Idiopathic dilated cardiomyopathy is a common cause of cardiac dysfunction.¹,² It is characterized by progressive dilatation of the left ventricle (and sometimes the right ventricle as well), unaccompanied by compensatory wall thickening. This accounts ...

Cirrhosis related to infection with the hepatitis C virus (HCV) is a common reason for liver transplantation, although viremia is known to persist in over 95 percent of patients.¹ Recurrence of HCV infection in the graft can be demonstrated as early as ...

Transient hypothyroxinemia is common among preterm infants and has been variously viewed as a benign developmental phenomenon, an expression of temporary hypothalamic–pituitary immaturity, or a manifestation of nonthyroidal illness.¹–¹¹ Until recently, it ...

The incidence of tuberculosis rose sharply in New York City over the past decade. Contributing to this resurgence were human immunodeficiency virus (HIV) infection,¹–⁷ drug abuse,⁸,⁹ alcoholism,¹⁰ homelessness,¹¹–¹⁷ immigration,¹⁸ drug resistance,¹⁹ and ...

Figure 1. Physical examination of two patients with severe left ventricular failure revealed pulsus alternans in the radial pulse. Pulsus alternans is a physical finding characterized by a regular alternation of the force of the arterial pulse. It almost ...

Since 1948, when the World Health Organization defined health as being not only the absence of disease and infirmity but also the presence of physical, mental, and social well-being,¹ quality-of-life issues have become steadily more important in health ...

In recent years there has been a series of advances in the treatment of inflammatory bowel disease (ulcerative colitis and Crohn's disease).¹–⁶ Notwithstanding these advances, our understanding of inflammatory bowel disease⁷ has been hindered by the lack ...

Presentation of Case

A 36-year-old man was admitted to the hospital because of pain in the right lower quadrant of the abdomen and the lumbar region.

There was a two-year history of intermittent pain in the right lower quadrant and right lumbar region, ...

Idiopathic dilated cardiomyopathy is characterized by left ventricular dilatation, insufficient compensatory hypertrophy of the left ventricle, interstitial fibrosis in the myocardium, and increased stress on the wall of the left ventricle. In this ...

The first complete description of transient hypothyroxinemia in low-birth-weight infants dates from 1981,¹ and there has since been much speculation about the causes of the phenomenon. The hypothyroxinemia may be caused by a special type of nonthyroidal ...

Obviously, the equilibrium between man and the tubercle bacillus is very precarious. If war can so rapidly upset it, other unforeseen events might also cause recurrences of the tuberculosis epidemic in the Western world. . . . In the final analysis, the ...

To the Editor: We commend Drs. Bartlett and Mundy on their review of community-acquired pneumonia (Dec. 14 issue).¹ Having served as a chair or member of the Canadian and American Thoracic Society (ATS) consensus committees that developed guidelines for ...

To the Editor: In Dr. Lee's excellent review of drug-induced hepatotoxicity (Oct. 26 issue),¹ he recommends a 48-hour course of oral N-acetylcysteine for patients who have ingested acetaminophen at an unknown time before coming to the hospital or in whom ...

To the Editor: On the basis of personal experience and “in the hope that very early intervention . . . in a patient with still relatively limited involvement . . . may prevent more extensive epidermal necrosis,” Fine (Nov. 30 issue)¹ recommends systemic ...

To the Editor: In a study of up to 12 months' duration, Janatuinen et al. (Oct. 19 issue),¹ found that moderate amounts of oats can be included in a gluten-free diet without adverse effects in most adults with celiac disease. We do not agree that ...

To the Editor: Corrected transposition of the great arteries without associated intracardiac anomalies is a very rare condition.¹ This lesion is also known as ventricular inversion with l-transposition. As with complete or d-transposition, the aorta ...

The history and heritage of medicine are inadequately integrated into the education of physicians and are rarely incorporated into the body of knowledge held by medical practitioners and scholars. But the past establishes the context for the present. ...

Reproductive Health Care for Women and Babies makes for both interesting and disturbing reading. The editors, representing the obstetrical and gynecological community, along with medical journalists, have assembled contributors who cover the wide range of ...

Although several excellent textbooks on adolescent medicine have been published recently, there are few books that address issues of adolescent health comprehensively. The most recent were published in 1991 (The Health of Adolescents: Understanding and ...

Sigmund Freud reminded us that nursemaids had always known about the sexuality of children. Similarly, all of us have always known that the differences between the sexes go far beyond the fascinating yet superficial difference in the appearance of the ...

Deficiency of a Dystrophin-Associated Glycoprotein (Adhalin) in a Patient with Muscular Dystrophy and Cardiomyopathy Original Article, N Engl J Med 1996:334;362-366.. On page 362, the second author's name and degree should have read, “Yoshihide Sunada, ...