In the second part of the Authors work, they report the results obtained in the treatment of 85 female children with recurrent non malformative urinary tract infections. The first group of 15 female children had been treated with phenoxybenzamine and urinary chemyotherapycs with little satisfaction. The other two groups, both of which consisted of 35 children, one group was treated with only chemyotherapycs and the other with chemyotherapycs associated to oxybutynin chloride. The best results were obtained in the last group regarding the improvement of the symptoms and earlier and higher incidence of sterilization of the urine. At the same time in this group the maximum cystometric capacity and vesical compliance were brought back to normal and the detrusorial instability disappeared.

Anti-Infective Agents, Urinary↗

PubMedDate not supplied

[Acute hydrops of the gallbladder in Kawasaki's disease. Presentation of a case diagnosed with echotomography].

Acute hydrops of the gallbladder is described in a patient who had mucocutaneous lymph node syndrome. Diagnosis was readily made with gray-scale ultrasound. Serial sonograms were obtained to follow the resolution of the hydrops once supportive medical therapy was started. The role of surgery in acute hydrops of the gallbladder is for complications of the hydrops and not for distension alone.

Abdomen, Acute↗

PubMedDate not supplied

Muscle pathology in ankylosing spondylitis.

The results of histological, histochemical and electron microscopic study of the muscular involvement in eight patients with Ankylosing Spondylitis (AS) are described. Muscle tissue from all these patients showed gross abnormalities of the sacrospinalis muscle, which had a 'targetoid core' appearance common to several myopathic and neurological diseases. In our opinion, there is always constant and early involvement of this muscle in AS. Several factors associated with the disease (chronic inflammation, multiple enthesopathies, muscle stiffness and bone lesions) could be responsible for this not fully understood aspect of AS. They may lead to a non specific damage of the nervous and/or muscular components of the spine in these patients.

Adult↗

PubMedDate not supplied

[A case of Flaiani-Basedow-Graves disease].

The authors report a typical case of hyperthyroidism with alopecia in a 5 years old female child with family precedents. We punctualize the present etiopathogenetic theory and the therapeutical possibilities.

Alopecia↗

PubMedDate not supplied

[Acute idiopathic scrotal oedema. Case report].

A case of acute idiopathic oedema of the scrotum in a 6-year old child is described. The patients presenting with this condition are often misdiagnosed as suffering from torsion of spermatic cord and then submitted to surgery. The clinical features and the presumed pathogenesis of this unusual disease are discussed.

Child↗

PubMedDate not supplied

[Varicocele: an epidemiological study and indications for treatment].

The varicocele is still the most common correctable cause of male infertility. The epidemiologic studies revealed a gradually increasing incidence of varicocele in patients 10 to 18 years old, as height at the end of puberty as that of the adult male population. The pediatric varicocele is often associated with smaller and hypotrophic testis which presents also histological and progressive changes. Surgical correction of a varicocele in the adult usually produces poor results. In order to improve the fertility rate in adulthood an early varicocelectomy has been suggested. On the basis of our own studies and after a review of the literature, we conclude that all grade III varicoceles and grade II associated with testicular hypotrophy must be early operated on. This hearing provides a higher fertility rate and can prevent the reduced fertility associated with delayed varicocelectomy.

Adolescent↗