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1.
Int J Clin Pract ; 61(1): 45-51, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-16889639

RESUMO

A prospective, randomised and single blind clinical trial was designed to compare intravenous methylprednisolone pulse (IVGC) with oral methylprednisolone (OGC) monotherapy in terms of effectiveness and tolerability in Graves' ophthalmopathy (GO). Fifty-two consecutive patients with untreated, moderately severe and active GO were randomly treated with either IVGC or OGC therapy for 12 weeks. IVGC therapy achieved a more rapid and significant improvement than OGC therapy according to clinical activity score (p < 0.01), proptosis (p < 0.038), lid width (p < 0.0001), extraocular muscle changes (p < 0.02), optic neuropathy. (p < 0.001), intraocular pressure (p < 0.04), visual acuity (p < 0.03), quality of life (p < 0.0001) and treatment response (p < 0.001). Diplopia was significantly improved in two groups but there was no difference between them (p < 0.6). Heavy smokers indicated alteration of ophthalmic signs with increased thyroid stimulating hormone (TSH)-receptor antibody during the therapy. In conclusion, IVGC therapy was more effective and better tolerated than OGC therapy in the management of GO.


Assuntos
Glucocorticoides/administração & dosagem , Oftalmopatia de Graves/tratamento farmacológico , Metilprednisolona/administração & dosagem , Administração Oral , Adulto , Feminino , Glucocorticoides/efeitos adversos , Humanos , Infusões Intravenosas , Masculino , Metilprednisolona/efeitos adversos , Estudos Prospectivos , Qualidade de Vida , Resultado do Tratamento
2.
Int J Clin Pract ; 57(8): 735-6, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14627189

RESUMO

We present a case of septicaemia, pneumonia and meningitis due to Streptococcus bovis type-II in a patient who had undergone a total hip prosthesis under general anaesthesia three weeks earlier. This organism is an uncommon human pathogen that sometimes causes bacteraemia and endocarditis and is usually connected with colon pathology and dental procedures. In the reported case, there were no risk factors for S. bovis infection except for the hip operation. S. bovis type II sensitive to penicillin was isolated from all blood and pleural fluid cultures. The patient recovered and was discharged from hospital two weeks after presentation.


Assuntos
Meningites Bacterianas/microbiologia , Pneumonia Bacteriana , Sepse/microbiologia , Infecções Estreptocócicas , Streptococcus bovis , Idoso , Prótese de Quadril/efeitos adversos , Prótese de Quadril/microbiologia , Humanos , Masculino , Infecções Relacionadas à Prótese/complicações , Resultado do Tratamento
3.
Int J Clin Pract ; 56(7): 546-8, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12296619

RESUMO

This report describes the first Turkish family to be diagnosed with Bernard-Soulier syndrome. The family consists of nine members (two parents, three sons and four daughters). The parents were first cousins. The index case, a 22 year-old-man, had a history of haemorrhagic diathesis with thrombocytopenia, giant platelets in the peripheral blood smear and a prolonged bleeding time. Refractory idiopathic thrombocytopenic purpura had been diagnosed elsewhere and a splenectomy had been performed six months previously. Ristocetin agglutination of platelets was defective and flow cytometry analysis of platelet membrane glycoprotein showed markedly reduced expression of glycoprotein lb (2.1%). Bernard-Soulier syndrome was diagnosed. Increased mean platelet volume was found in both parents, one son and three daughters. The other son and daughter were normal.


Assuntos
Síndrome de Bernard-Soulier/diagnóstico , Adulto , Síndrome de Bernard-Soulier/etnologia , Síndrome de Bernard-Soulier/genética , Fatores de Coagulação Sanguínea , Epistaxe/etiologia , Feminino , Doenças da Gengiva/etiologia , Hemorragia/etiologia , Humanos , Masculino , Menorragia/etiologia , Linhagem , Contagem de Plaquetas , Dermatopatias/etiologia , Turquia/etnologia
4.
Int J Clin Pract ; 56(3): 175-7, 2002 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-12018820

RESUMO

The aim of this study was to investigate the prevalence of hepatitis B and hepatitis C virus infections in type 2 diabetic patients in Gaziantep, Turkey. Six hundred and ninety-two type 2 diabetic patients and 1014 healthy blood donors were included in the study. No significant difference was found between type 2 diabetic patients and the control group for seropositivity of HBsAg (5.3% vs 5.1%, p>0.05). In contrast, anti-HCV was significantly more frequent in type 2 diabetic patients (7.5% vs 0.1%, p>0.0001). We found no significant difference for HBsAg seropositivity between type 2 diabetic patients with a disease duration of 12 months or less, but anti-HCV seropositivity was significantly more frequent in diabetic patients with a longer disease duration (p<0.05). We suggest that HCV infection is not a trigger factor for type 2 diabetes mellitus but is frequently associated with it.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Hepatite B Crônica/complicações , Hepatite C Crônica/complicações , Adulto , Idoso , Diabetes Mellitus Tipo 2/enzimologia , Feminino , Antígenos de Superfície da Hepatite B/sangue , Hepatite B Crônica/epidemiologia , Hepatite C Crônica/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Tempo , Transaminases/sangue , Turquia/epidemiologia
5.
Acta Medica (Hradec Kralove) ; 44(1): 29-32, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11367888

RESUMO

It has been suggested that an insertion/deletion (I/D) polymorphism in intron 16 of the angiotensin converting enzyme (ACE) gene may be associated with essential hypertension. The aim of this study was to examine the association between ACE I/D polymorphism with blood pressure level and hypertension status in Turkish type 2' diabetic subjects. Hundred and seven hypertensive (78 female, 29 male) and 132 normotensive type 2 diabetic subjects (73 female, 59 male) and 138 sex and age matched control subjects (87 female, 51 male) without diabetes and hypertension were included into the study. The I/D polymorphism was determined by polymerase chain reaction (PCR). There were no statistically difference in genotypic and allelic frequencies of the ACE I/D polymorphism between the hypertensive and normotensive diabetic patients and control subjects. Also no significant differences was detected in systolic and diastolic blood pressure among three different genotypes. ACE I/D polymorphism does not seem to play an important role in the development of hypertension in Turkish type 2 diabetic subjects, but prospective studies may show an association between ACE gene polymorphism and the development of hypertension in diabetic subjects.


Assuntos
Diabetes Mellitus Tipo 2/genética , Hipertensão/genética , Peptidil Dipeptidase A/genética , Polimorfismo Genético , Adulto , Idoso , Diabetes Mellitus Tipo 2/complicações , Feminino , Frequência do Gene , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-Idade , Turquia
6.
Angiology ; 52(12): 863-5, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11775629

RESUMO

A 70-year-old woman with giant hiatal hernia presented with stable angina pectoris and three syncope attacks in the previous 3 months. Chest radiography showed marked cardiomegaly and an air-fluid level at the basal region of the heart. A mixed type large hiatal hernia that distorted the heart was detected in contrast-enhanced computed tomography and esophagogastroduodenography. Postprandial nonsustained ventricular tachycardia was present on 24-hour Holter ECG monitoring. The patient's symptoms were attributed to giant hiatal hernia and improved following surgery.


Assuntos
Angina Pectoris/etiologia , Hérnia Hiatal/complicações , Síncope/etiologia , Idoso , Cardiomegalia/etiologia , Feminino , Hérnia Hiatal/diagnóstico por imagem , Humanos , Taquicardia Ventricular/etiologia , Tomografia Computadorizada por Raios X
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