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Full-Text Articles in Medicine and Health Sciences
Rupture Of Mycotic Aneurysm During Pregnancy: Another Hazard Of Drug Abuse, Jayanta Kumar Dirghangi, Mohammed R. Ansari
Rupture Of Mycotic Aneurysm During Pregnancy: Another Hazard Of Drug Abuse, Jayanta Kumar Dirghangi, Mohammed R. Ansari
Henry Ford Hospital Medical Journal
Widespread parenteral drug abuse has led to an increase in mycotic aneurysms in the area of drug injection. We report an unusual case of ruptured mycotic aneurysm of the right external iliac artery in a pregnant woman who was a heroin addict. In the third trimester, she developed a large hematoma that resulted in intra-uterine fetal death, premature labor, and hypovolemic shock. This case presented a difficult diagnostic and therapeutic dilemma that was confused with the syndrome of ruptured utero-ovarian veins.
Hemoptysis Complicating Mitral Stenosis: Case Report With Attention To Differential Diagnosis And A Review Of The Literature, Michael S. Eichenhorn, John Popovich Jr., Jan R. Radke
Hemoptysis Complicating Mitral Stenosis: Case Report With Attention To Differential Diagnosis And A Review Of The Literature, Michael S. Eichenhorn, John Popovich Jr., Jan R. Radke
Henry Ford Hospital Medical Journal
The differential diagnosis of hemoptysis in patients with mitral stenosis includes many primary pulmonary problems besides those peculiar to mitral stenosis. We describe the case of a 40-year-old woman with a 40-pack-year smoking history whose presenting symptom of hemoptysis was wrongly ascribed to pulmonary embolus and infarction, based on a presumably positive angiogram, and to chronic bronchitis, based on endoscopic findings at fiberoptic bronchoscopy, as provided by the referring physician. The features differentiating between cardiac and primary pulmonary disease are described, and the pathophysiology of hemoptysis in mitral stenosis is reviewed. In a case like the one we describe, hemoptysis …
Editorials, Raymond H. Kahn, Michael Kleerekoper, Irwin K. Rosenberg
Editorials, Raymond H. Kahn, Michael Kleerekoper, Irwin K. Rosenberg
Henry Ford Hospital Medical Journal
No abstract provided.
Isoenzyme Update: Creatine Kinase And Lactate Dehydrogenase, Craig C. Foreback
Isoenzyme Update: Creatine Kinase And Lactate Dehydrogenase, Craig C. Foreback
Henry Ford Hospital Medical Journal
Creatine kinase (CK) and lactate dehydrogenase (LD) are isoenzymes that have been measured in clinical laboratories for over 20 years; their separation has proved valuable in the diagnosis of myocardial infarction and other cardiac-related diseases. Although, historically, electrophoresis was the preferred method to measure both isoenzymes, there has been controversy over the best method for separating the CK isoenzyme. lon exchange chromatography has been used successfully to isolate CK isoenzymes, and the procedure was adapted to determine CK-MB activity in serum. New methods to quantify CK-MB have also been tested, including an automated column technique, the immunoinhibidon/ immunoprecipitadon technique, and …
Racial Differences In The Incidence Of Steroid Diabetes In Renal Transplant Patients, Francis Dumler, Hajime Hayashi, Jay Hunter, Nathan W. Levin
Racial Differences In The Incidence Of Steroid Diabetes In Renal Transplant Patients, Francis Dumler, Hajime Hayashi, Jay Hunter, Nathan W. Levin
Henry Ford Hospital Medical Journal
We have studied the development of steroid-induced diabetes in a population of 143 renal allograft recipients who were nondiabetic before transplantation. Steroid-induced diabetes developed In 9.8% of patients. However, in blacks its incidence was significantly higher than in whites (17.3% vs 5.5% respectively; p < .01). The development of steroid-induced diabetes was not associated with a higher frequency of HLA-B8 or HLA-Bw15 in either race. In black graft recipients, HLA-B14 was significantly more frequent (p < .001) among those who developed steroid-induced diabetes than in insulin-dependent diabetic (Type I) and nondiabetic recipients. The clinical course of patients with steroid-induced diabetes has been similar to that of noninsulin-dependent diabetics (Type II).
Echinococcosis Of The Spine And Retroperitoneum: Case Report And Review Of The Literature, Eugene Meyer, Raphael Adar
Echinococcosis Of The Spine And Retroperitoneum: Case Report And Review Of The Literature, Eugene Meyer, Raphael Adar
Henry Ford Hospital Medical Journal
Echinococcosis is a zoonosis transmitted from sheep dogs to humans. It occurs most frequently in sheep and cattle-raising countries, and children who come in contact with sheep dogs are the most likely victims. The liver and the lungs are the most common sites of the hydatid cysts. Their presence in other organs is less common, and primary hydatidosis of the retroperitoneum is extremely rare. In the case reported here, a 65-year-old man had secondary retroperitoneal echinococcosis that recurred three times in 23 years. On the third occasion, marsupialization was performed on a large cyst found in the right retroperitoneum.
Zoonoses At Henry Ford Hospital: Clinical, Epidemiologic, And Therapeutic Aspects, Nancy Mcintosh, Tom Madhavan
Zoonoses At Henry Ford Hospital: Clinical, Epidemiologic, And Therapeutic Aspects, Nancy Mcintosh, Tom Madhavan
Henry Ford Hospital Medical Journal
Zoonoses are diseases of animals that can be transmitted to humans. We reviewed the experience with zoonotic illnesses treated at Henry Ford Hospital in the past ten years. Included in this report are cases of brucellosis, leptospirosis, relapsing fever, Colorado tick fever, toxoplasmosis, psittacosis, and pasteurellosis. This report describes the clinical and epidemiologic aspects of zoonoses in 60 patients in a large urban general hospital.
The Immunology Of Inflammatory Bowel Disease, Hugh L. N. Mackechnie
The Immunology Of Inflammatory Bowel Disease, Hugh L. N. Mackechnie
Henry Ford Hospital Medical Journal
Although several measurements of both cellular and humoral immunity are altered in inflammatory bowel disease (IBD), no direct pathogenic role can be confirmed in either ulcerative colitis (UC) or Crohn's disease (CD). No clear role has been shown for allergic, microbiological, or psychogenic factors, and no specific genetic susceptibility has been demonstrated. Several studies have shown some benefit from using immunosuppressive drugs to treat inflammatory bowel disease, such as sulfasalazine to treat ulcerative colitis and corticosteroids to treat Crohn's disease. Whether these benefits derive from the anti-inflammatory activity of these drugs or from their immunological effects is uncertain.
Editorials, Raymond C. Mellinger, Stanley R. Nelson, Fred W. Whitehouse
Editorials, Raymond C. Mellinger, Stanley R. Nelson, Fred W. Whitehouse
Henry Ford Hospital Medical Journal
No abstract provided.
Acute Burkitt's Leukemia: Case Report And Literature Review, S. Raman, S. M. Saeed, K. R. Kini
Acute Burkitt's Leukemia: Case Report And Literature Review, S. Raman, S. M. Saeed, K. R. Kini
Henry Ford Hospital Medical Journal
The occurrence of leukemia in Burkitt's lymphoma, with or without visceral or nodal tumefaction is uncommon, and its initial presentation as leukemia is even more unusual. Because it has a poor chemotherapeutic response and a grave prognosis, it is important to recognize this unusual leukemia correctly. Our report describes the clinical and pathologic findings of Burkitt's lymphoma cell leukemia in a five-year-old white boy who presented with abdominal distension, hepatosplenomegaly, and lymphadenopathy. Blood examination revealed normocytic normochromic anemia, erythroblastosis, slight leukocytosis, and the presence of numerous (24%) blasts. A diagnosis of Burkitt's lymphoma was established on the basis of morphologic, …
The Facioscapulohumeral Syndrome: A Report Of Two Cases, J. Kaner, J. Zuniga, Robert D. Teasdall
The Facioscapulohumeral Syndrome: A Report Of Two Cases, J. Kaner, J. Zuniga, Robert D. Teasdall
Henry Ford Hospital Medical Journal
Two patients developed progressive muscle weakness in adult life. The initial diagnosis of polymyositis was made in both cases, but subsequent studies and the distribution of muscle involvement suggested facioscapulohumeral myopathy. Other investigators have proposed that this syndrome may result from either genetic or acquired causes. In our patients, the disorder was probably a sequela of polymyositis.
Cytopathology Of Thyroid Nodules, Sudha R. Kini, J. Martin Miller, Joel I. Hamburger
Cytopathology Of Thyroid Nodules, Sudha R. Kini, J. Martin Miller, Joel I. Hamburger
Henry Ford Hospital Medical Journal
Fine needle aspiradon biopsy is a simple and accurate means of obtaining a tissue diagnosis for a thyroid nodule. Our experience with 3,000 such biopsies and 242 surgically proven cancers has enabled us to characterize the cytologic presentations of the common "nodular" thyroid diseases. We can readily identify nodular goiter and papillary, poorly differentiated follicular, medullary, anaplastic, and metastatic cancers. Benign follicular neoplasms and well-differentiated follicular cancers cannot be separated with great accuracy, but useful predictions can be made. Care is required to recognize the cellular abnormalities of autoimmune thyroiditis and to diagnose the coexistence of this disease with malignant …
Zoonoses In Modern Medical Practice, Tom Madhavan
Zoonoses In Modern Medical Practice, Tom Madhavan
Henry Ford Hospital Medical Journal
Zoonoses are infections transmitted by animals to man. Of the more than 50 such infections that are clinically significant, several are discussed in the articles by McIntosh and Madhavan and by Meyer and Adar in this issue of the Journal (pp. 7-13). These include brucellosis, leptospirosis, relapsing fever, Colorado tick fever, toxoplasmosis, psittacosis, and echinococcosis. The McIntosh and Madhavan article reviews the experience at Henry Ford Hospital with 60 patients, while the article by Meyer and Adar reports on an unusual case of echinococcosis of the spine and retroperitoneum that occurred at Haim Sheba Medical Center in Israel.