Acta medica Austriaca最新文献_第9页

Benign mesenchymal liver hamartoma in an adult male: a case report and review of the literature. 成年男性良性间充质肝错构瘤1例报告及文献复习。

Acta medica Austriaca Pub Date : 2003-01-01

T Brkic, I Hrstic, B Vucelic, J Jakic-Razumovic, M Skegro, B Romic, S Cukovic-Cavka, R Pulanic, R Ostojic

{"title":"Benign mesenchymal liver hamartoma in an adult male: a case report and review of the literature.","authors":"T Brkic, I Hrstic, B Vucelic, J Jakic-Razumovic, M Skegro, B Romic, S Cukovic-Cavka, R Pulanic, R Ostojic","doi":"","DOIUrl":"","url":null,"abstract":"Mesenchymal hamartoma of the liver is an uncommon benign lesion seen almost exclusively in children younger than two years of age. The first case was reported in 1903, and until now fewer than 200 cases have been reported. A 38-year-old male complaining of dull subcostal pain lasting for almost 10 months was found on abdominal ultrasound to have a focal lesion of the liver. He was referred to our Unit where imaging procedures (ultrasound and computed tomography) revealed a solid lesion, 8 centimeters in diameter, located in the IVb and V segments of the liver. There were no clear margins between the lesion and the gallbladder wall. Alpha-fetoprotein and carcinoembryonic antigen were within normal limits and carbohydrate antigen 19-9 was minimally elevated. There was no evidence of metastatic disease. Ultrasound-guided biopsy of the lesion was done and pathology report of a biopsy specimen suggested that the tumor was probably a benign mesenchymal hamartoma. The patient underwent a formal bi-segmentectomy (IVb and V segments) with cholecystectomy. Definitive pathology report confirmed the diagnosis of a benign mesenchymal hamartoma.","PeriodicalId":6945,"journal":{"name":"Acta medica Austriaca","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24444199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-transfusion acute graft versus host disease in a 17-year-old girl with a malignant mesenchymal tumor--report of a case. 17岁女孩恶性间充质瘤输血后急性移植物抗宿主病1例报告

Acta medica Austriaca Pub Date : 2003-01-01

G Utkan, A Buyukcelik, O Demir, H Sanli, A Pamir

引用次数: 0

[Possible consequences of subclinical hypothyroidism]. [亚临床甲状腺功能减退的可能后果]。

Acta medica Austriaca Pub Date : 2003-01-01

M Weissel

{"title":"[Possible consequences of subclinical hypothyroidism].","authors":"M Weissel","doi":"","DOIUrl":"","url":null,"abstract":"Subclinical hypothyroidism is defined as elevated TSH in the presence of normal free T4 and T3 levels. This review discusses the following questions concerning subclinical hypothyroidism that have not been solved yet: 1) does elevated TSH always mean failure of the thyroid gland? 2) Do patients with subclinical hypothyroidism always develop overt hypothyroidism? 3) Are they symptomatic? 4) Does treatment with L-Thyroxine cure these symptoms,--if they exist? Summarizing the results of the literature one can give the following answers: 1) Elevated TSH with normal free T4 can but does not necessarily mean thyroid failure. 2) Patients with positive thyroid antibodies and especially with TSH levels above 10 mU/l are at high risk to develop overt hypothyroidism. 3) Typical symptoms (thyroid-specific, cardiovascular, neurological and psychiatric and finally alterations of risk factors for atherosclerosis) seem to occur in a greatly varying percentage of patients--some of the described symptoms are of questionable clinical importance. 4) Some of the symptoms, especially the cardiovascular, seem to be treatable by L-T4, whereas others like most of the changes in lipid metabolism can not be influenced by normalization of the TSH levels. In conclusion, screening for TSH and free T4 seems to be justified in elderly women, where the prevalence of the disease is approximately 20%. However, treatment of \"symptoms\" of subclinical hypothyroidism like elevated cholesterol levels or depression should be done only in patients with a TSH > 10 mU/l and there only with great caution in order to avoid unnecessary overdosage with the danger of eliciting atrial fibrillation.","PeriodicalId":6945,"journal":{"name":"Acta medica Austriaca","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24153002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Subclinical hyperthyroidism in dementia and correlation of the metabolic index in FDG-PET. 痴呆患者亚临床甲状腺功能亢进与FDG-PET代谢指标的相关性。

Acta medica Austriaca Pub Date : 2003-01-01

N Döbert, N Hamscho, C Menzel, J Peters, L Frölich, A Tsolakis, K Zaplatnikov, T Kratzsch, J Diener, K Maurer, F Grünwald

{"title":"Subclinical hyperthyroidism in dementia and correlation of the metabolic index in FDG-PET.","authors":"N Döbert, N Hamscho, C Menzel, J Peters, L Frölich, A Tsolakis, K Zaplatnikov, T Kratzsch, J Diener, K Maurer, F Grünwald","doi":"","DOIUrl":"","url":null,"abstract":"Aim: Thyroid hormone status and thyroid antibodies were evaluated in patients suffering from dementia for further study of an association of hyperthyroidism with AD and vascular dementia (VD), respectively.Patients: In 77 patients with dementia, and 42 controls, thyrotropin (TSH) and thyroid antibodies were correlated with the different types of dementia and the metabolic index (MI) based on imaging with F-18-2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET).Results: Twenty-two of all patients with dementia (29%) had borderline (TSH 0.3-0.5 mU/l) or decreased TSH levels (TSH < 0.3 mU/L). TSH values were significantly lower in patients suffering from AD (median: 1.1 mU/l) and VD (0.5 mU/l) than in the control group (1.5 mU/l) (p < 0.01). Decreased or borderline TSH levels were present in 52% of the patients with VD, but in only 10% of the controls, and in 23% of the patients with AD. Antibodies to thyroid peroxidase were positive in 16% of all patients with dementia. The MI in patients suffering from AD with borderline TSH levels was 0.81 (0.70, 0.94). In contrast, patients suffering from AD with normal TSH values showed a slightly higher MI of 0.84 (0.76, 0.89) (p = n.s.).Conclusion: Decreased or borderline TSH values are associated with an increased probability of having dementia, especially VD.","PeriodicalId":6945,"journal":{"name":"Acta medica Austriaca","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24444198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemodynamically unstable pericardial effusion in the Intensive Cardiac Unit: prospective study. 心脏强化病房中血流动力学不稳定的心包积液:前瞻性研究。

Acta medica Austriaca Pub Date : 2003-01-01

Z Babic, V Nikolic-Heitzler, N Bulj, H Pintaric, D Planinc, S Mihatov

{"title":"Hemodynamically unstable pericardial effusion in the Intensive Cardiac Unit: prospective study.","authors":"Z Babic, V Nikolic-Heitzler, N Bulj, H Pintaric, D Planinc, S Mihatov","doi":"","DOIUrl":"","url":null,"abstract":"The authors have conducted a prospective investigation on 15 patients with hemodynamically unstable pericardial effusion (main criteria: echocardiographic signs of various degrees of right ventricular diastolic collapse and clinical instability) hospitalized in the Intensive Cardiac Unit (1.97% of all patients) for one year and have compared the results with literature data. The causes of pericardial effusion were neoplasms, infections, rupture of heart of aorta and hypothyroidism. Investigation revealed the most frequent findings: symptoms (dyspnea, retrosternal pain, loading intolerance, nonproductive cough), clinical signs (soft heart sounds, changes in pulmonal findings, fever, jugular venous distention, tachycardia, arterial hypotension and hepatomegaly), laboratory changes (elevated erythrocyte sedimentation rate, leukocytosis), ECG changes (ST-T abnormality, microvoltage, tachycardia) and chest X-rays changes (enlarged cardiac silhouette, pleural effusion). Echocardiography found an average width of pericardial effusion of 2.5 cm (+/- 1.2), frequently thickened pericardium and changes in heart motions. The most used drugs in therapy were indomethacin, antibiotics, analgesics and corticosteroids. In three patients pericardiocentesis, and in two pericardiectomy were performed. Two patients died, 13 patients were discharged from the ICU with an improved health condition. Literature data on this condition are either lacking, or differ from the above findings.","PeriodicalId":6945,"journal":{"name":"Acta medica Austriaca","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24121255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Subclinical hyperthyroidism and atrial fibrillation]. [亚临床甲亢与心房颤动]。

Acta medica Austriaca Pub Date : 2003-01-01

J Auer, B Eber

引用次数: 0

[Relevance of diagnostic and interventional endoscopy in elderly patients]. [老年患者内窥镜诊断与介入的相关性]。

Acta medica Austriaca Pub Date : 2003-01-01

A Kirchgatterer, P Knoflach

引用次数: 0

[Disorders of the thyroid gland in neonates and youth: latent hypothyroidism and hyperthyroidism]. [新生儿和青少年甲状腺疾病:潜伏性甲状腺功能减退和甲状腺功能亢进]。

Acta medica Austriaca Pub Date : 2003-01-01

E Reiterer, M H Borkenstein