Comment on Daniels article (Labial salivary gland biopsy in Sjögren's syndrome)
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Biopsy↗
Biomedical subjects
W H Eversmeyer
Publications and source records attributed to W H Eversmeyer.
Digital sclerosis in adult insulin-dependent diabetes.
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Aged↗
Hepatitis B presenting with tenosynovitis.
A 31-year-old nurse's aide developed fever, malaise, migratory arthralgias, arthritis, and severe tenosynovitis six weeks after pricking her finger with a needle contaminated by blood from a patient having type B viral hepatitis. Although disseminated Neisseria gonorrhoeae infection was the initial diagnosis, her symptoms worsened on treatment with ampicillin. While the patient was on aspirin therapy, her symptoms improved dramatically and eventually resolved as she showed evidence, through laboratory findings, of an anicteric hepatitis B infection. Evidently tenosynovitis can be part of the hepatitis B prodrome.
Adult↗
Aortic insufficiency with mild ankylosing spondylitis in black men.
Two black male patients with aortic insufficiency were later found to have mild, asymptomatic ankylosing spondylitis, evident from roentgenograms and from the presence of HLA-B27 antigen. The two cases emphasize the even "subclinical" ankylosing spondylitis may have aortic insufficiency, and that the uncommon occurrence of ankylosing spondylitis in black patients may also be associated with this extra-articular manifestation.
Aged↗