ABSTRACT
Clinical variants of laryngeal lesions in patients with early syphilis are reviewed. A case of secondary syphilis with a laryngeal lesion is reported in a female who developed aphonia. Basing on laryngoscopic findings, an otorhinolaryngologist made the diagnosis "chronic laryngitis, singer's nodules". The authors infer that painless laryngitis of long duration without signs of inflammation and resistant to standard treatment should be tested for syphilitic etiology. Therefore, the patient's blood should be taken for Wasserman reaction while the patient should be consulted by venereologist.
Subject(s)
Laryngitis/complications , Laryngitis/diagnosis , Syphilis, Cutaneous/complications , Adult , Female , Humans , Syphilis SerodiagnosisSubject(s)
Stomach Diseases/diagnosis , Stomach Neoplasms/diagnosis , Syphilis/diagnosis , Adult , Diagnostic Errors , Humans , MaleSubject(s)
Dermatologic Agents/therapeutic use , Skin Diseases/therapy , Bandages , Cryotherapy , HumansSubject(s)
Burns/therapy , Dietary Carbohydrates/administration & dosage , Parenteral Nutrition/methods , Adolescent , Adult , Animals , Humans , Hyperglycemia/therapy , Hyperinsulinism/therapy , Insulin Antibodies/analysis , Insulin Resistance , Male , Middle Aged , Rabbits , Shock, Traumatic/therapyABSTRACT
It has been established that in severe burned cases fasting blood sugar and immunoreactive insulin level remain within the physiological range. It has been found that insulin secretion in severe burned cases is of a torpid type.