Southern medical journal
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Southern medical journal · Jun 1986
Case ReportsExtramammary Paget's disease of the scrotum: need for early biopsy.
We have described a patient with Paget's disease of the scrotum, with a two-year history of erythematous and indurated skin lesion. Biopsy established the diagnosis of Paget's disease. The patient's symptoms were relieved after wide excision of the affected scrotal skin.
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Southern medical journal · Jun 1986
Case ReportsChronic eosinophilic pneumonia: a cause of adult respiratory distress syndrome.
It is important that physicians not overlook the diagnosis of chronic eosinophilic pneumonia (CEP), since this disorder is readily reversible with corticosteroid therapy. Six patients with CEP were seen at our institution between 1979 and 1983. We present their clinical features, chest films, and pathologic findings, and review the literature on CEP. ⋯ In fact, the two patients who had adult respiratory distress syndrome (ARDS), presented diagnostic difficulty and required admission to the intensive care unit. In contradistinction to the four patients with classic CEP, the two with ARDS had a delayed response to corticosteroids. Therefore, we conclude that chronic eosinophilic pneumonia is an important entity to recognize as a potentially fatal cause of the adult respiratory distress syndrome.