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We studied a woman who had evidence of myasthenia gravis at age 17. At age 19, she gradually developed alopecia and painful muscle spasms (Satoyoshi disease). Deposition of immune complexes (IgG, C3, and C9) was demonstrated at the motor endplates of limb muscle (biceps brachii); primary synaptic
Case I: A middle-age homosexual male developed AIDS with Pneumocystis carinii pneumonia (PCP) and esophageal candidiasis in 1986 during his stay in an European country about five months prior to transfer to Tokyo Metropolitan Komagome Hospital, Tokyo, in 1987. He was also diagnosed as having
Whole bowel irrigation (WBI) was performed in 60 children aged two to 16 yrs (mean 5.1 +/- 0.5 yrs) in preparation for surgery (n: 59) and rectoscopy (n: 1). Isotonic saline (n: 43) and lactated Ringer's solutions (n: 17) were infused for irrigation. Vital signs remained stable during the procedure.
OBJECTIVE
To report a case of profuse diarrhea after misoprostol use in a patient with a history of Crohn's disease and to discuss the role of eicosanoids in Crohn's disease.
METHODS
Patient medical records, case reports, review articles identified by MEDLINE, and personal communication with the
BACKGROUND
While not life threatening, muscle cramps severely affect the quality of life of patients with cirrhosis.
OBJECTIVE
To determine whether oral zinc sulfate therapy decreases the frequency and severity of muscle cramps in cirrhotic patients.
METHODS
12 patients with cirrhosis (5 Child's A,
Eighty United States students in Mexico received either loperamide (an initial dose of 4 mg, followed by 2 mg after passage of each unformed stool, up to 8 mg/d; 40 patients) or loperamide (at the same dosage schedule) plus an oral rehydration therapy (ORT) preparation (500 mL initially, followed by
The clue to this patient's correct diagnosis was his recent return from India. He usually visits there on an annual basis and the occurrence of posttravel infection has been noted in his medical records. This case study shows the importance of assessing patients for fever, abdominal cramps and