Mass lesion in an intravenous drug user. Round pneumonia.
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Biomedical subjects
Publications and source records attributed to J Gordonson.
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Bilateral pleural thickening in a relatively asymptomatic patient without evidence of pulmonary disease is frequently a manifestation of asbestos dust exposure, particularly when it is localized or in the form of a noncalcified pleural plaque. Bilateral pleural thickening will be discovered with increasing frequency if specifically searched for on every radiograph. This radiographic finding is suggested as a more realistic indication of asbestos dust exposure, particularly when correlated with a complete occupational history.
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Six (4 percent) of 150 patients with sarcoidosis had a pleural effusion. A review of the literature revealed seven more patients with pleural sarcoidosis. Analysis of the 13 patients reported so far did not reveal any clinical, radiological, or laboratory feature which may be of diagnostic significance. The diagnosis of pleural sarcoidosis was based on clinical or radiographic grounds and histological evidence of noncaseating granulomata. In three of the patients pleural fluid resolved spontaneously; the other three were treated with corticosteroids. It is suggested that pleural involvement in sarcoidosis, especially in Negroes, may be more frequent than is generally realized and the effusion may occur either at the time of initial presentation or later in the course of the disease.
Several examples of a peculiar deforming process about the ankle joint resulting in a tibiotalar deformity are reported. When found in black patients, further examination for sickle cell disease should be done. No previous mention of this deformity in connection with sickle cell anemia has been found.
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