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CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL: Case 25-2008 -- A 43-Year-Old Man with Fatigue and Lesions in the Pituitary and Cerebellum
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin A 43-year-old man was seen in the rheumatology clinic because of fatigue and lesions in the pituitary and cerebellum. Diabetes insipidus, hypogonadism, and hypothyroidism had developed beginning 9 years earlier, and lesions had been detected in the region of the pituitary stalk and in the cerebellum. He was treated with glucocorticoids for suspected neurosarcoidosis, but fatigue, ataxia, and neurologic symptoms worsened. Computed tomography of the chest and abdomen disclosed abnormal soft tissue surrounding the aorta, renal arteries, and kidneys. A diagnostic procedure was performed. |
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EDITORIAL: Cardiac Transplantation in Infants
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin For children born with inoperable congenital heart disease or advanced cardiomyopathy, cardiac transplantation is the only therapeutic option. Each year in the United States, approximately 400 heart-transplantation procedures are performed ... |
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EDITORIAL: Finding the Courage to Reconsider Medical Therapy for Stable Angina
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin Twenty-five years ago, care for patients with symptomatic coronary artery disease centered on the selection and titration of antianginal medications. Percutaneous coronary intervention (PCI), which was limited at that time ... |
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EDITORIAL: Tibolone and the Promise of Ideal Hormone-Replacement Therapy
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin Since the mean life expectancy at menopause is 32.7 years, women spend more than one third of their lives in the estrogen-deficient postmenopausal state.1 Of the majority of menopausal women ... |
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CLINICAL IMPLICATIONS OF BASIC RESEARCH: Harnessing the Power of Bacteria to Protect the Gut
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin A recombinant version of the bacterial protein flagellin protects the mouse gut and bone marrow against the effects of irradiation. |
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CORRESPONDENCE: Multiple Biomarkers and Cardiovascular Risk
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin To the Editor: Zethelius et al. (May 15 issue)1 suggest that the combination of multiple biomarkers with established risk factors ... |
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CORRESPONDENCE: Sudden Cardiac Arrest Associated with Early Repolarization
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin To the Editor: In their article on sudden cardiac arrest associated with early repolarization, Haïssaguerre and colleagues (May 8 issue)1 ... |
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CORRESPONDENCE: Tumor Angiogenesis
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin To the Editor: In the review of tumor angiogenesis by Kerbel (May 8 issue),1 endothelial progenitors are described as negative ... |
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CORRESPONDENCE: Pursuit of an Expanded Physician Supply
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin To the Editor: In his Health Policy Report on physician supply, Iglehart (April 17 issue)1 focuses on a result of ... |
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CORRESPONDENCE: Glucagon-like Peptide 1-Receptor Scans to Localize Occult Insulinomas
Mercredi 13 Août 2008 - 06:55 - 3 semaines, 2 jours depuis - Santé - New England Journal of Medicin To the Editor: The precise localization of some insulinomas (islet-cell adenomas that secrete insulin) with the use of conventional imaging ... |
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Rien ne demeure sauf le changement.
-- Héraclite, vers 500 av J.-C.