Medical Memoranda MnWLJOUL 167 I would like to thank Dr. A. Brown for permission to publish this report and for helpful advice and criticism. My thanks are also due to Dr. George McDonald, who carried out the iliac crest biopsy. Mithramycin is an antibiotic with anti-tumour activity similar to actinomycin D. Hypocalcaemia has been reported following its use (Brown and Kennedy, 1965), and it has...

late-onset cases, has yet to be clarified.' 2 Olanow et al.3 reported excellent results with thymectomy in 12 patients with late-onset myasthenia gravis. One of these had a thymolipoma. This tumour has, to our knowledge, only been reported in the world literature as a cause for myasthenia gravis in two other cases.4 ' We therefore present the fourth case in this paper. In May 1980 a 61-year-old...

identifi ed disorder [1,2], is traditionally managed in theatre with a semi-elective surgical decompressive laparotomy leaving the abdomen open [3]. Fewer options exist, however, in patients who develop critical haemodynamic instability in the ICU. We describe the case of a 58-year-old woman admitted to the ICU with hypotension and abdominal distension. She had been discharged from the ICU 48 h...

theses, with sharp clasps which catch and stick in the esophagus, can lead to di− rect injury, compression ulcer, and per− foration or penetration [1,2]. To establish appropriate procedures for removing such objects according to our strategy for accidentally swallowed esophageal for− eign bodies, we examined: (i) the removal process in cases without esophageal re− section, and (ii) the resected...

1 and the TREVO II trial, 2 published online in Lancet in August 2012, are important trials in the history of endovascular therapy for acute ischemic stroke for several reasons. First, both randomized trials compared a new technology , 2 versions of a stent-retriever, with a previously Food and Drug Administration-cleared technology, the Merci Retriever. The latest iteration of the Merci Retrie...

not an accurate predictor of post-thyroidectomy hypocalcemia in patients with vitamin D deficiency. Vitamin D deficiency is associated with increased serum PTH. Therefore the decline in serum PTH to an absolute cutoff value may take longer in these patients. We measured serum PTH at 8 –10 h postthyroidectomy. Further studies should assess the value of PTH measured at a later time point in predi...

To the Editor: Over the past 2 decades, human pythiosis has emerged as an important parafungal disease; Thailand reports the most cases (1,2). Given the rarity of this infection in humans and the limited attention of researchers to the disease, our understanding of its pathogenesis and other important traits, including its management, await investigation. We report 2 distinct cases. The first p...

A 32-year-old man without previous medical problems had acute global aphasia and right-sided hemiplegia (National Institutes of Health Stroke Scale [NIHSS] score 16 points) shortly after carrying a heavy mirror. Smoking (8 pack-years) was his only vascular risk factor. Computed tomographic angiography demonstrated a left carotid T occlusion (occlu-sion of the carotid artery, middle and anterior...

To the Editor: As a physician and mother of two young adult daughters with complete androgen insensitivity syndrome (AIS), I have counseled a group of 50 parents of children with AIS and related disorders of sex development (DSDs) for 8 years. These parents consistently express frustration over the lack of evidence from which to make choices for the treatment of their children. Decisions like t...

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Perivascular epithelioid cell tumor (PEComa) is an extremely rare mesenchymal tumor, which ...