[Vulvar pseudolymphoma: detection of infection by Borrelia burgdorferi using polymerase chain reaction]. / Vulväres Pseudolymphom: Nachweis der Infektion mit Borrelia burgdorferi mittels Polymerasekettenreaktion.

We report on a 42-year-old patient with a vulvar pseudolymphoma in association with an infection with Borrelia burgdorferi. The diagnosis was made using PCR amplification on a paraffin-embedded tissue sample. The lesions healed completely within 3 weeks of oral doxycycline therapy.

[Successful treatment of drug refractory uterine atony by fundus compression sutures]. / Erfolgreiche Behandlung einer medikamentös refraktären Uterusatonie durch Funduskompressionsnähte.

Postpartum atony remains the most common cause life-threatening haemorrhage in obstetrics. In a case of postpartum atony unresponsive to medical treatment after Caesarean section haemorrhage was controlled and satisfactory uterine tonus was achieved by inverted sutures of the uterine fundus. Imminent hysterectomy could thus be avoided.

[Chorea gravidarum]. / Chorea gravidarum.

Chorea gravidarum is a rare maternal complication during pregnancy. Like the better known chorea minor it shows extrapyramidal symptoms with involuntary movements, lack of coordination, slurred speech and psychic disorders. The neurological state is normal except for a loss of muscle tone. The symptoms most commonly begin in the first trimester of pregnancy and usually resolve spontaneously after 2-3 months. The maternal mortality lies below 1%. In the case of subjectively disturbing symptoms anticonvulsive and sedative therapy with benzodiazepine or neuroleptics may be indicated. Etiological factors including rheumatic fever, chorea minor, hormonal, psychic and autoimmune disorders are discussed. Elective termination of the pregnancy is not indicated. The presented case report shows a chorea-like situation beginning in the ninth week of pregnancy.

Blood flow velocity waveforms in large maternal and uterine vessels throughout pregnancy and postpartum: a longitudinal study using Duplex sonography.

Blood flow velocity waveforms in large maternal and uterine vessels were measured longitudinally from 16 weeks gestation onwards until 12 weeks postpartum in 21 singleton pregnancies by duplex sonography. In the maternal carotid artery, time average mean velocity (TAVmean) did not show significant changes. In both the femoral artery and vein, however, significant changes were observed. In the femoral artery, TAVmean and systolic maximum velocities decreased with advancing gestation. In the femoral vein, TAVmean remained constant throughout pregnancy and was lower than postpartum. The resistance index in the uterine arteries decreased with advancing gestation and increased after delivery. Among many factors contributing to femoral arterial blood flow velocity changes in pregnancy, we suggest that a major one is the increase in uterine blood flow. Reduction in venous femoral blood flow velocity and increase in the femoral vein diameter might be associated with the common occurrence of venous disorders in pregnancy.