Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
INTRATHORACIC KIDNEY: A CT-SCANNING VIEW
161
163
EN
GHOLAMREZA
KHAKPOUR
From the Department of Urology and Medicine, Shahid Labbafi.Nejad Medical Center. Shahid Beheshti University of Medical Sciences. Tehran. Islamic Republic of lran.
Y
HAMID
SOHRABPOUR
N
We report a patient who was admitted to the department of medicine
with palpitation, dyspnea and left flank pain, Chest X-ray revealed a mass in
the left lung. The lesion was evaluated as a pulmonary tumor, with a high
suspicion of malignancy. Intravenous urography, sonography, and CTscanning
revealed a thoracic kidney at the location previously thought to be a
lung mass.
This is the first report of a CT-scanning evaluation of thoracic kidney.
http://mjiri.iums.ac.ir/article-1-1274-en.html
http://mjiri.iums.ac.ir/article-1-1274-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
SEIZURE DUE TO DIPHENYLHYDANTOIN -METHYLPHENIOATE INTERACTION
159
160
EN
MOHAMMAD
GHOFRANI
From the Pediatic Neurology Department. Mofid Children's Hospital. Shahid Beheshti University of Medical Sciences. Tehran. Islamic Republic of Iran.
Y
Signs and symptoms of D PH toxicity were seen in an epileptic child who
had received DPH and MP concurrently. In the absence of liver and kidney
disease and any intercurrent infection, and with the patient's recovery
following the withdrawal of DPH, it appears that drug-drug interaction is the
most logical explanation for DPH intoxication.
http://mjiri.iums.ac.ir/article-1-1273-en.html
http://mjiri.iums.ac.ir/article-1-1273-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
AMNION GRAFT TECHNIQUE IN A PATIENT WITH CONGENITAL ABSENCE OF VAGINA WITH REGULAR MENSES THROUGH A FISTULA
155
158
EN
HORMOZ
DABIRASHRAFI
From the Department of Obstetrics and Gynecology, Mirza Kouchek Khan (Zanan) Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Y
SEYYEDEH SHAHRBANOU
JANANI
N
HASSAN
VAHAB AGHAI
N
NASRIN
MOGHDAMI TABRIZI
N
An interesting case of atresia of the vagina and cleft p alate is described,
with menstruation occurring through a fistula. Normal saline was used for
distension of the upper vagina, without any successful results. Therefore, the
McIndoe operative technique with amnion graft was utilized. Eight months
after the operation, the patient has a normal menstrual cycle, a good caliber
neovagina and normal coitus. She hopes for a future pregnancy.
http://mjiri.iums.ac.ir/article-1-1272-en.html
http://mjiri.iums.ac.ir/article-1-1272-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
THE SYNDROME OF DIABETES INSIPIDUS, DIABETES MELLITUS, OPTIC ATROPHY, DEAFNESS, AND ATONIA OF THE URINARY TRACT (DIDMOAD SYNDROME). TWO AFFECTED SIBS AND A SHORT REVIEW OF THE LITERATURE
149
154
EN
DAVOOD
SHARIFI DOLOUI
University of Medical Sciences, Mashhad, Islamic Republic of Iran
Y
ATAOLLAH
BEHROUZ AGHDAM
N
Two brothers with DIDMOAD syndrome are reported. The older
brother has diabetes mellitus (type I), diabetes insipidus, optic atrophy,
deafness and atonia of the urinary tract with severe symptoms such as
diabetic ketoacidosis and frequent urinary tract infections. His younger
brother had the same manifestations but with less severity. We report the
findings of our two patients and compare them with the frequency of the
symptoms in 100 patients from the literature.
http://mjiri.iums.ac.ir/article-1-1271-en.html
http://mjiri.iums.ac.ir/article-1-1271-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
USHER\'S SYNDROME REVISITED
143
147
EN
MOHSEN
DJALILIAN
From the Department of Ophthalmology and ENT of Iran Air and ENT Department of MayoClinic Rochester Minnosota, U.S.A.
Y
M.S. GEORGE
W.FACER
N
MH
LASHKARL
N
Usher's syndrome is a genetically inherited autosomal recessive disorder
resulting in the double handicap of deafness and progressive blindness,
known as retinitis pigmentosa. The disease is also associated with psychoses,
mental retardation, and other major neurophysiological changes. It appears
to be more common among Jewish individuals and consanguinous marriages.
While it is rare in the general population (3 cases per 100,000
population), it is significantly prevalent among those who are deaf. Most
patients are forced to give up their profession around age 30 or 40 or earlier,
either because of advancing failure of sight leading to blindness at age 50 or
60, or due to the other disabilities of the condition.
Although a wide variety of treatments have been tried including
surgery, endocrine therapy, vitamins, and transplants, at present the disease
cannot be cured nor its course significantly altered. A program for prevention
through high risk diagnostic screening, coupled with genetic counseling,
is both feasible and practical.
In this report, we present two siblings with this syndrome, as well as a
general review of the history and literature concerning this disorder.
http://mjiri.iums.ac.ir/article-1-1270-en.html
http://mjiri.iums.ac.ir/article-1-1270-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
CORONARY ARTERIOSYSTEMIC FISTULA
139
141
EN
M
POURMOGHADDAS
From the Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Y
MA
SADR-AMELI
N
Coronary arteriosystemic fistula which drains into the left ventricular
cavity is a rare congenital anomaly. A case of double fistulae between the left
anterior descending and left circumflex coronary arteries and left ventricular
cavity is presented. The patient's chief complaint, chest pain, was attributable
to the "steal phenomenon."
http://mjiri.iums.ac.ir/article-1-1269-en.html
http://mjiri.iums.ac.ir/article-1-1269-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
SMALLPOX AND MEASLES AS DESCRIBED BYRAZI (LE LIVER SUR LA V ARIOLE ET LA ROUGEOLE)
137
138
EN
MAHMOOD
NAJMABADI
Y
http://mjiri.iums.ac.ir/article-1-1268-en.html
http://mjiri.iums.ac.ir/article-1-1268-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
AN INTRODUCTION TO THE HISTORY OF MEDICINE IN ISLAM AND IRAN
131
136
EN
ALIAKBAR
VELAYATI
Tehran, University of Medical Sciences, Islamic Republic of Iran
Y
http://mjiri.iums.ac.ir/article-1-1267-en.html
http://mjiri.iums.ac.ir/article-1-1267-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
CHEST PAIN IN CHILDREN A PROSPECTIVE STUDY
127
129
EN
REZA
GHARIB
From The Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, I.R. Iran
Y
Thirty five children with a primary complaint of chest pain were
prospectively studied. The average age was 9.7 years for boys and 8. 9 years
for girls 60% were male.
The most frequently diagnosed cause was psychogenic (54.2%). Forty
percent of the patients were classified as having idiopathic chest pain.
Precordial pain was encountered in 2. 9%), along with costochondritis and
mitral valve prolapse.
It is concluded that chest pain in children is a relatively benign symptom
which is infrequently associated with a serious underlying organic condition
extensive laboratory investigations are not required.
Psychogenic chest pain is a prevalent problem that commonly causes
considerable anxiety in children and their families.
http://mjiri.iums.ac.ir/article-1-1266-en.html
http://mjiri.iums.ac.ir/article-1-1266-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
THE ROLE OF BEHAVIOR PATTERN AND EMOTIONAL RISK FACTORS IN CORONARY HEART DISEASE
123
126
EN
FREIDOON
NOUHI
From the Department of Medicine, Kerman University of Medical Sciences, Kerman, I.R. Iran. And the Department of Cardiology, Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran, I.R. Iran.
Y
AHMAD
MOHEBBI
N
For evaluating the role of behavior pattern and emotional factors in
coronary heart disease (CHD), 86 patients were followed for one to three
years (average 20 months). The behavior pattern itself was not considered as
a main risk factor, rather it was found to be an aggravating and predisposing
factor, especially in morbidity rate.
Both behavior patterns were more common in males than in females.
73% of male type A patients and 60% of male type B patients smoked,
whereas smoking rate was equal among the female patients, amounting to
20% for both types. Thus smoking was considered as a major and prevalent
risk factor in males especially those with type A behavior. 62% of patients
included in the type A group had acute MI, while 56% of type B patients had
the same condition. Thus, MI and its complications occured more commonly
in type A than type B patients. However, the mortality rate, which was
mainly clue to anterior MI (90%), was the same in both groups.
http://mjiri.iums.ac.ir/article-1-1265-en.html
http://mjiri.iums.ac.ir/article-1-1265-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
MEDICAL TREATMENT OF TOXIC GOITER IN AN AREA OF IODINE DEFICIENCY
119
122
EN
FEREYDOON
AZIZI
From the Department of Medicine, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Y
The response to methimazole [1-methyl-2-mercapto-imidazole (MMI)]
therapy, 10 mg twice daily in 15 patients and propylthiouracil (P TU) therapy,
100mg twice daily in 10 patients with diffuse toxic goiter was evaluated in an
area of iodine deficiency (Tehran).
The mean free T4 index (FT4I) decreased from 22.7± 6.8 (± SD) to
10.8± 2.8 In MMI-treated, and from 25.1± 6.8 to 13.2± 2.1 in PTU-treated
patients, two weeks after treatment. The FT4I further decreased to 6.8± 4.3
and 8.5± 2.1 after four weeks of MMI and PTU administration, respectively.
The mean free T3 index (FT3I) was 415± 90, 162± 44 and 117± 46 in MMI
treated and 430± 80, 210± 45 and 140± 53 in PTU treated patients before
and two and four weeks after treatment, respectively. The mean FT4I and
FT 31 had decreased more in the MMI treated groups as compared to the PTU
treated patients, two weeks after treatment. In patients treated with MMI or
PTU, 11 of 25 (44 %) had subnormal FT 41 after four weeks of treatment, of
whom one had increased serum TSH.
These results indicate that treatment with less than the recommended
doses of thionamide compounds causes a rapid decline of thyroid hormone
indices in patients residing iI). Tehran. The dosage of thionamide compounds
as well as the duration of therapy with the initial doses necessary to induce
euthyroidism, should be evaluated in various parts of the world.
http://mjiri.iums.ac.ir/article-1-1264-en.html
http://mjiri.iums.ac.ir/article-1-1264-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
A REVIEW OF 427 CASES OF VARICOCELE
115
118
EN
ALI
SHAMSA
From the Department of Urology. Ghaem Hospital, Mashad University of Medical Sciences, Mashad,
Y
427 patients with varicocele ranging in age from 14 to more than 35 years
underwent surgical operation during a 10 year period (1977-1986). 190
(44.5%) were referred for infertility and 365 had left-sided varicoceles
(85.5%). No relationship was found between infertility and the grade of
varicocele. Clinical features of prostatitis were often present. Semen
analyses were performed in 37% of patients and showed abnormalities in
motility, morphology, and density. Hormone analyses (in 26 cases) showed
elevated FSH, normal LH, and decreased testosterone levels. Complications
of high ligation occurred as recurrence of varicocele in 10% , and edema
of the scrotum in 12 %. In the 32 patients presenting with infertility who were
followed-up, there was an improvement in sperm density in 81 %, and a
fertility rate of 37.8 %
http://mjiri.iums.ac.ir/article-1-1263-en.html
http://mjiri.iums.ac.ir/article-1-1263-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
CONTROL OF ZOONOTIC CUTANEOUS LEISHMANIASIS BY MASS LEISHMANIZATION IN HYPERENDEMIC AREA OF ISFAHAN
113
114
EN
A
NADIM
From the School of Public Health and Research Institute for Public Health, Tehran University of Medical Sciences, Tehran, I.R. Iran.
Y
E
JAVADIAN
N
G
TAHVILDAR-BIDRUNI
N
H
AMINI
N
Y
PEZECHKI
N
Zoonotic cutaneous leishmaniasis is hyperendemic in the rural areas,
north and east of the city of Isfahan in the central region of Iran. Attempts to
control the disease by different methods have all failed. A field trial showed
that the effectiveness of leishmanization was successful in a limited part of
this area. In February 1982 and 1983, more than 80,000 persons were
inoculated. Our evaluation demonstrated that this vaccination program
reduced the number of cases to almost one-seventh the expected number. In
general, although this type of immunization may not be recommendable in
most endemic areas, it may he used in persons and populations moving into
high risk areas.
http://mjiri.iums.ac.ir/article-1-1262-en.html
http://mjiri.iums.ac.ir/article-1-1262-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
PERCUTANEOUS NEPHROSTOMY: A WELL ESTABLISHED AND EFFICACIOUS PROCEDURE
105
111
EN
FARHOOD
SEREMI
From the Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of lran.
Y
56 percutaneous nephrostomies were evaluated in 50 patients, with a
malignant underlying factor in 32 and benign conditions in 24. The clinical
indication was decompression for supravesical obstruction with or without
azotemia in the majority of cases. Less common indications were management
of ureteral fistula, ureteral stricture dilatation, and pelvic stone
extraction. Serious complications were encountered in 5.4 % with one fatal
hemorrhage. Successful results were achieved in about 98% of cases with one
placement failure. The procedure offers an excellent and efficacious alternative
to surgical nephrostomy.
http://mjiri.iums.ac.ir/article-1-1261-en.html
http://mjiri.iums.ac.ir/article-1-1261-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
EVALUATION OF 17 PATIENTS SEVERELY INJURED WITH SULFUR MUSTARD
99
104
EN
MOHAMMAD HOSSEIN
MOTAKALLEM
From the Shahid Rajai Heart Hospital. Iran University of Medical Sciences. Tehran. Islamic Republic of Iran
Y
In this article, we evaluated 17 Iranian soldiers who were exposed to
mustard gas utilized by the Iraqi forces in the war fronts. Their clinical
symptoms and signs, laboratory tests, and other parameters were carefully
assessed, an attempt was made to identify a finding of prognostic significance,
and patients who recovered from the acute phase were followed to
determine possible long-term effects. Our results, as well as a general review,
are presented.
http://mjiri.iums.ac.ir/article-1-1260-en.html
http://mjiri.iums.ac.ir/article-1-1260-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
DIFFERENTIATION OF MONOCYTE DERIVED DENDRITIC CELLS IN SERUM FREE CONDITIONS
91
98
EN
ANNE CHRISTINE
BRU-CAPDEVILLE
From the Department of Immunology, University of Gouingen, West Germany
Y
HOSSAIN
MOTTEIAN NAJAR
N
JOHANN
HINRICH PETERS
N
Human peripheral blood monocytes (HPBM) were cultured in the
absence of human serum and were converted into a state exhibiting a high
accessory function expressed by their ability of supporting lymphocyte
proliferation. After a prolonged culture in serum free media the monocyte
derived cells were highly viable, increased in size and developed veils and
dendritiform elongatio'l1s. Paralleling the increase in accessory function, the
cells decreased in the expression of markers typical of monocytes and
macrophages (M 0), approaching the phenotype of lymphoid dendritic cells.
We here define conditions for reproducibly generating these monocyte
derived dendritic cells (m-DC) in various serum free media. This study also
shows that acidic conditions prevent M0 development and facilitate m-DC
differentiation even under serum conditions.
http://mjiri.iums.ac.ir/article-1-1259-en.html
http://mjiri.iums.ac.ir/article-1-1259-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
THE BENEFITS OF OUTPATIENT SURGERY OVER SURGERY IN THE HOSPITAL: REPORT OF 4177 UROLOGIC OUTPATIENT OPERA TIONS
87
90
EN
NASSER
SIMFOROOSH
From the Department of Urology, Shahid Labbafi Nejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Y
ABDOL KARIM
DANESH DEZFULI
N
MOHAMAD REZA
RAZZAGHI
N
From 1983 until 1987, 4177 outpatient urologic procedures were
performed at Shahid Labbafi Nejad Medical Center. 34% of the cases were
open surgical, while 66% were endourologic procedures. There was no
surgical complication related to the outpatient aspect of the procedure. Rate
of infection in open surgical cases was almost zero. The number of
procedures was increased each succeeding year. Also more difficult cases
(like penile prosthesis, epididymovasostomy, priapism, sphincterotomy, ... )
were included in the program. We recommend outpatient surgery as one of
the best approaches to make surgery much more economic and if properly
done, still offer better quality care to the patient.
http://mjiri.iums.ac.ir/article-1-1258-en.html
http://mjiri.iums.ac.ir/article-1-1258-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
2
1988
8
1
THE EFFECT OF PHENYTOIN ON HEALING OF WAR AND NON-WAR INTRACTABLE WOUNDS
81
86
EN
S
MODAGHEGH
From the Department of Medicine. Shahid Rahnamun Hospital; Iran University of Medical Science'S. and Sina Hospital. Tehran University of Medical Sciences. Tehran. Islamic Republic of Iran.
Y
MA
GHORAIAN
N
M
MOSHKGOU
N
A
REZAIZADEH
N
Phenytoin (PHT), a drug in clinical use for over fifty years as an
anticonvulsant, has heen reported to promote the healing of skin and soft
tissue wounds, ulcers and second degree burns.
We treated 19 patients with war-related missile wounds and 6 with
chronic, non-healing (previously treated at least for.') months with antibiotics
and betadine or acetic acid dressing) civilian ulcers with topical phenytoin
sodium powder daily without antibiotic therapy for up to 4 weeks. Missile
wounds had a mean healing time of2 weeks and civilian intractable ulcers, a
maximum healing time of4 weeks, compared to historical controls requiring
6-8 weeks for missile wounds and at least 5 months of non-effective previous
treatment for intractable wounds.
Twenty two patients showed complete healing within four weeks. Three
required skin grafts for final closure. PHT provided rapid pain relief.
Although seventeen wounds had positive bacterial cultures prior to treatment,
none were positive after one week of PHT treatment. No antibiotics
were required. We believe wider use of this safe, inexpensive, readily
available, and easy-to-use wound healing agent is indicated.
http://mjiri.iums.ac.ir/article-1-1257-en.html
http://mjiri.iums.ac.ir/article-1-1257-en.pdf