[Records for removable partial dentures].
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Biomedical subjects
Publications and source records attributed to M Brunel.
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A form of pollen allergy, which is uncommon in most parts of the world and in other Mediterranean countries where cypresses are abundant (Italy, Spain, Greece), with the exception of Israel, has become a problem since 1975 in our area. We have found 111 cases since 1975 compared with only a few cases from 1950 to 1975. The period of pollination is between mid-February and the end of March. Diagnosis has been made by skin tests and, in some instances, by RAST with good correlation. In almost all the cases, cross-reactivity has been found between the members of the Cupressaceae family with Cupressus sempervirens, the commonest cypress in the South of France, associated most often with this allergy. Clinically, allergy was of the oculo-nasal type with the association, in a few cases, of asthma or spasmodic cough. The unexpected increase of a particular allergy in a given population of atopic people raises several general problems. In this particular case it seems to us that the larger number of cypresses, which have been recently grown, is not the only explanation of the phenomenon.
A forty-two-year-old man presented with erythema nodosum of undeterminated etiology and pancytopenia. A bone marrow biopsy revealed extensive hairy-cell infiltration. Four months later, the diagnosis of pulmonary tuberculosis was suggested by the appearance of a pulmonary infiltrate in the left upper lobe. Despite antituberculous chemotherapy, the patient died. Post-mortem bacteriologic confirmation was given by sputum culture.
The authors report on a patient with hereditary osteo-onychodysplasia (HOOD). Osteoporosis was demonstrated upon histomorphologic bone examination. HOOD is a rare inherited disorder. Typical features include dysplasia of the nails, patellae, elbows and ilium. Nephropathy occurs in 48% of patients. Numerous renal histologic studies have led to the concept that the nail-patella syndrome is an inherited metabolic disorder affecting the connective tissue. Our findings from histomorphologic bone assessment bring further evidence in support of this hypothesis.
The authors report on two patients in whom Hodgkin disease was revealed by renal complications: nephrotic syndrome in one patient and renal failure with enlarged kidneys secondary to malignant infiltration in the other. In comparison to other lymphomas, renal infiltration is infrequent in Hodgkin disease. Clinical manifestations of renal infiltration are delayed. Renal failure with enlarged kidneys, which is very uncommon, carries a poor prognosis and is often associated with involvement of the lungs. Nephrotic syndrome in Hodgkin disease may be secondary to one of the three following causes: renal vein compression, renal amyloïdosis, or a paraneoplastic syndrome. The latter is the most common cause and is probably ascribable to immunologic disturbances. Among the other complications, infection and the renal consequences of metabolic disorders are mentioned.
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The authors report the case of an 18 year old girl with nocturnal tetraplegia. There was a family history of Westphal periodic paralysis, and a past history of transient paralysis two years previously. The serum potassium was 2.3 mEq/l. The patient was cured by intravenous drip of potassium chloride. There was a reactionary hyperinsulinism. The red cell potassium was lowered. There was a fall in the exchangeable and total potassium pool. The E.C.G. changes; observed during the acute attack of paralysis, persisted afterwards, which is unusual.
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