SMJ // April 1976, Volume 69 - Issue 4
Editorial
SATELLITES FOR PUBLIC SERVICE?
Original Article
Low Dose, Long‐Term Treatment of Rheumatoid Arthritis With Azathioprine
ABSTRACTSixteen patients with classical rheumatoid arthritis which had been present for longer than two years, representing anatomic stages II-IV, were treated with azathioprine in doses of 50 to 175 mg/day. They were followed up for up to six years. Using the criterion of ability to work, 93% of the patients…
Original Article
Femoral Tibial Bypass Grafts
ABSTRACTThe results of 53 femoral to tibial artery bypass grafts have been reviewed. All were carried out in an attempt to salvage severely ischemic extremities which resulted from arteriosclerotic occlusive disease involving the femoral, popliteal, and tibial arterial systems as demonstrated by arteriography. Most grafts were done with autogenous vein;…
Original Article
The Mobile Clinic of St. Mary's Health Center—A Functional Plan*
ABSTRACTSpecialized medical facilities tend to be concentrated in medical centers in metropolitan areas, which results in unavailability of adequate medical care to large portions of our population. One solution is a mobile unit, staffed by personnel representing several different disciplines (physicians, nurses, social workers, nutritionists, etc) and extending a health…
Case Report
Eosinophilia and Amyloidosis
Case Report
Ferruginous (Asbestos) Bodies in the Lungs of Rural Dwellers, Urban Dwellers, and Patients With Pulmonary Neoplasms
ABSTRACTThe lungs of 100 consecutive patients at autopsy and of 24 patients with various pulmonary neoplasms were analyzed for the presence of ferruginous (asbestos) bodies. The population comprised both rural dwellers and urban dwellers, in contrast to previous similar studies involving only urban dwellers. More than 90% of both population…
Case Report
Ovarian Conservatism*
ABSTRACTEveryone is conscious of the prime role of the ovaries in making a female a “female.” However, too little attention has been directed toward the systemic mechanism of estrogens that protects against coronary artery disease and osteoporosis. Exogenous estrogen appears to be almost as effective as the ovaries are in…
Case Report
Malignant Thymoma With Penetration Into the Gastrointestinal Tract Report of Two Cases
ABSTRACTTwo cases of thymoma, one epithelial and one seminoma type are presented. In both instances, the thymoma infiltrated and later perforated the gastrointestinal tract by direct extension. One is the 30th reported case of thymoma with extrathoracic metastasis; this patient had metastasis to the bone marrow and kidney. Neither patient…
Case Report
Smoking Among Medical Students
ABSTRACTA survey of smoking habits of medical students was done using basic medical science graduate students at the same institution as a comparison group. Smoking status was not significantly related to sex, race, or academic classification. Knowledge of adverse health consequences of smoking was related to time spent in medical…
Case Report
The Perioperative Management of Pericardial Tamponade*
ABSTRACTA case report of a patient with acute pericardial tamponade is presented. The etiology, pathophysidlogy, and management of cardiac tamponade is discussed. Preoperative management includes volume expansion, administration of catecholamines, and pericardiocentesis. Intraoperatively, monitoring should include continuous measurement of arterial and central venous pressures. Ketamine has been found to be…
Case Report
Femoropopliteal Bypass for Salvage and Claudication A Comparison of Long‐Term Results
ABSTRACTSeventy-seven femoropopliteal grafts placed for salvage were compared to 51 grafts placed for claudication. Patient profiles of age, preexisting cardiovascular disease, and risk factors were notably similar. Previous vascular procedures were twice as common in the salvage group. The accumulated graft patency in the salvage group of 77% at one…
Case Report
Delayed Hypersensitivity Skin Testing for Assessing Anergy in the Mid‐South
ABSTRACTAlthough skin testing with ubiquitous antigens is widely employed to assess delayed hypersensitivity, little is known about the effect of geographic location on the frequency of skin test reactions to given antigens. To assess skin test reactivity in the mid-South, 82 hospitalized patients and 68 normal controls had skin tests…
Case Report
Eosinophilic Gastroenteritis
ABSTRACTFour patients with eosinophilic gastroenteritis are presented to illustrate the protean manifestations of this disorder. While the cause is unknown, the complications many, and the differential diagnosis often challenging, the treatment is simple and consists of low-dose, alternate-day administration of corticosteroids. Diagnosis depends on gastrointestinal biopsy, which usually can be…
Case Report
Gastric Emptying of Hypertonic Glucose in Diabetes Meliitus and Duodenal Ulcer
ABSTRACTGastric emptying of hypertonic glucose liquid meals was studied in diabetes, duodenal ulcer, and hospitalized controls by means of the 10% glucose 30-minute test meal, with phenol red as nonabsorbable marker. Acid secreted into the meal was measured. Results revealed no significant difference in gastric emptying between controls and patients…
Case Report
Polydactyly Report of a Large Kindred
ABSTRACTThe occurrence of polydactyly in a 33-year-old woman with a patent ductus arteriosus stimulated a study of her family. Four generations of her kindred were examined. No other case of congenital heart disease was discovered, but a large number of individuals with polydactyly were found. Inheritance of this trait is…
Case Report
Metastatic Carcinoma in Histologic Sections of Aspirated Bone Marrow A Comparative Autopsy Study
ABSTRACTThe incidence of metastatic carcinoma to bone marrow was studied by two different approaches in 220 consecutive autopsies of patients with carcinoma: histologic sections of aspirates from the iliac spine, as usually done in living patients; and gross and microscopic examination of the thoracolumbar spine. Ten percent of the autopsies…
Case Report
Pauciarticular Juvenile Arthritis*
ABSTRACTPauciarticular juvenile arthritis begins insidiously, involves no more than five joints, causes few systemic symptoms, and has a relatively mild course. The disease may recur at the same site or in previously uninvolved joints. It generally runs its course in four years. The authors believe that synovectomy is contraindicated in…
Case Report
Reduction in Myocardial Infarct Size Prevention of Heart Cell Death
ABSTRACTThe course of myocardial necrosis, the clinical syndrome, and methods of treatment are presented. Heart cell death may be prevented by maintaining the balance between myocardial oxygen and energy supply and consumption. New technics of improving this balance by reducing myocardial energy demand, altering metabolism, increasing myocardial substrate supply, and…
Case Report
Recent Survey of Infectious Meningitis in Adults Review of Laboratory Findings in Bacterial, Tuberculous, and Aseptic Meningitis
ABSTRACTInfectious meningitis in adults was reviewed to establish the frequency of meningitis due to each causative agent and to reexamine the laboratory parameters that help to distinguish aseptic, bacterial, and mycobacterial meningitis. Aseptic meningitis occurred 2.2 times more often than bacterial and mycobacterial meningitis combined. The most common nonviral causative…
Errata
Erratum
Errata
Mikulicz's Disease and Mikulicz's Syndrome
ABSTRACTThe pathogenesis, clinical manifestations, and historical development of Mikulicz's disease and Mikulicz's syndrome are given. It is recommended that the term “Mikulicz's syndrome” be dropped to avoid confusion with the rare and well defined entity “Mikulicz's disease.”
Errata
General Announcements
Errata
Photosensitivity Papules—A Cutaneous Sign of Systemic Disease Erythropoietic Protoporphyria
ABSTRACTErythropoietic protoporphyria is an unusual autosomal dominant syndrome characterized by increased deposits of protoporphyrin in erythrocytes, liver, feces, and skin. Symptomatic chronic cutaneous papules in sun-exposed areas, cholelithiasis, cirrhosis, hepatic failure, and anemia are manifestations of this systemic disorder. Treatment of cutaneous symptoms is with oral beta-carotene, but there is…
