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Biomedical subjects

A Van Moore

Publications and source records attributed to A Van Moore.

At least 19 recordsLinked to original sources
PubMed1995

Management of finger ulcers in scleroderma.

Twelve patients (15 hands) with documented scleroderma and chronic nonhealing digital ulcers were followed for their response to nonoperative and operative treatment. The patients were initially managed with nifedipine, biofeedback, digital xylocaine blockade, and silver sulfadiazine topical ointment and cessation of all vasoconstrictive agents. Ulcerations healed in 6 of 15 hands and remained healed at a 2-year follow-up examination. The remaining nine hands in seven patients failed nonoperative treatment and underwent a palmar digital sympathectomy. These chronic digital ulcerations healed within 6 weeks after surgery. After a 26- to 64-month follow-up period, six of the nine hands remained free of all digital ulcerations. Two patients (three hands) had partial recurrence of the ulceration. Digital sympathectomy can be an effective procedure for treating nonhealing digital ulcers in scleroderma patients after nonoperative treatment has failed. Significant vaso-occlusive disease is likely to be present in these patients, as demonstrated by arteriography. Our initial approach is cessation of all vasoconstricting agents, nifedipine biofeedback, and local antibiotic ointment. Wrist blocks with xylocaine and marcaine are offered if these modalities fail. If these methods do not result in healing of the ulcer within 12 weeks, then digital sympathectomy is considered.

Adult↗
PubMed1990

Gastrinoma presenting as chronic pancreatitis.

We present here an unusual case of a pancreatic gastrinoma that caused recurrent episodes of clinical pancreatitis secondary to complete obstruction of the main pancreatic duct. The patient did not manifest signs or symptoms of peptic ulcer disease.

Adult↗
PubMed1986

Arteriographic management of uterine arteriovenous fistula.

A 21-year-old woman had an arteriovenous fistula of the uterus diagnosed by arteriography after several episodes of profuse uterine bleeding. Arteriographic embolization of the uterine vessels was performed twice with the resumption of normal menses after the second procedure. 15-Methyl-prostaglandin F2 alpha was used effectively for short-term control of hemorrhage.

Adult↗