Join the 200th Anniversary Celebration

Issue IndexA searchable index of tables of contents

Find An Issue

By Volume and Issue
By Date

Table of contents for

February 3, 2005  Vol. 352 No. 5

Perspective
435-438
  • Free Full Text

Drs. Michael VanRooyen and Jennifer Leaning write that despite the massive scale of this emergency, we are better prepared than ever to deal with the immediate health threats created by the tsunami. What remains uncertain is the extent to which donors and ...

438
  • Free Full Text

The media reports on the tsunami that hit South Asia the day after Christmas did little to prepare me for what I saw firsthand when I visited Sri Lanka and India, reports Dr. William Frist.

439-440
  • Free Full Text

Universal vaccination of susceptible children and adults has had a profound effect on the epidemiology of varicella. Drs. Marietta Vázquez and Eugene Shapiro discuss the question of whether vaccine-induced immunity in children will wane over time.

Original Articles
441-449

CD20 is a surface protein confined to B cells. An anti-CD20 antibody will bind only to B cells. A monoclonal anti-CD20 antibody tagged with iodine-131 can deliver radiation from decaying iodine-131 to B cells. These principles were applied to the initial treatment of advanced follicular lymphoma with a single infusion of 131I-tagged mouse anti-CD20 antibody (131I-labeled tositumomab). More than half the patients had a complete remission, and most of them have remained in complete remission for as long as seven years.

450-458

This analysis of national data shows that since the implementation of a program of universal childhood varicella vaccination in 1995, the mortality from this disease has declined sharply. During the period of 1990 through 1994 in the United States, there were about 145 deaths per year due to varicella. By 1999 through 2001 the number of deaths had declined to about 66 per year.

459-467

In a series of 22 patients with primary generalized dystonia refractory to medical therapy, bilateral pallidal stimulation significantly improved movement and functional disability, without adverse effects on cognition or mood. Complications occurred in three patients, without permanent sequelae.

468-475

During the 2003 football season, large skin abscesses due to methicillin-resistant Staphylococcus aureus (MRSA) developed in five players on a professional football team. All the infections involved the same clone of MRSA, which appears to be widely distributed in the community.

Review Article
476-487

Colorectal cancer is one of the most commonly diagnosed malignant diseases, with an estimated 1,023,000 new cases and 529,000 deaths worldwide each year. This review considers recently developed cytotoxic chemotherapies and biologic agents that are effective against colorectal cancer and assesses their use as treatments for metastatic disease and as components of adjuvant therapy.

Images in Clinical Medicine
488
  • Free Full Text

A 64-year-old woman presented to our clinic with a 20-year history of a slowly growing plaque on her left foot. This lesion had been pared and a biopsy reportedly performed in the past, but the patient's concomitant mental illness had made her very ...

e4
  • Free Full Text

This 63-year-old woman with vomiting and abdominal pain had undergone a laparoscopic cholecystectomy one year earlier. Endoscopic cholangiopancreatography showed a structure measuring 10 cm at the papilla.

Clinical Problem-Solving
489-494

    A 20-year-old man was transferred to an academic medical center for further evaluation of diarrhea, abdominal pain, and fever. Two months before admission, he presented to a community hospital with dull, intermittent pain in the right lower quadrant. A colonoscopy performed at that time revealed patchy erythema, edema, and ulcerations from the transverse colon to the cecum. The terminal ileum also appeared inflamed and had linear ulcerations.

    Editorials
    496-498

    Follicular lymphoma, one of the two most common lymphoid neoplasms in North America and Europe,1 is diagnosed in approximately 15,000 adults in North America each year.2 More than 90 percent of patients with this B-cell lymphoma have disseminated disease ...

    498-500

    Dystonia is characterized by twisting postures, tremor, and pain resulting from sustained muscle contractions. Idiopathic dystonia, in which dystonia is the only neurologic symptom, follows a very different course, depending on whether it starts in ...

    Legal Issues in Medicine
    501-505

    A patient's right to privacy ends with the patient's death, but the privacy rights of the surviving family members are less clear. Annas discusses recent court rulings that have broadened privacy rights to include the family of the deceased. An Icelandic court ruled that a daughter could prevent the inclusion of information about her deceased father in a genetics research database. Given that relatives share patients' DNA, issues of family privacy will be hotly debated as genetic testing becomes more common in research and clinical practice.

    Clinical Implications of Basic Research
    506-508

    A recent study suggests that type 1 angiotensin receptors on the surface of monocytes must dimerize — through a mechanism mediated by transglutaminase — to become activated and hence best able to adhere to the vascular endothelium.

    Correspondence
    509-511

    To the Editor: In the study reported by Sauer et al. (Oct. 21 issue),1 18 percent of the patients in the postoperative-chemoradiotherapy group were found to have stage I disease, and about 10 percent were found intraoperatively to have distant metastases ...

    511-512

    To the Editor: Bennett et al. (Sept. 30 issue)1 calculated the “incidence” of pure red-cell aplasia among patients receiving epoetin therapy by reviewing reports from the Adverse Event Reporting System of the Food and Drug Administration (FDA). The ...

    512-515

    To the Editor: In a study of adults with bacterial meningitis, van de Beek et al. (Oct. 28 issue)1 noted the following: 14 percent were comatose on admission, those with opening pressures above 400 mm of water were more likely to be admitted in a coma (...

    515

    To the Editor: In his Perspective article, Dr. Garber (Oct. 14 issue)1 appropriately alerts us to the potential for conflicts of interest when an academic medical center forms a relationship with a business company. New York–Presbyterian Hospital is very ...

    515-516

    To the Editor: Kratz et al. report in the October 7 issue1 the revised laboratory reference values for tests commonly ordered at the Massachusetts General Hospital. We noticed that the normative range for 25-hydroxyvitamin D is below what is now the ...

    516-517
    • Free Full Text

    To the Editor: In their Clinical Problem-Solving article “Footprints” (Sept. 30 issue),1 Kassutto and Daily present the case of a patient with erythema nodosum, bilateral hilar lymphadenopathy, and a positive purified-protein-derivative (PPD) test. The ...

    517-518

    To the Editor: The diagnosis of resistance to thyroid hormone requires careful analysis of clinical and laboratory data. The presence of Hashimoto's thyroiditis in a patient with resistance to thyroid hormone makes hypothyroidism and its treatment more ...

    518-519

    To the Editor: Rifampin is often used to treat tuberculosis.1 Isley2 reported on a patient with treated hypothyroidism (euthyroid while taking stable doses of thyroxine) but who again became hypothyroid after receiving rifampin. We now report on three ...

    Book Reviews
    520-521

    “I abhor the traffic in testimony to which I regret to say men of science sometimes permit themselves to condescend,” Attorney General Sir Alexander Cockburn famously observed after considering the conflicting medical testimony given at Dr. William Palmer'...

    521-522

    Some specialty areas of medicine are again facing the problem of obtaining affordable liability insurance for medical negligence. Most medical providers and liability insurers blame the problem on plaintiffs' lawyers and wayward juries, whereas consumer ...

    522-523

    Myths often serve a protective role by providing comfort so that deeply held convictions are not challenged. With respect to medicine in the Third Reich, two such myths are the beliefs that only marginal physicians in extreme situations participated in ...

    523-524

    Is it possible to increase human longevity dramatically? And if so, at what price? By prolonging an old age of chronic disease and disability, mental incompetence, functional decline, and dependency, perhaps even sacrificing, in a devil's bargain, what it ...

    Corrections
    524

    Genotypes and Phenotypes — Another Lesson from the Hemoglobinopathies Perspective, N Engl J Med 2004:351;1490-1492.. On page 1492, lines 2 and 3 of the second full paragraph should have read, “coding for phenylalanine instead of leucine,” rather than “...

    524

    New Drugs for Rheumatoid Arthritis Correspondence, N Engl J Med 2004:351;2659-2661.. On page 2659, the first footnote in Table 1 should have read, “The inclusion criteria required patients to have active rheumatoid arthritis,” rather than “to have ...

    Trends: Most Viewed (Last Week)

    More Trends