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Uveitis: A Clinical Approach to Diagnosis and Management
Mayo Clin Proc, J u n e 1989, Vol 64
BOOK REVIEWS
737
reproduced, and the typeface is clear and easy to read. Thus, the book represents a model of textbook production. In any comprehensive textbook, the personal opinions of the readers about the depth of coverage in specific areas will vary. For example, although the text presents a generally well-balanced treatment of most areas of laryngology, I would have preferred a more extensive coverage of some of the new concepts in phonosurgery and vocal rehabilitation. Nevertheless, this book provides an excellent introduction to laryngology. It will be particularly useful to practicing laryngologists, as well as to residents and fellows in otolaryngology and head and neck surgery.
Rendu disease), idiopathic pulmonary fibrosis, and primary pulmonary hypertension are briefly discussed. This text is primarily concerned with the mechanisms of disease manifestations, the details of accurate diagnostic testing, and the implications for future treatment. It is definitely not a manual of current therapy; however, each chapter includes an extensive bibliography, and the text citations sometimes refer specifically to bibliographic items for reviews of treatment. This book should be worthwhile reading for pulmonary specialists, internists, and medical students who wish to develop a better understanding of some of the common and also rarer inherited pulmonary diseases.
Thomas V. McCaffrey, M.D. Department of Otorhinolaryngology
R. Drew Miller, M.D. Division of Thoracic Diseases and Internal Medicine
Inherited D i s e a s e s of the Lung, by Jack Lieberman, 187 pp, with illus, $39.95, Philadelphia, W. B. Saunders Company, 1988 This compact book was written by a widely recognized laboratory investigator who studies basic characteristics of various inherited lung diseases and who teaches medical students clinically. The introductory part of the text stresses the role of the embryologist in recognizing the importance of inherited diseases of. the lungs. The second chapter, "Male Sterility and Congenital Lung Disease," briefly discusses clinical warning signs. In the third chapter, the author called on colleagues to contribute information on the general mechanisms of inheritance at the molecular biologic level. Succeeding chapters succinctly describe basic concepts and the future outlook for conditions such as the immotile-cilia syndrome, cystic fibrosis, Young's syndrome, cri-antitrypsin deficiency, the connective tissue and metabolic disorders including Recklinghausen's disease, tuberous sclerosis, lymphangioleiomyomatosis, Marfan's syndrome, Hermansky-Pudlak syndrome, Gaucher's disease, Niemann-Pick disease, and Fabry's disease. In the concluding chapters, a colleague of Dr. Lieberman summarizes inherited immunologic defects and implications for lung disease. Finally, familial disease aspects of pulmonary arteriovenous fistula (Osier-Weber-
Uveitis: A Clinical Approach to Diagnosis and Management, 2nd ed, by Ronald E. Smith and Robert A. Nozik, 266 pp, with illus, $81.95, Baltimore, Williams & Wilkins, 1989 This text, written primarily for residents and general practitioners of ophthalmology, is intended to provide the reader with logical and systematic methods of assessment, diagnosis, and treatment of patients with uveitis. This second edition includes new information on recently described uveitic syndromes and uveitis associated with acquired immunodeficiency syndrome (AIDS). The book is divided into three main sections. Section 1, General Principles, reviews terminology used in the subspecialty, methods of examination (including laboratory tests), and treatment modalities. Section 2 is devoted to helping the reader use the information obtained from the ophthalmic examination to diagnose the disorder correctly and institute proper management. Section 3, Clinical Entities, provides short chapters on many of the well-defined uveitic syndromes, such as toxoplasmic retinochoroiditis, pars planitis, and uveitis associated with AIDS. As an introduction to the field of uveitis or as a quick office guide, this book will be invaluable. The chapters are well organized and clearly written, with much of the information presented in
738
Mayo Clin Proc, J u n e 1989, Vol 64
BOOK REVIEWS
tabular form for easy reference. The numerous useful color illustrations also provide excellent reference material. The logical approach to patient evaluation presented in the text will allow practitioners who are relatively unfamiliar with uveitis to become more proficient and confident when they encounter a patient with inflammatory eye disease. Overall, this volume is an excellent introduction and reference source for residents and practitioners who only occasionally encounter patients with uveitis. Because of the intended audience, little in-depth material is presented on any of the uveitic syndromes. Readers familiar with the field will not find this book particularly useful and would be better served by other texts. David C. Herman, M.D. Department of Ophthalmology
Human Structure, by C. Roland Leeson and Thomas S. Leeson, 635 pp, with illus, $44.95, Philadelphia, B. C. Decker (distributed by C. V. Mosby Company, St. Louis), 1989 Contrary to popular belief, the universal textbook on gross anatomy has not been written—and no wonder, inasmuch as the subject is as vast and complex as the human body! Because every anatomic structure is relevant to some aspect of pathology, diagnosis, and therapy, new books will continue to be published. In the past, compendiums such as Gray's Anatomy were written, immense volumes that even today continue to be revised for detail and clarity. As such tomes are not suitable for today's crowded medical curricula, authors such as Leeson and Leeson and many others continue to attempt to satisfy the current curricular needs. Human Structure by Leeson and Leeson is arranged conventionally, with introductory chapters on general topics and systems followed by sections on each of the body regions—the back, head and neck, upper limb, thorax, abdomen, pelvis and perineum, and lower limb. The trim size of this 635-page text is rather large (8V2 by 11 inches). Because the authors have chosen an unusually large font and especially wide margins, the seemingly large book is actually fairly concise. Included intermittently in the
wide margins in blue print are brief but useful clinical correlations to the particular anatomic area under discussion. The text includes both standard radiographs (of good quality) and some computed tomograms and magnetic resonance images that, generally, are not of the highest quality. Anatomists are usually quick to point out that anatomy is a visual science, yet the illustrative material presented in bold colors in this book is unusually schematic. Some of the illustrations, such as the lateral view of the skull and those demonstrating the pelvic bones, are clearly inaccurate, and some, such as the drawing of the pterygopalatine fossa, are literally fanciful. In summary, this text would be useful as an intermediate-level source, but it is not suited to students or professionals who seek a detailed and more accurate text. Donald R. Cahill, Ph.D. Department of Anatomy
Limb Salvage and Amputation for Vascular Disease, edited by Roger M. Greenhalgh, Crawford W. Jamieson, and A. N. Nicolaides, 459 pp, with illus, $125, Philadelphia, W. B. Saunders Company, 1988 This book is distinctly British in origin but international in appeal. The text stemmed from a British parliamentary review of amputations performed by artificial limb services in England. The authors, who are vascular surgeons and not orthopedists, are quick to emphasize that the majority of such amputations are the result of arterial occlusive disease and are perhaps preventable in many patients. To examine the controversies in limb salvage and amputation rehabilitation, they assembled a group of international experts to review the topic in an interesting question-and-answer format. The monograph clearly defines "critical ischemia" and briefly discusses old and new techniques for investigation of the disorder. The narrative moves next to a comprehensive discussion of interventional therapy and operative techniques for acute and chronic ischemia of the limbs. Subsequent contributions summarize the latest advances in postreconstruction management, including long-term surveillance of grafts,
BOOK REVIEWS
737
reproduced, and the typeface is clear and easy to read. Thus, the book represents a model of textbook production. In any comprehensive textbook, the personal opinions of the readers about the depth of coverage in specific areas will vary. For example, although the text presents a generally well-balanced treatment of most areas of laryngology, I would have preferred a more extensive coverage of some of the new concepts in phonosurgery and vocal rehabilitation. Nevertheless, this book provides an excellent introduction to laryngology. It will be particularly useful to practicing laryngologists, as well as to residents and fellows in otolaryngology and head and neck surgery.
Rendu disease), idiopathic pulmonary fibrosis, and primary pulmonary hypertension are briefly discussed. This text is primarily concerned with the mechanisms of disease manifestations, the details of accurate diagnostic testing, and the implications for future treatment. It is definitely not a manual of current therapy; however, each chapter includes an extensive bibliography, and the text citations sometimes refer specifically to bibliographic items for reviews of treatment. This book should be worthwhile reading for pulmonary specialists, internists, and medical students who wish to develop a better understanding of some of the common and also rarer inherited pulmonary diseases.
Thomas V. McCaffrey, M.D. Department of Otorhinolaryngology
R. Drew Miller, M.D. Division of Thoracic Diseases and Internal Medicine
Inherited D i s e a s e s of the Lung, by Jack Lieberman, 187 pp, with illus, $39.95, Philadelphia, W. B. Saunders Company, 1988 This compact book was written by a widely recognized laboratory investigator who studies basic characteristics of various inherited lung diseases and who teaches medical students clinically. The introductory part of the text stresses the role of the embryologist in recognizing the importance of inherited diseases of. the lungs. The second chapter, "Male Sterility and Congenital Lung Disease," briefly discusses clinical warning signs. In the third chapter, the author called on colleagues to contribute information on the general mechanisms of inheritance at the molecular biologic level. Succeeding chapters succinctly describe basic concepts and the future outlook for conditions such as the immotile-cilia syndrome, cystic fibrosis, Young's syndrome, cri-antitrypsin deficiency, the connective tissue and metabolic disorders including Recklinghausen's disease, tuberous sclerosis, lymphangioleiomyomatosis, Marfan's syndrome, Hermansky-Pudlak syndrome, Gaucher's disease, Niemann-Pick disease, and Fabry's disease. In the concluding chapters, a colleague of Dr. Lieberman summarizes inherited immunologic defects and implications for lung disease. Finally, familial disease aspects of pulmonary arteriovenous fistula (Osier-Weber-
Uveitis: A Clinical Approach to Diagnosis and Management, 2nd ed, by Ronald E. Smith and Robert A. Nozik, 266 pp, with illus, $81.95, Baltimore, Williams & Wilkins, 1989 This text, written primarily for residents and general practitioners of ophthalmology, is intended to provide the reader with logical and systematic methods of assessment, diagnosis, and treatment of patients with uveitis. This second edition includes new information on recently described uveitic syndromes and uveitis associated with acquired immunodeficiency syndrome (AIDS). The book is divided into three main sections. Section 1, General Principles, reviews terminology used in the subspecialty, methods of examination (including laboratory tests), and treatment modalities. Section 2 is devoted to helping the reader use the information obtained from the ophthalmic examination to diagnose the disorder correctly and institute proper management. Section 3, Clinical Entities, provides short chapters on many of the well-defined uveitic syndromes, such as toxoplasmic retinochoroiditis, pars planitis, and uveitis associated with AIDS. As an introduction to the field of uveitis or as a quick office guide, this book will be invaluable. The chapters are well organized and clearly written, with much of the information presented in
738
Mayo Clin Proc, J u n e 1989, Vol 64
BOOK REVIEWS
tabular form for easy reference. The numerous useful color illustrations also provide excellent reference material. The logical approach to patient evaluation presented in the text will allow practitioners who are relatively unfamiliar with uveitis to become more proficient and confident when they encounter a patient with inflammatory eye disease. Overall, this volume is an excellent introduction and reference source for residents and practitioners who only occasionally encounter patients with uveitis. Because of the intended audience, little in-depth material is presented on any of the uveitic syndromes. Readers familiar with the field will not find this book particularly useful and would be better served by other texts. David C. Herman, M.D. Department of Ophthalmology
Human Structure, by C. Roland Leeson and Thomas S. Leeson, 635 pp, with illus, $44.95, Philadelphia, B. C. Decker (distributed by C. V. Mosby Company, St. Louis), 1989 Contrary to popular belief, the universal textbook on gross anatomy has not been written—and no wonder, inasmuch as the subject is as vast and complex as the human body! Because every anatomic structure is relevant to some aspect of pathology, diagnosis, and therapy, new books will continue to be published. In the past, compendiums such as Gray's Anatomy were written, immense volumes that even today continue to be revised for detail and clarity. As such tomes are not suitable for today's crowded medical curricula, authors such as Leeson and Leeson and many others continue to attempt to satisfy the current curricular needs. Human Structure by Leeson and Leeson is arranged conventionally, with introductory chapters on general topics and systems followed by sections on each of the body regions—the back, head and neck, upper limb, thorax, abdomen, pelvis and perineum, and lower limb. The trim size of this 635-page text is rather large (8V2 by 11 inches). Because the authors have chosen an unusually large font and especially wide margins, the seemingly large book is actually fairly concise. Included intermittently in the
wide margins in blue print are brief but useful clinical correlations to the particular anatomic area under discussion. The text includes both standard radiographs (of good quality) and some computed tomograms and magnetic resonance images that, generally, are not of the highest quality. Anatomists are usually quick to point out that anatomy is a visual science, yet the illustrative material presented in bold colors in this book is unusually schematic. Some of the illustrations, such as the lateral view of the skull and those demonstrating the pelvic bones, are clearly inaccurate, and some, such as the drawing of the pterygopalatine fossa, are literally fanciful. In summary, this text would be useful as an intermediate-level source, but it is not suited to students or professionals who seek a detailed and more accurate text. Donald R. Cahill, Ph.D. Department of Anatomy
Limb Salvage and Amputation for Vascular Disease, edited by Roger M. Greenhalgh, Crawford W. Jamieson, and A. N. Nicolaides, 459 pp, with illus, $125, Philadelphia, W. B. Saunders Company, 1988 This book is distinctly British in origin but international in appeal. The text stemmed from a British parliamentary review of amputations performed by artificial limb services in England. The authors, who are vascular surgeons and not orthopedists, are quick to emphasize that the majority of such amputations are the result of arterial occlusive disease and are perhaps preventable in many patients. To examine the controversies in limb salvage and amputation rehabilitation, they assembled a group of international experts to review the topic in an interesting question-and-answer format. The monograph clearly defines "critical ischemia" and briefly discusses old and new techniques for investigation of the disorder. The narrative moves next to a comprehensive discussion of interventional therapy and operative techniques for acute and chronic ischemia of the limbs. Subsequent contributions summarize the latest advances in postreconstruction management, including long-term surveillance of grafts,