RESUMEN
An observation of chronic ulcerative ileo-jejunitis associated with a hemophagocytic syndrome leading to death is described. It was not associated with coeliac disease. The hemophagocytic syndrome had no other etiology than chronic ulcerative ileo-jejunitis. The relations between these two disorders are discussed.
Asunto(s)
Enteritis/complicaciones , Histiocitosis de Células no Langerhans/etiología , Enfermedades del Íleon/complicaciones , Enfermedades del Yeyuno/complicaciones , Úlcera/complicaciones , Adulto , Enfermedad Crónica , Enteritis/patología , Resultado Fatal , Histiocitosis de Células no Langerhans/patología , Humanos , Enfermedades del Íleon/patología , Enfermedades del Yeyuno/patología , Masculino , Úlcera/patologíaRESUMEN
OBJECTIVES: Spontaneous chest pain attacks are uncommon during 24-hour esophageal pH monitoring in patients suffering from angina-like chest pain suspected to be acid-related. The aim of this study was to assess the diagnostic value of exertional esophageal pH monitoring and to prove that exercise testing induces chest pain and gastro-esophageal reflux and therefore improves symptomatic correlation study. METHODS: Forty three patients suffering from angina-like chest pain underwent treadmill exercise testing during a 24-hour esophageal pH monitoring. Symptom analysis was made using the symptom-association probability described by Weusten. RESULTS: During the 24-hour pH monitoring, 10 patients (23%) had a pathologic esophageal acid exposure, 20 (46%) experienced chest pain and 3 (7%) had a symptom association probability > 95%. During the exercise testing on a treadmill, 19 patients (44%) had gastro-esophageal reflux, and 14 (32%) experienced chest pain, coinciding with a gastro-esophageal reflux in 8 (19%). After exercise testing, the symptom-association probability analysis was significantly changed in 9 patients (21%), > 95% in 6 patients (14%). CONCLUSION: Exercise testing on a treadmill induces chest pain episodes during a 24-hour esophageal pH monitoring and therefore improves symptomatic correlation study in patients suffering from angina-like chest pain.
Asunto(s)
Angina de Pecho , Dolor en el Pecho , Esófago/metabolismo , Ejercicio Físico , Reflujo Gastroesofágico/diagnóstico , Adulto , Anciano , Diagnóstico Diferencial , Femenino , Humanos , Concentración de Iones de Hidrógeno , Masculino , Persona de Mediana EdadAsunto(s)
Malaria/etiología , Viaje , Humanos , Personal Militar , Plasmodium falciparum , Factores de TiempoRESUMEN
The authors present 7 cases of disseminated intravascular coagulation (DIC), 4 of them with hemorragic syndrom, with appeared in the course of different adenocarcinomas (prostatic, pancreatic or undeterminated). Emphasis is set on 2 points : -- in all cases, metastasis of these cancers can be found in the bone marrow and/or the liver ; -- DIC may be the first sign of the disease. The pronostic is very bad, even with heparinic therapy because of the lack of specific treatment but for prostatic cancer.