Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Dec 2012
Review Comparative Study[Characteristics and management of idiopathic pulmonary fibrosis: INSIGHTS-IPF registry].
Idiopathic pulmonary fibrosis (IPF), a manifestation of chronic progressive fibrosing interstitial pneumonia, is with a prevalence of 2-29 cases per 100,000 individuals a rare disease. Current treatment options are limited, and the mean survival time of the newly diagnosed (mostly elderly) patients is only about 2-3 years. ⋯ It is planned to document 500 patients in 30 centers. The registry will contribute to the optimization of the management of IPF patients in the long term.
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Dtsch. Med. Wochenschr. · Dec 2012
Case Reports[Bowel perforation because of ingestion of a blister-wrapped tablet after post-interventional coronary perforation].
A 70-year-old woman was admitted to hospital with progressive chest pain. Coronary angiography demonstrated a significant stenosis of the left descending artery (LAD), which was treated by percutaneous coronary intervention (PCI) and stent implantation. During this intervention, a coronary perforation occurred which was remedied immediately. Five days after the intervention, the patient complained about severe atypical chest and abdominal pain with nausea and vomitting, but no fever. Physical examination revealed an acute abdomen of uncertain origin. ⋯ The clinical presentation of abdominal pain is a frequent medical condition in hospital. Determining the cause requires precise assessment and examination and implicates a variety of differential diagnosis including non-cardiac and cardiac pain. Iatrogenic causes must be considered in differential diagnosis.