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Biomedical subjects

H Amor

Publications and source records attributed to H Amor.

At least 19 recordsLinked to original sources
PubMed2001

[Graves' disease. Clinical features and treatment results].

In the last years the diagnosis of Grave's disease has become easier and accelerated due to new laboratory and instrumental tests. The therapeutic possibilities improved also by using antithyroidal drugs, surgery and radioiodine application subsequently. In a retrospective study 278 outpatients with Graves disease, treated and controlled by our centre for thyroid diseases in 1992-1999, were investigated to evaluate the initial and leading subjective symptoms which led the patients to seek medical help ("guide symptoms"). These obtained guide symptoms were compared with the objective "clinical signs" observed at the beginning of the disease. Weight loss turned out to be the most frequent (26%) guide symptom, whereas tachycardia (> 90 beats/min) and moist skin were the most frequently observed clinical signs (71 and 61% respectively). The beginning of therapy, dosage of drugs, length of application and results of treatment are critically evaluated, with special emphasis on the rate and time of remission, on the frequency of recurrences and on the success of additional treatments such as surgery and/or radioiodine application. Pharmacological treatment alone induced a persistent remission (at least 6 months of euthyroidism) in 156 patients (in 113 after the first and in 43 after the 2nd drug trial). Surgery was successful in 46, radioiodine application in 40 patients. The sequential use of drug therapy, surgery and radioiodine as it is performed in our institution leads to a permanent remission in 242 of 278 (= 87%) patients.

Antithyroid Agents↗
PubMed2000

[Pericardial effusion and aortitis: unusual main manifestations of giant cell arteritis].

Giant cell arteritis is a systemic vasculitis with segmentary vascular localisation, usually manifesting as temporal arteritis (Horton's disease). The predominant localisation in different vascular districts leads to clinical heterogeneity and poses a considerable diagnostic challenge. We describe a 77-year old woman with atypical presentation of giant cell arteritis, suffering from fever, weight loss and fatigue, but without classical symptoms such as polymyalgias, arthralgias and headache. The findings of pericardial effusion and thickening of aortic wall in chest-CT suggested the diagnosis of giant cell arteritis, fully confirmed by the following biopsy and histologic examination of a macroscopically and palpatory normal arteria temporalis. Undergoing an appropriate corticosteroid-medication the patient has been free of symptoms since 8 months.

Aged↗
PubMed1992

[Goiter epidemiology in South Tirol].

To ascertain the prevalence of goitre among schoolchildren in South Tyrol (uncontrolled voluntary iodine salt prophylaxis), the size of the thyroid gland was determined by palpation and ultrasound in 1,013 of 1,224 children, aged 6 to 14 years (547 boys, 466 girls), selected by statistically criteria. At the same time, to assess thyroid function, total and free fractions of T3 and T4, and TSH were measured, while iodine supply was determined by measuring urinary iodine. Stage Ia goitre was diagnosed by palpation in 157 children, stage Ib in 18 and stage II in two (goitre prevalence of 1.97% according to WHO criteria). Mean thyroid volume as determined by ultrasound was 4.26 (0.8-23.4) ml. As expected, it increased with age and body surface area: it was 2.55 +/- 0.49 ml in 6-year olds, 3.83 +/- 0.42 ml in 10-year olds and 6.42 +/- 0.69 ml in 14-year olds. Iodine excretion (143.8 [4.1-984.8] micrograms iodine/g creatinine) indicated adequate iodine supply to the tested subjects. South Tyrol is thus, according to WHO criteria, no longer an endemic goitre area. The voluntary use of iodinated cooking salt and changed food habits have probably effected this change in goitre epidemiology.

Adolescent↗
PubMed1989

[Thyroid gland volumes of healthy adults in an area with endemic goiter].

Thyroid volume was measured by ultrasonography in 500 healthy adults living in an area with endemic goitre: in all subjects the mean value was 13.35 ml, in males (14.94 ml) the volume was significantly greater than in females (12.09 ml). The thyroid volume was significantly correlated with age, body weight and body surface. These data are compared with the results of other investigators. The ultrasonic procedure is the only exact method for thyroid volume calculation, the palpation of thyroid gland only is less accurate.

Adolescent↗
PubMed1989

[Diagnosis and treatment of carotid artery stenoses].

20 to 30% of all strokes are caused by stenosing processes of the extracranial part of the carotids. The frequency and severity of cerebrovascular disease can be reduced by early diagnosis and treatment. Ultrasonography consisting of Doppler flow analysis and B-mode imaging sonography is an excellent diagnostic procedure for screening patients with suspected cerebrovascular disease so that morbidity and mortality are supposed to be lowered in future. This survey will briefly review different types of surgical and pharmacological therapy in the context of primary and secondary prevention of stroke.

Brain Ischemia↗
PubMed1986

[Hemolytic anemia and renal insufficiency caused by nomifensine. Description of a case].

A 38 year old patient suffered two haemolytic attacks with kidney failure following treatment with Nomiphensin (Psicronizer). The second haemolysis was only preceded by 50 mg Nomiphensin after prolonged suspension of treatment with the drug. Blood tests revealed the autoimmune nature of the haemolytic process and demonstrated the close connection with Nomiphensin intake. The personal results are compared with those of the series published earlier.

Acute Kidney Injury↗