[A case of Morquio's syndrome with long survival time]. / Un caso di sindrome di morquio a lunga sopravvivenza.

A long-surviving clinical case of suspected Morquio's syndrome is described. The locomotorium (vertebral dwarfism, hyphoscoliosis, but no hypoplasia of the odontoid process of the epistropheus, platyspondylia), cardiopulmonary (aortic insufficiency, arterial calcification, varices) visual (opaque lens on right eye, sclerosis of the lenticular lamellae but no corneal opacity on left eye) acoustic (deafness) and gastroenteric systems (hepatomegaly) are analysed. No pathological granulations were noted in the leukocytes. The plasmatic lysosome enzymes were normal and alpha-fucosidase subnormal. Abnormal keratan sulphate secretion was noted in the daily urine. All this would explain the patient's long survival.

[Prevalence of essential arterial hypertension in workers in a metal-mechanic factory. Effects of long-term therapy with a beta-1 blocker]. / Prevalenza della ipertensione arteriosa essenziale tra gli operai di una fabbrica metalmeccanica. Effetti della monoterapia a lungo termine con un beta-1-antagonista.

The research over 1023 patients examined in a metallurgical firm for prevalence of essential hypertension has proven that 144 subjects were hypertensive (5 secondary and 139 essential hypertension). 51 patients (35.4%) did not know to be hypertensive, 26 (18%) were without therapy and 57 (39.5%) were inadequately treated. 75 subjects with essential hypertension were treated once daily with Atenolol 100 mg. After a six months treatment 85.4% of patients reached a good control of blood pressure (lying diastolic blood pressure less than or equal to 95 mmHg). Atenolol was well tolerated, few collateral effects have been encountered (13.3%) but mainly the treatment did not cause weakness nor diminished the work capability of the subjects which instead had proven to happen with non selective beta-blocking drugs.