Issue - Southern Medical Association

Our Medical Heritage

Unto the Least of These: The Howard Association and Yellow Fever

ABSTRACT: Epidemics of yellow fever in mid-19th century America caused, in the port cities of the South, devastation and death almost unequalled in this country's history. In response to this horror, a benevolent organization of young men was formed to minister to the unfortunate victims through visitations, nursing care, supplies,…

Review Article

Asbestos-Related Lung Disease

ABSTRACTAsbestos is a versatile fibrous mineral that can cause lung disease and death. Asbestosis, benign pleural disease, lung cancer, and mesothelioma can all result from inhaling asbestos. The history of disease and exposure risks are discussed. The difficult assessment of risk and the long latency period for development of disease…

Current Concepts

New Directions in Asthma Management

ABSTRACTAsthma affects people of all ages, and the mortality rate associated with the disease is increasing. The proper understanding of the pathogenic mechanisms, including airway inflammation and bronchoconstriction, can lead to a more logical treatment approach. Recognition of the important role of allergic triggers in influencing the sensitivity of the…

Primary Article

Screening for Hepatitis B Among Pregnant Patients in a Rural Population

ABSTRACTFrom February 1988 to April 1990, we collected blood for hepatitis B surface antigen (HBsAg) from all women coming to the Texas Tech University Health Science Center in Lubbock for prenatal care. These patients were from rural western Texas and eastern New Mexico. They were also screened for hepatitis B…

Primary Article

Development of the Virginia Congenital Anomalies Reporting and Education System (VaCARES): Two Pilot Projects

ABSTRACTIn 1986 legislation established the Virginia Congenital Anomalies Reporting and Education System (VaCARES). The system has three goals: to collect data that can be used to evaluate possible causes of congenital anomalies, to improve diagnosis and treatment, and to let parents and physicians know what resources are available to aid…

Primary Article

Heart Disease, Cancer, and Stroke in Maryland

ABSTRACTMaryland has higher mortality rates from heart disease, cancer, and stroke (HCS) than the United States as a whole. More than 50% of deaths from HCS are premature, occurring before age 75. The health care and indirect costs from these three diseases total approximately $4.4 billion annually, placing a major…

Primary Article

Tuberculosis in the 1990s: Resurgence, Regimens, and Resources

ABSTRACTPhysicians in the United States must maintain vigilance for the 25 000 annual new cases of tuberculosis, concentrated in the elderly, in immigrants, in migrant and minority populations, and in immunosuppressed patients. Tuberculosis rates in the South remain above the national average. Physicians diagnosing tuberculosis may also treat the disease,…

Primary Article

Summertime Respiratory Syncytial Virus Infection: Epidemiology and Clinical Manifestations

ABSTRACTRespiratory syncytial virus (RSV) is a common serious pathogen known to produce annual winter epidemics in young children. A 2-year study of children with significant respiratory disease during the summer revealed a 21% incidence of RSV infection. Respiratory secretions collected from ill children in the LSUMC outpatient clinics, from children…

Primary Article

Comparison of AIDS in Women in Rural and Urban Georgia

ABSTRACTThrough 1990, 308 cases of AIDS had been reported in female residents of Georgia (aged 13 years and older); 77 (25%) were white and 228 (75%) black. The mean age of the white women (43.8 years) was greater than that of the black women (34.5 years). One hundred sixty-six women…

Case Report

Traumatic False Aneurysms of Peripheral Arteries in Children

ANEURYSMS are blood-filled cavities that communicate with the lumen of an artery. An aneurysm is classified as “true” or “false” according to its cause and the composition of its surrounding wall. A true aneurysm contains all vessel wall layers and is generally the result of degenerative changes such as those…

Case Report

Crohn’s Disease With Associated Bone Marrow Granulomas

BONE MARROW GRANULOMAS are seen in various infectious and noninfectious disorders. The finding of granulomas in the bone marrow of patients with inflammatory bowel disease is extremely rare and often suggests the coexistence of another systemic illness. This case report distinctly demonstrates bone marrow granulomas in a patient with Crohn's…

Case Report

Chondroblastoma

CHONDROBLASTOMA is a rare, usually benign primary neoplasm of bone. We present the following case of chondroblastoma in an unusual site.

Case Report

The Improbable Intravesical Foreign Body

FOREIGN BODIES in the urinary bladder are uncommon and in many instances are self-introduced. Objects may also enter the bladder through migration and erosion, or iatrogenically, as occurs with broken pieces of Foley catheter balloons. Reasons for self-introduction of foreign objects include eroticism, intoxication, attempted abortion, senility, curiosity, and psychologic…

Case Report

Distal Esophageal Obstruction Due to a Guar Gum Preparation (Cal-Ban 3000)

GUAR GUM is a high polymer hydrophilic carbohydrate that has considerable expansion and thickening qualities when placed in water. It is used as an additive to many products, as a lipid and glucose lowering agent, and as an aid for weight loss. We present two cases describing the adverse effects…

Article

American Indian Medicine

IN APPROACHING THE SUBJECT of American Indian medicine, it is essential to establish the conceptual framework from which this medicine developed and was practiced. The development of methods of causal inference, such as the doctrine of signatures, trial and error, and serendipity, are aspects that may be kept in mind…

Case Report

Interleukin-2-Iduced Dermatotoxicity Resembling Toxic Epidermal Necrolysis

INTERLKUKIN-2 (IL-2), a cytokine secreted by certain antigen-activated T lymphocytes, can initiate and propagate a multitude of reactions of the immune system. It has been shown to augment the in vitro cytolytic activity of peripheral blood mononuclear cells and to induce the generation of a subpopulation of cytolytic lymphocytes termed…

Case Report

Transmesosigmoid Hernia During Pregnancy

INTERNAL ABDOMINAL HERNIAS are not common, but should be considered during evaluation of abdominal symptoms suggestive of intestinal obstruction. Of special note in the case presented here is the difficulty of diagnosis complicated by pregnancy, which also limits diagnostic investigation. Internal hernias, which are protrusions of a viscus through a…

Case Report

Pyogenic Hepatic Abscess and Septic Pulmonary Emboli Associated With Klebsiella ozaenae Bacteremia

KLEBSIELLA OZAENAE is a nonmotile, aerobic, encapsulated, gram-negative rod named for its association with ozena, a chronic atrophic rhinitis, even though its etiologic role in this condition is conjectural. Its significance as a human pathogen is unclear, though it has been increasingly implicated as a low virulence opportunist. K ozaenae…

Case Report

Simultaneous Occurrence of Postpartum Hypopituitarism (Sheehan’s Syndrome) and Transient Resolving Thyrotoxicosis Due to Postpartum Painless Thyroiditis

POSTPARTUM HYPOPITUITARISM (Sheehan's Syndrome), first described by Sheehan1 in 1937, is characterized by various degrees of anterior and/or posterior pituitary dysfunction due to pituitary necrosis after obstetric shock or hemorrhage. The signs and symptoms of Sheehan's syndrome are of variable severity.Pregnancy seems to have a profound effect on thyroid function,…

Case Report

Deep Venous Thrombosis in Umpires

SUMMARYI have reported the case of an umpire who had deep venous thrombosis. Specialized clothing may have been an etiologic factor.

Case Report

Giant Leiomyoma of the Small Intestine With Free Perforation into the Peritoneal Cavity

SUMMARYLeiomyomas involving the small bowel are rare benign tumors comprising 0.2% to 1.8% of all gastrointestinal tumors. We have presented a case with the rare complication of a free perforation between the tumor and the peritoneal cavity, causing an acute abdomen.

Case Report

Takayasu’s Arteritis

TAKAYASU'S ARTHRITIS was named after the Japanese ophthalmologist, M. Takayasu, who in 1908 described a young woman with cataracts and wreathlike arteriovenous malformations around the optic papillae. Other synonyms are used, but the most widely accepted is “aortic arch syndrome.”

Case Report

Polymorphous Ventricular Tachycardia in a Newborn With the Long QT Interval

THE LONG QT SYNDROME (LQTS) is an inheritable electrical disorder of the heart that can be associated with syncope, seizures, and sudden death. This syndrome is rarely evident in the neonatal period and then manifests itself typically with bradyarrhythmias. We describe a newborn with LQTS who had ventricular tachycardia 30…

Editorial

AIDS: THE WIDENING CIRCLE

Letter to the Editor

Childhood Sexual Abuse and Adult Obesity

Article

Invalids: The Male Counterpart

Announcement

Medical Association of the State of Alabama

Letter to the Editor

Other Threats to Health in the Persian Gulf Region

Letter to the Editor

Reply

Letter to the Editor

Self-Mutilation

Editorial

THE (GIVE) ME GENERATION