Case Reports

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  • J. G. Hengstler
    Leibniz Research Centre for Working Environment and Human Factors
    Ardeystr. 67
    D-44139 Dortmund
    Germany
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    Cryptogenic stroke as a very early manifestation of pancreatic neoplasm
    (2009-07-08T08:18:52Z) Arabi, Maher; Saleh, Zeinab; Sawaya, Raja
    We present two cases of middle-aged women who sustained definite cerebrovascular infarctions without predisposing risk factors. Work-up did not reveal any underlying etiology. Treatment with antiplatelets and anticoagulants improved the patients' symptoms. Two and five years later, both patients developed pancreatic cancer. In this article, we discuss the association between cryptogenic stroke and pancreatic cancer and review the cases described in the literature with this association.
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    Toxic effect of Xanthium Strumarium as an herbal medicine preparation
    (2009-07-08T08:18:32Z) Mofidi, Mani; Saidi, Hossein
    We describe the intoxication resulting from exposure of a previously healthy young woman to Xanthium Strumarium (Astraceae family) as an herbal preparation. The patient developed hepatic injury, symptomatic hypoglycemia and seizure 7 days after drinking of decocting preparation of the plant. It is different from previous reported cases because of neuropsychiatric and gradual onset of symptoms.
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    Extremely long latency time of hepatic angiosarcoma in a vinyl chloride autoclave worker
    (2009-03-11T10:27:30Z) Bolt, Hermann M.
    Vinyl chloride is a human carcinogen. The characteristic tumour is the hepatic angiosarcoma, first observed in the 1970s in vinyl/polyvinyl chloride workers, especially in polymerization autoclave workers. Recent epidemiological studies demonstrate a dependence of the tumour incidence on both the duration and cumulative quantity of exposure. However, there is only limited data concerning the possible tumour latency times. Here, a case of hepatic angiosarcoma is presented that had been exposed to vinyl chloride in a very typical way as autoclave worker between 1957 and 1965. The patient was incidentally diagnosed with hepatic angiosarcoma in April 2008. Thus, the tumour latency time, from the beginning of occupational vinyl chloride exposure to clinical diagnosis, was 51 years. This underlines the importance of a continuing medical surveillance of workers exposed to vinyl chloride, at times before its carcinogenicity was recognized and regulatory action could be taken.