Development conditions and principles for identification of cow's milk protein hypersensitivity in infants.

The authors studied a group of 153 infants presenting pneumonia and/or bronchitis suspected to be immunized to cow's milk proteins (cow's milk allergy). The diagnosis was confirmed in 96 children (62.7%), which is 20.8% of hospitalized infants presenting respiratory tract diseases. Factors influencing the occurrence of family cow's milk intolerance and the type of infant feeding were analyzed thoroughly. Our own principles of diagnosing hypersensitivity to cow's milk proteins, considering the family history suggesting the possibility of cow's milk hypersensitivity, the occurrence of recurrent wheezy bronchitis and symptoms of the gastrointestinal tract were established. The diagnostic usefulness of LMIT with cow's milk allergens was assessed.

[Clinical characteristics of infections with cytomegalovirus in infants from personal observations]. / Charakterystyka kliniczna zakazen wirusem cytomegalii u niemowlat na podstawie wlasnych obserwacji.

An infection with cytomegaly virus had been diagnosed in 13 infants (including 4 neonates examined up to 2 weeks of life) out of 960 infants hospitalized within 3 years. Clinical examination most frequently revealed hepato- and splenomegaly, pneumonia and neurological disorders, and during a further stage of the clinical course psychomotoric retardation was noted in 7 out of 13 infants, and hearing loss in 5 out of 13 infants. A specific immunoglobulin G preparation (Cytotect) has been successfully used in all children, producing recovery or clinical improvement together with serologic improvement.

[Difficulties and errors in the diagnosis of retinoblastoma]. / Trudnosci i bledy w rozpoznawaniu siatkówczaka.

The authors analyzed the results of the clinical and histopathological examination of the eyes of 283 children with an initially diagnosed intraocular tumor. In 32 cases (11.4 p.c.) there was no retinoblastoma but a congenital retinal dysplasia, vitreal dysplasia, Leber-Coats disease, chronic inflammatory conditions, or retinopathy of prematurity. Three eyes exhibited rare forms of intraocular tumors. In 4 cases among 283 (1.4 p.c.) the diagnosis was erroneously negative. One suspected the Leber-Coats, Hippel-Lindau disease or posterior uveitis. The pathological examination revealed the presence of retinoblastoma.

[Secondary glaucoma after cobalt therapy of a choroidal melanoma]. / Jaskra nastepcza po kobaltoterapil czerniaka naczyniówki.

The clinical material comprises 157 patients of both sexes treated by means of 60Co plate and xenon photocoagulation for choroidal melanoma. The period of observation amounted 5 to 18 years. Secondary glaucoma occurred in 71 eyes (45.22 p.c.). Forty four eyes were enucleated (61.9 p.c.). In 5 cases a filtering operation was performed; the IOP was controlled in 3. The remaining eyes were treated conservatively. No dependence was observed between the appearing of glaucoma and the sex, age of the patients, location of the tumor, a large dose of radiation and photocoagulation. Instead it was demonstrated a dependence between the appearance of glaucoma and the necessity of enucleation. Also among the deceased patients the group with secondary glaucoma was more numerous then among those who survived.

[Surgical treatment of pigmentary nevi of the conjunctiva]. / Leczenie operacyjne znamion barwnikowych spojówki.

Eighty persons with histopathologically confirmed diagnosis of pigmentary conjunctival naevi were operated upon in the period 1977-1986. Subjected to an analysis were the age and the sex of the patients as well as the localization, size and histopathological type of the change. Neither of the treated patients showed any naevus turning malignant and there were no recurrences.

[Orbital invasion and recurrence of retinoblastoma]. / Zajecie oczodolu i nawroty w oczodole w przypadkach sitakówczaka.

The authors present a clinical material comprising 94 children (55 boys and 39 girls) with unilateral (28) or bilateral (66) retinoblastoma. The period of observation amounted 5 to 15 years. In 84 children they found advanced changes responding to the fifth grade of the Reese-Ellsworth classification. In 14 cases the tumor expanded behind the eye ball or there was its recurrence. From this group 11 children (78.6%) died. The treatment consisted on application of plates with 60Co, xenon photocoagulation, enucleation, exenteration of the orbit, secondary irradiation of the orbit. The risk factors of the incidence of the orbital changes are discussed.

[Coexistence of Toxoplasma gondii and Cytomegalovirus infections in infants]. / Wspóøistnienie zarazen pierwotniakiem Toxoplasma gondii i wirusem cytomegalii u niemowlat.

Coexistence of Toxoplasma gondii and Cytomegalovirus infection in 3 dystrophic newborns is discussed. Also the not very characteristic course of the infection is stressed.

[Evaluation of testicular biopsy as an aspect of Chlamydia trachomatis infection (introductory report)]. / Ocena biopsji jader w aspekcie zakazen Chlamydia trachomatis (doniesienie wstepne).

The purpose of the study was demonstration of the presence of Chlamydia trachomatis in biopsy testicular specimens. The indication to testicular biopsy was azoospermia or cryptozoospermia. The studied group comprised 12 patients in whose semen C. trachomatis was found. For the identification of the organism culture in chick embryo was used. In 2 preparations C. trachomatis was demonstrated in testicular biopsy.

[Morphological semen changes in Chlamydia trachomatis infection]. / Zmiany morfologiczne nasienia w przebiegu infekcji Chlamydia trachomatis.

Semen was examined in 150 men patients of the Andrology Clinic for demonstration of Chlamydia trachomatis and for analysis of the effect of this infection on semen quality depression. A correlation was noted between the degree of infection (large number of organisms per field of vision) and such changes as cryptozoospermia, azoospermia, asthenozoospermia, teratozoospermia, oligoasthenozoospermia, asthenoteratozoospermia. Of interest was a high proportion of infection (56%) with Ch. trachomatis in this group.