La Nouvelle presse médicale
-
In capable hands, measurement of the uterine isthmus in early pregnancy is without danger. Apparent incompetence of the isthmus as determined by examination other than during pregnancy or a previous cervical cerclage do not necessarily represent a formal indication for a cerclage in a subsequent pregnancy. Calibration of the isthmus during pregnancy was carried out in 129 patients who were "candidates" for a cerclage. ⋯ Since beginning this study, the number of cervical cerclages in our department has decreased and we have observed a parallel decrease in premature deliveries, since with the elimination of problems related to the isthmus we have directed our efforts towards other causes of premature labour. Thus we have been led to include calibration of the isthmus in routine examinations in pregnancies occurring on the one hand in women with previous infertility as well as in those in which pregnancy follows a period of involuntary sterility. Calibration reveals early incompetence of the isthmus, making cerclage possible at the appropriate time.
-
Erythema nodosum was seen in 37 out of 564 cases of sarcoidosis, i.e. 6.4. per cent. The female preponderance of the association was 56.8 per cent. It was accompanied by fever in 84 per cent of cases and with an increased sedimentation rate, greater than 50 mm in the first hour, in 44 per cent of cases. ⋯ Mediastino-pulmonary involvement accompanying the erythema nodosum included mediastinal lymphadenopathy in all cases. Infiltration of the pulmonary parenchyma was seen in 27 per cent. Spontaneous resolution of the mediastino-pulmonary lesions occurred in 82 per cent of cases, regardless of the initial radiological appearance.