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At least 19 recordsLinked to original sources
PubMed1975

Scalded skin syndrome: Diagnosis, differential diagnosis, and management of 42 children.

The bacteriologic, epidemiologic, clinical, and diagnostic findings and management of the scalded skin syndrome (SSS) in 42 children are reported SSS may present in one of three ways: (1) Ritter's disease in infants, characterized by an acute, generalized bullous dermatitis simulating the appearance of scalded skin, followed by exfoliation; (2) Lyell's disease, or toxic epidermal necrolysis (TEN), in children or adults, with scalded skin and bullae followed by extensive exfoliation; or (3) a nonstreptococcal scarlatiniform eruption, or staphylococcal scarlet fever, manifested by a generalized scarlatiniform erythema ans subsequent minimal to moderate fine desquamation. Staphylococcus aureus was isolated and implicated as the causative agent in 32 of the 42 children; nine of the other ten children had received a drug or vaccine preceding their rash. SSS in children has increased in frequency recently, is usually due to S aureus infection with potential epidemic aspects, can be recognized easily by its unusual clinical features, and has an excellent prognosis with appropriate management.

Child↗
PubMed1979

[Diagnosis and differential diagnosis of cardiac enlargement in the chest film. Systematic survey (author's transl)].

The pathological enlarged heart is attempted to define by roentgenologic criteria. The historical "heart lung quotient" continues to be an important measurement. Alterations of the heart size secondary to age, the systolic-diastolic difference of the heart size and the alterations of the heart size between two chest films are discussed. Differential diagnosis of enlargement and shape of the left and right heart are presented. Also the differential diagnosis of general cardiac enlargement especially valvular heart disease, combined left and right heart failure, pericardial effusion and myocardiopathy is considered.

Aortic Valve Insufficiency↗
PubMed1977

[Histological diagnosis and differential diagnosis of localized alveolar cell carcinoma (author's transl)].

The diagnosis of the alveolar cell carcinoma is based on the fact that it is a cytological and histological highly differentiated tumour. It consists thoroughly out of cylindrical cells. Furthermore, a diffuse carcinosis of the alveoli has to exist, i. e. lining of the intact alveolar walls by cancer cells. The adenocarcinoma is the only alternative in differential diagnosis to the alveolar cell carcinoma in view of the cytological and histological criteria. Pulmonary metastases of extrapulmonary adenocarcinomas can exactly imitate the histologic pattern of the alveolar cell carcinoma and can be diagnosed only by the clinician.

Adenocarcinoma↗
PubMed1977

Cytomegalovirus hepatitis (diagnosis and differential diagnosis).

In a 12-year-old female patients with HBAg phi hepatitis a differential diagnosis of the diseases has been considered. The CMV etiology of the hepatitis was suspected on the basis of a persistent temperature, hepatomegaly, a mild icterus, enlarged glands in the neck, predominantly mononuclear cells in the peripheral blood, a negative Paul-Bunnell test, and insufficiently characteristic biochemical analyses for virus A hepatitis. The CMV etiology of the disease was virologically confirmed. On the basis of the clinical picture without virological results, the diagnosis could not have been made with certainty.

Child↗
PubMed1976

[Diagnosis and differential diagnosis of rinderpest].

Starting from the clinical symptoms and the pathological-anatomical changes hints are given on the diagnosis of the rinderpest and how to distinguish it from other diseases. The paper discusses the differential diagnosis of the rinderpest with respect to mucosal disease, malignent catarrhal fever, Nairobi sheep disease, salmonellosis, pasteurellosis, and coccidiosis.

Animals↗
PubMed1978

[The diagnosis and differential diagnosis of benign polyps of the ureter (author's transl)].

The radiological appearances of fibro-epithelial polyps of the ureter are demonstrated by four cases and the differential diagnosis is discussed. These mesenchymal tumors are characterised by their variable position and change in shape during the course of a retrograde pyelogram; they appear as smooth intraluminal filling defects with a narrow base and occasionally a racemose pattern. In general, they do not cause ureteric obstruction--and are more common on the left and in the proximal ureter.

Adolescent↗
PubMed1977

[Megacaliosis--diagnosis and differential diagnosis (author's transl)].

Megacaliosis is a renal dysplasia which is characterised by rudimentary papillae. The pathogenesis, clinical features and radiological appearances in fire cases are described and the differential diagnosis from other types of calyceal ectasia is discussed, In typical cases the diagnosis of megacaliosis can be made from the excretion urogram. We regard divided renal function studies as essential before making the diagnosis. Where the renal changes are not quite typical, it is necessary to exclude obstructive and inflammatory disease, vesico-ureteric reflux and renal tuberculosis.

Adult↗
PubMed1979

[Diagnosis and differential diagnosis of acute hematogenous osteomyelitis in infants (author's transl)].

Clinical and laboratory data are frequently unspecific in acute hematogenous osteomyelitis of infants. As prognosis is dependent on early treatment, a timely radiologic diagnosis is mandatory. Because of specialties in the vascular supply, the roentgenmorphologic alterations of acute hematogenous osteomyelitis in infants differ from the appearance of the disease in other age groups. The acute osteomyelitis in infants frequently leads to destruction of the epiphysis and purulent joint effusion. A subtle analysis of soft tissue lesions will already rise suspicion for acute hematogenous osteomyelitis before destructive or reactive osseous alterations prove the diagnosis by roentgenology. Nuclear medicine examinations of the bone have contributed significantly to radiologic diagnosis of acute hematogenous osteomyelitis in infants despite of few negative results. Osseous trauma and other diseases should be included in differential diagnosis. Especially in neonatals and premature infants, variations in the typical course and appearance of the disease may occur.

Acute Disease↗
PubMed1976

[Diagnosis and differential diagnosis of pericardial effusion].

The clinical, hemodynamic and radiologic signs of pericardial effusion are reviewed. From the symptomatic point of view low pressure (lax) pericardial effusion and compressive effusion (tamponade) are to be distinguished. Echocardiography is today the preferred method for study of patients with suspected pericardial effusion. This technique also provides insight into ventricular performance and is therefore helpful in the differential diagnosis of cardiomegaly due to pericardial effusion, heart failure or both. In our material uremic pericarditis, malignant tumors and leukemia were the predominant causes of pericardial effusion.

Adult↗
PubMed1979

[Diagnosis and differential diagnosis of acute hepatic prophyrias (author's transl)].

Diagnosis of porphyria is a clinical and biochemical procedure. Acute hepatic porphyrias are molecular regulation diseases which are characterized by a relative enzyme deficiency of the ferro-chelatase chain and an induction of hepatic delta-aminoacid synthase. There are indistinct clinical and pathobiochemical transitions between the three acute hepatic types of porphyria: acute intermittent porphyria, hereditary coproporphyria and porphyria variegata. They develop a similar acute clinical syndrome. The differential diagnosis is made possible by a differentiation of porphyrins and porphyrin precursers in the urine and the porphyrines in the stool and by the determination of uroporphyrinogen synthase activity in the erythrocytes.

Acute Disease↗
PubMed1978

The reliability of computer tomography for the diagnosis and differential diagnosis of meningiomas, gliomas, and brain metastases.

The CT characteristics were studied in a series of 90 tumours, and the diagnostic criteria were determined for meningiomas glioblastomas, other gliomas and metastases. These criteria were then employed in another group of 46 tumours in which the histological diagnosis was not known at the time of examination. The over-all diagnostic accuracy was 85%, and it was largely the same for the various sub-groups. Careful combination of the CT characteristics, perfect techniques, and increased experience may further improve the diagnostic accuracy.

Brain↗
PubMed1979

[The angiographic diagnosis and differential diagnosis of inflammatory disease of bones and soft tissues (a report concerning 40 cases) (author's transl)].

The angiographic appearances of inflammatory disease of bones and soft tissues was analysed in 40 patients. The angiographic findings in inflammation of bone (28 patients) differed greatly, from normal findings (14.2%), moderate angiographic changes corresponding to the severity of the inflammatory process (32.1%), marked changes in the arterial, capillary and venous beds (42.9%) and significant local staining with little peripheral reaction (10.7%). Soft tissue inflammation on the other hand showed increased vascularity in all cases. A typical angiogram was found in 50% of cases and shows the following characteristics: vascularity as compared with the surroundings is usually increased and may be extensive, far more so than is found surrounding vascular bone foci; the contrast staining is usually ill-defined and the veins in the late phase are increased in calibre. Early venous filling is common and should not be regarded as a sign of malignancy. In 17.5% of patients the angiogram simulated a tumour; in four patients (10%) a false positive diagnosis of tumour was made, in two (5%) a tumour could not be excluded and in one case a benign tumour was diagnosed because of localised staining. None of the angiograms which had been interpreted incorrectly showed typical pathological vessels, which are the most important tumour criteria.

Adolescent↗
PubMed1975

[Diagnosis and differential diagnosis of chronic pancreatitis (author's transl)].

The large number of pancreas tests recommended today shows that no single method is satisfactory. In general, the rule holds that invasive methods are relatively conclusive and non-invasive are unreliable. In this report it is shown that by a rational combination of simple tests, a reliable procedure for pancreatic diagnosis in about 75% of cases is possible for the general practitioner. The methods described in recent years, such as scintigraphy, ultrasonography, angiography and retrograde pancreaticography are complicated and require great experience. In combination, they raise the accuracy to about 95%. Individual investigators can specialize in only one or a few of these methods. Diagnosis of pancreatic conditions which exceed the facilities of the doctor in practice is only possible in large centers or through co-operation of several specialists.

Angiography↗