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1.
J Postgrad Med ; 2007 Jul-Sep; 53(3): 203-6
Artigo em Inglês | IMSEAR | ID: sea-117289

RESUMO

Rumination in adults is considered to be the effortless regurgitation of recently ingested food into the mouth, followed by either rechewing and reswallowing or expulsion of the regurgitate. On the basis of the definition of rumination as a unique category of functional gastroduodenal disorders, according to the newly established Rome III classification, a review of the pathophysiology, diagnosis and treatment of the rumination syndrome in adults is presented after systematic and critical approach of all articles that could be retrieved through PubMed using the term "rumination".


Assuntos
Diagnóstico Diferencial , Refluxo Gastroesofágico/diagnóstico , Humanos
2.
J Postgrad Med ; 2005 Jan-Mar; 51(1): 43-4
Artigo em Inglês | IMSEAR | ID: sea-117247

RESUMO

Transverse myelitis is an acute inflammatory process, affecting one or more segments of the spinal cord. Its association with primary biliary cirrhosis has been documented in only four cases--all along with Sjögren's syndrome. Herein, we report for the first time, a patient who developed recurrent acute transverse myelitis in association with primary biliary cirrhosis without any clinical or histological indication of Sjögren's syndrome. A 42-year-old woman with primary biliary cirrhosis developed acute onset quadriparesis and urinary retention. Diagnostic evaluation excluded the presence of Sjögren's syndrome, other autoimmune syndromes, infections and multiple sclerosis. Magnetic resonance imaging of the spinal cord disclosed signal intensity abnormalities from C1 to T2 after gadolinium enhancement. As diagnosis of acute transverse myelitis was prominent, the patient was treated with intravenous methylprednisolone. The patient had a fair outcome despite an early recurrence of the symptoms after treatment withdrawal.


Assuntos
Adulto , Anti-Inflamatórios/uso terapêutico , Feminino , Humanos , Cirrose Hepática Biliar/complicações , Metilprednisolona/uso terapêutico , Mielite Transversa/complicações
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