[Erythrocyte glutathione-peroxidase deficiency and drug-induced hemolytic anemia. A further case].
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Biomedical subjects
Publications and source records attributed to M Blery.
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Biopsies of 30 consecutive suspected liver cancers were performed with 19-gauge fine needles having circumferentially bevelled tips that produced tiny tissue cores suitable for histologic study. The histologic results were compared with the cytologic results on aspirates obtained at the same time with 22-gauge Chiba needles. While cytologic examination of the aspiration smears produced better results than did histologic study of the tiny tissue cores, an improved overall accuracy of 86% was achieved with the combined cytologic and histologic results. The FNA core biopsy technique did not increase the complication rate.
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The authors review 15 cases of acute oesophageal obstruction arising from food (meat) or mucilage (3 cases). Obstruction was usually observed in the lower third of the oesophagus whereas in cases with stenosis due to caustic agents (2 cases), or tuberculosis (1 case), the middle third was affected. The obstruction is mainly related to the presence of a dyskinesia with or without an associated hiatus hernia. A transient isolated spasm of the lower oesophageal sphincter was present in three cases (20%). Urgent radiological examinations are essential for diagnostic and therapeutic reasons. An intravenous injection of glucagon must be given systematically and the patency of the oesophagus checked immediately afterwards. One patient was found to have two perforations of the oesophagus at different levels and these were thought to be due to different reasons. That in the cervical region was caused by a swallowed bone, the other was the probable consequence of the fibroscopic examination.
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Seventeen cases of sprains and luxations of the cervical spine in children are discussed. Radiological criteria of rotatory sprains and anteroposterior C1-C2 instability are presented in the 6 cases with these lesions, as well as those observed, only after several weeks, in 11 children with inferior cervical spine disorders (3 luxations of which 2 were chronic, and 8 severe sprains). The indications for therapy in each type of lesion are briefly discussed.
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