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Abstract Patients with chronic inflammatory demyelinating polyneuropathy (CIDP) experience proximal- and distal-extremity weakness, sensory loss, and often hyporeflexia or areflexia. CIDP is associated with a variety of concomitant medical illnesses, [...]

The treatment of keloids and hypertrophic scars is a therapeutic challenge. Incorporating the carbon dioxide laser with secondary healing and injections of triamcinolone acetonide and hyaluronidase for early collagen deposition provides for adequate results. Postoperative compliance of the patient is mandatory and essential for longterm success.

Gastric ulcer in swine is characterized by an area of acid-peptic digestion, occurs usually in the pars oesophagea of the stomach, and has unknown etiopathogenesis. The present work was carried out to investigate the prevalence of the newly described spiral-shaped microorganism Gastrospirillum sp. (“Gastrospirillum suis”) in stomachs of abattoir pigs with and without gastric ulcer. Stomachs were removed from 32 consecutive pigs presenting apparently normal mucosa and from 32 additional consecutive pigs presenting frank, chronic gastric ulcer of the pars oesophagea. Fragments of antral, oxyntic, cardiac and pars oesophagea regions were taken from each stomach and processed for histology and for identification of Gastrospirillum sp. in tissue sections. The microorganisms were identified mainly in the mucous layer and in gastric foveolas of the antral and oxyntic mucosa. Forty pigs (62.5%) were positive for Gastrospirillum sp.; among them, 27 (67.5%) had gastric ulcer, and 13 (32.5%) had no ulcer. Twenty-four pigs (37.5%) were negative for Gastrospirillum sp.; among them, five (20.8%) presented with gastric ulcer, and 19 (79.2%) had no ulcer. There was a significant difference between pigs with and without gastric ulcer in regard to the presence of Gastrospirillum sp. (P < 0.01). The spiral-shaped microorganism Gastrospirillum sp. that inhabits the stomach of pigs should be considered a possible factor connected with the etiopathogenesis of swine gastric ulcer.

A case of pheochromocytoma was presenting as pre-eclamptic toxemia superimposed on essential hypertension and was diagnosed during cesarean section. For more frequent reports and early diagnosis of pheochromocytoma associated with pregnancy, the following triad should be adopted: (1) The possibility of pheochromocytoma is to be kept in mind as a cause of hypertension in pregnancy; (2) routine quantitative estimation of 24 hour urinary excretion of 4-hydroxy-3-methoxy mandelic acid in toxemic and hypertensive patients; and (3) careful and gentle exploration of the abdomen in all laparotomies done for toxemic and hypertensive patients.