Improved sensitivity in a search for the rare decay KL0-->e+e-
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Biomedical subjects
Publications and source records attributed to J Belz.
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The granulosa cell tumour is a rare and malignant neoplasia of the ovary. As it has a low grade of malignancy a long course of the disease is observed. Following surgical resection, life-long tumour follow-up is recommended. Based on a case report and a review of the literature, the possible sites of metastases are demonstrated. This paper presents the latest therapeutic concepts and discusses the usefulness of metastasis resection.
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Acquired arterio-venous fistulas of the superior mesenteric artery are a rare event following abdominal injuries or surgery. Clinical symptoms present as cramplike abdominal pain and diarrhea with a history of previous laparatomy or a penetrating abdominal trauma. The clinical examination may reveal a paraumbilical pulsation with flow murmur. The exact localization and the extent of the a.-v.-fistula may be established by selective arterial mesentericography. An urgent vascular reconstruction is indicated in order to prevent secondary alterations due to portal hypertension. Apart from vascular surgery, successful percutaneous catheter embolization has been reported.
In a 30-year-old homosexual man with a 3-year history of localized psoriasis, an oligoarthropathy and severe cutaneous lesions of Reiter's syndrome developed 6 months after acquired immunodeficiency syndrome (AIDS) was diagnosed. Reiter's syndrome and psoriasis may be a continuum of similarly expressed cutaneous diseases that develop in genetically predisposed individuals. We discuss the possible involvement of T lymphocytes and Langerhans cells in the cutaneous lesions of AIDS patients with psoriasis and Reiter's syndrome. In these AIDS patients, skin disease tends to be severe and recalcitrant to conventional therapy. Etretinate plus topical fluorinated steroids was an excellent treatment, producing near clearance of skin lesions and significant improvement in the oligoarthropathy.
Based on a review of the literature we compared the results of various operative procedures for infrarenal bacterial infected (mycotic) aortic aneurysms. We conclude that the preferred therapy involves the placement of an extraanatomic bypass, resection of the aneurysm and thorough debridement of infected tissue. Obligatory is appropriate systemic antibiotic therapy. The mortality rate has been substantially reduced since the introduction of this therapeutic concept.
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