BACKGROUND Hemorrhage from the pancreatic duct, or hemosuccus pancreaticus (HP), is an unusual cause of intermittent gastrointestinal bleeding. HP is most often diagnosed in patients with chronic pancreatitis, and is usually due to the rupture of an aneurysm in the splenic artery. The traditional treatment for HP is surgery, although most cases can be managed by angioembolization. CASE PRESEN...

Role of the Carotid Body in Obesity-Related Sympathoactivation To the Editor: Paton et al1 reviewed the experimental and clinical data reporting that stimulation of the carotid body drives sympathetic tone, and that increased chemosensitivity may be one of the factors underlying autonomic imbalance in hypertension, heart failure, insulin resistance, sleep disorders, and chronic kidney disorders...

Both chronic excess of PTH, as in hyperparathyroidism, and intermittent elevation of PTH (by daily injections) increase the number of osteoblasts. However, whereas the former condition can lead to bone catabolism, intermittent administration of PTH causes bone anabolism. The striking difference between bone loss and bone gain in the two conditions might result from a negative vs. positive balan...

We present two patients with dacryoliths and patent lacrimal drainage with intermittent tearing and without infection. Dacryoliths can be present in the lacrimal sac or lacrimal duct without acute or chronic inflammation. In these cases, we believe dacryolith formation was a causative factor of intermittent epiphora even with a patent drainage system, and we propose that dacryoliths and even fu...

BACKGROUND Domiciliary assisted ventilation, using negative or positive pressure devices, is an effective treatment for respiratory failure due to chest wall deformity and neuromuscular disease. Negative pressure ventilators have been used with some success in patients with chronic obstructive lung disease in hospital, but attempts to continue treatment at home have been disappointing. This stu...

Diabetic peripheral vascular disease (PVD) is one of the common chronic complications diabetes. The main clinical manifestations PVD are numbness and coldness limbs, resting pain, intermittent claudication, other symptoms. combined treatment involving Chinese Western medicine for has various methods definite curative effects. It worthy in-depth research application.

INTRODUCTION In the absence of acute myocardial infarction (MI), ischemic papillary muscle dysfunction (PMD) is a rare complication of coronary artery disease. Dynamic PMD results in intermittent mitral regurgitation (MR). We present a successfully-treated case of recurrent pulmonary edema due to dynamic PMD secondary to chronic coronary heart disease involving the mitral apparatus. A pathophys...

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