Biomedical subjects
Publications and source records attributed to J H Hall.
Superficial fungal infections are problems frequently encountered by the pediatrician. Presentation can be quite varied as causative organisms, environment, patient characteristics and secondary infections can significantly alter the clinical picture. A brief review of these common infections with an approach to examination and diagnosis is presented, as well as updated treatment recommendations.
The clinical picture of adiposis dolorosa makes a lasting impression on the examining physician. The patient is typically an obese, asthenic woman who appears to have a low pain threshold. She has an unusual distribution of fatty tumors, and her complaint of pain in these tumors seems out of proportion to the physical findings. Alcoholism, emotional instability, and depression are common, and narcotic pain medicine is frequently requested. The patient is easily dismissed as a malingerer after a brief examination. However, liposuctioning of the painful fatty tumors appears to be both practical and effective. While adiposis dolorosa is an unusual disease, it is one that plastic surgeons can recognize and treat.
A 19-year-old man had reading-induced epilepsy; generalized seizures were preceded by myoclonus of the jaw. Although reading epilepsy is usually refractory to anticonvulsant therapy, treatment with clonazepam resulted in complete control of the involuntary movements precipitated by reading.
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We have noted an incidence of vaginitis of 5 percent in women of childbearing age taking tetracycline for acne. We believe that tetracycline is a remarkably safe medication, and that the incidence of side effects from its use is low especially when instruction is given to the patient regarding its proper ingestion.
The urinary excretion of N-acetyl-beta-D-glucosaminidase (NAG), beta-galactosidase (GAL), beta-glucosidase (GLU), and alkaline phosphatase (AP) was studied in 83 patients with renal allografts. Thirty of these patients had stable graft function and their urinary enzyme levels provided a range of normal values. Urinary lactic dehydrogenase (LDH) was estimated in 29 normal subjects and in 11 patients with renal allografts. Serum values for the five enzymes were also obtained. Urinary NAG excretion was abnormally high in 16 out of 17 (94%) episodes of acute rejection. The other urinary enzymes were raised less frequently. In nine patients studied before the onset of rejection urinary NAG activity rose up to three weeks before changes in other tests of renal function. Serum enzyme levels were not found to be of value in the diagnosis of rejection.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.