ABSTRACT
An observation of chronic ulcerative ileo-jejunitis associated with a hemophagocytic syndrome leading to death is described. It was not associated with coeliac disease. The hemophagocytic syndrome had no other etiology than chronic ulcerative ileo-jejunitis. The relations between these two disorders are discussed.
Subject(s)
Enteritis/complications , Histiocytosis, Non-Langerhans-Cell/etiology , Ileal Diseases/complications , Jejunal Diseases/complications , Ulcer/complications , Adult , Chronic Disease , Enteritis/pathology , Fatal Outcome , Histiocytosis, Non-Langerhans-Cell/pathology , Humans , Ileal Diseases/pathology , Jejunal Diseases/pathology , Male , Ulcer/pathologyABSTRACT
OBJECTIVES: Spontaneous chest pain attacks are uncommon during 24-hour esophageal pH monitoring in patients suffering from angina-like chest pain suspected to be acid-related. The aim of this study was to assess the diagnostic value of exertional esophageal pH monitoring and to prove that exercise testing induces chest pain and gastro-esophageal reflux and therefore improves symptomatic correlation study. METHODS: Forty three patients suffering from angina-like chest pain underwent treadmill exercise testing during a 24-hour esophageal pH monitoring. Symptom analysis was made using the symptom-association probability described by Weusten. RESULTS: During the 24-hour pH monitoring, 10 patients (23%) had a pathologic esophageal acid exposure, 20 (46%) experienced chest pain and 3 (7%) had a symptom association probability > 95%. During the exercise testing on a treadmill, 19 patients (44%) had gastro-esophageal reflux, and 14 (32%) experienced chest pain, coinciding with a gastro-esophageal reflux in 8 (19%). After exercise testing, the symptom-association probability analysis was significantly changed in 9 patients (21%), > 95% in 6 patients (14%). CONCLUSION: Exercise testing on a treadmill induces chest pain episodes during a 24-hour esophageal pH monitoring and therefore improves symptomatic correlation study in patients suffering from angina-like chest pain.
Subject(s)
Angina Pectoris , Chest Pain , Esophagus/metabolism , Exercise , Gastroesophageal Reflux/diagnosis , Adult , Aged , Diagnosis, Differential , Female , Humans , Hydrogen-Ion Concentration , Male , Middle AgedSubject(s)
Glycoproteins/deficiency , Portal Vein/physiopathology , Thrombosis/complications , Glycoproteins/analysis , Humans , Male , Middle Aged , Protein SSubject(s)
Malaria/etiology , Travel , Humans , Military Personnel , Plasmodium falciparum , Time FactorsABSTRACT
The authors present 7 cases of disseminated intravascular coagulation (DIC), 4 of them with hemorragic syndrom, with appeared in the course of different adenocarcinomas (prostatic, pancreatic or undeterminated). Emphasis is set on 2 points : -- in all cases, metastasis of these cancers can be found in the bone marrow and/or the liver ; -- DIC may be the first sign of the disease. The pronostic is very bad, even with heparinic therapy because of the lack of specific treatment but for prostatic cancer.