[Parathyroid osteosis. Atlas of Clinical Radiology, No. 41].
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Clinical dermatology cases are presented as images and semi-structured text describing skin lesions and their relationships to disease. Metadata assignment to such cases is hampered by lack of a standardized dermatology vocabulary and facilitated methods for indexing legacy collections. In this pilot study descriptive clinical text from Dermatlas, a Web-based repository of dermatology cases, was indexed to Medical Subject Heading (MeSH) terms using the National Library of Medicine's Medical Text Indexer (MTI). The MTI is an automated text processing system that derives ranked lists of MeSH terms to describe the content of medical journal citations using knowledge from the Unified Medical Language System (UMLS) and from MEDLINE. For a representative, random sample of 50 Dermatlas cases, the MTI frequently derived MeSH indexing terms that matched expert-assigned terms for Diagnoses (88%), Lesion Types (72%), and Patient Characteristics (Gender and Age Groups, 62% and 84% respectively). This pilot demonstrates the potential for extending the MTI to automate indexing of clinical case presentations and for using MeSH to describe aspects of clinical dermatology.
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The characteristic and diagnostic lesion of idiopathic IgA nephropathy (IgAN, Berger's disease) is glomerular IgA deposition, as a unique or predominant positive immunoglobulin. Despite the relatively uniform feature of the immunohistological pattern, the morphological lesions observed by light microscopy are extremely variable. This variability in glomerular and interstitial alterations has frequently created some difficulties in histological classification.
Membranoproliferative glomerulonephritis (MPGN) is histologically characterized by intense glomerular hypercellularity (mainly due to mesangial proliferation) and diffuse thickening of the glomerular basement membrane with the appearance of ""double contours"". Two distinct histological forms have been identified--Type I MPGN and Type II MPGN. Type I MPGN is characterized by the predominant presence of subendothelial deposits, while Type II MPGN presents dense homogenous deposits in the basement membrane. Actually, despite many morphological and clinical similarities, there are enough histological and immunohistological differences to suggest that Type II MPGN is a separate and distinct entity, caused by different pathogenetic and morphogenetic mechanisms. Some researchers have identified a further entity: Type III MPGN, characterized by the concomitant presence of subendothelial and subepithelial deposits, but many authors at present believe that Type III MPGN is a morphological variant of Type I MPGN, given their clinical, immunological, and immunohistological similarities