Lege Artis Medicinae

[PRESENTATION OF DIFFUSE INTERSTITIAL LUNG DISEASES BY THE NEW CLINICORADIOLOGICAL- PATHOLOGICAL ASPECT]

SZOLNOKI Erzsébet, DÉVÉNYI Katalin, DANKÓ Enikő, DEZSŐ Balázs, SZILASI Mária

DECEMBER 20, 2003

Lege Artis Medicinae - 2003;13(08)

[The aim of the authors was to overview the different forms of diffuse interstitial lung disease based on newly established radiological (HRCT) pattern and histopathological analysis beyond the clinical picture. Idiopathic pulmonary fibrosis is emphasized having also historical importance and possible therapeutic antifibrotic interventions are discussed as well.]

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[Nobel Prize in Medicine for the Pioneers of MR Imaging]

MARTOS János

Lege Artis Medicinae

[A New Solution in the Treatment of Cerebral Edema in Patients Requiring Decompressive Craniectomy Formation of a Vascular Channel in the Treatment of Cerebral Edema in Posttraumatic and Ischemic Stroke Patients Requiring Decompressive Craniectomy]

CSÓKAY András, EGYÜD László, PATAKI Gergely

Lege Artis Medicinae

[THE VALUE OF RENAL BIOPSY IN DIABETES]

NAGY Judit, DEGRELL Péter, EKNOYAN Garabed, WITTMANN István

[The relentless increase of patients with kidney failure requiring renal replacement therapy has been documented world-wide. Recently, diabetic renal diseases has become the major cause of end-stage renal disease in the United States and in western Europe and is forecasted to become the most frequent cause of end-stage renal disease in Hungary. The most common renal lesion in type 1 as well as in type 2 diabetes is diabetic nephropathy. However, in the last few years numerous studies have demonstrated that there is a difference between patients with type 1 and those with type 2 diabetes in the expression and frequency of their renal disease. In type 1 diabetes a histological examination should only be made when a patient has features atypical of diabetic nephropathy and the indications of renal biopsy are well known. At the same time there is no agreement on renal biopsy indications in type 2 diabetes. In this review, we will summarise the characteristic features of diabetic nephropathy and other kidney alterations in the diabetic patient. Furthermore, we will raise the question of the renal biopsy indications and the more extensive use of the renal biopsy in type 2 diabetic patients for more effective prevention and treatment strategies.]

Lege Artis Medicinae

[EUROPA]

NAGY Viktor

Lege Artis Medicinae

[CEREBRAL AMYLOID ANGIOPATHY - A FATAL CASE OF RECURRENT MULTIFOCAL CEREBRAL HEMORRHAGE]

POGÁNY Péter, HERMANN Zsuzsa

[Atherosclerosis and hypertension are the leading etiological factors in the pathogenesis of cerebral hemorrhage. With old age though, several other factors may appear of which cerebral amyloid angiopathy (CAA) is of major importance. This condition is characterized by the deposition of β-amyloid in the leptomeningeal vessels as well as in the small and medium sized arteries of the cerebral cortex and it is not associated with systemic amyloidosis. This pathological protein is also seen in the brains of otherwise healthy older individuals and may also appear in other diseases such as Alzheimer disease, Down-syndrome, vascular malformations, spongiform encephalopathy and dementia pugilistica. The condition may be asymptomatic but it may also cause cerebral hemorrhage, dementia or various transient neurological symptoms. Most cases are sporadic, but familial subtypes have also been described.]

All articles in the issue

Related contents

Lege Artis Medicinae

[SPONTANEOUS RUPTURE OF THE SPLEEN IN PULMONARY FIBROSIS]

SZOLNOKI Erzsébet, DEZSŐ Balázs, SZILASI Mária

[INTRODUCTION - Splenic peliosis is a pathological entity; it is only mentioned in case reports in the literature. CASE REPORT - A 61-year-old man with hypertension and diabetes mellitus presented with effort dyspnoe that was subsequently found to be due to idiopathic pulmonary fibrosis by histological examination. During steroid therapy, a spontaneous splenic rupture developed, which the patient fortunately survived. There was no need for splenectomy, but the clinical course suggested splenic peliosis. CONCLUSION - In this case, splenic rupture was associated with idiopathic pulmonary fibrosis, a constellation that has not yet been reported. Nevertheless, it was an isolated rupture, with no similar haemorrhagic lesion of other parenchymal organs. In view of the literature data, beside primary disease steroid therapy and the coexisting diabetes may also have played a role in the development of the spontaneous splenic rupture.]

Hungarian Radiology

[Pulmonary abnormalities in haematological malignancies - The role of imaging in differential]

GYŐRI Gabriella, MAGYAR Péter, KOVÁCS Balázs, BÉRCZI Viktor, BALASSA Katalin, DEMETER Judit

[Patients with hematological malignancies may develop a wide range of pulmonary abnormalities due to the hematological disease itself as well as in response to therapy. Immunosuppression and intensive chemotherapy induced severe neutropenia hold a high risk of infection. Infectionrelated morbidity and mortality are still high. One of the most common infectious complications is invasive mycosis, which is lethal in a high percentage of cases if not treated immediately and adequately. Non-infectious complications, such as secondary pulmonary lymphoma, thromboembolism, hemorrhage or drug induced fibrosis may develop during the course of the disease. Sometimes it is difficult to make a definitive diagnosis. As invasive methods (bronchoscopy, bronchoalveolar lavage, biopsy) are mostly contraindicated in these patients with severe neutropenia and thrombocytopenia, imaging techniques are especially important. It is a great challenge to differentiate infectious and noninfectious processes. CT and HRCT play an essential role in differential diagnosis. An early and accurate diagnosis is sometimes the only chance for survival.]

Lege Artis Medicinae

[Fungal infections of the lung]

SÁROSI Veronika, BALIKÓ Zoltán

[During the past years the frequency of pulmonary mycoses has increased; the most serious cases include Candida- and Aspergillus-infections. In this article, we discuss primarily the clinical manifestations of these infections, but we also mention the Pneumocystis jiroveci, Cryptococcus neoformans and Zygomycosis/ Mucormycosis infections. We describe the role of the chest physician in the diagnostic procedure and position the bronchoscopic examinations in the diagnostic algorythm.]