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1.
WEST INDIAN MED. J ; 45(1): 34-6, Mar. 1996.
Artigo em Inglês | MedCarib | ID: med-4684

RESUMO

Multicentric angiofollicular lymph node hyperplasia (MAFH) is a rare disorder which has been associated with various disease entities. This is the first report of its association with ulcerative colitis. details of lymph node histology and views on pathogenesis (AU)


Assuntos
Adulto , Humanos , Masculino , Relatos de Casos , Hiperplasia do Linfonodo Gigante/patologia , Hiperplasia do Linfonodo Gigante/complicações , Colite Ulcerativa/complicações , Biópsia , Fígado/patologia , Evolução Fatal
2.
West Indian med. j ; 38(Suppl. 1): 53, Apr. 1989.
Artigo em Inglês | MedCarib | ID: med-5656

RESUMO

There is a well-established, although poorly understood, association between inflammatory bowel disease and growth retardation. The trichuris dysentery syndrome (Ramsey, 1962) is an insidious, chronic condition which has clinical features similar to Crohn's colitis and ulcerative colitis. We present data on the attained heights and weights of 19 children at the time of diagnosis of intense, symptomatic Trichuris (whipworm) infection. Their ages ranged from 2 to 10 years and their histories of bowel symptoms from 6 months to 7 years. We further present data on the growth velocities of 10 of them in the half-year following worm expulsion by mebendazole. These children returned to their home environments without food supplementation or close follow-up. All measurements are converted to Standard Deviation Scores for age (denoted Z) based upon the Tanner-Whitehouse distance and velocity growth charts. Mean height was minus 2.6 Z (SD 1.4) and weight-for-height minus 1.5 Z (SD 1.0). Where bone age was obtained, it corresponded closely to the child's height age. Only 4 of the 19 had greater than minus 2 Z: the syndrome was thus predominantly associated with stunting rather than wasting. Following worm expulsion, usually accompanied by a therapeutic course of ferrous sulphate, height velocities averaged +6.8 Z (SD 3.6) and weight velocities +2.5 Z, (SD 4.6). All height velocities were greater than the standard for age, with 9 out of 10 greater than +2 Z, whereas only 4 weight velocities were greater than +1 Z, 6 values being the same as, or less than, the standard for children of that age or that height. We conclude that the Trichuris Dysentery Syndrome is associated more with suppression of linear growth than with loss of weight-for-height, and that the suppression is reversible upon expulsion of the worms - the symptoms then having resolved. Catch-up height growth can then achieve velocities as great as any recorded, including those that follow growth hormone therapy in pituitary deficiency (AU)


Assuntos
Trichuris , Disenteria , Colite Ulcerativa , Peso-Estatura , Jamaica
6.
Br Med J ; 2(6194): 824-5, Oct. 6, 1979.
Artigo em Inglês | MedCarib | ID: med-10215

RESUMO

Inflammatory bowel disease is generally assumed to be rare among negroes and Indians. Over 10 years 34 cases of ulcerative colitis and 14 cases of Crohn's disease were seen in one medical and one surgical unit in Port-of Spain, Trinidad. Twenty-six patients were Negroes, 18 were Indians, three were of mixed race, and one was Caucasian. In many of these patients the disease was extensive and several of those with Crohn's disease suffered severe complications. The assumption that inflammatory bowel disease is rare among West Indians of African and Indian origin therefore seems to be wrong. (AU)


Assuntos
Humanos , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Masculino , Feminino , Colite Ulcerativa/complicações , Colite Ulcerativa/epidemiologia , Doença de Crohn/complicações , Doença de Crohn/epidemiologia , Negro ou Afro-Americano , Índia/etnologia , Trinidad e Tobago
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