Biomedical subjects
Publications and source records attributed to W C Edwards.
An analytical method for cantharidin, using high performance liquid chromatography, was applied to field specimens from horses and sheep with blister beetle (Epicauta lemniscata) poisoning. Stomach content and urine proved to be valuable aids in diagnosis. One incident of cantharidin toxicosis in ruminants (sheep) was confirmed.
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A case of spontaneous subperiosteal orbital hematoma is reported. The clinical differentiation of a subperiosteal orbital hematoma from an intraorbital hematoma is described. Although many "spontaneous" orbital hematomas have been associated with systemic and local orbital diseases, only 3 other truly spontaneous subperiosteal hematomas have been reported.
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The microvascular complications of diabetes are demonstrated in the eye at a very early stage with the use of retinal fluorescein angiography. One hundred and fifty-four children who have had diabetes mellitus for durations varying from one month to 18 years had their retinal vasculature evaluated with fluorescein angiography. Seventy-five per cent of the children examined had vascular abnormalities, including 20 children who had diabetes for one year or less. Twenty-five per cent of the children showed no vascular abnormalities. This included one child who had diabetes for 12 years. The severity of the vascular abnormalities increased with the duration of diabetes. Vascular abnormalities did not appear related to diabetic management or control. The possibility of two types of diabetics, one with the other without associated vascular abnormalities, is suggested.
Although most cases of bilateral exophthalmos and many cases of unilateral exophthalmos are related to hyperthyroidism, there are numerous other diagnostic possibilities. These include tumors, hemorrhage, vascular anomalies and infections. Exophthalmometric measurements are useful in diagnosis and follow-up. The determination of a nonthyroidal etiology for exophthalmos may require sophisticated radiologic and other techniques, as well as a team approach.
A man developed left-sided proptosis and orbital edema that progressed during a three-week period. Ten years ago he had a skin lesion of the left lower lid excised and the histopathologic diagnosis then was granular cell myoblastoma. In 1972, the tumor recurred; a biopsy was again performed, but no definite diagnosis was made despite multiple consultations from general and ophthalmic pathologists. Biopsy specimens of the orbit, lids, and preauricular lymph node taken in 1974 showed a poorly differentiated mucus-secreting adenocarcinoma. A comparison of the three biopsy specimens showed cells with similar characteristics. Medical evaluation failed to reveal a primary tumor elsewhere in the body. The tumor most likely arose locally from an eccrine sweat gland. This is the second reported case of an adenocarcinoma of an eccrine sweat gland invading the orbit. The tumor, usually considered radioresistant, was successfully treated with radiotherapy, and the patient has remained free of tumor for 18 months.
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