[Appendicular parasitosis -- 80 cases in children (author's transl)].
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Biomedical subjects
Publications and source records attributed to L Boccon-Gibod.
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The authors report a series of 194 operations for urethral stenosis, carried out in 162 patients between 1971 and 1977, and give the indications for various operative procedures. In the absence of chronic prostatitis and changes in the corpora spongiosa, limited stenosis should now be treated by endoscopic urethrotomy. Extensive stenosis or penoscrotal stenosis should be treated by vaginal urethroplasty, the other cases by urethroplasty in two stages. The quality of the results which may and ought to be satisfactory in 8 cases out of 10 depends on the judicious choice of the operative procedure, care in execution and the quality of the postoperative supervision.
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Needle biopsy was performed in 100 children with diffuse interstitial pneumopathy. Severe histological lesions were noted in the biopsy sections in 4 out 5 cases. Those most frequently observed (57 cases) were non-specific lesions of diffuse interstitial pneumopathy (DIP) or idiopathic fibrosis, the course of which was followed, in some cases, by repeating the biopsy. Specific lesions, especially idiopathic pulmonary hemosiderosis (8 cases), were noted in 22 children, either associated with interstitial fibrosis or apparently better tolerated. The other 16 cases included the lipoidoses (Niemann-Pick, histiocytosis X), alveolar microlithiasis, and some specific inflammatory diseases (tuberculosis, syphilis) or those related to inhalation of a foreign body.
The authors describe 7 cases of idiopathic pulmonary hemosiderosis occurring in children, and emphasize the diagnostic value of the association of pulmonary and anemic manifestations, one of which could appear to be an isolated finding and thus delay diagnosis. Complementary investigations are discussed and the relative inocuity of a lung biopsy with a Gerbeaux needle, and the greater value of bronchoscopic samples over those obtained by gastric intubation for evaluating the presence of siderophagic activity emphasized. Functional pulmonary tests, especially for blood gases and ventilatory function, were also conducted. The difficulties in classifying the various types of pulmonary hemosiderosis, especially the "idiopathic" form in children, are outlined. Immunological disorders must be systematically searched for in order to choose the most effective therapy: corticoids or immunodepressants.
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In the light of one case of epidermal cyst of the maxilla, the authors emphasize the operative difficulties and the need, in the presence of a severe abnormality of the pedicles of the upper wisdom teeth, to perform a careful tomographic examination of the head.
The enlarged parotid glands seen in both poor nutritional states and in women with amenorrhea have always been considered to be separate entities. Thirteen observations are reported of a syndrome consisting of dysorexia (or anorexia), swelling of the salivary glands (sialomegaly), and menstrual disturbances (hypomenorrhea or amenorrhea). This syndrome can be defined as a clinical entity combining the symptomatology of parotid enlargements due to poor nutrition and those caused by sex-hormone disorders. In the Dysorexia-Sialomegaly-Amenorrhea syndrome, the salivary gland swellings are due to poor nutrition and the amenorrhea, which is of the hypothalamic type, is also secondary to poor nutrition.
An acquired small kidney in a girl of 10 is reported. Interstitial pyelonephritis was the main cause for the shrinkage of the kidney, but very localised areas of renal dysplasia have also been found in this kidney, which happened to be completely destroyed in 34 months. In this meanwhile, the child had recurrent febrile urinary tract infections (clinically acute pyelonephritis). No malformation of the lower urinary tract was found in this child.
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