[Contribution to the study of the blood proteins during venous diseases subjected to crenotherapy].
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Biomedical subjects
Publications and source records attributed to A Cornet.
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The authors report a case of polyurodipsic syndrome in the course of a loasis. The patient recovered after a carbamazide treatment. The authors discuss the neuro-psychic symptoms in filarioses and their induction mode.
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Upper digestive hemorrhages in patients in a state of distress have been known for some time whether the stress if of surgical of medical origin. Emergency gastroscopy is of great interest in the field of diagnosis and operative indications. As regards treatment one should emphasise the interest of prevention. As for the treatment of hemorrhage, it should first be medical and cimetidine gives at present the best results. Surgical treatment remains however indicated in a certain number of cases. The choice of operation is still debatable.
The authors report seven cases of tuberculoid granulomatous gastritis. Tuberculosis was the cause in three cases. Bilharziasis was the cause in two cases. Sarcoidosis was identified in one patient. In only one case was the etiology undetermined. This seems rare. Some of these form should be compared with experimental tuberculoid granulomatous gastritis, obtained after sensitisation to foreign substances included in the gastric mucosa. The organisation of the epithelioid and giant cell granuloma corresponds to an immune defence reaction of the stomach, bringing into play immunoglobulins IgG and IgM to lead to the formation of antigen antibody complexes in these tissues.
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A rare clinical syndrome, observed during arterial stenosis of the large splanchnic trunks, Alfidi's syndrome associates digestive symptoms and hypertension. The latter results from reno-splanchnic shunts, reducing renal blood supply. In a patient aged 53 years, suffering for two months from severe epigastric pain with loss of weight of 10 kilos, arteriography showed anastomoses between the mesenteric circulation and the perirenal and adrenal vascular systems. However the latter were only slightly developed and consequently, insufficient to prevent infarction of the small intestine and colon. An anastomotic network neverthless existed, and renal arteriography demonstrated such shunts before the onset of hypertension which could have resulted from it. It is reasonable to believe that the renal steal syndrome did not yet have any effect on the blood pressure, as the anastomotic circulation towards the remaining digestive tract was still insufficient to ensure effective revascularisation.
The authors report a case of carcinoma of the pancreas with inappropriate secretion of antidiuretic hormone in a 74 years old woman; the main static and dynamic characteristics of the Schwartz-Bartter syndrome are recalled together with the various therapeutic indications. Carcinoma of the pancreas remains exceptional among the numerous causes of Schwartz-Bartter syndrome. The relationships between carcinoma of the pancreas and pancreatitis are recalled in relation to this special case.
Adenocarcinomas of the small intestine are among the rarest tumours of the digestive tract. Their prognosis, which is usually very bad, is due to late diagnosis. In a 54 year-old-man, formerly tuberculous, the first sign was abdominal pain without any specific character. The diagnosis was confirmed by jejunal endoscopy, with biopsy under direct vision. The technique was made easier by the tumour developing on the first loop of small intestine, leading to a curative surgical operation.
Free intestinal colonic perforation in Crohn's disease. Free intestinal colonic perforation in Crohn's disease is a serious complication. In reference to the case history of a Crohn patient with sigmoid perforation, a literature survey of free colonic perforations has been given. Only 18 cases of free colonic perforations in Crohn's disease have so far been described in world literature. Pathogenesis, treatment and evolution of this affection have been dealt with.