Assuntos
Enfisema/etiologia , Doenças dos Genitais Masculinos/etiologia , Pneumoperitônio/etiologia , Escroto/patologia , Idoso , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Enfisema/diagnóstico , Enfisema/patologia , Doenças dos Genitais Masculinos/diagnóstico , Doenças dos Genitais Masculinos/patologia , Humanos , Masculino , Pneumoperitônio/diagnóstico , Pneumoperitônio/patologia , Fatores de RiscoRESUMO
Ischaemic heart disease is almost invariably the result of atherosclerotic degeneration of the coronary arteries. However, other causes of ischaemic heart disease should always be considered. Here we describe two patients with a classic presentation of ischaemic heart disease resulting from acute leukaemia. The pathophysiological mechanisms of acute leukaemia leading to ischaemic heart disease are discussed.
RESUMO
A 42-year-old woman developed jaundice due to acute hepatitis several weeks after ingestion of a herbal preparation containing greater celandine (Chelidonium majus) and curcuma root, which had been prescribed by an alternative therapist due to a skin complaint. After the medication had been withdrawn, clinical recovery was rapid and the hepatic functions returned to normal within 2 months. The hepatitis was ascribed to the known hepatotoxic effects of C. majus. In view of the increasing popularity of herbal remedies, greater awareness of side effects, such as hepatotoxicity, is needed. Quite a number of herbal preparations carry the risk of liver damage. The supposed clinical effectiveness of herbal remedies does not seem to always outweigh the potential risks. In the event of non-clarified liver function disturbances the ingestion of supposedly harmless, but potentially hepatotoxic, herbal products should be considered.