[Osteormyelitis of the little toe as a consequence of an interdigital pilonidal sinus in an repeolsterer].
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Biomedical subjects
Publications and source records attributed to J Metz.
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Folic acid administered to pregnant Bantu, whose diet is low in folate, was associated with a significant reduction in the incidence of prematurity. No such effect could be demonstrated in White patients subsisting on an average Western diet. This suggests that folate deficiency may contribute to the "pregnancy wastage" in populations whose dietary folate intake is low, and is a further indication for folic acid supplementation during pregnancy in these groups.
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In two clinical situations associated with hyperfibrinolysis the administration of antifibrinolytic drugs resulted in clinical haemostasis. The dilute clot lysis time and fibrin plate activity test but not the euglobulin lysis time reflected this control of excessive fibrinolysis by the antifibrinolytic drugs. The inhibition by epsilon-amino-caproic acid (EACA) of hyperfibrinolysis induced in vitro was reflected by the dilute clot lysis time but not by the euglobulin lysis time. Paper chromatography of the supernatant and euglobulin fractions as prepared for the euglobulin lysis time test from plasma with added EACA demonstrated that some 85% of the EACA was present in the supernatant, normally discarded during the test. Similarly, cellulose-acetate electrophoresis of the supernatant and euglobulin fractions from plasma containing Trasylol demonstrated the drug in the supernatant only. These findings indicate that when acetic acid is added to plasma containing EACA or Trasylol only a small proportion of the drug is precipitated with the euglobulin fraction. The euglobulin lysis time is thus an inaccurate index of the neutralization of hyperfibrinolysis by antifibrinolytic drugs.
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With radioactive chromium, platelet kinetic studies were carried out in four patients with onyalai, a form of thrombocytopenic purpura occurring in the African Negro. Results were compared with those of White patients suffering from idiopathic thrombocytopenic purpura. In the onyalai patients platelet life-span was considerably reduced, and this was associated with a definite rise in radioactivity over the spleen in three of the four cases. In two patients remission was associated with steroid therapy, while in the other two remission followed splenectomy after steroids had failed to raise the platelet count. These findings are similar to those in White patients with idiopathic thrombocytopenic purpura.
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Generalized skin pigmentation in five African women with megaloblastic anaemia in the postnatal period was associated with low serum folate levels, as distinct from vitamin B(12) deficiency. It is suggested that the occurrence of pigmentation in both folate and vitamin B(12) deficiency may reflect a common abnormality of metabolism.