ABSTRACT
The ever continuing search for risk factors in coronary heart disease must not overshadow psychological data despite the difficulties in conducting surveys. An evaluation of bereavement, a universal manifestation in humans, can provide some answers. Epidemiological studies have demonstrated that psychic or somatic complications associated with bereavement are not uncommon and occur in approximately 5% of the cases. Moreover, ischemic heart disease is the most common manifestation of somatic complications. The pathogenic mechanics of ischemic heart disease in bereavement involve both organic and psychological, often intermingled in a complex way leading to accelerated disease progression.
Subject(s)
Bereavement , Heart Diseases/etiology , Heart Diseases/psychology , Humans , Myocardial Infarction/etiology , Myocardial Infarction/psychology , Psychophysiologic DisordersABSTRACT
A case of leiomyosarcoma of the inferior vena cava in a 74 year old woman is reported. The clinical and pathological features are described and the outcome and response to treatment analysed. This is a very rare form of malignant disease (less than 100 published cases) which mainly affects elderly women. The diagnosis is often made at a late stage because the symptomatology is not specific and because the tumour is so rare. Treatment is mainly surgical and is only possible in the infrarenal part of the inferior vena cava. It is very difficult or impossible to operate on the upper part of the vessel. The prognostic is poor. There are no reports of survival after 5 years.
Subject(s)
Leiomyosarcoma/diagnosis , Vena Cava, Inferior , Aged , Female , Humans , Leiomyosarcoma/surgery , Vascular Diseases/diagnosis , Vascular Diseases/surgeryABSTRACT
Three cases of mushroom growers lung, responding to the criteria for an extrinsic allergic alveolitis, have been observed in the Hôpital Bichat, Paris. In the first case, a "semi-delayed" hypersensitivity phenomenon of type III was evoked, an "immediate" type I phenomenon in case 2, and an association of the two in the third case. Clinical manifestations may develop very rapidly in subjects working in areas where they are exposed to a high inoculum of fungal products. Multiple antigens are involved: Psalliota, actinomycetes of different varieties, manure substrate, fungal spores, bacteria, cereal dust, etc. A recognized occupational disease, it leads to a change in activity and the right to compensation.
Subject(s)
Basidiomycota/immunology , Occupational Diseases/etiology , Adolescent , Adult , Alveolitis, Extrinsic Allergic/diagnosis , Alveolitis, Extrinsic Allergic/etiology , Alveolitis, Extrinsic Allergic/immunology , Humans , Hypersensitivity, Delayed/diagnosis , Hypersensitivity, Delayed/etiology , Lung/diagnostic imaging , Lung/physiopathology , Male , Occupational Diseases/diagnosis , Occupational Diseases/immunology , RadiographyABSTRACT
The authors would remind us that the classification of the hemato-sarcomas is at present being reorganized and that, lymphosarcomas are appearing more and more in the form of disseminated diseases sensitive to chemotherapy as well as radiotherapy. It is highly recommended that first a pre-therapeutic check be carried out in order to classify the disease into one of the five stages before deciding on the therapy. The authors report on the association of radiotherapy and chemotherapy and the role of each as used in their treatment of the disease, at present.
Subject(s)
Lymphoma/radiotherapy , Humans , Radiotherapy DosageABSTRACT
The authors report 2 observations of auriculoventricular blockage developed during a mediastino-pulmonary sarcoidosis, requiring a heart pacer in the first case and corticosteroid treatment in the second. The frequency of the disorders of intracardiac conduction was evaluated by a retrospective study of 412 cases of mediastino-pulmonary sarcoidosis. Seventy two ECG were considered abnormal, a frequency of 17.2%. The disorders of auriculo-ventricular and intra-ventricular conduction represented a third of cases. What is known on the risk of lethal evolution of cardiac sarcoidosis in which those abnormalities are significant, justifies an electrophysiological investigation. The indications for a definitive cardiac stimulation and corticosteroid treatment are debated. On this final point, it seemed necessary to plan a prospective study to confirm the merits of the treatment and to define its modalities.
