In the great majority of patients with Paget’s disease the diagnosis is made by X-ray evaluation of the affected region(s) of the skeleton. Although the lesions may be complex, comprised of osteolytic, osteosclerotic and/or mixed abnormalities, experienced evaluators of bone usually have little difficulty in distinguishing the characteristics of Paget’s disease from other disorders. Occasionally [...]
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 [...]
SBP is a major problem encountered in patients with liver cirrhosis, with an incidence of 5-30% of all infections, and hospital mortality constitutes about 50% of all SBP cases. Obviously, a positive bacteriological culture of ascitic fluid is the “gold standard” and prerequisite for the diagnosis of SBP. The value of ascitic leukocyte count has [...]
Biochemical examinations of the serum and ascitic fluid were summarized in Tables 1 and 2, respectively. On evaluation of these parameters, cholesterol, lactate dehydrogenase, total protein, albumin and globulin levels in the ascitic fluid were higher in group 3 than group 2. Serum lactate dehydrogenase level was higher in group 3 than group 1. Triglyceride [...]
A total of 92 patients with ascites were evaluated. Biochemical and hematological investigations besides microbiological culture of the ascitic fluid were routinely done to all of the patients. Complete blood count, biochemical investigations, abdominal ultrasonography and cytologic examination of the ascitic fluid were performed. Ninety-two patients were divided to three groups according to etiology of [...]
INTRODUCTION C-reactive protein (CRP) is an acute phase 6-globulin. While the precise in vivo functions of CRP during the inflammation state is not known, there is considerable evidence indicating a role in the recognition and elimination of foreign pathogens as well as potentially toxic endogenous substances released from damaged tissue by assisting humoral and cellular [...]
