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CPC Archives 1992 - 1995

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Year Case # Date Published Citation Diagnosis Specialties Patient History
1992 1 1/2/1992 N Engl J Med 1992; 326:44-54 Pulmonary eosinophilic granuloma. ; Talc crystals embolic to lung, with periarteriolar sclerosis. Hematology/Oncology; Immunology/Allergy A 34 year old woman with dyspnea and multiple small cystic areas in the lungs.
1992 2 1/9/1992 N Engl J Med 1992; 326:117-25 Huntington's disease, grade 3. ; Hippocampal sclerosis, left secondary to ischemia. ; Cerebral infarct, old, small, left parietal cortex. Hydrocephalus ex vacuo. Neurology/Neurosurgery Chorea and progressive dementia in an 88 year old woman.
1992 3 1/16/1992 N Engl J Med 1992; 326:184-91 Wegener's granulomatosis of trachea. Immunology/Allergy; Pulmonary/Thoracic Surgery A 40 year old woman with intermittent hemoptysis and mucosal ulceration found on bronchoscopic examination
1992 4 1/23/1992 N Engl J Med 1992; 326:255-63 Multiple myeloma, with secondary myelofibrosis. Hematology/Oncology; Ophthalmology Pancytopenia, splenomegaly and retinal hemorrhage in a 52 year old diabetic man
1992 5 1/30/1992 N Engl J Med 1992; 326:324-36 Mycoplasma pneumonia, with diffuse alveolar damage and disseminated intravascular coagulation. Infectious Disease; Pulmonary/Thoracic Surgery; Hematology/Oncology; Pediatrics; Vascular medicine A 20 year old man with diffuse pulmonary infiltrates and disseminated intravascular coagulation.
1992 6 2/6/1992 N Engl J Med 1992; 326:397-405 Pick's lobar atrophy (Pick's disease). Neurology/Neurosurgery A 67 year old man with aphasia and memory loss followed by progressive dementia.
1992 7 2/13/1992 N Engl J Med 1992; 326:472-81 Systemic mastocytosis. Hematology/Oncology; Dermatology; Cardiology/Cardiac Surgery; Primary Care A 57 year old man with a twenty year history of episodic headache, flushing, hypotension and occasional syncope
1992 8 2/20/1992 N Engl J Med 1992; 326:547-59 B-cell malignant lymphoma, EBV-associated, disseminated, with involvement of liver, after transplantation of liver. ; Acute tubular necrosis, kidneys. Transplantation; Hematology/Oncology; Gastroenterology/Abdominal Surgery; Nephrology A 47 year old man with recurrent fever and fulminant hepatic failure one month after a liver transplant
1992 9 2/27/1992 N Engl J Med 1992; 326:624-33 True aneurysm of left ventricle, congenital. Cardiology/Cardiac Surgery Wide complex tachycardia in a 65 year old woman without previous evidence of cardiac disease
1992 10 3/5/1992 N Engl J Med 1992; 326:692-9 Pelvic actinomycosis complicating use of intrauterine device. OB/GYN; Urology A 41 year old woman with a swollen left leg pelvic mass and bilateral hydronephrosis.
1992 11 3/12/1992 N Engl J Med 1992; 326:750-8 Bronchioloalveolar carcinoma of lung. Pulmonary interstitial fibrosis, consistent with usual interstitial pneumonitis. Pulmonary/Thoracic Surgery Increasing dyspnea and cough in a 77 year old man with interstitial lung disease.
1992 12 3/19/1992 N Engl J Med 1992; 326:816-24 Arteriovenous fistula of spinal dura (Type 1). (Foix-Alajouanine syndrome). Neurology/Neurosurgery A 64 year old woman with the abrupt onset of paraparesis after ten months of increasing episodic leg weakness.
1992 13 3/26/1992 N Engl J Med 1992; 326:875-84 Congenital pulmonary lymphangiectasis, with focal interstitial fibrosis. Pulmonary/Thoracic Surgery; Pediatrics; OB/Gyn A full-term newborn boy with chronic respiratory distress.
1992 14 4/2/1992 N Engl J Med 1992; 326:936-44 Arteriovenous malformation of large and small intestine, with focal rupture and hemorrhage. Gastroenterology/Abdominal Surgery A 37 year old man with a third bout of major hematochezia.
1992 15 4/9/1992 N Engl J Med 1992; 326:1008-15 Hemorrhagic pseudocyst of adrenal gland. Urology; Endocrinology A 23 year old woman with a painful mass in the right adrenal region
1992 16 4/16/1992 N Engl J Med 1992; 326:1070-6 Acute and chronic bacterial osteomyelitis and diskitis, with epidural abscess (Staphylococcus aureus). (Paronychia). Orthopedics/Musculoskeletal; Neurology/Neurosurgery; Infectious Disease A 27 year old woman with pain in the neck and shoulder and clumsiness of the hand.
1992 17 4/23/1992 N Engl J Med 1992; 326:1137-46 Refractory anemia with ring sideroblasts with thrombocythemia (essential thrombocythemia, myelodysplastic type). Hematology/Oncology Repeated bouts of hematochezia in an 80 year old hypertensive man.
1992 18 4/30/1992 N Engl J Med 1992; 326:1204-12 Necrotizing arteritis with anti-myeloperoxidase antibodies, consistent with Churg-Strauss syndrome. Immunology/Allergy; Neurology/Neurosurgery; Pulmonary/Thoracic Surgery Asthma, peripheral neuropathy, and eosinophilia in a 52-year-old man.
1992 19 5/7/1992 N Engl J Med 1992; 326:1276-84 Paraneoplastic pemphigus, with involvement of skin, mucosa (buccal cavity), larynx, and trachea. Malignant lymphoma, small-cell lymphocytic type, with plasmacytoid features consistent with Waldenstrom's macroglobulinemia. Dermatology; Hematology/Oncology; Immunology/Allergy A 56-year-old man with Waldenstrom's macroglobulinemia and cutaneous and oral vesicles.
1992 20 5/14/1992 N Engl J Med 1992; 326:1342-9 Eosinophilic gastritis. Gastroenterology/Abdominal Surgery; Immunology/Allergy A 24-year-old man with asthma and bouts of epigastric pain, nausea, and vomiting.
1992 21 5/21/1992 N Engl J Med 1992; 326:1417-24 Multiple myeloma, presenting as plasmacytoma of bone extending into sphenoid sinus. Hematology/Oncology; Neurology/Neurosurgery; Immunology/Allergy A 65-year-old man with a mass that involved the base of the skull.
1992 22 5/28/1992 N Engl J Med 1992; 326:1480-9 Cat scratch disease, with encephalopathy Infectious Disease; Neurology/Neurosurgery; Hematology/Oncology; Pediatrics A 6.5 year old girl with status epilepticus, cervical lymphadenopathy, pleural effusions, and respiratory distress.
1992 23 6/4/1992 N Engl J Med 1992; 326:1550-7 Suppurative pericarditis due to Corynebacterium acnes. Cardiology/Cardiac Surgery; Infectious Disease A 55 year old man with recurrent pericardial and pleural effusions after aortic-valve replacement.
1992 24 6/11/1992 N Engl J Med 1992; 326:1617-23 Aldosterone-producing adenoma of left adrenal gland. Endocrinology; Nephrology; Urology A 52 year old man with hypertension, hypokalemia, and an adrenal mass.
1992 25 6/18/1992 N Engl J Med 1992; 326:1682-92 Hepatic cirrhosis, probably end-stage primary biliary cirrhosis. Plexogenic pulmonary hypertension due to cirrhosis. Cor pulmonale. Gastroenterology/Abdominal Surgery; Pulmonary/Thoracic Surgery A 33-year-old woman with cirrhosis and right ventricular failure.
1992 26 6/25/1992 N Engl J Med 1992; 326:1762-9 Infarction in distribution of left middle cerebral artery, secondary to atherosclerotic stenosis of cavernous portion of left internal carotid artery. Neurology/Neurosurgery A 38-year-old obese man with hypertension, diabetes mellitus, and slowly progressive right hemiparesis.
1992 27 7/2/1992 N Engl J Med 1992; 327:40-4 Diverticulitis, with peridiverticular abscess and peritonitis. Gastroenterology/Abdominal Surgery; Infectious Disease; Pediatrics A 20-year-old man with recent intermittent abdominal pain, constipation, and diarrhea.
1992 28 7/9/1992 N Engl J Med 1992; 327:107-16 Metastatic malignant melanoma, encephalitic form, in leptomeninges and cerebral cortex. Neurology/Neurosurgery; Dermatology A 45-year-old man with confusion, seizures, and few focal findings.
1992 29 7/16/1992 N Engl J Med 1992; 327:182-91 Crohn's disease of ileum, exacerbated by infectious gastroenteritis. Gastroenterology/Abdominal Surgery; Infectious Disease A 76-year-old woman with recurrent diarrhea several months after treatment for tropical sprue.
1992 30 7/23/1992 N Engl J Med 1992; 327:261-268. INFANTILE STRIATONIGRAL DEGENERATION, WITH CEREBELLAR DEGENERATION, FAMILIAL Pediatrics; Neurology/Neurosurgery A boy 4.5 after having had, for most of his life, a progressive neurodegenerative disorder, characterized by a gradual loss of motor and verbal skills, with generalized seizures, myoclonus, and final deterioration to a nonverbal, quadriparetic state.
1992 31 7/30/1992 N Engl J Med 1992; 327:338-45 Coronary artery disease, with thrombosis of right coronary artery and acute myocardial infarction. Rupture of posteromedial papillary muscle, with mitral regurgitation. Cardiology/Cardiac Surgery A 68-year-old man with acute mitral regurgitation.
1992 32 8/6/1992 N Engl J Med 1992; 327:412-8 Aneurysm of persistent sciatic artery, with thrombosis. Orthopedics/Musculoskeletal; Vascular Surgery A 72-year-old man with a mass in the posterior thigh.
1992 33 8/13/1992 N Engl J Med 1992; 327:481-5 Nephrolithiasis, bilateral, with ureteral obstruction. Nephrology; OB/GYN; Urology A 34 year old woman with endometriosis and bilateral hydronephrosis.
1992 34 8/20/1992 N Engl J Med 1992; 327:548-57 Emery-Dreifuss muscular dystrophy. Cardiology/Cardiac Surgery; Neurology/Neurosurgery; Pediatrics A 19 year old man with progressive proximal muscle weakness, contractures, and cardiac abnormalities.
1992 35 8/27/1992 N Engl J Med 1992; 327:628-35 Abetalipoproteinemia. Pediatrics; Gastroenterology/Abdominal Surgery An eight month old boy with diarrhea and failure to thrive.
1992 36 9/3/1992 N Engl J Med 1992; 327:790-9 Acquired immunodeficiency syndrome. Toxoplasma myocarditis and myositis of colonic muscularis propria. Cytomegalovirus colitis. Bronchopneumonia, focal. Infectious Disease; Cardiology/Cardiac Surgery Abrupt development of cardiac enlargement and respiratory distress in a 31-year-old man with AIDS.
1992 37 9/10/1992 N Engl J Med 1992; 327:873-80 Rheumatoid lung disease, with pleuritis, interstitial lymphocytic infiltrate, arterial hypertension, and venous sclerosis. Pulmonary/Thoracic Surgery; Immunology/Allergy A 68-year-old woman with rheumatoid arthritis and pulmonary hypertension.
1992 38 9/17/1992 N Engl J Med 1992; 327:943-50 Systemic amyloidosis, AL kappa type, with involvement of heart, autonomic nerves, kidneys, and lungs. Hematology/Oncology; Neurology/Neurosurgery; Cardiology/Cardiac Surgery; Nephrology; Pulmonary/Thoracic Surgery A 72 year old woman with orthostatic hypotension, syncope, and marked proteinuria.
1992 39 9/24/1992 N Engl J Med 1992; 327:1014-21 Syndrome of polyneuropathy, organomegaly, endocrinopathy, M component, and skin changes (POEMS). Atypical lymphoid hyperplasia with some features of angiofollicular hyperplasia, suggestive of follicular lymphoma. Neurology/Neurosurgery; Hematology/Oncology; Gastroenterology/Abdominal Surgery A 49 year old woman with peripheral neuropathy, hepatosplenomegaly, and intermittent abdominal pain.
1992 40 10/1/1992 N Engl J Med 1992; 327:1081-7 Melioidosis of spleen, with multiple granulomas. Infectious Disease; Hematology/Oncology A 43 year old Cambodian man with several years of recurrent bouts of fever and abdominal pain.
1992 41 10/8/1992 N Engl J Med 1992; 327:1153-9 Subvalvular membranous aortic stenosis. Pediatrics A 3 year old boy with obstructive uropathy and a heart murmur of increasing intensity.
1992 42 10/15/1992 N Engl J Med 1992; 327:1226-33 Primary pulmonary hypertension, with acute necrotizing vasculitis and hemorrhage. Cor pulmonale. Pulmonary/Thoracic Surgery; Immunology/Allergy; Cardiology/Cardiac Surgery A 59 year old woman with severe, progressive dyspnea.
1992 43 10/22/1992 N Engl J Med 1992; 327:1298-305 Motor neuron disease, progressive muscular atrophy type. Neurology/Neurosurgery; Psychiatry A 70-year-old man with progressive muscle weakness and agitated depression.
1992 44 10/29/1992 N Engl J Med 1992; 327:1370-6 Lymphocytic myocarditis, patchy, focal, and mild, with human immunodeficiency virus infection. Cardiology/Cardiac Surgery; Infectious Disease; Immunology/Allergy A 60-year old man with HIV infection, persistent diarrhea, and intractable respiratory failure.
1992 45 11/5/1992 N Engl J Med 1992; 327:1442-8 Mucinous adenocarcinoma of colon metastatic to right ventricle, with pulmonary tumor emboli and infarcts. Gastroenterology/Abdominal Surgery; Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 75 year old man with carcinoma of the colon and a right ventricular mass.
1992 46 11/12/1992 N Engl J Med 1992; 327:1512-8 Tracheopathia osteoplastica. Saber-sheath trachea Pulmonary/Thoracic Surgery A 48 year old woman with a narrowed trachea.
1992 47 11/19/1992 N Engl J Med 1992; 327:1581-8 Tethered cord syndrome; Occult myelomeningocele, with dermal sinus Neurology/Neurosurgery; OB/Gyn; Urology A 25 year old man with chronic intermittent coccygeal pain and mild bladder dysfunction.
1992 48 11/26/1992 N Engl J Med 1992; 327:1667-75 Malignant lymphoma, B-cell type, involving lung and retroperitoneum. Hematology/Oncology; Pulmonary/Thoracic Surgery An 82 year old man was admitted to the hospital because of abdominal pain, nausea, and vomiting.
1992 49 12/3/1992 N Engl J Med 1992; 327:1740-9 Plasma-cell dyscrasia (multiple myeloma), with Bence Jones lambda light-chain immunoglobulin G in serum and urine. Systemic amyloidosis involving heart, lungs, liver, spleen, kidneys, gastrointestinal tract, pancreas, and adrenal glands. Coronary atherosc Immunology/Allergy; Hematology/Oncology; Cardiology/Cardiac Surgery A 70 year old man with multisystem failure after a sextuple coronary artery bypass graft procedure.
1992 50 12/10/1992 N Engl J Med 1992; 327:1801-9 Malignant lymphoma, small lymphocytic type. Hodgkin's disease, chronic lymphocyte-depletion type,; (Richter's syndrome) Hematology/Oncology A 54 year old man with fever of unknown origin four years after a diagnosis of lymphocytic lymphoma.
1992 51 12/17/1992 N Engl J Med 1992; 327:1869-74 Erosion of prosthetic vascular graft into distal terminal ileum. Gastroenterology/Abdominal Surgery; Cardiology/Cardiac Surgery A 78 year old woman with recurrent gastrointestinal bleeding after several intra-abdominal vascular operations.
1992 52 12/24/1992 N Engl J Med 1992; 327:1938-46 Cryptogenic organizing pneumonia. Pulmonary/Thoracic Surgery Progressive pulmonary air space disease in a 71 year-old man with emphysema.
1993 1 1/7/1993 N Engl J Med 1993; 328:48-55 Interstitial eosinophilic pneumonitis. Pulmonary/Thoracic Surgery; Pediatrics A 7 year-old girl with recurrent bouts of sore throat, cough, dyspnea, and fever.
1993 2 1/14/1993 N Engl J Med 1993; 328:121-8 Acquired anti-factor VIII antibody. Hematology/Oncology; Orthopedics/Musculoskeletal A 72-year-old woman with a coagulopathy and bilateral thigh masses.
1993 3 1/21/1993 N Engl J Med 1993; 328:195-202 Tuberculosis of mediastinal lymph nodes. Pulmonary/Thoracic Surgery; Infectious Disease A 51-year-old Ethiopian woman with myalgia, weight loss, and mediastinal lymphadenopathy.
1993 4 1/28/1993 N Engl J Med 1993; 328:266-75 B-cell chronic lymphocytic leukemia/small lymphocytic lymphoma, with infiltration of orbital muscle, soft tissue, and lacrimal gland. Hematology/Oncology; Ophthalmology A 73 year old man with severe facial pain, visual loss, decreased ocular motility, and an orbital mass.
1993 5 2/4/1993 N Engl J Med 1993; 328:340-6 Clostridum septicum myonecrosis (gas grangrene). Adenocarcinoma, cecum, with metastasis to right kidney and pericolic and peripancreatic lymph nodes. Gastroenterology/Abdominal Surgery An 81-year-old man with pain and crepitus in the shoulder.
1993 6 2/11/1993 N Engl J Med 1993; 328:422-8 Late reactivation of acute hematogenus osteomyelitis (Staphylococcus aureus) of femur (with pulmonary abscesses). Orthopedics/Musculoskeletal; Infectious Disease; Pulmonary/Thoracic Surgery A 69-year-old woman with a sclerotic lesion of the femur and pulmonary nodules.
1993 7 2/18/1993 N Engl J Med 1993; 328:496-502 (McCune-Albright syndrome, with polyostotic fibrous dysplasia, pigmented skin lesions, and sexual precocity. ; Testicular tubule maturation. Endocrinology; Pediatrics A 6 year-old boy with multiple bone lesions, repeated fractures, and sexual precocity.
1993 8 2/25/1993 N Engl J Med 1993; 328:566-73 Cysticercosis involving basal cisterns of brain. Infectious Disease; Neurology/Neurosurgery A 62 year old Cape Verdean woman with blurred vision, diplopia, a suprasellar mass, and lymphocytic meningitis.
1993 9 3/4/1993 N Engl J Med 1993; 328:640-7 Left atrial myxoma. Cardiology/Cardiac Surgery A 23-year-old man with fever, dyspnea, extensive bilateral pulmonary infiltrates, and a question of heart failure.
1993 10 3/11/1993 N Engl J Med 1993; 328:717-25 Subacute bacterial endocarditis, with multiple cerebral emboli and cerebral infarcts. Mycotic aneurysm, left middle cerebral artery, ruptured, with fatal intracerebral and subarachnoid hemorrhage. Parkinson's disease, with neuronal degeneration in substan Infectious Disease; Neurology/Neurosurgery; Cardiology/Cardiac Surgery A 67-year-old man with mitral regurgitation and an abrupt onset of ataxia and fever.
1993 11 3/18/1993 N Engl J Med 1993; 328:792-800 Sarcoidosis, involving heart, lungs, mediastinal lymph nodes, spleen, liver, and kidney. (?Alcoholic cardiomyopathy. ; Pulmonary/Thoracic Surgery; Cardiology/Cardiac Surgery; Nephrology; Gastroenterology/Abdominal Surgery A 52-year-old man with cardiomyopathy and pulmonary disease.
1993 12 3/25/1993 N Engl J Med 1993; 328:869-76 Desquamative interstitial pneumonitis. Pulmonary/Thoracic Surgery A 44-year-old man with pulmonary disease and proctitis.
1993 13 4/1/1993 N Engl J Med 1993; 328:951-8 Microscopic polyarteritis (microscopic polyangitis), with pauci-immune necrotizing and crescentic glomerulonephritis and alveolar hemorrhage (associated with antineutrophil cytoplasmic antibodies). Pulmonary/Thoracic Surgery; Nephrology; Immunology/Allergy A 74-year-old woman with rapidly progressing renal failure after an upper respiratory tract infection.
1993 14 4/8/1993 N Engl J Med 1993; 328:1031-5 Primary hyperparathyroidism, with brown tumor of right humerus. Endocrinology A 74-year-old woman with hyperparathyroidism and an osteolytic lesion in the humerus.
1993 15 4/15/1993 N Engl J Med 1993; 328:1107-14 Stromal tumor of low-grade malignancy, of small intestine. Gastroenterology/Abdominal Surgery A 58-year-old man with recurrent lower gastrointestinal bleeding for over two years.
1993 16 4/22/1993 N Engl J Med 1993; 328:1183-90 Anti-glomerular basement membrane nephritis with pulmonary hemorrhage (Goodpasture's syndrome). Pulmonary/Thoracic Surgery; Nephrology; Pediatrics A 13-year-old girl with gross hematuria four years after a diagnosis of idiopathic pulmonary hemosiderosis.
1993 17 4/29/1993 N Engl J Med 1993; 328:1259-66 Spongiform encephalopathy (Creutzfeldt-Jakob disease), with amyloid (kuru) plaques. Neurology/Neurosurgery A 53-year-old woman who died after several years of a dementing illness with intermittent generalized seizures and abnormal movements of the extremities and head.
1993 18 5/6/1993 N Engl J Med 1993; 328:1337-43 Angiosarcoma arising in chronic lymphedema (Stewart-Treves syndrome). Dermatology; Hematology/Oncology; Orthopedics/Musculoskeletal A 57-year-old man with chronic lymphedema and enlarging purple cutaneous nodules of the leg.
1993 19 5/13/1993 N Engl J Med 1993; 328:1406-14 Malignant lymphoma, diffuse large-cell type, B lineage, of kidneys, after Hodgkin's disease, nodular-sclerosis type. Hematology/Oncology; Nephrology A 39 year old man with bilateral renal masses a few months after treatment for Hodgkin's disease, stage IIA.
1993 20 5/20/1993 N Engl J Med 1993; 328:1478-83 Central giant-cell reparative granuloma of mandible. Orthopedics/Musculoskeletal; Ear, Nose & Throat A 23 year old woman with a rapidly enlarging intraoral mass after a tooth extraction.
1993 21 5/27/1993 N Engl J Med 1993; 328:1550-8 Axonal polyneuritis associated with IgA lambda multiple myeloma. Neurology/Neurosurgery; Hematology/Oncology A 71 year old man with a rash and severe sensorimotor neuropathy.
1993 22 6/3/1993 N Engl J Med 1993; 328: 1625-631 Malignant lymphoma, diffuse mixed small-cell and large-cell type, of T-cell cytotoxic-suppressor type. Hematology/Oncology; Ear, Nose & Throat A 22 year-old male with increasing swelling of the face.
1993 23 6/10/1993 N Engl J Med 1993; 328: 1696-702 Diffuse lymphoid hyperplasia of lungs, peribronchiolar (follicular bronchiolitis) and interstitial (lymphocytic interstitial pneumonitis); Pulmonary/Thoracic Surgery A 30 year-old male with a chronic cough and increasing exeritional dyspnea.
1993 24 6/17/1993 N Engl J Med 1993; 328: 1770-775 Ovarian stromal hyperthecosis and hilus-cell hyperplasia, with virilization. Inactive cystic endometrium. Endocrinology; OB/Gyn A 56 year-old female with male-pattern baldness and hirsutism.
1993 25 6/24/1993 N Engl J Med 1993; 328: 1836-841 Paget's disease, active, of two vertebras, with pathologic fracture. Orthopedics/Musculoskeletal; Neurology/Neurosurgery A 67 year-old male with increasing back pain.
1993 26 7/1/1993 N Engl J Med 1993; 329; 43-48 Radiation-induced osteogenic sarcoma of left femoral artery. Orthopedics/Musculoskeletal; Vascular Surgery A 73 year-old male with a contained, ruptured aneurysm of the left femoral artery.
1993 27 7/8/1993 N Engl J Med 1993; 329: 117-123 Cerebral vasculitis involving small vessels, consistent with effect of cocaine. Cerebral hemorrhage. Neurology/Neurosurgery; Psychiatry; Vascular Medicine A 32 year-old right-handed male with left hemiplegia.
1993 28 7/15/1993 N Engl J Med 1993; 329: 194-98 Babesiosis. Serologic evidence of Lyme disease. Dermatology; Hematology/Oncology A 63 year-old male with fever, chills, fatigue.
1993 29 7/22/1993 N Engl J Med 1993; 329: 2164-68 Actinomycoma of soft tissues of thigh (and of lung). Infectious Disease A 54 year old male with a mass in the right thigh and a radiographic density in a lung.
1993 30 7/29/1993 N Engl J Med 1993; 329: 343-49 Eosinophilic gastroenteritis, serosal form. Gastroenterology/Abdominal Surgery A 59 year-old female with left-sided abdominal pain
1993 31 8/5/1993 N Engl J Med 1993; 329: 417-23 Granulocytic sarcoma involving bone, soft tissue, and lymph nodes, complicating myelofibrosis with myeloid metaplasia. Hematology/Oncology; Orthopedics/Musculoskeletal A 49 year-old male with myelofibrosis with myeloid metaplasia and painful osteolytic lesions of the right femur.
1993 32 8/12/1993 N Engl J Med 1993; 329: 488-95 Lymphocytic myocarditis with fibrosis and biventricular dilatation, compatible with chronic Chagas' heart disease. Cardiology/Cardiac Surgery; Infectious Disease A 27 year-old male with syncope.
1993 33 8/19/1993 N Engl J Med 1993; 329: 561-68 Colonic adenocarcinoma, moderately differentiated (with fever of unknown origin). Gastroenterology/Abdominal Surgery A 50 year-old male with fever of unknown origin and diarrhea.
1993 34 8/26/1993 N Engl J Med 1993; 329: 645-52 Kaposi's sarcoma of skin and oral mucosa, with extensive metastasis to lung. Pneumocystis carinii pneumonia. (Acquired immunodeficiency syndrome. ; Pulmonary/Thoracic Surgery; Dermatology; Ear, Nose & Throat; Infectious Disease A 36 year-old male with the acquired immunodeficiency syndrome (AIDS) with increasing dyspnea and respiratory failure.
1993 35 9/2/1993 N Engl J Med 1993; 329: 714-20 Chronic granulomatous disease. Suppurative granulomatous lymphadenitis due to Serratia marcescens. Pediatrics; Infectious Disease A 2 year-old male with lymphadenopathy and fever.
1993 36 9/9/1993 N Engl J Med 1993; 329: 792-98 Parvovirus B19 infection. Large-cell lymphoma. Acquired immunodeficiency syndrome. Infectious Disease; Hematology/Oncology A 28 year-old male with acquired immunodeficiency syndrome (AIDS), pancytopenia, and lymphoma.
1993 37 9/16/1993 N Engl J Med 1993; 329: 864-71 Atrial septal defect, surgically corrected. Pulmonary arterial hypertension, marked, with occlusive, microthrombolic, plexogenic, and dilatation lesions of small muscular pulmonary arteries. Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 48 year-old female with a secundum atrial septal defect with severe pulmonary hypertension.
1993 38 9/23/1993 N Engl J Med 1993; 329: 948-54 Atheromatous embolism, with renal and cutaneous involvement. ; (Atherosclerosis, generalized. ; Nephrology; Dermatology; Cardiology/Cardiac Surgery; Vascular Surgery A 70 year-old male for further management of a myocardial infarct.
1993 39 9/30/1993 N Engl J Med 1993; 329: 1028-32 Giant-cell aortitis, with descending aortic dissection and rupture. Cardiology/Cardiac Surgery; Nephrology An 83 year-old female with severe upper-back pain, hypertension, and anuria.
1993 40 10/7/1993 N Engl J Med 1993; 329: 1108-115 Disseminated Langerhan's-cell histiocytosis (histiocytosis X), involving bone marrow, liver, and skin. Dermatology; Gastroenterology/Abdominal Surgery; Hematology/Oncology A 61 year-old female with fever, jaundice, hepatosplenomegaly, and gallstones.
1993 41 10/14/1993 N Engl J Med 1993; 329: 1182-189 Acquired demyelinating neuropathy. ? Chronic inflammatory demyelinating polyradiculopathy. ? Motor neuropathy with multifocal conduction blocks. Neurology/Neurosurgery A 66 year-old female with progressive weakness of all extremities.
1993 42 10/21/1993 N Engl J Med 1993; 329: 1254-260 Delayed transfusion reaction. Splenomegaly of unknown cause. Gastroenterology/Abdominal Surgery A 62 year-old female with nausea, vomiting, jaundice two weeks after an aortic valvuloplasty.
1993 43 10/28/1993 N Engl J Med 1993; 329: 1335-341 Brain abscess, cerebra, due to Fusobacterium nucleatum and Peptostreptococcus micros. Neurology/Neurosurgery; Infectious Disease A 71 year-old female, right handed, with a question of brain tumor.;
1993 44 11/4/1993 N Engl J Med 1993; 329: 1411-1416 Gonococcemia. Infectious Disease; Dermatology A 39 year-old male with fever, difuse arthralgia, and purpuric skin lesions.
1993 45 11/11/1993 N Engl J Med 1993; 329: 1484-490 Allergic bronchopulmonary aspergillosis. Infectious Disease; Pulmonary/Thoracic Surgery A 23 year-old male with asthma with increased cough with pulmonary infiltrates.
1993 46 11/18/1993 N Engl J Med 1993; 329; 1560-566 Progressive supranuclear palsy. Neurology/Neurosurgery A 75 year-old male with right-sided rigidity, dysphagia, dysarthria, and an impaired gait.
1993 47 11/25/1993 N Engl J Med 1993; 329; 1639-646 Diffuse lymphocytic myocarditis (progressing to endomyocardial fibrosis). ; Cardiology/Cardiac Surgery A 28 year-old male with recurrent ventricular tachycardia
1993 48 12/2/1993 N Engl J Med 1993; 329: 1720-727 Pulmonary veno-occlusive disease. Pulmonary/Thoracic Surgery A 27 year-old female with pulmonary hypertension with increasing right-sided heart failure.
1993 49 12/9/1993 N Engl J Med 1993; 329: 1797-804 Desquamative interstitial pneumonitis, with central bronchiectasis, peribronchiolar fibrosis, and subpleural cysts. Pulmonary/Thoracic Surgery; Transplantation A 21 year-old female admitted for a lung transplantation.
1993 50 12/16/1993 N Engl J Med 1993; 329: 1873-880 Bronchiectasis, left lower lobe, saccular and aneurysmal, with collapse and chronic organizing pneumonia. Pulmonary/Thoracic Surgery A 46 year-old male with a mass in the lower lobe of the left lung.
1993 51 12/23/1993 N Engl J Med 1993; 329: 1946-953 Intestinal and renal microsporidiosis due to Septata intestinalis. Acquired immunodeficiency syndrome (AIDS). Nephrology; Infectious Disease; Gastroenterology/Abdominal Surgery A 36 year-old male with known acquired immunodeficiency syndrome (AIDS) who recently developed fever spikes and an increase in chronic diarrhea.
1993 52 12/30/1993 N Engl J Med 1993; 329: 2019-25 Goodpasture's syndrome, with ANCA and anti-GBM antibodies. Wegener's granulomatosis, involving lungs, kidneys, and spleen. Pulmonary/Thoracic Surgery; Nephrology; Immunology/Allergy; Pediatrics A 17 year old female with massive hemoptysis and renal failure.
1994 1 1/6/1994 N Engl J Med 1994; 330:51-57 Schistosomiasis of urinary bladder, active,, caused by Schistosoma haematobium infection. OB/Gyn; Urology; Gastroenterology/Abdominal Surgery A 27-year-old woman with secondary infertility and a bladder mass.
1994 2 1/13/1994 N Engl J Med 1994; 330: 126-134 Constrictive pericarditis, idiopathic, recurrent. Myocardial and endocardial fibrosis involving papillary muscle, probably ischemic. Myxomatous change of mitral valve with mitral regurgitation. Cardiology/Cardiac Surgery A 31-year-old man with severe mitral regurgitation with congestive failure.
1994 3 1/20/1994 N Engl J Med 1994; 330: 196-202 Crohn's ileocolitis. Acute pancreatitis. Pediatrics; Gastroenterology/Abdominal Surgery An 11-year-old boy with recurrent abdominal pain.
1994 4 1/27/1994 N Engl J Med 1994; 330:273-280 Disseminated histoplasmosis. Acquired immunodeficiency syndrome (AIDS). Gastroenterology/Abdominal Surgery; Infectious Disease; Cardiology/Cardiac Surgery A 38-year-old man with with bloody diarrhea, weakness and dyspnea.
1994 5 2/3/1994 N Engl J Med 1994; 330: 347-353 Pulmonary eosinophilic granuloma. Pulmonary/Thoracic Surgery A 34-year-old woman with dry cough, exertional dyspnea, and interstitial pulmonary disease.
1994 6 2/10/1994 N Engl J Med 1994; 330: 420-426 Pseudomembranous colitis associated with Clostridium difficile toxin. Pediatrics; Gastroenterology/Abdominal Surgery A 31-month old girl with fever and diarrhea.
1994 7 2/17/1994 N Engl J Med 1994; 330: 490-496 Prostatic abscess, Cryptococcus neoformans. Urology A 55-year-old man with persistent urinary tract infection.
1994 8 2/24/1994 N Engl J Med 1994; 330: 557-564 Legionella longbeachae pnuemonia. Mycobacterium avium complex in bronchial secretions. Lymphoma, well-differentiated lymphocytic, and leukemia. Pulmonary/Thoracic Surgery; Hematology/Oncology; Infectious Disease An 84-year-old woman with lymphoma and the recent onset of cough and fever.
1994 9 3/3/1994 N Engl J Med 1994; 330: 627-632 Chronic radiation enteropathy. Gastroenterology/Abdominal Surgery An 80-year-old woman with persistent gatrointestinal bleeding after a right colectomy.
1994 10 3/10/1994 N Engl J Med 1994; 330: 698-781 Hodgkin's disease, recurrent, involving stomach and paragastric lymph nodes. Hematology/Oncology A 37-year-old woman with treated Hodgkin's disease in remission admitted because of a question of idiopathic thrombocytopenic purpura.
1994 11 3/17/1994 N Engl J Med 1994; 330: 775-781 Plasmodium vivax malaria. Splenomegaly, chronic. Cardiology/Cardiac Surgery; Infectious Disease A 35-year-old man, native of Ethiopia, with fever, chills and splenomegaly.
1994 12 3/24/1994 N Engl J Med 1994; 330: 847-854 Henoch--Schonlein purpura. Hematology/Oncology; Nephrology A 72-year-old man with chronic cutaneous ulcers and the recent onset of progressive renal failure.
1994 13 3/31/1994 N Engl J Med 1994; 330: 920-927 Multiple myeloma, IgG3-kappa light-chain, with hyperviscosity syndrome and type I cryoglobulinemia. Hematology/Oncology; Orthopedics/Musculoskeletal A 62-year-old man with bilateral epistaxis and orthostatic hypotension.
1994 14 4/7/1994 N Engl J Med 1994; 330: 997-1002 Malignant fibrous histiocytoma of pulmonary artery, with embolism and pulmonary infarcts. Pulmonary/Thoracic Surgery; Hematology/Oncology A 54-year-old woman with hemoptysis, dyspnea, and a left mediastinal mass.
1994 15 4/14/1994 N Engl J Med 1994; 330: 1072-1078 Autosomal recessive polycystic kidney disease, with congenital hepatic fibrosis. Pediatrics; Nephrology A 14-year-old girl with the biochemical features of advanced renal failure.
1994 16 4/21/1994 N Engl J Med 1994; 330: 1143-1149 Cardiac myxoma, right atrial, with extension into left atrium and pulmonary tumor embolism. Cardiology/Cardiac Surgery; Pulmonary/Thoracic Surgery A 57-year-old man with chest pain, dyspnea, and a mass in the right ventricle and atrium.
1994 17 4/28/1994 N Engl J Med 1994; 330: 1218-1225 Acquired immunodeficiency syndrome (AIDS). Cytomegalovirus vasculitis of colon with transmural necrosis and peritonitis. Karposi's sarcoma with cytomegalovirus infection of jejunum. Infectious Disease; Gastroenterology/Abdominal Surgery; A 38-year-old man with AIDS, abdominal pain and rectal bleeding.
1994 18 5/5/1994 N Engl J Med 1994; 330: 1300-1306 Pulmonary lymphangioleiomyomatosis (tuberous sclerosis). Pulmonary/Thoracic Surgery A 37-year-old woman with chronic insterstitial lung disease and a history of spontaneous pneumothorax.
1994 19 5/12/1994 N Engl J Med 1994; 330: 1376-1381 Giant pseudodiverticulum of sigmoid colon. Gastroenterology/Abdominal Surgery A 47-year-old woman with intermittent abdominal pain, vomiting and weight loss
1994 20 5/19/1994 N Engl J Med 1994; 330: 1439-1446 Inflammatory pseudotumor of lung. Pulmonary/Thoracic Surgery; Pediatrics A girl five years and eight months old with a nodular lesion in the upper lobe of the left lung, recent bouts of fever, and a cough associated with pulmonary infiltrates.
1994 21 5/26/1994 N Engl J Med 1994; 330: 1516-1522 Pulmonary coccidioidomycoma, caviated, with rupture and pneumothorax. Pulmonary/Thoracic Surgery A 20-year-old man with recurrent hemoptysis and a pulmonary cavity.
1994 22 6/2/1994 N Engl J Med 1994; 330: 1599-1606 Bronchioloalveolar carcinoma. Hematology/Oncology; Pulmonary/Thoracic Surgery A 57-year-old man with extensive bilateral air space disease and a lung biopsy specimen that showed alveolar filling.
1994 23 6/9/1994 N Engl J Med 1994; 330: 1671-1676 Mucinous villous adenomatosis, atypical, involving dilated segment of main pancreatic duct. Endocrinology A 37-year-old man with pancreatic-duct lesion and several bouts of acute pancreatitis.
1994 24 6/16/1994 N Engl J Med 1994; 330: 1739-1746 Accute Epstein-Barr-virus infection, with thrombocytopenia. Infectious mononucleosis. Orthopedics/Musculoskeletal; Infectious Disease; Pediatrics A 2-year-old boy with thrombocytopenia, leukocytosis, and hepatosplenomegaly.
1994 25 6/23/1994 N Engl J Med 1994; 330: 1811-1817 Hemorrhagic colitis with transmural necrosis, consistent with Escherichia coli serotype O157:H7 infection. Hematology/Oncology; Gastroenterology/Abdominal Surgery; Infectious Disease A 54-year-old woman with intractable diarrhea after chemotherapy for carcinoma of the tongue.
1994 26 6/30/1994 N Engl J Med 1994; 330: 1887-1893 Cysticercosis of muscular and intermuscular soft tissue of forearm. Orthopedics/Musculoskeletal A 20-year-old woman with a soft tissue mass in the forearm.
1994 27 7/14/1994 N Engl J Med 1994; 331: 107-113 Burkitt's lymphoma, involving mandible, lymph nodes, bone marrow, (spleen), and nervous system. Hematology/Oncology A 41-year-old woman with neurologic abnormalities and an osteolytic lesion of the right mandible.
1994 28 7/21/1994 N Engl J Med 1994; 331: 181-187 Lymphocutaneous sporotrichosis. Infectious Disease A 51-year-old man with a non-healing finger lesion and regional lymphadenopathy.
1994 29 7/28/1994 N Engl J Med 1994; 331: 259-265 Small-unmyelinated-fiber neuropathy with chronic anhidrosis. Neurology/Neurosurgery A 32-year-old man with hypothermia on exercise.
1994 30 8/11/1994 N Engl J Med 1994; 331: 383-389 Gluten-sensitive enteropathy (celiac sprue). Gastroenterology/Abdominal Surgery A 74-year-old woman with diarrhea, recurrent dehydration and severe weight loss.
1994 31 8/18/1994 N Engl J Med 1994; 331: 460-466 Hemochromatosis with dilated cardiomyopathy and micronodular cirrhosis of the liver. Cardiology/Cardiac Surgery A 25-year-old man with the recent onset of congestive heart failure and atrial fibrillation.
1994 32 8/25/1994 N Engl J Med 1994; 331: 528-535 Small-cell carcinoma of lung, metastatic ot mediastinum, with the Lambert--Eaton myasthenic syndrome. Orthopedics/Musculoskeletal A 61-year-old man with muscular weakness.
1994 33 9/8/1994 N Engl J Med 1994; 331: 661-667 Thrombotic thrombocytopenic purpura, with associated extensive acute myocardial necrosis. Cardiology/Cardiac Surgery A 41-year-old woman with thrombocytopenia, anemia, and changed mental status.
1994 34 9/15/1994 N Engl J Med 1994; 331: 728-734 Tuberculosis of larynx, Mycobacterium tuberculosis. Gastroenterology/Abdominal Surgery; Hematology/Oncology A 38-year-old man with progressive hoarseness.
1994 35 9/22/1994 N Engl J Med 1994; 331: 792-800 Leukocytoclastic vasculitis, due to staphylococcal protein A column therapy. Cerebral infarction of undetermined pathogenesis. Hematology/Oncology; Vascular Surgery A 55-year-old woman with idiopathic thrombocytopenic purpura with left hemiparesis.
1994 36 9/29/1994 N Engl J Med 1994; 331: 861-868 Primary malignant lymphoma of the central nervous system, diffuse,large-cell, B-cell type with kappa-light-chain immunoglobulin. Hematology/Oncology; Neurology/Neurosurgery A 49-year-old man with an intracranial mass.
1994 37 10/13/1994 N Engl J Med 1994; 331: 1005-1012 Juvenile chronic myelogenous leukemia. Orthopedics/Musculoskeletal; Pediatrics A newborn boy with petechiae and massive splenomegaly.
1994 38 10/20/1994 N Engl J Med 1994; 331: 1079-1084 Myositis ossificans. Orthopedics/Musculoskeletal A 55-year-old man with a tender left paraspinal mass.
1994 39 10/27/1994 N Engl J Med 1994; 331: 1143-1149 Wegener's granulomatosis, right orbit, soft tissue and breast. Hematology/Oncology; Vascular Surgery A 69-year-old woman with a right orbital mass with chronic conjunctivitis.
1994 40 11/10/1994 N Engl J Med 1994; 331: 1293-1300 Polyarteritis nodosa with neuropathy. Neurology/Neurosurgery; Pulmonary/Thoracic Surgery A 77-year-old woman with pain in the head and legs, fever, and sweats.
1994 41 11/17/1994 N Engl J Med 1994; 331: 1362-1368 Necrotizing fasciitis due to Escherichia coli, with underlying myositis. Vascular Surgery; Infectious Disease A 57-year-old man with evidence of gram-negative bacteremia, with peripheral edema and erythema of the leg with bullae.
1994 42 11/24/1994 N Engl J Med 1994; 331: 1437-1444 Mycoplasma pneumoniae infection. Pulmonary/Thoracic Surgery; Neurology/Neurosurgery A 19-year-old man with ascending paresthesias, progressive weakness of the legs, and a rash.
1994 43 12/8/1994 N Engl J Med 1994; 331: 1576-1582 Mantle-cell lymphoma. Hematology/Oncology; Gastroenterology/Abdominal Surgery A 52-year-old woman with weakness, diarrhea and lymphadenopathy.
1994 44 12/15/1994 N Engl J Med 1994; 331: 1642-1647 Rheumatoid pleuritis. Immunology/Allergy; Orthopedics/Musculoskeletal A 38-year-old woman with severe rheumatoid arthritis and a new left pleural effusion.
1994 45 12/22/1994 N Engl J Med 1994; 331: 1703-1709 Herpes simplex virus type 2, necrotizing lymphadenitis. Infectious Disease A 47-year-old man with relapsed acute myelogenous leukemia admitted for an allogeneic bone marrow transplantation.
1994 46 12/29/1994 N Engl J Med 1994; 331: 1761-1767 Adenocarcinoma of lung, arising in a bulla. Bullous emphysema. Pulmonary/Thoracic Surgery; Hematology/Oncology A 35-year-old man with increasing exertional dyspnea, recent arthralgia and digital clubbing; and a questionable fungus ball in the right lung.
1995 1 1/12/1995 N Engl J Med 1995; 332: 110-115 Tracheobronchial amyloidoma Pulmonary/Thoracic Surgery An 80-year-old man with an enlarging lung tumor of long duration, recurrent bouts of postobstructive pneumonia, and recent respiratory distress.
1995 2 1/19/1995 N Engl J Med 1995; 332: 174-179 Xanthogranulomatous pyelonephritis, extending into perirenal soft tissue. Nephrology A 71-year-old man with masses in the pancreas, presacral region, and left kidney, with left hydronephrosis.
1995 3 1/26/1995 N Engl J Med 1995; 332: 249-257 Disseminated Pneumocystis carinii and Mycobacterium avium complex infections involving the spleen and liver. Infectious Disease A 29-year-old man with AIDS and multiple splenic abcesses.
1995 4 2/9/1995 N Engl J Med 1995; 332: 380-386 Giant-cell arteritis, consistent with Takayasu's arteritis, with coronary artery involvement. Cardiology/Cardiac Surgery A 26-year-old woman with unstable angina 81/2 weeks after a triple coronary-artery bypass procedure.
1995 5 2/16/1995 N Engl J Med 1995; 332: 452-459 Arteritis,unclassified, with giant-cell reaction and multiple infarcts of brain. Peripheral neuropathy, probably secondary to arteritis. Neurology/Neurosurgery A 73-year-old right handed man with weakness, drowsiness, headache, and confusion.
1995 6 2/23/1995 N Engl J Med 1995; 332: 522-527 Ovarian cyst, probably follicular, with antenatal torsion, hemorrhagic infarction, autoamputation, and implantation on the midjejunal mesentery. OB/Gyn; Pediatrics A one month old girl with an intraabdominal mass.
1995 7 3/9/1995 N Engl J Med 1995; 332: 663-671 Malignant lymphoma, large-cell immunoblastic, B-cell type, with Epstein--Barr viral infection involving the spleen and lymph nodes. Splenic infarcts and extramedullary hematopoiesis. Cytomegalovirus lymphadenitis. (Common variable immunodeficiency. ) (A Infectious Disease A 58-year-old man with common variable immunodeficiency, recurrent sinusitis, splenomagaly and mild thrombocytopenia admitted because of severe anemia and jaundice.
1995 8 3/16/1995 N Engl J Med 1995; 332: 730-737 Neurolymphomatosis. Neurology/Neurosurgery A 75-year-old man with cranial nerve deficits and a footdrop.
1995 9 3/23/1995 N Engl J Med 1995; 332: 804-810 Fibromuscular dysplasia of superior mesenteric artery. Ischemic colitis. Gastroenterology/Abdominal Surgery A 60-year-old man with left-sided abdominal pain and diarrhea.
1995 10 3/30/1995 N Engl J Med 1995; 332: 876-881 Granulosa-cell tumor, adult type, of ovary, with rupture and peritoneal spread. OB/Gyn A 56-year-old woman with abdominal pain, a falling hemocrit, and a pelvic mass.
1995 11 4/13/1995 N Engl J Med 1995; 332: 1015-1022 Chronic infective endocarditis, due to Staphylococcus epidermidis. Infectious Disease; Cardiology/Cardiac Surgery A 39-year-old man with calcifications around the aortic root, a recent myocardial infarction, and a subsequent congestive heart failure, with increasing aortic regurgitation.
1995 12 4/20/1995 N Engl J Med 1995; 332: 1083-1089 Acute postinfectious glomerulonephritis with arteritis superimposed on diabetic nephropathy. Nephrology A 59-year-old man with possible pneumonia and acute renal failure.
1995 13 4/27/1995 N Engl J Med 1995; 332: 1153-1159 Low-grade gastric B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) origin. Gastroenterology/Abdominal Surgery A 35-year-old woman with recurrent melena after treatment for a gastric ulcer with positive tests for Helicobacter pylori.
1995 14 5/11/1995 N Engl J Med 1995; 332: 1285-1291 Schwannoma, involving ethmoid sinus and nasal cavity. Ear, Nose & Throat; Pediatrics a 12-year-old boy with an obstructive right nasal mass.
1995 15 5/18/1995 N Engl J Med 1995; 332: 1363-1370 Quinidine-induced thrombocytopenia. Cerebral hemorrhage. Neurology/Neurosurgery A 70-year-old woman with obtundation, aphasia, and a right hemiparesis.
1995 16 5/25/1995 N Engl J Med 1995; 332: 1432-1438 Sarcoidosis involving the lungs and heart. Pulmonary/Thoracic Surgery; Immunology/Allergy A 35-year-old man with recurrent ventricular tachycardia.
1995 17 6/8/1995 N Engl J Med 1995; 332: 1566-1572 Pulmonary hemorrhage, hemosiderosis, and congestive vasculopathy due to mitral regurgitation. Pulmonary/Thoracic Surgery; Vascular Medicine A 81-year-old woman with severe pulmonary edema after aortic-valve and mitral-valve replacements.
1995 18 6/15/1995 N Engl J Med 1995; 332: 1631-1636 Squamous-cell carcinoma arising in dermoid cyst of ovary, with invasion of the muscularis of the rectosigmoid colon. Small-cell carcinoma of the lung. OB/Gyn; Hematology/Oncology; Gastroenterology/Abdominal Surgery A 59-year-old woman with increasing constipation, abdominal pain, and a rectosigmoid mass.
1995 19 6/22/1995 N Engl J Med 1995; 332: 1700-1707 Pulmonary embolic and lymphangitic carcinomatosis of breast origin. Pulmonary/Thoracic Surgery A 55-year-old woman with acute respiratory distress and thrombocytopenia.
1995 20 6/29/1995 N Engl J Med 1995; 332: 1773-1780 Progressive multifocal leukoencephalopathy. Neurology/Neurosurgery A 66-year-old right handed man with a right hemiparesis with sensory involvement, aphasia, and agitation with intermittent somnolence.
1995 21 7/13/1995 N Engl J Med 1995; 333: 113-119 Group A beta-hemolytic streptococcus (Streptococcus pyogenes), with compartment and toxic shock syndromes. Infectious Disease; Orthopedics/Musculoskeletal A 33-year-old man with fever and increasing pain in the right leg.
1995 22 7/20/1995 N Engl J Med 1995; 333: 175-181 Mediastinal hemorrhage, spontaneous, in parathyroid tissue. Ear, Nose & Throat A 82-year-old woman with odynophagia and a large superior mediastinal mass.
1995 23 7/27/1995 N Engl J Med 1995; 333: 241-248 Pulmonary tuberculosis, nonreactive and miliary, with diffuse alveolar damage (adult respiratory distress syndrome), with milliary tuberculosis in the liver, spleen, adrenal glands, bone marrow and kidneys. Kaposi's sarcoma of the jejunum. Pulmonary/Thoracic Surgery A 44-year-old woman with severe respiratory distress, bilateral pulmonary infiltrates, and increasing pancytopenia.
1995 24 8/10/1995 N Engl J Med 1995; 333: 369-377 Mixed connective-tissue disease, with diffuse alveolar damage, interstitial pneumonitis, pulmonary hypertension, epicarditis, esophageal fibrosis, and sclerodactyly. Immunology/Allergy; Pulmonary/Thoracic Surgery; Ear, Nose & Throat; Dermatology A 46-year-old woman admitted to be considered for a lung transplantation, with severe pulmonary hypertension.
1995 25 8/17/1995 N Engl J Med 1995; 333: 441-447 Lymphocytic hypophysitis. Neurology/Neurosurgery Endocrinology A 44-year-old woman with headache, blurred vision and intersellar mass.
1995 26 8/24/1995 N Engl J Med 1995; 333: 507-511 Osteomyelitis, acute and chronic, of the femur, with a soft-tissue abscess caused by Streptococcus milleri. Orthopedics/Musculoskeletal A 29-year-old woman a pathologic fracture of the right femur.
1995 27 8/31/1995 N Engl J Med 1995; 333: 579-586 Ganglioneuroblastoma of the adrenal gland. Opsoclonus-myoclonus-ataxia syndrome, paraneoplastic. Pediatrics; Neurology/Neurosurgery A 29-month-old girl with increasing ataxia and abnormal eye movements.
1995 28 9/14/1995 N Engl J Med 1995; 333: 715-721 Cecal diverticulum, acquired. Gastroenterology/Abdominal Surgery A 69-year-old woman with recurrent pain in the right lower abdominal quadrant and radiological evidence of a cecal abnormality.
1995 29 9/21/1995 N Engl J Med 1995; 333: 784-791 Splenosis. Gastroenterology/Abdominal Surgery A 65-year-old man with Hodgkin's disease of the anterior mediastinum and the radiographic finding of a pelvic mass.
1995 30 9/28/1995 N Engl J Med 1995; 333: 862-868 Multiple myeloma, with IgG-kappa serum M component. Cryoglobulinemia, type I. (Overlap syndrome of calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia (CREST), and systemic lupus erythematosus. Orthopedics/Musculoskeletal; Immunology/Allergy A 69-year-old woman systemic lupus erythematosis and painful lesions on the feet.
1995 31 10/12/1995 N Engl J Med 1995; 333: 992-999 Intravascular lymphotosis, with predominant involvement of central nervous system. Vascular Surgery; Neurology/Neurosurgery; Vascular Medicine A 43-year-old man with increasing leg pain, bladder and bowel incontinence, and confusion.
1995 32 10/19/1995 N Engl J Med 1995; 333: 1066-1072 Crohn's disease of the esophagus. Ear, Nose & Throat A 78-year-old woman with worsening dysphagia and odynophagia.
1995 33 10/26/1995 N Engl J Med 1995; 333: 1135-1143 Granulomatous angiitis of the central nervous sytem. Neurology/Neurosurgery Hematology/Oncology A 43-year-old right-handed paraplegic man with increasing confusion and aphasia, fatigue, weight loss and decubitus ulcers.
1995 34 11/9/1995 N Engl J Med 1995; 333: 1273-1279 Arteriovenous malformation of the small intestine. Subacute cholecystitis, with ulceration. Cholelithiasis. Gastroenterology/Abdominal Surgery A 77-year-old woman with chronic gastrointestinal bleeding with increasing weakness and dyspnea.
1995 35 11/16/1995 N Engl J Med 1995; 333: 1340-1346 Silicatosis of the lung. Pulmonary/Thoracic Surgery A 55-year-old man with increasing dyspnea and abnormal radiographs of the chest.
1995 36 11/23/1995 N Engl J Med 1995;333:1406-12 Progressive muscular atrophy
A 61-year-old man with increasing weakness in all extremities
1995 37 11/30/1995 N Engl J Med 1995; 333: 1485-1493 Acute disseminated encephalomyelitis (postviral encephalomyelitis). Cerebral infarct, recent. Neurology/Neurosurgery Pediatrics A 6-year-old boy with a rash, meningismus, and diplegia.
1995 38 12/14/1995 N Engl J Med 1995; 333: 1625-1630 Multiple myeloma with bilateral carpal tunnel syndrome probaby due to secondary amyloid deposition. Orthopedics/Musculoskeletal; Immunology/Allergy a 68-year-old right handed man with parethesias and severe pain in the hands.
1995 39 12/21/1995 N Engl J Med 1995; 333: 1695-1702 Scurvy. Primary Care A 72-year-old man with exertional dyspnea, fatigue and extensive echymoses and purpuric lesions.
1995 40 12/28/1995 N Engl J Med 1995; 333: 1764-1769 Solitary cecal ulcer. Gastroenterology/Abdominal Surgery A 71-year-old woman with abdominal pain.