Assuntos
Adesivos/efeitos adversos , Dermatite Alérgica de Contato/etiologia , Toxidermias/etiologia , Resinas Epóxi/efeitos adversos , Resinas Vegetais/efeitos adversos , Alcatrões/efeitos adversos , Adesivos/química , Resinas Epóxi/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Resinas Vegetais/uso terapêutico , Alcatrões/uso terapêuticoRESUMO
Lutz Weber has described Yersinia exanthema, a distinctive dermatological disorder characterized by three or all of the following signs: 1. A typical erythema-multiforme-like eruption, particularly on the neck, shoulders, and arms, 2. Erythema nodosum, 3. Conjunctivitis, particularly on the nasal side of the conjunctiva, 4. Arthralgia. The case presented here concerns a patient who satisfied all of the criteria for Yersinia exanthema and in whom no infection could be demonstrated.
Assuntos
Eritema Nodoso/diagnóstico , Exantema/diagnóstico , Yersiniose/diagnóstico , Corticosteroides/administração & dosagem , Biópsia , Diagnóstico Diferencial , Eritema Nodoso/tratamento farmacológico , Eritema Nodoso/patologia , Exantema/tratamento farmacológico , Exantema/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Pele/patologia , Síndrome de Sweet/diagnóstico , Síndrome de Sweet/tratamento farmacológico , Síndrome de Sweet/patologia , Yersiniose/tratamento farmacológico , Yersiniose/patologiaRESUMO
To establish the incidence of cholelithiasis after total gastrectomy, patients operated on between 1979 and 1985 were reviewed. The study group consisted of 30 patients, all free of gallstones at the time of their gastrectomy. The median age of the patients was 56 years, the average follow-up 40 months. Cholelithiasis developed in 47 per cent of patients (14/30) and always within 2 years of total gastrectomy. The incidence of cholelithiasis was not related significantly to the sex or age of the patients. Morbidity from cholelithiasis was not negligible. Three of the fourteen patients presenting with gallstones required medical treatment in hospital and later came to cholecystectomy because of specific biliary symptoms. Cholelithiasis appears to be a significant complication after total gastrectomy. It may be related to the vagotomy which is performed at the time of gastrectomy.