A case of selective IgE-mediated hypersensitivity to ceftibuten.
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Biomedical subjects
Publications and source records attributed to B Nestorović.
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Four hundred children were skin tested with following allergens: Dermatophagoides pteronyssinus, moulds, animal dander (mixture of dog, cat, sheep and horse dander), tree pollens, weed pollen (Ambrosia artemisifolia), and six grass pollens, as well as three nutritive allergens in children less than three years of age. Results demonstrated that in 200 children with perenial rhinitis and/or asthma. Dermatophagoides gave positive results in over 90%. In 200 children with pollen allergy, grasses were major allergens, and among them Timothy (Phleum pratense) gave over 90% of positive results. It is to be concluded than skin testing with many inhalatory allergens is not necessary in patients with typical clinical picture. Skin test with Dermatophagoides and Timothy should be done, and further evaluation taken into consideration only if these are negative.
During the past 30 years, authors observed and followed 5 patients with Peutz-Jeghers' syndrome. Four of them had diffuse polyposis of stomach, small bowel and colon. They also had severe clinical presentation of the disease, with recurring colicky pain, haemorrhage, anaemia and intussusception, all of which necessitated frequent surgical treatment. Excised polyps presented as benign hamartomas, without malignant alteration. Mucocutaneous pigmentations were present in 4 patients. Family history was revealing in only 2 cases. One patient, a girl aged 2 years, died due to the complications of the surgical intervention (intestinal obstruction). She has had the most severe form of the disease with diffuse polyposis.
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This paper sets out the surgical difficulties and the results of treatment in 50 cases of craniopharyngiomas in children up to the age of 13. During surgery, 10 patients were in a sub-comatose state, while 4 had respiratory arrest. Two-thirds of the children under 10 were given an A-V shunt implant. Radical excisions were attempted in 20 cases but were executed in only 13. Three of these died. Separation of the upper and posterior part of the capsule from the hypothalamus had to be interrupted in seven cases. The object of the operation was the radical removal of the capsule. We failed in one-third of our cases. Tumour excision is always attempted unilaterally. When this proves impossible, a second operation is undertaken on the opposite side when the hypothalamic disturbance subsides. If repeated surgery is indicated, it is always performed on the opposite side of the primary operation.
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The carotid angiography is widely used in our country, and has great importance even in those medical, neurosurgical, and neurotraumatic centers which employ the most advanced methods such as computerized tomography of the brain. To asure correct interpretation of a carotid arteriogram (thus making maximal use of such a tool) the interpreneur must have a more detailed knowledge of cephalic angiography. In the A--P picture the main elements are the infra and supraclinoid parts of the carotid, as well as the anterior and middle cerebral arteries and their branches. The authors describe these arteries and their anatomic peculiarities and changes to be expected in certain pathologic processes as illustrated by a new pictures. Of particular importance is the lateral carotid arteriogram whose changes allow diagnosis of expansive intracranial processes such as tumors and trauma.
Allergen skin reactivity to histamine assessed by Prick testing was studied in 183 children with different allergic symptoms, aged from 4 months to 15 years. No significant difference was noted in male children versus female in different parts of the arm (antecubital fossa of the left arm, wrist of both arms) and in different allergic disorders (respiratory, pollen and skin allergy). The volume of reaction was not significantly changed in repeated applications of histamine. The peak reaction to histamine appeared 5 minutes after the application of histamine in the majority of children; it gradually declined after 10 and 15 minutes.
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