Anaphylaxis presents in children with rapid involvement of typically 2 or more organ systems including cutaneous, gastrointestinal, and respiratory. Caustic ingestions (CI) may also present with acute involvement of cutaneous, gastrointestinal, and respiratory systems. We present 2 cases of "missed diagnosis" that illustrate how CI presenting with respiratory symptoms can be mistaken for anaphy...

AIM Aim of this study was to evaluate the prevalence of temporomandibular disorders (TMD) in a sample of consecutive subjects. MATERIALS AND METHODS TMDs were recorded in a sample of 580 subjects (279 M, 301 F; mean age: 13.4y). For each subject a case history was compiled to evaluate the social and demographic parameters. An extraoral exam was effected to point out the face proportions, and ...

BACKGROUND Worldwide, 2.75 billion passengers fly on commercial airlines annually. When in-flight medical emergencies occur, access to care is limited. We describe in-flight medical emergencies and the outcomes of these events. METHODS We reviewed records of in-flight medical emergency calls from five domestic and international airlines to a physician-directed medical communications center fr...

This is the report of a young man who presented with was little change in the other neurological signs and the signs and symptoms of the Wallenberg syndrome. symptoms. Six weeks from admission the patient still After pneumoencephalographic studies a defect was experienced episodes of lethargy, nausea, and vomiting. seen in the fourth ventricle and at operation an Because of the persistence of t...

OBJECTIVE Complex regional pain syndrome (CRPS) is a severe chronic pain condition characterized by sensory, autonomic, motor, and dystrophic signs and symptoms. This study was undertaken to expand our current knowledge of the evolution of CRPS signs and symptoms with duration of disease. METHOD This was a retrospective, cross-sectional analysis using data extracted from a patient questionnai...

OBJECTIVE To evaluate early neuropathy in dental personnel exposed to high frequency vibrations. METHODS 30 dentists and 30 dental hygienists who used low and high speed hand pieces and ultrasonic scalers were studied, and 30 dental assistants and 30 medical nurses not exposed to vibration (all women). Vibrotactile sensibility, strength, motor performance, sensorineural symptoms and signs, an...

The objective of this study is to undertake a population based study on the incidence, prevalence, natural history, and response to treatment of complex regional pain syndrome (CRPS). All Mayo Clinic and Olmsted Medical Group medical records with codes for reflex sympathetic dystrophy (RSD), CRPS, and compatible diagnoses in the period 1989-1999 were reviewed as part of the Rochester Epidemiolo...

OBJECTIVES To elucidate the views of intermittent catheter (IC) users regarding urinary tract infection (UTI) symptom presentation, terminology for describing signs and symptoms, the cause of UTI and management strategies. DESIGN Qualitative study with semi-structured interviews. The transcribed text was analysed thematically. SETTING 12 general practitioner (GP) surgeries in Hampshire and ...

PURPOSE To verify the results of balloon-catheter dilatation for the treatment of congenital lacrimal duct obstruction. To the best of author's knowledge this procedure has not been previously used in Brazil and deserves scientific studies. METHODS Children between 2 and 5 years old, with congenital lacrimal duct obstruction, were treated with balloon-catheter dilatation (Lacricath). Catheter...

OBJECTIVES To review the presentation and characteristics of children with systemic lupus erythematosus (SLE). METHODS The records of children with sufficient American College of Rheumatology (ACR) criteria for SLE treated by the renal units of the Johannesburg and Chris Hani Baragwanath hospitals, and the arthritis clinic of the Johannesburg Hospital between January 1974 and March 2000 were ...