RESUMO
Thirty-four patients with persistent hiccups (median duration 10 days) were treated by gentle endoscopic massage of the region of the cardia. Hiccups stopped in all cases. Its early recurrence in one patient only required a second massage, which was also effective. This simple technique is recommended for the treatment of persistent hiccups.
Assuntos
Endoscopia Gastrointestinal/métodos , Soluço/terapia , Massagem/métodos , Adolescente , Adulto , Idoso , Doença Crônica , Côte d'Ivoire/epidemiologia , Endoscopia Gastrointestinal/normas , Feminino , Soluço/epidemiologia , Soluço/etiologia , Hospitalização/estatística & dados numéricos , Hospitais Universitários , Humanos , Masculino , Massagem/normas , Pessoa de Meia-Idade , Recidiva , Fatores de TempoRESUMO
Three new cases of systemic lupus erythematosus, all observed en 1986, are reported. So the incidence of this disease seems to be increased. Clinical features do not show any particularity and hyperthermia; cutaneous manifestations, arthralgia and renal impairment must be emphasized. Urinary infection is frequent. Among the biological features, antinuclear antibodies are positive in the three cases. Glucocorticosteroid therapy was efficient at short term, with unfortunately side effects which lead to stop the treatment.
Assuntos
Lúpus Eritematoso Sistêmico/diagnóstico , Adulto , Côte d'Ivoire , Feminino , Glucocorticoides/uso terapêutico , Humanos , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Lúpus Eritematoso Sistêmico/epidemiologiaRESUMO
Report on 27 cases of multiple myeloma recorded in 10 years and 24000 in-patients of Treichville University Hospital in Abidjan (Republic of Ivory Coast). The sex-ratio is 70% of males versus 30% of females and the frequency ranges from 25 years to a maximum between 55 and 75 years. First warning symptoms are pains (70%) then fractures (14,1%), biologic disorders (11,1%) and tumors (7,4%). Vertebrae and flat bones are most often affected with a special frequency for skull and jaw. Radiological aspects and biological changes are reviewed; a high blood sedimentation rate, rather common in Africans, has not the same value as in Caucasians.