ABSTRACTAs computer use increases throughout the world, more people are becoming familiar with computers, the Internet, and the roles that both play in their daily lives. There have already been reports of people becoming addicted to the Internet, and we now report on two cases of men who had delusions…
ABSTRACTEctopic intrathoracic kidney is a rare phenomenon and is usually an incidental finding on a chest radiograph. Of all intrathoracic kidneys, congenital ectopia is most often shown, with a traumatic etiology occurring much less frequently. We report a case of an ectopic intrathoracic kidney with associated renal cell carcinoma. Management,…
ABSTRACTFluoroquinolones are relatively safe, effective antibiotics. As their use becomes more frequent, so will the adverse side effects. I highlight a rare but debilitating adverse reaction—fluoroquinolone-induced tendinopathy. Case reports and letters from 1987 to 1998 were identified by using Grateful Med and PubMed Internet accesses to the National Library of…
ABSTRACTLiver cysts are a well-recognized feature of autosomal dominant polycystic kidney disease (ADPKD) and occur in 77% of patients more than 60 years old. Serious sequelae, however, are rare, the two most common complications being pain and cyst infections. Portal hypertension has been reported in ADPKD due to the rare…
ABSTRACTMalaria has been in existence since ancient times and for millennia thought to be carried by vapors. Alphonse Laveran made the discovery of the malarial parasite in 1880. The next most important milestone in the history of malaria was the unraveling of the mystery of malaria transmission. Ronald Ross, born…
ABSTRACTThe dentigerous cyst is a common oral lesion arising as a developmental anomaly during amelogenesis. In rare instances, the epithelial lining of these cysts may give rise to squamous cell carcinoma (SCC). Fewer than 50 cases of this rare entity have been reported in the world literature to date. We…
ABSTRACTThe negative effects of a history of severe abuse as a child are becoming increasingly well known to the physician and, in the adult survivor, include both mental health and physical sequelae. Intervention for emotional and psychologic consequences can include a mental health referral. Awareness of physical sequelae can aid…
ABSTRACTWe present two cases of recurrent gynecomastia in men enrolled in a placebo-controlled trial evaluating the efficacy of finasteride in treating benign prostatic hyperplasia. When the pharmacologic records were examined, it was apparent that the breast tissue hyperplasia diminished when the patients become noncompliant with their study medication and then…
BackgroundAmong patients with pulmonary disease due to Mycobacterium avium complex (MAC) seen recently at our center, a substantial number have had extensive calcified mediastinal, hilar, and peribronchial lymphadenopathy, a finding historically inconsistent with pulmonary MAC disease.MethodWe retrospectively studied the frequency of calcified lymphadenopathy in the chest and prevalence of known…
BackgroundIsolated rupture of the patellar tendon is a rare injury. Often occurring during a fall in 20− and 30-year olds, patients may have a preexisting medical condition (eg, history of steroid use) or a history of repetitive microtrauma to the knee. A high-riding patella on physical examination and radiographs is…
BackgroundMesenteric venous thrombosis is an uncommon but often lethal form of intestinal ischemia.MethodsWe reviewed pertinent literature on mesenteric venous thrombosis using MEDLINE search.ResultsWe found that previous abdominal surgery and hypercoagulable states are the most common conditions associated with mesenteric venous thrombosis. The symptoms and signs related to mesenteric venous thrombosis…
BackgroundSafe and effective exercise programs are needed to prevent and treat chronic diseases in childhood. In particular, preadolescent obese children should participate in activities that are specific to their special needs.MethodsWe included a moderate intensity, progressive resistance training program in a multidisciplinary weight management program for obese preadolescent children. The…
BackgroundThe etiologic role of corticosteroid therapy in tendon rupture is controversial. This study compared the effects of injected versus iontophoretically delivered corticosteroid on the normal rabbit Achilles tendon.MethodsRabbits were divided into three treatment groups: (1) corticosteroid injections, (2) iontophoretically delivered corticosteroid, and (3) no treatment. One tendon of each rabbit…
BackgroundThe prevalence of childhood obesity is rapidly increasing. Successful prevention and treatment of childhood obesity depends on increasing the physical activity patterns of obese youth. However, motivating the obese child to participate in physical activity is difficult.MethodsWe designed a four-phase physical activity intervention, consisting of a structured progressive exercise program…
BackgroundWe sought to identify the age-adjusted incidence of lower-extremity amputation (LEA) in Mexican Americans, blacks, and non-Hispanic whites with diabetes in south Texas.MethodsWe summarized medical records for hospitalizations for LEAs for 1993 in six metropolitan statistical areas in south Texas.ResultsAge-adjusted incidence per 10,000 patients with diabetes was 146.59 in blacks,…
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