scholarly journals Syncope on Steroids

2001 ◽  
Vol 12 (3) ◽  
pp. 173-174
Author(s):  
Warren Davidson ◽  
Nadia Zalunardo ◽  
Shawn Gill ◽  
Robert Wakefield
Keyword(s):  
Rheumatoid Arthritis ◽  
Medical History ◽  
White Woman ◽  
Medical Attention ◽  
The Past ◽  
Necrotizing Scleritis ◽  
History Of

An 83-year-old white woman sought medical attention because of a three-day history of slurred speech and an episode of syncope. Her medical history included long-standing rheumatoid arthritis treated with prednisone for the past five years (60 mg/day at presentation). In addition, cyclosporin (200 mg/day) had been started 16 months earlier for necrotizing scleritis.

Relevance of the history of psychiatry to practising clinicians

1999 ◽  
Vol 5 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Allan Beveridge
Keyword(s):  
Life History ◽  
Medical History ◽  
History Of Psychiatry ◽  
Genetic Inheritance ◽  
The Past ◽  
Current State ◽  
History Of ◽  
Modern Treatment

Do busy psychiatrists need to pay any attention to the history of their discipline? Surely clinicians should concentrate on keeping up-to-date with the latest developments in their field. Medical history may provide amusing anecdotes about practice in the past, but can it inform modern treatment? Such a response, although familiar, seems rather strange, coming from psychiatrists, who, after all, spend their clinical day, taking ‘histories'. By doing so, they seek to understand their patients' problems in the context of their life history. They try to make sense of the present by reference to the past, whether it be events in the patient's childhood, previous conflicts or the individual's genetic inheritance. Given such a perspective, it seems reasonable that psychiatrists might also take an interest in the history of their profession. By attending to the history of its development, its past disputes and its intellectual inheritance, the psychiatrist can reach a deeper understanding of the current state of psychiatry.

Scotland, Malawi and Medicine: Livingstone's Legacy, I Presume? An Historical Perspective.

2007 ◽  
Vol 52 (3) ◽  
pp. 36-44
Author(s):  
John Lwanda
Keyword(s):  
Medical History ◽  
Historical Perspective ◽  
Medical Training ◽  
Medical Services ◽  
Future Role ◽  
The Past ◽  
History Of

In this personal short historical perspective I reflect on aspects of the medical history of Malawi, formerly Nyasaland, highlighting the role of Scotland and its people in the development of the Malawi medical services in both the colonial as well as the postcolonial period which began in 1964. The paper, after discussing the history of medical training in Malawi and current constraints and challenges, goes on to make some suggestions - based on historical lessons - about future role of Scottish involvement in Malawi's medical development. It would be unfortunate if, in a rush to ‘help or do something’ the mistakes of the past are repeated.

Leflunomide-Associated Skin Ulceration

2002 ◽  
Vol 36 (6) ◽  
pp. 1009-1011 ◽  
Author(s):  
Christopher M McCoy
Keyword(s):  
Rheumatoid Arthritis ◽  
White Woman ◽  
Ethinyl Estradiol ◽  
Drug Effect ◽  
Methotrexate Therapy ◽  
Leg Ulcers ◽  
Skin Ulceration ◽  
Skin Breakdown ◽  
Case Summary ◽  
History Of

OBJECTIVE: To report a case of skin ulceration as a result of treatment with leflunomide for rheumatoid arthritis. CASE SUMMARY: A 78-year-old white woman developed bilateral leg ulcers after 6 months of treatment with leflunomide for rheumatoid arthritis. A history of leg ulcers after methotrexate therapy had been documented. Serologic and diagnostic tests did not support an alternate process. Other medications prescribed were oral ethinyl estradiol 0.05 mg/d, felodipine 5 mg/d, and paroxetine 20 mg/d, for which no documented correlation with the skin breakdown could be made. DISCUSSION: This is the first published case describing a possible relationship between the use of the immunosuppressant agent leflunomide and skin ulceration. CONCLUSIONS: Skin breakdown and ulceration is a recognized adverse effect of drugs with immunosuppressant activity such as methotrexate. Leflunomide, a newer agent prescribed in the treatment of rheumatoid arthritis, may now be listed among the drugs in this category associated with this adverse drug effect.

scholarly journals Acute pericarditis: A peculiar manifestation of common variable immune deficiency

2021 ◽  
Vol 49 (3) ◽  
pp. 115-119
Author(s):  
Nasim Ramzi ◽  
Shahrooz Yazdani ◽  
Hamed Talakoob ◽  
Hossein Karim ◽  
Mahnaz Jamee ◽  
...  
Keyword(s):  
Immune Deficiency ◽  
Medical History ◽  
Inborn Error ◽  
Common Variable Immune Deficiency ◽  
Recurrent Infections ◽  
Past Medical History ◽  
Acute Pericarditis ◽  
The Past ◽  
History Of ◽  
Common Variable

Common variable immune deficiency (CVID) is known as the most prevalent symptomatic inborn error of immunity associated with autoimmune and inflammatory complications in addition to recurrent infections. In this study, we investigated the prevalence of acute pericarditis as a complication in the past medical history of 337 CVID patients. We found five patients (1.5%) that had experienced acute pericarditis, and described the medical history of three patients.

scholarly journals BIBLIOGRAFI SEJARAH KESEHATAN PADA MASA PEMERINTAHAN HINDIA BELANDA

2012 ◽  
Vol 22 (2) ◽  
Author(s):  
Mumuh Muhsin Z.
Keyword(s):  
Medical History ◽  
Historical Context ◽  
Colonial Period ◽  
Health Conditions ◽  
Historical Method ◽  
The Past ◽  
History Of ◽  
Number Of Publications ◽  
To Receive ◽  
Bibliographic Study

<p>History of health recently began to receive attention in Indonesia. One of the ways to trace them is through bibliographic study. Publications issued in the past, particularly in the colonial period, whether it be books, journals, magazines, newspapers can become an access to know and reconstruct the history of health in Nusantara. The purpose of this study is to inventory and identify a number of publications that appeared in the past by first described its historical context. The method used in this study is the historical method. The conclusion showed that the availability of bibliographic resources on the history of health in Indonesia is quite a lot that can be used to reconstruct the Indonesian health conditions in the colonial period. Knowledge of medical history is very useful to see the change, continuity, parallelism, and comparison of health problems in various places and at different periods.</p> <p>Key words: bibliography, medical history, the Netherlands-Indie</p> <p> </p> <p>Sejarah kesehatan belakangan ini mulai mendapat perhatian di Indonesia. Untuk menelusurinya di antaranya adalah melalui pengkajian bibliografis. Publikasi-publikasi yang diterbitkan pada masa lalu, khususnya masa kolonial,  baik berupa buku, jurnal, majalah, surat kabar bisa menjadi akses untuk mengetahui dan merekonstruksi masa lalu kesehatan di Nusantara. Tujuan penelitian ini adalah menginventarisasi dan mengidentifikasi sejumlah publikasi yang terbit pada lalu dengan terlebih dahulu diuraikan konteks sejarahnya. Metode yang digunakan dalam penelitian ini adalah metode sejarah. Simpulannya adalah ketersediaan sumber bibliografis mengenai sejarah kesehatan di Indonesia yang cukup banyak itu dapat digunakan untuk merekonstruksi kondisi kesehatan di Indonesia masa kolonial. Pengetahuan sejarah kesehatan ini sangat berguna untuk melihat perubahan, kesinambungan, paralelisme, dan perbandingan masalah kesehatan di berbagai tempat pada berbagai periode.</p> <p>Kata kunci: bibliografi, sejarah kedokteran, Hindia Belanda</p> <p> </p>

scholarly journals Lung Involvements in Rheumatic Diseases: Update on the Epidemiology, Pathogenesis, Clinical Features, and Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-19 ◽  
Author(s):  
You-Jung Ha ◽  
Yun Jong Lee ◽  
Eun Ha Kang
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Rheumatic Diseases ◽  
Lupus Erythematosus ◽  
Treatment Options ◽  
Specific Form ◽  
Lung Involvement ◽  
Systemic Lupus ◽  
The Past ◽  
History Of

Lung illness encountered in patients with rheumatic diseases bears clinical significance in terms of increased morbidity and mortality as well as potential challenges placed on patient care. Although our understanding of natural history of this important illness is still limited, epidemiologic knowledge has been accumulated during the past decade to provide useful information on the risk factors and prognosis of lung involvements in rheumatic diseases. Moreover, the pathogenesis particularly in the context of genetics has been greatly updated for both the underlying rheumatic disease and associated lung involvement. This review will focus on the current update on the epidemiologic and genetics features and treatment options of the lung involvements associated with four major rheumatic diseases (rheumatoid arthritis, systemic sclerosis, myositis, and systemic lupus erythematosus), with more attention to a specific form of involvement or interstitial lung disease.

Oral Testimony and the History of Medicine

2012 ◽  
Author(s):  
Kate Fisher
Keyword(s):  
Oral History ◽  
Medical History ◽  
International Institutions ◽  
Medical Treatments ◽  
The Past ◽  
Personal Experiences ◽  
Oral Testimony ◽  
History Of ◽  
Epidemiological Trends ◽  
The Relationship

This article surveys the historiographical trends in medical history that have fostered the rise in the use of oral history. It discusses different approaches that serve to bring individual experiences and human agents into the historical frame, humanizing our understanding of the national and international institutions, professions, governments, and organizations that shape medical history. Oral history reveals the clinicians behind changing medical treatments and the personal experiences behind patient populations or epidemiological trends. This article argues, however, that oral history needs to do more; rather, it should aim to chart and explore the relationship between the structures of medicine and human experience. Furthermore, it discusses that oral testimony does not document the past, but is an individual's interpretation of it; historians therefore need to interrogate it as such, exploring why people remember in certain ways, what is forgotten or misremembered, and what such memories mean for the present.

The History of Paediatrics: The Progress of the Study of Diseases of Children up to the End of the XVIIIth Century, by George Frederic Still, M.D. London: Dawsons of Pall Mall, 1965, 526 pp., 5.10.0 ($15.50)

PEDIATRICS ◽  
1966 ◽  
Vol 37 (6) ◽  
pp. 920-920
Author(s):  
Samuel X. Radbill
Keyword(s):  
Rheumatoid Arthritis ◽  
Juvenile Rheumatoid Arthritis ◽  
Royal College ◽  
Title Page ◽  
The Past ◽  
King's College ◽  
History Of ◽  
History Of Pediatrics ◽  
Medical Interest ◽  
Original Edition

First published in 1931 as an enlargement upon the Fitzpatrick lectures which were given a few years earlier at the Royal College of Physicians in London, the original edition of this book had become a rarity thanks to Hitler's bombers which destroyed all but about 800 copies. Now this facsimile reprint will meet an eager welcome. It complements Ruhräh's Pediatrics of the Past, which Still, in his preface, described as so "masterly and delightful an anthology." Using the biographical method, the growth of medical interest in children is traced chronologically from Hippocrates to Jenner, a period from about 400 B.C. to 1800 A.D. An appendix listing pediatric inaugural dissertations written between the years 1573 and 1799 and another listing minor writings, dissertations, and pamphlets from 1729 to 1797, as well as an index of names and subjects, add to the usefulness of the book. George Frederic Still (1868-1941), whose last name is the eponym for juvenile rheumatoid arthritis (the theme of his graduation thesis in 1897), was one of the first in England to devote himself to pediatrics as a modem specialty. He was the first professor of diseases of children in King's College, London, and the author of many important pediatric papers, as well as several books among which is his popular and beautifully written textbook on Common Disorders and Diseases of Children. But his most enduring gift to mankind is this remarkably accurate and scholarly study of the history of pediatrics. This reprint is a photocopy of the original. Nothing but the name of the publisher on the title page has been altered, which will prove a boon to true scholars even though it stops short of the nineteenth and twentieth cunturies.

scholarly journals Crohn’s disease: A case report with literature review

2015 ◽  
Vol 21 (1) ◽  
pp. 32-36
Author(s):  
Alexandra Maiorean ◽  
Mariana Aşchie ◽  
Anca Florentina Mitroi ◽  
I. Poinareanu
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Medical Attention ◽  
Inflammatory Disorder ◽  
Systemic Complications ◽  
The Past ◽  
Choice Of Treatment ◽  
Case Surgery ◽  
History Of ◽  
Local And Systemic Complications

Abstract Crohn’s disease is an idiopathic inflammatory disorder which can affect any segment of the digestive tract. Generally considered uncommon and often underestimated, it can endanger the patient’s life due to its local and systemic complications. In this article we present the case of a 67-year-old male patient who was admitted for cramping abdominal pain, nonbloody diarrhea, fever and anorexia. He described a 5-year history of similar episodes composed of the same symptoms for which he was admitted. In the past no diagnosis was confirmed and he received no treatment, due to the fact that the episodes were autolimited and the patient didn’t ask for medical attention. In this case surgery was required and the diagnosis of Crohn’s disease was histopathologically confirmed, thus leading to a proper choice of treatment to avoid possible complications.

Leishmania donovani mucosal leishmaniasis in Malta

2020 ◽  
Vol 13 (11) ◽  
pp. e237687 ◽  
Author(s):  
Paula Grech ◽  
Sarah M Vella ◽  
Tonio Piscopo
Keyword(s):  
Rheumatoid Arthritis ◽  
Medical History ◽  
Liposomal Amphotericin ◽  
Leishmania Donovani ◽  
Recurrent Epistaxis ◽  
Intranasal Steroids ◽  
Mucosal Leishmaniasis ◽  
History Of

We report a case of a 76-year-old British man living in Malta who presented with a 7-month history of recurrent epistaxis and an enlarging right nasal vestibular lesion. Of note, his medical history included rheumatoid arthritis for which he was on long-term methotrexate. Blood results were unremarkable other than a mild lymphopaenia. Despite the use of various antibiotics and intranasal steroids, the lesion failed to resolve. This was eventually biopsied, and the histological picture was that of mucosal leishmaniasis. Leishmania donovani complex was detected by PCR. The patient was treated with liposomal amphotericin B on alternate days for a total of 20 doses. The lesion was found to have healed well at follow-up and the patient denied any further episodes of epistaxis.

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