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Biomedical subjects

H A Kabakian

Publications and source records attributed to H A Kabakian.

9 recordsLinked to original sources

Pharyngoesophageal manifestations of epidermolysis bullosa.

Two cases of a rare hereditary disease, epidermolysis bullosa, congenital and acquired, are presented. The disease manifests by vesicular eruptions over the skin and mucous membrane of the oropharynx and oesophagus, alternating with sympton-free periods. The recurrent crops of vesicles heal by scarring and progressive stenosis of the pharynx and oesophagus. Although mucosal involvement is a less common and a late manifestation of the disease, it may occur in relatively mild cases and relatively early in the course of the disease. It is important that the radiologist be familiar with the pharyngoesophageal manifestations since the patient may present with dysphagia during an interval free of cutaneous lesions. The barium swallow appearance of stricturing with obstruction is illustrated.

Adolescent↗

Asymmetry of the pelvic ureters in normal females.

A total of 65 cases showing asymmetry of the pelvic ureters of greater than 1.4 cm for which no cause could be identified are presented. Only one was a male. The right ureter was situated more medially in 61 of the 64 females. Comparison of the characteristics of these patients with 51 females with symmetrical pelvic ureters revealed no differences except for a significantly more frequent left-sided position of the uterus in the asymmetrical group. Gross medial displacement of the right ureter in a female probably represents a normal variant in a large majority of patients.

Adolescent↗

The spine as a point of reference for duodenal displacement by an enlarged liver in the sagittal projection.

Normally, in the sagittal projection, the descending duodenum is situated to the right of the spine. There is a great range of variation in its position, so that a slight medial displacement by an enlarged liver or a mass adjacent to the latter cannot be diagnosed unless either an extrinsic pressure effect is demonstrated or a previous study is available for comparison. On a single study, displacement of the duodenum by an enlarged liver is suspected whenever the descending duodenum overlies the spine. This position is more indicative of displacement in sthenic than in asthenic individuals.

Aged↗

Roentgenographic findings in typhoid fever.

Barium meal examinations have been performed on 20 patients with proved or clinically suspected typhoid fever. There were distinct abnormalities in the terminal ileum early in the febrile stage of the disease. The abnormality was different in a single case of relapse of typhoid. The study is easily and safely performed and we feel that it is a valuable adjunct in the diagnosis of typhoid fever, particularly in those cases where a positive blood culture is not available to confirm the clinical impression. The result of the roentgenographic examination is obtainable immediately and treatment can be initiated early.

Barium Sulfate↗