CLINICAL NUTRITION PROGRAM IMPROVES HEARING IN 48 YEAR OLD ENGINEER WITH BILATERAL MENIERE�S DISEASE

Clinical Reasoning: A 48-year-old woman with generalized weakness.

Chafic Karam, MD Stephen N. Scelsa, MD SECTION 1 A 48-year-old woman was referred to the neuromuscular clinic because of progressive generalized weakness for 4 months. Her symptoms started after she had a thyroidectomy and radioactive iodine treatment for a thyroid papillary carcinoma. She had proximal arm weakness when washing her hair and had trouble climbing steps and getting out of her chai...

Clinical findings in Menière's disease with bilateral fluctuant hearing loss.

Our department conducted an examination of the clinical characteristics of Menière's disease with bilateral fluctuant hearing loss, using data obtained in a survey involving sixteen institutes associated with the Vestibular Disorder Research Committee, Japan. A total of 480 cases were surveyed, of which 204 showed normal hearing in the second ear, and were thus classified as unilateral Menière'...

[Cholestatic hepatitis. 27-year-old tool engineer].

Coincidence of Sarcoidosis With Ankylosing Spondylitis in a 48-Year-Old Woman; A Therapeutic Challenge

Introduction: A case of pulmonary sarcoidosis is reported because of difficulties in diagnosis and treatment, including the co-existence of ankylosing spondylitis (AS) and severe corticosteroid dependence. Case Presentation: A 48-year-old nonsmoking woman referred to the hospital because of chronic nonproductive cough and dyspnea with a 10-year history of...

Bilateral cavitary lung disease in a 29-year-old woman.

A 29-year-old black woman was admitted for evaluation of fever and productive cough of one month’s duration. She also complained of occasional hemoptysis, mild shortness of breath, and night sweats. She had a weight loss of9 kg over the preceding six months. She had had one previous hospital admission for pelvic inflammatory disease in 1981, at which time a routine chest roentgenogram was said ...