Thursday, July 1, 2010

Sarcoid Arthropathy

A female patient 43-year-old presented with pain, swelling, and stiffness in the hands and feet; she reported having had the symptoms for the previous 5 years. Possible rheumatoid arthritis had been diagnosed and was treated with nonsteroidal antiinflammatory agents and prednisone. Pulmonary sarcoidosis had been diagnosed 14 years earlier. On examination, the patient had dactylitis of the second and third fingers of the right hand and the fifth finger of the left hand. The second and fourth toes of both feet were swollen.

The erythrocyte sedimentation rate and level of angiotensin-converting enzyme were elevated. Test results for rheumatoid factor and anti–cyclic citrullinated peptide antibodies were negative.
Radiographs of the hands and feet showed several circumscribed, corticated lytic bone lesions that were consistent with sarcoid granuloma. Cystic radiolucent areas along with extensive bone erosions with pathologic fractures were also seen.

Manifestations of sarcoidosis involving the bones and joints can occur early or late in the illness, and as in this case, the clinical presentation may appear similar to that of rheumatoid arthritis. This patient received treatment with corticosteroids.


Central line placement


Mushrooms Benefits on Health

Mushrooms are gaining new respect from nutritionists and medical doctors, as scientists discover that mushrooms may play a role in fighting any number of ailments from high blood pressure to infections and even cancer. After more than 15 years of researchs, American scientists finally have access to a mushroom compound called AHCC (which stands for Active Hexose Correlated Compound), which was once available only in Japan and has been used extensively by Japanese hospitals and medical clinics since its development in the mid-1980s as a safe, natural way to help support the immune system.

AHCC is obtained from a hybridization of several species of medicinal mushrooms (including Shiitake), all organically cultivated in Japan. After extensive clinical research and significant evidence supporting its effectiveness, AHCC is gaining mainstream acceptance in the United States.

“The studies have been quite amazing,” says Fred Pescatore, M.D., M.P.H., who has recommended AHCC adjunct therapy for many of his patients. “It has been shown to work well in patients with cancer, hepatitis, immunocompromised patients and liver disease.

The immune system in our body works in part by detecting and eliminating foreign cells. For people with healthy immune systems, viruses, bacteria and abnormal cells are routinely found and destroyed before any damage is done, often before the person ever feels sick. AHCC has been shown in clinical studies to safely and naturally support a healthy immune response by activating and increasing the number of certain types of immune cells, and triggering related immune reactions in the body.

The excitement among scientists is growing as research progresses. U.S. clinical trials are underway at the More-house School of Medicine and Yale University. These studies follow a number of previous studies conducted by prestigious Japanese universities.

After one such study, a human clinical study of liver cancer patients conducted at the Kansai Medical University in Osaka, Japan and published in the July 2002 Journal of Hepatology, researchers remarked that “AHCC intake resulted in improved liver function, the prevention of recurrence of hepatocellular carcinoma (HCC), and the prolonged survival of postoperative HCC patients without any adverse effect.”

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Immune System, White Blood Cells, T-Cells, Cancer Cells