PubMed Health⌕ Search

Biomedical subjects

M Lessani

Publications and source records attributed to M Lessani.

At least 19 recordsLinked to original sources

[Giant bronchogenic cyst in a newborn infant].

A 12 hour old newborn suffering from respiratory distress was found to have a well defined opaque mass in the right lung. The mass was well tolerated up the 33rd day of life when he developed acute respiratory distress, the upper respiratory tract being flooded with secretions. Chest X ray showed that the mass had disappeared and that there was a large cystic structure instead. A bronchogenic cyst was excised successfully from the right middle lobe. The early clinical manifestations of this bronchogenic cyst and the radiologic findings are discussed.

Bronchogenic Cyst↗

[Thromboangiitis obliterans and distal gangrene in a 5-year-old child].

Distal gangrene associated with arterial hypertension but without systemic manifestations or muco-cutaneous eruptions was noted in a 5 years old child. Gangrene first appeared in toes and then in fingers. Progression in a 7 months period led to bilateral midleg amputation and amputation of several fingers. Angiography revealed complete obliteration of popliteal and humeral arteries by thrombi and histologic examination of amputated material showed organized thrombi with phlebothrombosis and without vasculitis. Biopsies of liver, lung, kidneys and skin were unremarkable and immunofluorescence studies with various antisera were negative. Also no contributing factor or etiologic agents were found, similarities to adult type Buerger's disease are striking. Vasodilators were of no help and bilateral lumbar and cervical sympathectomy could only demarcate the already present gangrene.

Child, Preschool↗

[Acute hemiplegia due to cerebral artery occlusion in children. Apropos of 9 cases].

The cerebral arterial occlusion was observed from nine patients aged from 2,5 to 12 years old, between 37 children with acute acquired hemiplegia. The thrombosis had an embolic origin in three cases of cardiopathy. Six patients had primary arterial occlusion, but all these patients were febrile and the onset of hemiplegia was accompanied by seizures in five cases. The site of arterial was demonstrated by the angiography in eight cases: cervical internal carotide in one case of cardiomyopathy, intracranial portion of the internal carotide in four cases, middle and anterior cerebral artery in three cases. The regression of hemiplegia was observed in all but one case of atrial myxoma. The autopsy of this patient revealed renal and hemispheric cerebral arterial thrombosis with myxoma embolus.

Acute Disease↗

[Enteropathic acrodermatitis treated with zinc sulfate].

A six month old baby with acrodermatitis enteropathica was treated successfully up to the age of 2 1/2 years with oral zinc sulphate, 100 mg daily. No complications were seen but there were two relapses. The first was at the age of 15 months when the dose of zinc sulphate was reduced to 50 mg daily and the second at 20 months when the zinc was stopped by mistake.

Acrodermatitis↗

[Papillon-Lefèvre syndrome and recurrent infections].

Seven cases of Papillon-Lefevre syndrome are described, 4 children and their mother with two other relatives on the mother's side. An immune defect was suspected because six of the seven had a history of severe pyogenic infections, but the results of the tests were not the same in the three individuals tested. In one patient no immune defect was detected but in the other two the response of lymphocytes to candida and to streptokinase and streptodornase was reduced.

Adolescent↗

[Diffuse cutaneous vasculitis disclosing acute lymphoblastic leukemia].

Biopsy of skin for etiologic evaluation of generalized erythematous eruptions in a 4 1/2 years old child, starting four months ago, led to diagnosis of acute lymphoblastic leukemia. Leukocyte counts five and eight weeks and four months after appearance of eruptions were normal and no blasts were found. A leukocyte count performed simultaneously with biopsy of skin also showed few (less than 10%) blasts. Histologic examination of skin revealed two types of pathologic lesions: a perivascular cuffing of lymphoblasts and a leukocytoclastic type of small vessel vasculitis in other parts. This type of vasculitis which have been reported in association with chronic lymphocytic and hairy cell leukemias, is uncommon in acute lymphoblastic leukemia.

Child, Preschool↗