Lyme disease, first recognized in 1975,¹ typically begins in summer with the unique skin lesion erythema chronicum migrans (ECM), which may be accompanied by headache, stiff neck, fever, myalgias, arthralgias, malaise, fatigue, or lymphadenopathy.² Weeks ...

A NEWLY discovered spirochete was isolated and subsequently cultured from adult Ixodes dammini ticks collected in Shelter Island, New York, a known endemic area of Lyme disease.^{1 , 2} Convalescent-phase serum samples from patients with clinically diagnosed ...

Patent ductus arteriosus is a frequent complication of the respiratory-distress syndrome in premature infants.¹ A patent ductus may further impair pulmonary function in these infants² and is associated with delayed pulmonary recovery² and a higher ...

During the past 25 years (1956 to 1981), there has been major growth in mental health services at virtually all levels, with considerable expansion of outpatient services, psychiatric units in general hospitals, private psychiatric hospitals, and ...

Pancreas

Acute Pancreatitis

The pancreas is an unparalleled concentration of digestive and synthetic enzymes tenuously surrounded by cell membranes. When the cell barrier is broken in the course of acute pancreatitis, the ideal therapy would inhibit ...

The Rationale for Slow-Release Theophylline

In 1974 a report of a placebo-controlled double-blind crossover study indicated that treatment with theophylline was associated with a dramatic decrease in symptoms and signs of chronic asthma without adverse ...

Polydimethylsiloxane fluid (injectable silicone fluid) is widely used in breast augmentation and other cosmetic procedures. This substance undergoes little or no change in physical properties as a function of temperature, low surface tension, or aging; ...

Presentation of Case

A 72-year-old man was admitted to the hospital because of abdominal pain.

He was well until two months earlier, when pain developed in the right side of the abdomen 12 hours after the ingestion of fatty food. An ultrasound study of ...

Lyme disease belongs to the people. It was a concerned mother in 1975 who informed the state health department in Connecticut that 12 children in the village of Old Lyme (population 5000) had an illness that had been diagnosed as juvenile rheumatoid ...

To the Editor: A number of acquired immune-deficiency syndromes (AIDS) have recently been described. They are closely associated with homosexuality in men¹ and with drug abuse in both sexes.^{2 , 3} We have observed a case in a young woman, in the absence ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Amiodarone hydrochloride, an investigational agent used for treatment of atrial and ventricular arrhythmias, has recently been associated with the development of pneumonitis and pulmonary fibrosis in 2 to 6 per cent of patients.^{1 2 3 4 5} ...

No extract is available for articles shorter than 400 words.

To the Editor: The article by Forfar et al. in the November 4 issue¹ demonstrated a decrease in left ventricular ejection fraction during exercise in patients with hyperthyroidism. This reduction in function was contrasted with an increase in ejection ...

To the Editor: We recently treated a case of malaria similar to that described by Weniger et al. (Dec. 16 issue).¹ The patient, a 52-year-old American woman working in Tanzania, was taking 300 mg of chloroquine base weekly. During the previous two years ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

To the Editor: Some months ago, a prominent New England celebrity was observed to have a small, dark mass in the iris of his right eye. When it doubled in size one of us (A.B.) excised it and performed a sector iridectomy. Because of the development of ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

More than any other branch of medical imaging, nuclear medicine requires a firm grasp of underlying physical principles. In addition, the concerns of many patients (and often, of hospital staff) regarding the risks and benefits of nuclear studies must be ...

The pancreas is no longer the terra incognita that it was a mere decade ago. It has been transformed by the newer radiologic-imaging techniques from a deep and inaccessible organ into one that can be readily displayed by noninvasive methods. In this brief ...

No extract is available for articles shorter than 400 words.

No extract is available for articles shorter than 400 words.

The success or failure of a medical atlas, particularly one that involves diagnostic radiology, centers on the quality and scope of its illustrations. In this regard, we have here a complete success. This encyclopedic collection of mammography images is ...

Having followed the works of two of the authors (Zülch and Wende) for many years. I found this book a delight both to read and to review. I can recommend it without hesitation to anyone as an introductory work in the fast-growing field of neuroradiology. ...

No extract is available for articles shorter than 400 words.

PROGRAMS OF THE JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE

The School will offer five programs in Baltimore in the coming months: "The Sleepy Patient: Recognition, Clinical Assessment and Management" (April 16); "Genetic Disorders and Birth Defects in ...

California has enacted legislation that has been termed a "revolution in health care."¹ State lawmakers passed three measures designed to intensify competition among hospitals and physicians in the health-care delivery system.² Confronted with a potential ...