Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna最新文献_第9页

[Obstructive sleep apnea and internal medicine]. [阻塞性睡眠呼吸暂停和内科]。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Vittorio Grassi, Claudio Tantucci

引用次数: 0

Interferon therapy: the other face of the medal. 干扰素治疗:奖牌的另一面。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Anna Licata, Antonio Craxì

引用次数: 0

Pulmonary sarcoidosis during interferon therapy: a rare or underestimated event? 干扰素治疗期间肺结节病:罕见事件还是低估事件?

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Antonio Salvio, Mauro Mormile, Francesco Giannattasio, Maria Varriale, Tito d'Errico, Brigida Balzano, Pierluigi Carratù, Giovanni Tufano, Mario Visconti

{"title":"Pulmonary sarcoidosis during interferon therapy: a rare or underestimated event?","authors":"Antonio Salvio, Mauro Mormile, Francesco Giannattasio, Maria Varriale, Tito d'Errico, Brigida Balzano, Pierluigi Carratù, Giovanni Tufano, Mario Visconti","doi":"","DOIUrl":"","url":null,"abstract":"Interferon (IFN)-alpha with or without ribavirin is the treatment of choice for patients with chronic HCV-related hepatitis. Cough and dyspnea during IFN therapy are often regarded as a side effect and not as a possible sign of the onset of a pulmonary interstitial disease. It may therefore be claimed that the likelihood that patients treated with IFN develop sarcoidosis is being underestimated. Although they are not conventionally classified as etiopathologic agents of sarcoidosis, the IFNs have been proven to be capable of triggering macrophages and of promoting the expression of class II HLA antigens. It is therefore possible that IFN-alpha treatment could trigger macrophages and promote the polarization of the immune response towards Th1 in the presence of particular susceptibility conditions, thus starting the series of events that lead to the onset of sarcoidosis. We describe a case of pulmonary sarcoidosis in a 33-year-old patient treated with IFN-alpha2b and ribavirin for chronic HCV-related hepatitis after 6 months of therapy. The case we report here brings forth the issue of a possible underestimation of the real incidence of sarcoidosis during IFN therapy and highlights the need for more attention to and a more careful evaluation of respiratory symptoms manifesting in treated patients.","PeriodicalId":77002,"journal":{"name":"Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna","volume":"19 1","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24548353","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

[Celiac disease: presentation of a typical case and an atypical case]. 乳糜泻:一例典型病例和一例非典型病例。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Antonio Carroccio, Lidia Di Prima, Alberto Notarbartolo

引用次数: 0

[Idiopathic retroperitoneal fibrosis: a case report without increased levels of acute-phase reactants. Noninvasive diagnosis and treatment]. 特发性腹膜后纤维化:1例报告，急性期反应物水平未升高。无创诊断和治疗]。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Alberto Artom, Nicola Gandolfo

引用次数: 0

[Relationship between the obstructive sleep apnea syndrome and internal medicine]. [阻塞性睡眠呼吸暂停综合征与内科的关系]。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Alessandro Perrone, Laura Sperduti, Cristina Magliocco, Chiara Marchini, Valentina Masciangelo, Anna Barbarossa, Marco Brunori, Giuseppe Germanò

{"title":"[Relationship between the obstructive sleep apnea syndrome and internal medicine].","authors":"Alessandro Perrone, Laura Sperduti, Cristina Magliocco, Chiara Marchini, Valentina Masciangelo, Anna Barbarossa, Marco Brunori, Giuseppe Germanò","doi":"","DOIUrl":"","url":null,"abstract":"Twelve to twenty-five percent of human population suffer from sleep disorders and sleep-related breathing disorders have a frequency of 5-10%. The association between sleep-related breathing disorders and several diseases, mainly cardiovascular and dysmetabolic, is well known. The aim of this study was to assess the prevalence of this association in a group of 620 patients, aged between 18 and 78 years and referred to the Laboratory of Respiratory Pathophysiology of the Umberto I Hospital of Rome. All patients had a clinical history of a sleep-related breathing disorder and answered a specific questionnaire. One-hundred-and-thirty-seven patients (120 males and 17 females, mean age 64 years), whose questionnaire was suggestive of a sleep-related breathing disorder, underwent clinical assessment including blood tests, lung function tests, blood-gas analysis, ECG and nocturnal polysomnography, either as in- or as out-patients. The main associated pathologies were: arterial hypertension (54.7%), chronic obstructive pulmonary disease (17.9%), obesity (63.1%), dyslipidemia (41%), type 2 diabetes mellitus (6.3%), gastroesophageal reflux (27.3%) and cardiac arrhythmias (4.2%); 95 patients with obstructive sleep apnea syndrome were treated, on the basis of the polysomnography outcomes and according to the Italian Association of Sleep Medicine Guidelines, either with preventive strategies for risk factor reduction, or with medical (positive pressure ventilation, oxygen, assessment of the best drug medication) and/or ear, nose end throat surgical therapies. In most patients, the improvement in the sleep-related breathing disorder was associated with an improvement in their systemic pathology, in particular cardiovascular disease, suggesting the need of a deeper consideration and comprehension of nocturnal apneas.","PeriodicalId":77002,"journal":{"name":"Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna","volume":"19 1","pages":"43-9"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24548399","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

[Liver transplantation]. (肝移植)。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01 DOI: 10.1201/9781498712941-24

M. Pompili, V. Mirante, G. Rapaccini, G. Gasbarrini

{"title":"[Liver transplantation].","authors":"M. Pompili, V. Mirante, G. Rapaccini, G. Gasbarrini","doi":"10.1201/9781498712941-24","DOIUrl":"https://doi.org/10.1201/9781498712941-24","url":null,"abstract":"Liver transplantation represents the first choice treatment for patients with fulminant acute hepatitis and for patients with chronic liver disease and advanced functional failure. Patients in the waiting list for liver transplantation are classified according to the severity of their clinical conditions (evaluated using staging systems mostly based on hematochemical parameters related to liver function). This classification, together with the blood group and the body size compatibility, remains the main criterion for organ allocation. The main indications for liver transplantation are cirrhosis (mainly HCV-, HBV- and alcohol-related) and hepatocellular carcinoma emerging in cirrhosis in adult patients, biliary atresia and some inborn errors of metabolism in pediatric patients. In adults the overall 5-year survival ranges between 60 and 70%, in both American and European series. Even better results have been reported for pediatric patients: in fact, the 5-year survival rate for children ranges between 70 and 80% in the main published series. In this study we evaluated the main medical problems correlated with liver transplantation such as immunosuppressive treatment, acute and chronic rejection, infectious complications, the recurrence of the liver disease leading to transplantation, and cardiovascular and metabolic complications.","PeriodicalId":77002,"journal":{"name":"Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna","volume":"19 1 1","pages":"20-35"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65970174","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

[Pathophysiological significance and clinical utility of circulating osteoprotegerin]. [循环骨保护素的病理生理意义及临床应用]。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Andrea Dovio, Valeria Data, Alberto Angeli

引用次数: 0

[High-protein diets and obesity]. [高蛋白饮食和肥胖]

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2004-01-01

Lorenzo M Donini, Alessandro Pinto, Carlo Cannella

引用次数: 0

[Hyponatremia]. (低钠血症)。

Annali italiani di medicina interna : organo ufficiale della Societa italiana di medicina interna Pub Date : 2003-10-01

Giuseppe Maschio

引用次数: 0