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To the Editor.—
I agree with Long and Espiniella (239:2154,1978) that cancer of the nail bed is more frequent than the literature would indicate. I am a radiologist from a small town in Indiana (Shelbyville, population 15,000) and in 16 years of practice have had two patients, both men, with...
Development of an artificial pancreas: the race is on
If the terms of two recently awarded National Institutes of Health (NIH) contracts are met, a preprogrammed, "vest-pocket" artificial pancreas capable of normalizing blood glucose levels in diabetics will be available for clinical use on Oct...
Influenza A epidemics were associated with a doubling to tripling of pneumonia rates among adult members of a prepaid medical care group studied between 1963 and 1975. Rates of influenza A associated with pneumonia increased with age. Influenza B epidemics did not have a similar effect. Overall...
SUICIDE is the most extreme behavior physicians confront. When a patient commits suicide, it may be a result of our failure to intervene effectively. It may make us angry, for the act itself is an extremely hostile communication, but it also invokes a sense of guilt at our inability to prevent...
Ten patients with severe foot dermatitis were found to be highly allergic to innersole material prepared by Spenco Medical Corporation and used in Nike athletic shoes. Contact allergy testing showed sensitivity to ethyl butyl thiourea, a chemical accelerator in some neoprene (polychloroprene)...
To the Editor.—
The report "Esophageal Mythology" (240:44,1978) fails to mention the influence of chew on swallow. Experience with patients whose esophageal spasm was resolved by equilibration of their dentition prompts me to comment to the physician about the value of consultation with a...
Abstract History A 64-year-old woman reported intermittent increasingly severe midabdominal crampy pain for two months. Gastrointestinal inquiry otherwise was unrevealing. The patient had been treated for pulmonary tuberculosis 35 years earlier.A firm mass was palpated to the right of the...
In the Aug 25 issue of The Journal (240:771-772, 1978), the etiologic agent of sporotrichosis should have been identified as Sporothrix schenckii, not Sporotrichum schenckii, in the CLINICAL NOTE "Disseminated Sporotrichosis" (p 771, column 1, line 5, and p 772, legend to Fig 1).
Gonococcal conjunctivitis occurred 13 days after accidental conjunctival inoculation with a clinical isolate and was cured with penicillin and erythromycin for topical therapy. The use of a syringe with a self-locking needle device is recommended when injecting live pathogens and could have...
To the Editor.—
The article by Long and Espiniella was intriguing, as I was unaware of the scarcity of cases in the world literature. I would like to present a brief summary of a similar case of a 74-year-old man with squamous cell carcinoma of the nail bed of his right fourth finger.
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