ABSTRACT
Esophageal spasm Teschendorf 's syndrome) is rarely distinguished among neuromuscular diseases of the esophagus, which leads to improper treatment. Primary esophageal spasm and secondary esophageal spasm should be distinguished, the latter developing in cardiospasm or achylia of the cardia. Retrosternal pain and dysphagia prevail in the clinical picture of ++esophageal spasm . X-ray and esophagomanometry are the most informative among the objective methods of examination. In a group of 106 patients 49 had primary and 57 had secondary esophageal spasm . A complex of measures should be applied in the management of esophageal spasm+. Primary esophageal spasm is treated only by nonoperative measures (spasmolytics, tranquilizers, vitamins, acupuncture reflex therapy and psychotherapy according to a suggested scheme), a course of pneumocardiodilatation (no more than 5 sessions) is included in the management of secondary esophageal spasm+. Such treatment produced good and satisfactory results in 100% of patients with primary and in 72% of patients with secondary esophagitis. The management of secondary esophagitis is a more difficult problem which calls for further study.
Subject(s)
Deglutition Disorders/diagnosis , Esophageal Achalasia/diagnosis , Esophageal Spasm, Diffuse/diagnosis , Adult , Catheterization , Combined Modality Therapy , Deglutition Disorders/etiology , Deglutition Disorders/therapy , Diagnosis, Differential , Esophageal Achalasia/complications , Esophageal Achalasia/therapy , Esophageal Spasm, Diffuse/complications , Esophageal Spasm, Diffuse/therapy , Humans , Middle AgedABSTRACT
Telecapillaroscopy, biomicroscopy of the bulbar conjunctiva, rheovasography, cold vascular test, ohyprolin and glycosaminoglycans excretion measurements have been performed in 337 2-14-year-olds with systemic and localized scleroderma to study peripheral circulation and connective tissue metabolism. The results contributed to development of differentiated balneo- and pelotherapy schedules affecting the principal components of the disease pathogenesis.
Subject(s)
Physical Therapy Modalities/methods , Scleroderma, Localized/rehabilitation , Scleroderma, Systemic/rehabilitation , Adolescent , Child , Child, Preschool , Chronic Disease , Combined Modality Therapy , Health Resorts , Humans , Male , Mud Therapy/methods , Scleroderma, Localized/drug therapy , Scleroderma, Localized/etiology , Scleroderma, Systemic/drug therapy , Scleroderma, Systemic/etiologyABSTRACT
Hemosorption was employed in multi-modality treatment of 12 children aged 10-15 years with lupus nephritis. Of these, 5 patients suffered from nephritis associated with the nephrotic syndrome (NS), 4 patients had active pronounced nephritis without the NS, and 3 patients presented with latent nephritis. One case was characterized by transitory renal failure in the acute phase while 3 cases by chronic renal failure. Hemosorption produced a beneficial effect on the renal process and on electrolyte balance. The long-term observation over the patients evidences a short-term effect of hemosorption. After the attainment of that effect the further disease course depended on the adequacy of the conservative therapy administered to the patients with lupus nephritis.
Subject(s)
Hemoperfusion , Lupus Nephritis/therapy , Adolescent , Child , Combined Modality Therapy , Female , HumansSubject(s)
Familial Mediterranean Fever/diagnosis , Child , Child, Preschool , Female , Humans , Infant , Male , SyndromeSubject(s)
Esophagitis, Peptic/diagnosis , Biopsy , Diagnosis, Differential , Esophagoscopy , Esophagus/diagnostic imaging , Humans , Manometry , RadiographySubject(s)
Dermatomyositis/diagnosis , Child , Dermatomyositis/blood , Dermatomyositis/urine , HumansABSTRACT
A research study and discussion of antiinterferon immunoglobulin in the treatment of rheumatoid arthritis and systemic lupus erythematosus, and its possible value in the treatment of allergic diseases, autoimmune diseases and other diseases where it is presumed there may be an autoimmune genesis.