made by the river Niger and from Haiti, which populated by African slaves coming mainly from the Golden Coast (actually Ghana). Heterozygous are Symptomatic and do not suffer from anemia. Age at diagnosis is higher than for SCA, although one of our cases was diagnosed at age one. Overwhelming infections or major anemia were not observed. Basal hemolysis remained moderate. HbF levels were not increased as they may be in sickle cell anemia. Splenomegaly was observed in 2/5 patients. Among severe complications we encountered, we must mention one case of foetal death, one tibial infarct, one case of pure red cell aplasia caused by parvovirus B19 infection, and one case of proliferative retinopathy.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718322

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryThe parasitologic investigation performed without clinical orientation in a routine laboratory allowed to identify the most common parasites, often cysts of Protozoa, using a minimal technique. A more accurate investigation (e.g.: concentration, extraction and flotation) was hampered by a too large number of systematic specimens. The use of an immersion objective improves the detection and identification of cysts of protozoa. There is still some controversy on the virulence of small amoebae, flagellates,BlastocystisandEntamoeba coli, the infection being often massive. AIDS should predispose to new parasitic diseases such as cryptosporidiosis and strongyloidosis. A careful examination of stools for parasites has become mandatory in view of the wide geographical origin of patients with a parasitic disease.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718323

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryWe have studied the clinical characteristics of 126 insulin-treated diabetic patients, mainly type I subjects, who regularly performed during 18 months home glucose monitoring. The numbers of strips used each month was of 60±33 (mean±ISD). During the study period, HbAIClevels decreased from 8.6±2.1 to 7.0±1.3 % (p<0.001). A significant decrease of HbAICwas also observed in a subgroup of 30 patients, in whom insulin therapy scheme (number of injections a day) was similar before and during home glucose monitoring. Ourresults confirm the benefitsof regularly performed home glucose monitoring.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718324

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryA patient With neurosyphilis, presenting with severe ocular impairment due to optic neuropathy, is described, in such as case, a low index of clinical suspicion and improper use of syphilitic serologic tests may delay diagnosis. However, specific tests of serum and cerebrospinal fluid are mandatory for the diagnosis. Treatment evaluation necessitates the follow-up of serology and cerebrospinal fluid cell count. Recent changes of therapy recommendations in subjects with neurosyphilis and in those syphilitic patients co-Infected with HIV are Mentioned.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718325

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryUreteral amyloidosis is an uncommon disease. It usually presents as an ureteral stenosis and resembles ureteral malignancy. The lesion consists of localized amyloidosis, containingλlight chains, the etiology of which remains unknown. Ureteral calcifications have been suggested to be pathognomonic. When the diagnosis of ureteral amyloidosis is considered preoperivatively, a renal-sparing surgery must be planned. We observed a case of bilateral ureteral amyloidosis Presenting with anuria; the patient was treated with conservative surgery and colchicine. The renal function improved without recurrence and remained stable after 5 years of follow-up.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718326

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryA 71-year-old female patient suffering from repeated bronchopneumonia developed terminal renal failure related to an immunologic glomerulonephritis. Autopsy revealed mediastinal and pulmonary hydatid cysts, associated with a bronchocentric granulomatosis; this association has been reported only once before.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718327

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

摘要:

SummaryA patient suffering from sickle cell anaemia who presented with the acute chest syndrome is described. The syndrome is reported to be one of the commonest causes of death in adults suffering from sickle cell disease. As it is difficult at presentation to distinguish the syndrome from infection, it is usual to give treatment appropriate for both. Early exchange transfusion is thought to limit further damage from sickling and offers the best hope of recovery.

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718328

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718329

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor

ISSN:1784-3286    

DOI:10.1080/17843286.1993.11718330

出版商:Taylor&Francis    

年代:1993

数据来源: Taylor