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April 3, 1986  Vol. 314 No. 14

Original Articles
865-869

THE acquired clonal chromosome aberrations that characterize various malignant hematologic diseases are often associated with a particular cell morphology or immunologic phenotype.1 Among patients with chronic lymphocytic leukemia, trisomy 12 is found ...

869-873

GENERALIZED iron loading due to multiple transfusions is common in β-thalassemia major and steroid-unresponsive Diamond–Blackfan anemia. Since 1962, when administration of intramuscular deferoxamine was shown to increase urinary iron excretion ...

874-879

UNDIFFERENTIATED lymphomas similar or identical to Burkitt's lymphoma have been reported with increasing frequency in patients with the acquired immunodeficiency syndrome (AIDS).1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Like the African Burkitt's tumors, ...

879-883

IN familial hypercholesterolemia, a disease with an autosomal dominant pattern of inheritance, a genetic defect in the receptor for low-density lipoprotein (LDL) results in primary hypercholesterolemia and premature atherosclerosis.1 The more common ...

884-888

REGIONAL myocardial contractile dysfunction at rest has been observed to improve after restoration of adequate blood flow.1 , 2 It has been shown experimentally that severe reductions in coronary flow may result in loss of regional contractility without ...

Special Article
889-892

THE routine treatment of an individual patient can be likened to an experiment. For example, Feinstein has described the interaction as one in which the patient arrives in an initial state, accepts a treatment proposed by the clinician, and winds up in a ...

Seminars in Medicine of the Beth Israel Hospital, Boston
892-902

ASCORBIC acid, originally called vitamin C, is required for human health.1 In human beings deprived of ascorbic acid, the deficiency disease scurvy develops and can be life threatening. Although a disease remarkably similar to scurvy was described by the ...

Case Records of the Massachusetts General Hospital
903-913

Presentation of Case

A 66-year-old man was admitted to the hospital because of abdominal pain and collapse.

He was well until six years earlier, when hypertension developed. Two years later diabetes mellitus was found, and insulin was begun. A stool ...

Sounding Board
914-916

    Before dialysis therapy was routinely available in the United States, both related and unrelated living donors were accepted for renal transplantation. By 1965, data from the Registry in Human Kidney Transplantation indicated that the success of kidney ...

    Editorial
    917-920

    Home care is currently one of the most rapidly growing fields in health care, yet it is a subject that the majority of physicians know little about. The purposes of this discussion are, first, to explore the reasons for the general isolation of the ...

    Correspondence
    920-921

    To the Editor: The article by Hurwitz et al. in the October 3 issue* poses an anomaly. A pilot study whose purpose was "to examine methods for a larger study" was presented as a substantive study that showed an association between salicylates and Reye's ...

    921-922

    To the Editor: The acquired immunodeficiency syndrome (AIDS) occurs with increased frequency in homosexual men, intravenous drug abusers, patients with hemophilia, recipients of blood transfusions, and close heterosexual contacts of members of these high-...

    922-923

    No extract is available for articles shorter than 400 words.

    923

    No extract is available for articles shorter than 400 words.

    923

    No extract is available for articles shorter than 400 words.

    924-926

    No extract is available for articles shorter than 400 words.

    926-927

    To the Editor: In 1984, we conducted a study of 114 people who were considered to be at high risk of exposure to polychlorinated biphenyls (PCBs) because of characteristic activity patterns in contaminated areas around three waste dump sites in ...

    927

    No extract is available for articles shorter than 400 words.

    927-928

    No extract is available for articles shorter than 400 words.

    Book Reviews
    928

    First published in January 1982, this encyclopedic work has, in less than four years, become the standard reference for clinical oncologists of all specialties. According to the editors, the second edition was occasioned by the rapid progress in ...

    928-929

    No extract is available for articles shorter than 400 words.

    929

    No extract is available for articles shorter than 400 words.

    929

    No extract is available for articles shorter than 400 words.

    929

    No extract is available for articles shorter than 400 words.

    929-930

    No extract is available for articles shorter than 400 words.

    Notices
    930-931

    INTERNAL MEDICINE

    The Lahey Clinic Foundation will offer a course entitled "Topics in Internal Medicine" at Dunfey's Parker House in Boston, May 1–3.

    Contact the Department of Medical Education, Lahey Clinic Medical Ctr., 41 Mall Rd., Burlington, MA 01805;...

    Special Report
    931-936

      Because they can be transmitted to others, infectious diseases of all kinds have for many years been the subject of statutes, regulations, and court decisions imposing special constraints on both the patient's freedom and the physician's practice. The ...

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