Several randomized, controlled trials have shown that the short-term outcome in patients with acute myocardial infarction is better after primary angioplasty than after thrombolytic therapy.¹–³ In a recent pooled analysis of all trials of primary ...

Kaposi's sarcoma is the most common tumor in patients with the acquired immunodeficiency syndrome (AIDS).¹–³ The treatment of patients with AIDS-related Kaposi's sarcoma is only palliative and includes radiotherapy, interferon alfa, and systemic ...

Lyme disease has become a relatively common problem among children in areas of the country in which the disease is endemic.¹,² However, there are few prospective studies of the disease among children in the United States.

Many parents fear that their ...

Lymphangioleiomyomatosis is a rare disease of unknown origin, first described in 1937.¹ It occurs in women of reproductive age and in patients of both sexes affected by tuberous sclerosis. The pulmonary complications are due to a hamartomatous ...

Figure 1. During a routine examination, a 33-year-old Korean woman was incidentally found to have lesions on her back in various stages of healing. The lesions had been created when a friend applied heated cups to the skin to treat back pain. The vacuum ...

Despite an increase in the proportion of applicants to medical school who are women (26 percent in 1977 vs. 37 percent in 1987) and an increase in the representation of women among house officers and entry-level faculty, the proportion of women in the ...

The goal of therapy in patients with coronary artery disease is to alleviate symptoms of angina and reduce the risk of death or nonfatal myocardial infarction. Although coronary angioplasty immediately reduces anginal symptoms in almost all patients who ...

Presentation of Case

A 55-year-old man with obstructive sleep apnea, which had been managed by a long-term tracheostomy, was admitted to the hospital because acid-fast bacilli were found in stomal granulations.

Eighteen and a half years earlier, ...

Angiogenesis, the process of new capillary development, is normally controlled, limited, and dependent on a balance between stimulatory and inhibitory factors. In men, wound healing is the only physiologic example of this process after birth, whereas in ...

In the past 20 years, pathological and arteriographic studies have shown that Q-wave myocardial infarction is caused by an occlusive thrombus in a coronary artery. The primary therapeutic objective in a patient with an evolving Q-wave myocardial ...

To the Editor: In their collection of studies evaluating the efficacy of carvedilol in congestive heart failure (May 23 issue),¹ Packer et al. replaced the analyses of primary end points with an analysis of mortality. The data in the article come from ...

To the Editor: In their Clinical Problem-Solving article (June 6 issue),¹ Pine and Tierney describe a 52-year-old man who was admitted to the hospital because of headache, lethargy, and heartburn. A 12-lead electrocardiogram showed extensive and ...

To the Editor: In the clear and critical review of acute renal failure by Thadhani et al. (May 30 issue),¹ the authors summarize the management issues and at present “do not recommend the routine use of dopamine for either prophylaxis or treatment of ...

To the Editor: With regard to the report by Taha et al. (May 30 issue)¹ on the effect of famotidine in preventing endoscopically diagnosed gastric and duodenal ulcers, it is important to distinguish between endoscopic lesions induced by nonsteroidal ...

To the Editor: Dr. Saad's photomicrographs of dysmorphic urinary erythrocytes (Images in Clinical Medicine, May 30 issue),¹ although beautiful, are dangerously misleading. Dysmorphic cells do not represent glomerular bleeding, as the legend implies. They ...

To the Editor: On the surface, Manson and Lee (May 16 issue)¹ presented balanced editorial comments on the benefits and costs of different exercise prescriptions. Their comments were first addressed to Williams's study in the same issue of the Journal, ² ...

To the Editor: We report an instance of the intrapleural administration of charcoal due to penetration of the pleura by a transbronchial nasogastric tube.

A 37-year-old woman jailed for public intoxication was transferred to our center. Before her ...

Authors know that finding a title is never the easiest part of their work. Technical treatises might seem exempt from this difficulty, but one can imagine the authors and the editor of Pediatric Neoplasia grappling with various ways to convey the actual ...

The title conveys clearly and accurately the nature and purpose of this book. It is intended for the pediatric surgical pathologist, and its place is next to the microscope. The pages are high in quality and plasticized, so they should withstand years of ...

The diagnostic histopathologist makes judgments primarily on the basis of examining sections of tissue stained with hematoxylin and eosin and viewed under the light microscope. This process can be considered as an art from the point of view of analyzing ...

Previous articles in this series discussed alternative ways to define the quality of health care,¹ state-of-the-art methods for measuring and improving quality,²,³ the origins of the quality debate,⁴ and the implications of capitated payment arrangements ...