[Congenital complete AV block in SS-A and SS-B antibody positive collagenosis of the mother].
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Biomedical subjects
Publications and source records attributed to A Sander.
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Hand preference was compared in 22 trainable mentally handicapped and 22 nonhandicapped children (Mage 78.00 mo.). Significant differences were found, showing the nonhandicapped group had a stronger preference when presented 10 hand-choice items from The Harris Tests of Lateral Dominance. In addition, stronger lefthandedness characterized the handicapped group, supporting previous research.
233 infants with diarrhea were dietetically treated with 10 different industrially processed milk products, so called "Heilnahrungen" (healing-food) which were available in a fluid (ready to feed) or powdered-form. The curative effect of products containing 1-2% lactose was better than that of the lactose-free ones. There are no objections to the addition of 1-2% fat. The addition of MCT was not necessary. Infants on lactose containing formulas showed the quickest normalization of stools with only a few relapses. This benefit is possibly due to feeding the products in a non diluted form.
PURPOSE: The aim of this study was to characterize the gray-scale sonographic findings in the lymph nodes of patients with cat-scratch disease (CSD). METHODS: We analyzed the sonograms of cervical lymph nodes in 41 patients with proven CSD between January 1997 and October 1999. RESULTS: A total of 222 involved lymph nodes were detected. Involved nodes were most commonly found in the middle cervical (58%), parotid (37%), upper cervical (37%), and submandibular (17%) regions. We found acute, chronic, or abscessed lymphadenopathy in 63%, 12%, and 24% of patients, respectively. The size of involved lymph nodes ranged from 12 x 4 mm to 35 x 26 mm. The largest involved node had a short axis/long axis ratio of 0.5 or more in 61% of patients. Useful features for the differential diagnosis included markedly decreased echogenicity (100%), normal surrounding tissues (100%), and the presence of an echogenic hilum (76%). Posterior sound enhancement was significantly associated with larger and abscessed lymph nodes. CONCLUSIONS: Despite the absence of a specific sonographic finding for CSD, gray-scale sonography can provide clues to the diagnosis of CSD in the proper clinical setting.
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A 62-year-old woman with sarcoidosis II, status post systemic steroid treatment, developed an inflammatory, infiltrative skin lesion in the area of a traumatic haematoma of the right forearm. The clinical appearance at first corresponded to bullous erysipelas. Antibiotic therapy, which was instituted immediately, proved to be ineffective. A microbiological swab revealed infection with Cryptococcus neoformans. A systemic cryptococcosis could be excluded. Therapy with 200 mg itraconazole twice daily resulted in a prompt improvement.
We report a case of disseminated fusariosis in a 42-year-old patient with adult respiratory distress syndrome (ARDS) and extracorporal membrane oxygenation (ECMO), but without definite immunosuppression. Fusarium oxysporum was isolated from a bronchial lavage taken 6 days ante mortem. Despite antifungal treatment with amphotericin B and flucytosine the patient died in septic multiorgan failure. A post-mortem examination was performed. The patient's liver was found to contain fungus cells and F. oxysporum could be cultured from ascites.
A case of aneurysmatic bone cyst of the mandible is described. Following curettage the condition recurred twice and was then successfully treated with cross-section and primary reconstruction of the mandible. The pathogenesis of aneurysmatic bone cysts and the indications for radical surgical treatment are discussed.
Treatment of patients suffering from neurofibromatosis (NF) is aimed, first of all, at the esthetical and functional impairment caused by neurofibromas of the skin, whereas vascular alterations are only rarely given prime consideration in the choice of treatment alternatives. Thus, the removal of an aneurysmic dilatation of the internal carotid artery and its replacement by interposing an autogenous vein graft in a patient with extensive neurofibromatosis of the right neck region and concurrent Dandy-Walker syndrome is reported. The characteristics of this syndrome and the question of a possible relationship between both clinical entities are discussed.