[Ultrasound and CT in the diagnosis of malignant chemodectoma. Presentation of a case].
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Biomedical subjects
Publications and source records attributed to G Perri.
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Four cases (3 males and 1 female) of idiopathic juvenile osteoporosis, a rare form of bone demineralization, are described. The pathogenesis is unknown. The males showed osteoporosis at X-ray while in the female osteoporosis was only identified by computerized bone densitometry. The age of onset of the disease is perpuberal, but in one case it appeared in a small child. Biochemical data were in the normal range, only 1.25 (OH) 2D was reduced in two patients.
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Pseudomyxoma peritonei is an uncommon disorder, usually the sequelae of mucocele or mucinous adenocarcinoma of the appendix or mucinous cistoadenocarcinoma of the ovary. Two cases of pseudomyxoma peritonei were examined by ultrasound and one case by CT. US revealed, in a case, multiple echogenic small masses scattering on the peritoneal surface or floating in ascites. CT showed, in the second case, a huge mass consisting of a low attenuation material with internal septation. Also a perforation of intestinal loops in the mass was demonstrated. CT and US appearance of pseudomyxoma peritonei in our experience and in previously reported cases are discussed.
A case of erosive sterile arthritis following meningococcal meningitis is described. High levels of immune complexes were detected in serum and synovial fluid. This is the first case in literature in which destruction of subchondral bone is documented. The erosion showed a progressive remineralization in the six months following clinical recovery.
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Thirty patients suffering from acute exacerbations of chronic obstructive lung disease were divided on a random basis into two groups and allocated, for purposes of comparison, to treatment either with a combination of salbutamol plus beclomethasone dipropionate or with fenoterol. The two treatments being compared were evaluated on the basis of ventilatory function parameters (FEV1, FVC), bronchodilatation tests and subjective and objective clinical investigations regarding the bronchopulmonary picture and the tolerance of the drugs. All investigations and tests were performed according to identical procedures both before and after 4 weeks' treatment, and the data obtained evaluated by statistical analysis. The results proved positive for both preparations, though the combination of salbutamol plus beclomethasone dipropionate produced a greater bronchodilator effect, facilitated a more sensitive response to the bronchodilator on the part of bronchial beta2-adrenergic receptors, and was characterized by better tolerance.
Air filled oesophagus is a well known condition occurring in sclerodermia, megaoesophagus, neoplasms or in association with wall adhesion following pulmonary diseases, mediastinitis, and in the postsurgery thorax. Besides cases reported as presbioesophagus, in old people, air may fill oesophagus because pressed and diverted by a widened aorta. The radiological appearance of such a condition has been described variable in the previous reports. In our observations however the features were characterized by a radiolucent band parallel to trachea and to left bronchus.
The authors report fifteen cases of scar cancers of the lung and one case of tuberculoma. After reviewing both the type of scars and the lung districts involved by the lesions, they conclude that any although tiny scar must be regarded as suspect when a minimal change is noted.
One case of rare maternal-fetal immunization in a patient affected by Cooley's anemia, is reported. The opportunity for a complete characterization of the blood group and for a search for maternal antibodies in patients with a history of multiple blood transfusions is stressed.
An unusual case of interruption of the aortic arch with flow to the descending aorta through the left vertebral and left subclavian arteries is described. The ductus arteriosus was functionally closed. The aortic arch was reconstructed with a PTFE graft, but the patient died because of lung problems, related to a high left-to-right shunt through a ventricular septal defect. A new surgical approach is postulated in view of the unusual hemodynamic features. Surgical control of pulmonary congestion could be the initial step, followed by aortic arch reconstruction later when insertion of a non-restrictive aortic prosthesis is possible.
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