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F Steurich

Publications and source records attributed to F Steurich.

5 recordsLinked to original sources

[What does the asthmatic patient know about his disease?].

Asthmatics attending two specialist offices were interviewed to determine how well informed they were. Fifty per cent of the patients did not know what it was they were suffering from; 50% had no idea about the pathomechanism of bronchial asthma; 75% believed that bronchial asthma was curable; 50% believed that treatment as required sufficed. Two-third feared dangerous adverse effects of the drugs they were taking. Topical steroids were largely unknown. Patients who had been in our care for 1 to 2 years were already much better informed than new patients. The knowledge of the latter was appreciably improved by a single oral session of instruction, and the reading of a self-written brochure. The main thrust of this educational effort must be to familiarize the asthmatic patient with the following points: Asthma is a chronic disease and must be treated regularly and life-long. The drugs employed have no injurious adverse effects. It is necessary to repeat such information sessions at short intervals and to monitor their effectiveness.

Adult

[Allergy to sesame seeds].

Two cases of allergy due to the ingestion of sesame seeds are described. Sesame seeds must be considered to be an extremely potent allergen. They cause severe allergic reactions with pruritus, generalized erythema, angio-oedema of the uvula, clinical shock and wheezing. Such reactions are usually preceded by milder ones ("shock fragments"), which, if promptly and correctly diagnosed and treated, may prevent clinical progression of symptoms. Therefore, it is important to recognize hypersensitivity to sesame seed without delay so that the patient may eliminate the causative agent and use suitable medication in the event of a dietary indiscretion. Sesame oil ingestion may not produce any similar reaction. The consumption of sesame seeds is increasing throughout the world. This suggests that the incidence of hypersensitivity to sesame seed will probably increase by the same proportion.

Adult

Correlation between lung function and tracheobronchial collapse.

In 30 unselected male patients, bronchoscopic aspect and lung function parameters (notch in FEV1, FEV1/FIV1%, discrepancy between airways resistance and FEV1, club-shaped resistance curves) were correlated to determine the validity of lung function in the diagnosis of a central bronchial collapse. There were no strong correlations; only the club-shaped resistance curve and FEV1/FIV1% less than 60 were a little more often seen in the presence of central bronchial collapse. It is concluded from these results, and with regard to the known results from bronchial pressure measurements, that the functional parameters mentioned above are good indicators of a flaccid tracheobronchial system but not typical for a central bronchial collapse alone. Additional methods (bronchoscopy, bronchial pressure measurements) are needed to locate the major pressure drop and to select the adequate therapy (conservative in the case of pure peripheral or most mixed situations, chirurgical in special cases with pure central bronchial collapse). The reactions of a collapsible tracheobronchial system to bronchodilating drugs are described and their help in location of the major pressure drop is discussed.

Bronchial Diseases