ABSTRACT
Analyzing the case histories of 5 patients with Goodpasture's syndrome who have admitted to an emergency clinic for suspected tuberculosis leads to the conclusion that the onset of the disease appeared as intoxication and lung damage, and evolving general weakness, fever, cough. Hemopoiesis appeared just when overall clinical manifestations appeared, it varied from single sputum blood filaments to more frequent mows of pure red blood sputum for several weeks, but there was never an increasing hourly progressively and this failed to cause a rapid drop of hemoglobin. Anemia is attributable by pulmonary blood imbibition, intoxication, and suppressed hemopoiesis in renal failure rather than by external blood loss as hemoptysis.
Subject(s)
Anti-Glomerular Basement Membrane Disease/complications , Hemoptysis/etiology , Adult , Aged , Anti-Glomerular Basement Membrane Disease/diagnosis , Bronchoscopy , Diagnosis, Differential , Fatal Outcome , Female , Hemoptysis/diagnosis , Humans , Male , Radiography, ThoracicABSTRACT
The materials concerning 19 patients with pleural mesotheliomas are analysed. The patients were subdivided into three groups according to the clinico-roentgenological picture and course of the affection: 1) four patients in whom pleural mesothelioma proceeded without exudate accumulation; 2) seven patients in whom exudate accumulation in the pleural cavity was the main sign of the tumor; 3) 8 subjects in whom the tumor developed on the side of an artificial pneumothorax many years following its cessation. Among 19 patients only in 5 cases the tumor was suspected soon after their admission to the hospital. A needle biopsy of the pleura is felt to be the most effective method of diagnosis of pleural mesotheliomas, whereas in failure of the former -- pleuroscopy.
