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Pneumonitis occurring in rheumatic fever
SELECTED
807
ABSTRACTS
to three times weekly was found to be preferable to the rather ineffective administration testosterone sublingually in doses of 10 to 15 mg. daily.
of methyl DURANT.
Griffith,
G. Fever.
C.,
Phillips,
A. W.,
and
Asher,
C.:
Pneumonitis
Occurring
in
Rheumatic
Am. J. M. SC. 212: 22 (July), 1946.
In a group of 1,046 rheumatic fever patients in a United States Naval Hospital, pneumonitis was found in 119 cases. A study of these cases revealed that pneumonitis is one of the prominent manifestations of active rheumatic fever. It is defined as a manifestation of rheumatic fever characterized by an inflammatory process of the lung and pleura, with an insidious onset, migrating consolidation, and frequent pleurisy with or without effusion. Occurring in approximately 11 per cent of rheumatic fever cases, it is seen in 53.1 per cent of the acute fulminating type, in 27.4 per cent of the polycyclic type, and in 2 per cent of the mild monocyclic type. Depending upon its time of appearance in the rheumatic fever state, three types may be recognized: primary acute, The diagnosis is based entirely on the exclusion of the other secondary acute, and subclinical. type’s of pneumonia and the concomitant development of other manifestations of acute rheumatic fever. The roentgen ray findings are not specific, but the rapid shift of the areas of density, the rapid development of an effusion, and the close adherence of the density to the bronchovascular Laboratory aids are of little help in establishing the diagnosis. markings are helpful findings. The importance of pneumonitis of rheumatic fever origin as one of the serious manifestations of rheumatic fever activity cannot be overemphasized. EMRANT.
Servelle,
M. :
Collateral
39: 2 (Jan.-Feb.),
Channels
in
Venous
Arch.
Obliteration.
d. mal. du coeur.
1946.
The author states that there are few diseases of which knowledge is so limited as in the various forms of phlebitis. In reviewing his experiences with obliterative phlebitis of the extremities, he emphasizes the value of venography. This procedure, he points out, establishes a diagnosis which otherwise would be unrecognized until the appearance, years later, of varices, edema, and ulceration. After obliteration of a large venous trunk, the circulation may be re-established by collateral channels developed from the branches of the main trunk or by recanalization. Obliterative phlebitis occurs in the femoral veins in 58 per cent of cases, in the popliteal veins in 22 per cent, in the iliac veins in la per cent, and in the calf veins in 8 per cent. Venography has demonstrated that primary varicosities are exceptional; varicosities are much more often secondary to venous obstruction. This fact explains the danger involved in sclerosing injections and surgical ablations which are performed blindly. What is commonly called the varicose ulcer is actually, in 80 per cent of cases, a postphlebitic ulcer. LAPLACE.
Moses,
W. R.: Operations.
Ligation
of
New-England
the
Inferior
Vena
Cava
or
Iliac
Veins.
.4 Report
of
136
J. Med. 235: 2 (July 4), 1946.
The clinical differentiation between thrombophlebitis which seldom causes embolism and phlebothrombosis which commonly causes embolism is often extremely difficult. Various tests proposed for this purpose are very unreliable, as is phlebography, the popularity of which has declined considerably. In the prevention of embolism from peripheral phlebothrombosis, surgery has,many advantages over anticoagulant therapy. The latter may cause serious hemorrhage, especially from a pulmonary infarct or in pregnancy. Second, anticoagulants probably do not affect the clots already formed but simply prevent their propagation. Third, the time when anticoagulants may be discontinued is uncertain. Finally, an anticoagulant usually entails more expense and loss of time to the patient.
807
ABSTRACTS
to three times weekly was found to be preferable to the rather ineffective administration testosterone sublingually in doses of 10 to 15 mg. daily.
of methyl DURANT.
Griffith,
G. Fever.
C.,
Phillips,
A. W.,
and
Asher,
C.:
Pneumonitis
Occurring
in
Rheumatic
Am. J. M. SC. 212: 22 (July), 1946.
In a group of 1,046 rheumatic fever patients in a United States Naval Hospital, pneumonitis was found in 119 cases. A study of these cases revealed that pneumonitis is one of the prominent manifestations of active rheumatic fever. It is defined as a manifestation of rheumatic fever characterized by an inflammatory process of the lung and pleura, with an insidious onset, migrating consolidation, and frequent pleurisy with or without effusion. Occurring in approximately 11 per cent of rheumatic fever cases, it is seen in 53.1 per cent of the acute fulminating type, in 27.4 per cent of the polycyclic type, and in 2 per cent of the mild monocyclic type. Depending upon its time of appearance in the rheumatic fever state, three types may be recognized: primary acute, The diagnosis is based entirely on the exclusion of the other secondary acute, and subclinical. type’s of pneumonia and the concomitant development of other manifestations of acute rheumatic fever. The roentgen ray findings are not specific, but the rapid shift of the areas of density, the rapid development of an effusion, and the close adherence of the density to the bronchovascular Laboratory aids are of little help in establishing the diagnosis. markings are helpful findings. The importance of pneumonitis of rheumatic fever origin as one of the serious manifestations of rheumatic fever activity cannot be overemphasized. EMRANT.
Servelle,
M. :
Collateral
39: 2 (Jan.-Feb.),
Channels
in
Venous
Arch.
Obliteration.
d. mal. du coeur.
1946.
The author states that there are few diseases of which knowledge is so limited as in the various forms of phlebitis. In reviewing his experiences with obliterative phlebitis of the extremities, he emphasizes the value of venography. This procedure, he points out, establishes a diagnosis which otherwise would be unrecognized until the appearance, years later, of varices, edema, and ulceration. After obliteration of a large venous trunk, the circulation may be re-established by collateral channels developed from the branches of the main trunk or by recanalization. Obliterative phlebitis occurs in the femoral veins in 58 per cent of cases, in the popliteal veins in 22 per cent, in the iliac veins in la per cent, and in the calf veins in 8 per cent. Venography has demonstrated that primary varicosities are exceptional; varicosities are much more often secondary to venous obstruction. This fact explains the danger involved in sclerosing injections and surgical ablations which are performed blindly. What is commonly called the varicose ulcer is actually, in 80 per cent of cases, a postphlebitic ulcer. LAPLACE.
Moses,
W. R.: Operations.
Ligation
of
New-England
the
Inferior
Vena
Cava
or
Iliac
Veins.
.4 Report
of
136
J. Med. 235: 2 (July 4), 1946.
The clinical differentiation between thrombophlebitis which seldom causes embolism and phlebothrombosis which commonly causes embolism is often extremely difficult. Various tests proposed for this purpose are very unreliable, as is phlebography, the popularity of which has declined considerably. In the prevention of embolism from peripheral phlebothrombosis, surgery has,many advantages over anticoagulant therapy. The latter may cause serious hemorrhage, especially from a pulmonary infarct or in pregnancy. Second, anticoagulants probably do not affect the clots already formed but simply prevent their propagation. Third, the time when anticoagulants may be discontinued is uncertain. Finally, an anticoagulant usually entails more expense and loss of time to the patient.