Arteriography: another low phosphate syndrome?
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Biomedical subjects
Publications and source records attributed to R Fuchs.
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Cardiac catheterization was used to evaluate 298 asymptomatic, apparently healthy aircrewmen with electrocardiographic abnormalities. These men were identified from annual electrocardiograms and exercise tests used to screen for latent heart disease. Data from 27 additional symptomatic aircrewmen who underwent cardiac catheterization because of mild probable angina pectoris are also included. The men were grouped according to major reason for cardiac catheterization. The order of groups by increasing prevalence of coronary artery disease was as follows: abnormal treadmill test (labile lead only), supraventricular tachycardia, right bundle branch block, left bundle branch block, abnormal treadmill test, ventricular irritability, probable infarct and angina. Approximately 60 percent of the men were completely free of angiographic coronary artery disease. Risk factors and other possible causes for the electrocardiographic abnormalities are discussed. The electrocardiographic abnormalities studied have a poorer predictive value for coronary artery disease in asymptomatic apparently healthy men than in a hospital or clinic population.
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It is reported on the casuistics of a 23-year-old Lebanese who since his eighth year suffered from joint swellings and occasional attacks of jaundice. By the proof of false forms of erythrocytes and by the haemoglobin electrophoresis a homozygous sickle cell disease could be ascertained. Peculiarities of the clinical picture were among others changes of the bones of high degree (osteolyses of vertebral bodies, of the head of the right humerus and the heads of the two femurs) was well as of the knee-joints in form of ankyloses.
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In form of a survey the clinical picture of the malignant erythroblastosis is described. Apart from notes concerning the etiology and pathogenesis symptomatology and differential diagnosis are of special importance. The most important morphological and cytochemical changes are demonstrated with the help of micropictures.
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It is reported on a 35-year-old man in whom by chance was made the diagnosis of an undifferentiated cell leucosis during a routine investigation of the blood before an haemorrhoidectomy. In a number of leucozytes of 234.000/mul 96% of paraleucoblasts were found. Haemoglobin and thrombozytes were normal. Cytochemically a lymphoblast leucosis was concerned. By means of a cytostatic combination therapy (ViDaP-scheme) the clinically latent leucosis was brought into a very good partial remission. A recidivation appearing five month later led in form of a haemorrhagic diathesis to the first symptoms recognizable for the patient.
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