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We reviewed records of 378 patients who died after cardiac valve replacement and underwent autopsy at The Methodist Hospital, Houston, from 1962 through 1979. Patients were divided according to postoperative interval at death: within 30 days (early) or 30 days to ten years (late). Early deaths...
To the Editor.—
A recent article by Handler et al described a 48-year-old man who had trained in a vigorous running program for approximately eight years and then experienced angina pectoris. Angiography demonstrated a 90% to 99% stenosis of his proximal left anterior descending coronary...
Rectus sheath hematoma is an uncommon, often misdiagnosed, and usually self-limited condition. In a recent review of autopsy cases at the Mayo Clinic, Rochester, Minn, we found two patients in whom hemorrhages into the rectus sheaths were considered the immediate cause of death and one in whom...
Data are presented for ten women with anovulation, nine of them with amenorrhea, who have associated carotenemia. Classic explanations for carotenemia in amenorrheic patients have been weight loss or anorexia nervosa, yet carotenemia in our patients appeared to be diet induced. All patients...
To the Editor.—
Testing urine for cannabinoids, the drug components of marijuana, has become common because relatively simple testing methods are now available. The presence of cannabinoids in urine indicates marijuana use, and a great deal of weight is often placed on positive findings. It is...
An error occurred in the Table of Contents and in the BOOKS section published in the Sept 24 issue of The Journal (1982;248:1511-1512). The author of the review of Progress in Rheumatology was John H. Talbott, MD.
Infectious Diseases Illustrated is intended to be a comprehensive pictorial account of infectious disease, emphasizing the clinical appearances of patients. Supplementary illustrations of radiological findings, gross and microscopic pathological results, and direct smears of infectious...
To the Editor.—
The report by Halpin et al in The Journal (1982;248:687) presented conclusions on salicylate use in children with viral illnesses that are not founded on comprehensive appraisals of the "raw" data for potential biases—specifically protopathic and product confusion biases.
The global disparities in the prevalence of rheumatic fever1 are a vivid reminder of the relation of high standards of housing and health care to control of the disease. Rheumatic fever still ranks as a major health problem in large segments of the populations of Asia, Africa, and South...
A 55-year-old man was admitted with increasing abdominal girth and deteriorating mental status over a one-month period. His medical history included the presence of diabetes mellitus, congestive heart failure, and degenerative arthritis. No history of alcohol abuse was obtained. The...
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