Respiratory medicine CME最新文献

A case of disseminated blastomycosis presenting as intramuscular abscess 播散性芽孢菌病1例，表现为肌肉内脓肿

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.008

Siddhartha G. Kapnadak , Ajeet Vinayak

引用次数: 1

A 42-year-old man with progressive dyspnea and a rapidly growing mass 42岁男性，进行性呼吸困难，肿块迅速增大

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.05.002

Jinesh P. Mehta, Juan Guardiola

引用次数: 1

An incidental finding of a lung lesion in a patient with systemic sclerosis 系统性硬化症患者偶然发现的肺部病变

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.03.006

Ahsan R. Akram , John H. Reid , William Wallace , Simon W. Watkin , Jacqueline F. Faccenda

引用次数: 0

Continuous versus on-demand pharmacotherapy of allergic rhinitis: Evidence and practice 持续与按需药物治疗变应性鼻炎:证据和实践

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.04.002

Gert Laekeman , Steven Simoens , Johan Buffels , Michel Gillard , Thibert Robillard , Margherita Strolin Benedetti , Jean-Baptiste Watelet , Georges Liekendael , Liesbet Ghys , Martin Church

{"title":"Continuous versus on-demand pharmacotherapy of allergic rhinitis: Evidence and practice","authors":"Gert Laekeman , Steven Simoens , Johan Buffels , Michel Gillard , Thibert Robillard , Margherita Strolin Benedetti , Jean-Baptiste Watelet , Georges Liekendael , Liesbet Ghys , Martin Church","doi":"10.1016/j.rmedc.2011.04.002","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.04.002","url":null,"abstract":"<div><p>This review aims to compare continuous with on-demand pharmacotherapy of allergic rhinitis by focusing on pharmacodynamic, pharmacokinetic, safety, effectiveness, cost and cost-effectiveness considerations. A working party of experts reviewed and discussed the literature and guidelines, and conducted a qualitative analysis of the Summary of Product Characteristics of specific medicines. With respect to medicines, the working party limited itself to antihistamines, nasal corticosteroids and leukotriene antagonists. Based on a review of the evidence from a multidisciplinary perspective, this article makes pharmacotherapeutic recommendations that are easy, functional and applicable to daily practice in primary care.</p><p>The pharmacotherapeutic evidence for continuous versus on-demand treatment of allergic rhinitis was limited. Clearly, for corticosteroids, their mechanism of action in allergic rhinitis of reducing allergic inflammation requires continuous therapy at least for the duration of symptoms. For H<sub>1</sub>-antihistamines, some trials suggest that continuous treatment is preferable but more studies are needed to confirm this conclusion. For both H<sub>1</sub>-antihistamines and nasal corticosteroids safety data indicate that continuous treatment may be given without fears of adverse consequences, although a distinction can be made between the first and the second generation antihistamines. With regard to the cost and cost-effectiveness implications of continuous therapy versus on-demand therapy, more studies are necessary before definitive conclusions may be made.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 2","pages":"Pages 51-59"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137401426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A very unusual iatrogenic tracheal foreign body 一种罕见的医源性气管异物

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.10.003

Oguz Uzun, Nejat Altintas

引用次数: 2

Silicone breast implant-induced lymphadenopathy: 18 Cases 硅胶乳房植入物致淋巴结病18例

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.01.001

Philippe R. Bauer , Bryan J. Krajicek , Craig E. Daniels , Sejal S. Shah , Jay H. Ryu

{"title":"Silicone breast implant-induced lymphadenopathy: 18 Cases","authors":"Philippe R. Bauer , Bryan J. Krajicek , Craig E. Daniels , Sejal S. Shah , Jay H. Ryu","doi":"10.1016/j.rmedc.2011.01.001","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.01.001","url":null,"abstract":"<div><h3>Background</h3><p>There is renewed concern regarding the adverse effects of silicone breast implants, particularly regarding implant rupture. Silicone leak can spread to regional lymph nodes, and remote organs, sometimes mimicking malignancy. The aim of this study was to determine the clinical and radiologic features, pathologic findings, and outcome associated with silicone-induced lymphadenopathy in patients with silicone breast implants.</p></div><div><h3>Methods</h3><p>Retrospective review of cases of silicone-induced lymphadenopathy after breast implant encountered at Mayo Clinic Rochester between 1998 and 2008.</p></div><div><h3>Results</h3><p>We identified 18 cases of silicone-induced lymphadenopathy (axillary, supraclavicular, internal mammary, and mediastinal). Fifteen patients had breast reconstruction and 3 breast augmentation. Most patients experienced symptoms. One patient had pulmonary opacities, retroperitoneal lymphadenopathy, hypercalcemia, and confirmed silicone in the thyroid, and the omentum. Imaging included mammography, chest CT, breast MRI and PET scan. Lymph node biopsies and/or breast implant removal confirmed the diagnosis with characteristic granulomatous inflammation and giant cell reaction and/or implant rupture.</p></div><div><h3>Conclusions</h3><p>Silicone-induced lymphadenopathy can be confused for malignancy or recurrent breast cancer in patients with breast implants. Silicone breast implant ruptures are relatively uncommon, but are under-recognized. Silicone usually migrates to the axillary lymph nodes but may migrate to other lymph nodes as well as extranodal sites.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 126-130"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 33

Bronchoalveolar carcinoma on a background of chronic extrinsic allergic alveolitis in a spice miller – A case report 慢性外源性过敏性肺泡炎背景下的支气管肺泡癌在香料磨坊- 1例报告

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.01.004

Mitrakrishan Chrishan Shivanthan, Bandula Wijesiriwardena

引用次数: 1

Biphasic flow volume curve due to obstruction of main bronchus by bronchogenic cyst 支气管源性囊肿阻塞主支气管的双相血流容积曲线

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2011.01.005

Juan Antonio Mazzei , Analía Barro , Mariano Egidio Mazzei , Tamara Portas , Hugo Esteva

{"title":"Biphasic flow volume curve due to obstruction of main bronchus by bronchogenic cyst","authors":"Juan Antonio Mazzei , Analía Barro , Mariano Egidio Mazzei , Tamara Portas , Hugo Esteva","doi":"10.1016/j.rmedc.2011.01.005","DOIUrl":"https://doi.org/10.1016/j.rmedc.2011.01.005","url":null,"abstract":"<div><p>The biphasic curve or bicompartmental flow volume obtained during the forced maneuver is the characteristic of the obstruction of a main bronchus. We report the case of a 64-year-old woman, with progressive dyspnea, coughing and wheezing localized in the left hemithorax, who had been diagnosed with bronchial asthma and was not responding to treatment. The flow volume curve showed an end inspiratory arm configuration compatible with unilateral obstruction of a main bronchus. Chest computed tomography with three-dimensional reconstruction showed a left main bronchus compression by a cyst formation, the bronchoscopy confirmed the obstruction. At surgery a bronchogenic cyst was resected.</p><p>After the procedure, dyspnea, cough, expectoration and wheezing disappeared. The postoperative flow volume curve showed a normal configuration. We are not aware of a previous report of a biphasic flow volume curve due to a mediastinal bronchogenic cyst.</p><p>The flow volume curve is a noninvasive procedure useful in the diagnosis of unilateral obstruction of a main bronchus.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 116-118"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137088778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Infant pulmonary function testing guides therapy in cystic fibrosis lung disease 婴儿肺功能测试指导囊性纤维化肺疾病的治疗

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.01.005

Amy G. Filbrun, Carey N. Lumeng, Samya Z. Nasr

引用次数: 0

An unusual cause of pulmonary artery hypertension in a patient with chronic obstructive airway disease 慢性阻塞性气道疾病患者肺动脉高压的不寻常原因

Respiratory medicine CME Pub Date : 2011-01-01 DOI: 10.1016/j.rmedc.2010.04.002

Ankur Girdhar , Amita Singh , Abubakr A. Bajwa

引用次数: 0