Subject(s)
Aortitis/diagnostic imaging , Aortitis/pathology , Takayasu Arteritis/diagnostic imaging , Takayasu Arteritis/pathology , Aorta/transplantation , Aortic Valve/transplantation , Aortic Valve Insufficiency/etiology , Aortic Valve Insufficiency/surgery , Aortitis/complications , Aortography , Female , Humans , Middle Aged , Takayasu Arteritis/complications , Transplantation, HomologousABSTRACT
The internal medicine residents from our training program rarely participated in scholarly activity prior to 1994. In an attempt to increase the quality and quantity of resident research, we initiated a research program that included: (1) a mandatory research project, (2) 2 months of dedicated research time, (3) appointment of a research director, (4) lectures on the critical appraisal of medical literature and research design, (5) technical support, (6) faculty mentoring, (7) a research meeting and competition involving five residency programs, and (8) military achievement awards. From 1994 to 1999, our house staff has had 134 research presentations and 21 manuscripts accepted for publication in peer-reviewed journals. Ninety percent of our residents presented at least one project at a scientific meeting by completion of their training between 1996 and 1999. Resident scholarly activity is significantly enhanced by a structured research program, an opportunity to present at a scientific meeting, and award recognition.
Subject(s)
Internal Medicine/education , Internship and Residency , Military Medicine/education , Research , Humans , Research/organization & administration , United StatesABSTRACT
BACKGROUND AND PURPOSE: INO in SLE is uncommon, affecting < 5% of hospitalized SLE patients. A MEDLINE search 1966-2001 revealed only 22 reported cases. INO also rarely presents with diplopia. We report such a case. CASE REPORT: A 35 year old woman with long standing SLE developed the abrupt onset of diplopia, vertigo and ataxia. Physical examination was remarkable only for the neurologic examination with a left INO and abnormal cerebellar testing. Treatment with corticosteroids and intravenous cyclophosphamide resulted in resolution of her cerebellar and ocular symptoms.
Subject(s)
Diplopia/etiology , Lupus Erythematosus, Systemic/complications , Ocular Motility Disorders/etiology , Adult , Cyclophosphamide/therapeutic use , Diplopia/diagnosis , Diplopia/drug therapy , Female , Glucocorticoids/therapeutic use , Humans , Immunosuppressive Agents/therapeutic use , Methylprednisolone/therapeutic use , Ocular Motility Disorders/diagnosis , Ocular Motility Disorders/drug therapy , Treatment OutcomeABSTRACT
Thromboangiitis obliterans (TAO) is an uncommon to rare vasculitis of small and medium arteries and veins typically affecting young male smokers. Inflammatory arthritis has only been rarely reported in association with TAO. We describe the case of a young male smoker presenting with inflammatory arthritis as the initial manifestation of his TAO. His arthritis resolved with a course of corticosteroid therapy. The vascular disease improved with hyperbaric oxygen therapy, although he continued to smoke. Similar cases have been described, suggesting that rheumatologists should keep Buerger's disease in mind in patients with arthritis and vascular disease.
