摘要:

Myopericarditis is a rare but important manifestation of inflammatory bowel disease.1'2It can be the sole or one of several extracolonic manifestations of either ulcerative colitis or Crohn's disease.3″5Because of the therapeutic implications, we report a patient with ulcerative colitis associated with myopericarditis, with a review of the literature documenting this association.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We examined prospectively risk factors which might contribute to INH-induced liver damage in 113 patients taking preventive INH for at least 8 weeks. Twelve who had abnormal initial liver tests did not get worse with INH, while 19/101 with normal initial tests developed significant liver dysfunction, mostly hepatocellular, three having overt hepatitis. When 12 other patients who drank alcohol were excluded from analysis, there were still 15/89 with significant liver dysfunction, 12 of whom were slow acetylators (p<0.05). The only other risk factor was age. By combining acetylator phenotype with age, but excluding alcohol, we calculated the risk of INH-induced liver enzyme elevation as follows: under 35 years—fast acetylators, 3.7%, slow acetylators, 13%; over 35—fast acetylators, 13.2%, slow acetylators, 37% (p <0.02). Fast acetylation is thus not a risk factor for developing INH-induced liver dysfunction; indeed, the contrary seems to be the case.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A 28-year-old woman evaluated for paresthesias, chronic diarrhea, and an enlarged thyroid gland proved to have celiac sprue and lymphocytic thyroiditis. The immunopathologic similarities of these two disorders may be more than coincidental.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We measured the pH of the residual pool of gastric juice during routine endoscopy of the stomach and duodenum in 27 patients. After injecting 3 µg/kg pentagastrin intravenously additional samples were obtained 10-12 minutes later for determination of pH. No complications occurred in spite of the rapid administration of this dose. Analysis of the “basal” determinations revealed a large overlap between groups but the pH of the “poststimulated” specimens proved much more accurate in the division of patients into “low,” “normal,” or “high” secretor groups. When the pH of the stimulated specimens was converted to hydrogen ion concentration and then calculated to yield an estimate of peak acid output, the results were almost identical to the standard measurements of gastric secretory output after subcutaneous pentagastrin.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We report a patient with squamous cell carcinoma of the cervix metastatic to the duodenum in whom the diagnosis was made at endoscopic biopsy of an obstructing pyloric mass. Failure to consider metastatic disease as the cause of an abnormal appearance of the duodenum resulted in a considerable delay in diagnosis. We present a brief review of cervical carcinoma metastatic to the bowel.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

We report a 33-year-old woman who took oral contraceptives for 8 years, and who developed gastrointestinal bleeding from esophageal varices. Celiac and mesenteric angiography demonstrated a portal vein thrombosis. Because of several episodes of dyspnea, a pulmonary angiogram was also performed, and showed partial or complete obstruction of both inferior pulmonary arteries with “pruning” of lower lobes. Despite immediate anticoagulant therapy, the patient died suddenly some days later. We believe that oral contraceptive treatment could have induced thromboembolic disease both in portal and pulmonary circulations in this patient.

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0192-0790    

出版商:OVID    

年代:1981

数据来源: OVID