ABSTRACT
We present two patients with intractable constipation, in which investigation revealed a huge rectal ectasia without apparent other anomaly. Findings at operation are similar to those observed in the focal ectasia of the terminal bowel that we have already described in some cases of low anal deformities. As long as the physiopathology of this anomaly is not elucidated, complete amputation of the rectum seems to be the treatment of choice.
Subject(s)
Constipation/etiology , Rectal Diseases/complications , Adolescent , Adult , Chronic Disease , Dilatation, Pathologic/complications , Fecal Impaction/etiology , Female , Humans , MaleABSTRACT
Three patients were treated at birth for low anal deformities and developed intractable constipation, not imputable to usual causes of rectal inertia. Barium enema, done the first time at ten days of age in one case, revealed focal ectasia of the terminal bowel, with a peculiar "balloon-like" aspect of the rectum. Optimal treatment includes resection of the terminal bowel down to the dentate line. Incidence of this anomaly in association with low anal deformities has been 5% in our series.
Subject(s)
Abnormalities, Multiple/surgery , Anal Canal/abnormalities , Constipation/embryology , Rectum/abnormalities , Anus, Imperforate/surgery , Constipation/surgery , Dilatation, Pathologic/congenital , Esophageal Atresia/surgery , Female , Humans , Infant, Newborn , Male , Postoperative Complications , ReoperationSubject(s)
Sleep/physiology , Activities of Daily Living , Adolescent , Adult , Aged , Aging , Child , Child, Preschool , Embryonic and Fetal Development , Hospitalization , Humans , Infant , Infant, Newborn , Middle Aged , PeriodicityABSTRACT
We report a twenty-nine-month-old girl with Trevor disease (dysplasia epiphysealis hemimelica) involving the left humeral head and ipsilateral lower extremity. This is a disorder of growth of an epiphysis or ossification center and involvement of an upper limb is extremely rare. Advanced bone age is usually encountered in the affected extremity.
Subject(s)
Humerus/diagnostic imaging , Osteochondrodysplasias/diagnostic imaging , Arm/diagnostic imaging , Child, Preschool , Epiphyses/diagnostic imaging , Female , Humans , Leg/diagnostic imaging , RadiographySubject(s)
Aged/psychology , Alcoholism/psychology , Alcoholism/complications , Depression , Humans , Middle Aged , Nursing HomesABSTRACT
Histocompatibility antigen frequencies were studied in a group of 100 patients with psoriatic arthritis (PSA) and were compared to a group of 80 patients whose psoriasis was restricted to skin lesions (PSC). The antigens B13, BW57 (17), CW6 were significantly increased in PSC while BW57 (17), BW39, CW6 and CW7 were increased in PSA. No DR or MT antigen was elevated in frequency when compared to normal controls. The significant information which results from this study includes: 1) a failure to confirm previous reports on HLA-DR antigen increased frequencies; 2) an association, in this population, of BW39 with PSA and not BW38; 3) finding of a closer link of PSC and PSA with HLA-C rather than HLA-B antigens; 4) an estimate of relative risk for patients with PSC to develop PSA.
