Three patients presented with symptoms suggesting a Mallory-Weiss tear. Endoscopy showed a localized, clearly demarcated area of bright red mucosa near the gastro-oesophageal junction; this was thought to have arisen by retrograde intussusception of the stomach during vomiting or retching and may have caused the haemorrhage.

1 Eichna LW, Horvath SM, Bean WB. Cardiac asystole in a normal young man following physical effort. Am Heart J 1947; 33:254-62 2 Schlesinger I. Life-threatening 'vagal reaction' to physical fittness test [letter]. JAMA 1973; 226:1119 3 Fleg JL, Asante AV. Asystole following treadmill exercise in a man without organic heart disease. Arch Intern Med 1983; 143:1821-22 4 Huycke EC, Card HG, Sobol S...

Case Report A 33-year-old woman had been generally well and had had no eye troubles until she suddenly became aware that she could not focus on print clearly when she picked up the newspaper one evening. During the next 3 weeks, before her admission to hospital, her vision became slightly more blurred, both for distance and near. She also was troubled by glare and for a few days after her initi...

One case of a syndrome simulating a systemic disease is reported. An HLA-B, patient presented with apparent toxoplasmosis, retinal vein occlusion, autoantibodies against cephalin, contact factors and lipoproteins, immune complexes, rheumatoid factor, and cryoprecipitate. A representation of the immunological mechanisms involved is proposed.

corticosteroid resistant and dependent nephrotic syndrome in children is a challenge and there are some difficulties in treating such patients. we reviewed the current studies that evaluated therapeutic role of a relatively new immunosuppressive drug “rituximab” in reducing proteinuria and reduction of relapse rate in less than 16 year old patients with non-responsive or steroid dependent nephr...