ABSTRACT
Varicophlebitis is a common disease in the medical practice of dermatologists and phlebologists. In contrast to deep vein thrombosis, which is often associated with pulmonary embolism or other secondary complications, varicophlebitis usually has an uncomplicated course. We present the unusual case of a woman who developed an extensive pulmonary embolism through ascension of a varicophlebitis. Varicophlebitis should not be underestimated; adequate diagnostic procedures, especially via color-coded compression duplex sonography, should be performed and suitable therapy instituted.
Subject(s)
Phlebitis/complications , Phlebitis/diagnosis , Pulmonary Embolism/diagnosis , Pulmonary Embolism/etiology , Ultrasonography, Doppler, Duplex , Varicose Veins/complications , Varicose Veins/diagnosis , Aged , Female , HumansABSTRACT
Suitability of isotope-selective nondispersive infrared spectrometry (IRIS) for evaluation of [13C]octanoic acid gastric-emptying breath test was assessed and compared with standard isotope ratio-mass spectrometry (IRMS). The estimated bias of IRMS and IRIS measurements of baseline-corrected 13CO2 exhalation amounted to +/-0.1 and +/-0.6 delta delta values (n = 360), respectively. In breath tests performed on 60 diabetic patients, the gastric emptying parameters were calculated by nonlinear regression analysis of the time course of 13CO2 exhalation: half-emptying time (t1/2,breath, 90 +/- 39 min), lag phase (tlag,breath, 34 +/- 27 min), and gastric emptying coefficient (GEC, 2.9 +/- 0.5). A reasonable linear correlation was found between the two methods (y = IRIS, x = IRMS) with respect to delta delta values (y = 0.35 + 0.92x, r = 0.985, Sy[symbol: see text]x = +/-0.6, n = 1116) and a rather good agreement of the computed gastric emptying parameters was obtained (t1/2,breath: y = 0.99x + 4.06, Sy[symbol: see text]x = +/- 6.3; tlag, breath: y = 0.97x + 0.96, Sy[symbol: see text]x = +/-3.4; GEC: y = 0.97x - 0.01, Sy[symbol: see text]x = +/-0.09).
