Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · May 2002
Case Reports[Diagnostic image (89). A woman with dysphagia. Dysphagia lusoria].
In a 49-year-old woman with dysphagia diagnostic endoscopy revealed a mass directly dorsal to the esophagus. CT showed an aberrant right subclavian artery being the cause of her swallowing problem: dysphagia lusoria.
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Ned Tijdschr Geneeskd · May 2002
Case Reports[Ketoacidosis after cessation of chronic alcohol consumption].
A 52-year-old man was admitted with diarrhea, near dehydration and dyspnoea. After many years of alcohol consumption, he had stopped drinking alcohol over a very short space of time and had eaten very little or nothing. ⋯ The syndrome is explained by metabolic changes induced by chronic alcohol consumption and ketogenesis as the result of fasting and dehydration. Treatment consisted of correction of the fluid deficit and administration of glucose, after which the patient made a rapid recovery.
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Ned Tijdschr Geneeskd · May 2002
Case Reports[Vulvovaginal complaints, dyspareunia and oral mucosa abnormalities: erosive lichen planus].
Three women, aged 46, 48 and 73 years respectively, suffered from erosive genital lichen planus. Vulvar irritation, dyspareunia and vaginal discharge are the prominent signs of this disease. Lichen planus is an inflammatory dermatosis, which can involve skin and oral and genital mucosa. ⋯ Narrowing of the vagina and painful mucosal lesions often prevent sexual intercourse. The combination of oral and genital complaints can help in the diagnosis of lichen planus. Strict follow-up is necessary because of the possible malignant degeneration of the disease.