Deformity A hallmark of Paget’s disease is the presence of one or more skeletal deformities. The most readily apparent, but sometimes subtle, is enlargement of the skull (Figure 1). This usually produces somewhat asymmetric enlargement of the cranium. In individuals who wear hats a history of a slow increase in hat size may be volunteered [...]
Introduction Paget’s disease of bone is a skeletal disorder usually diagnosed in patients over the age of 50 years whose clinical presentation is highly variable. It may be suspected based on physical examination alone but more commonly is brought to attention by unexpected radiological or biochemical findings when an individual is under evaluation for another [...]
In our diet, protein is the principal source of non-volatile, so- called fixed acids, which are eliminated via the kidneys, through the production of ammonium ions and titratable acidity. Their acidifying effect is linked to the metabolism of sulphate aminoacids (methionine and cysteine) which produce H+ and generate an increase in the renal excretion of [...]
This man has the typical clinical and laboratory characteristics that are often found in recurrent formers of calcium kidney stones and a significant idiopathic hypercalciuria was particularly evident. The diet to which he was subjected we define as “antilithogen- ic” because it takes into consideration all of the nutritional factors which are known to provoke [...]
At the end of the screening, all of the results were shown to the patient and he was given detailed information concerning the meaning of the urinary stone risk profile. He was given an in- depth “lesson” on the importance of diet for the prevention of his kidney stones and more in general for his [...]
Presentation of a clinical case A 48-year-old businessman presented himself at our Stone Centre 6 years ago, subsequent to a recent recurring episode of right kidney colic followed by the expulsion of a calcium ox- alate stone with traces of calcium phosphate. The medical history of the patient revealed a pneumonia in his youth, cured [...]
The only cases of pneumothoraces seen in our institutions AIDS patients since 1983 have occurred in association with focal recurrences of PCP in patients who received therapeutic and/or prophylactic aerosolized pentamidine. Aerosolized pentamidine may be associated with an increased incidence of focal radiographic presentations of PCP, particularly in the upper lobes. Radiotracer aerosol studies have [...]
