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  • 1
    ISSN: 1432-1238
    Keywords: Key words Gold-salts compounds ; Gold lung ; Bronchiolitis obliterans ; Bronchiolitis obliterans with organizing pneumonia ; Rheumatoid lung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The pulmonary toxicity of gold salts is an uncommon cause of life-threatening respiratory failure. Currently, patients who suffer from this do not need mechanical ventilation, and the toxicity can be difficult to diagnose when it occurs in patient with an illness producing pulmonary manifestations. We report a case of severe respiratory failure due to gold salt toxicity in a patient suffering from rheumatoid arthritis requiring mechanical ventilation. At such a time, the poor respiratory function makes some diagnostic procedures harmful. The diagnosis can be made after the exclusion of other causes of rheumatoid lung when the patient's poor respiratory status precludes invasive exploration. The clinical findings, radiological features, and results of pulmonary function tests may be enough to diagnose gold-related pneumopathy. This avoids the need for bronchoscopic examination or transfer of the patient for computed tomography. Attention must be paid to this complication because the outcome and functional prognosis are better when pulmonary involvement is gold related: in our case steroid therapy was life-saving and induced complete recovery of the lung damage.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 10 (1986), S. 101-104 
    ISSN: 1432-5195
    Keywords: Arthroscopie ; Irrigation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'oedème de la synoviale pendant l'intervention apparaît comme une complication technique très fréquente au cours des arthroscopies réalisées en utilisant le sérum salé comme liquide de perfusion articulaire. Les auteurs ont étudié le comportement de 12 échantillons de membrane synoviale humaine en contact avec du sérum salé, Ringer lactate, Dextran 40.000 à 5% et Dextran 40.000 dilué à 10% avec du sérum salé. On a constaté au cours de ce travail que la solution de Dextran 40.000 à 10% dans le sérum salé diminue la quantité d'eau retenue par la synoviale sans la léser. En conclusion, on peut dire que cette solution représente le liquide idéal pour l'irrigation intraarticulaire de toutes les arthroscopies dont la durée peut être supérieure à 30 minutes.
    Notes: Summary Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in normal saline decreases the water content of the synovium without causing damage, and recommend this solution for procedures lasting longer than 30 minutes.
    Type of Medium: Electronic Resource
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