Beatrice Maher Kesten

Melanin spots of the oral mucosa and skin associated with polyps: Report of a case of peculiar pigmentation of the lips and mouth

Abstract As suggested by Peutz and Jeghers, there is a rare hereditary, familial syndrome consisting of characteristic melanin pigmentation of the oral mucosa and skin which may be associated with polyps. The polyps occur most frequently in the small intestine, although they may be widespread. In the intestine they may produce obstruction and on occasion, they may undergo malignant change. Awareness of this distinctive external pigmentation may be of considerable value in diagnosing the internal disease. Its presence should suggest intensive study of the patients gastrointestinal tract and a genealogic survey of his family. A case is reported with characteristic pigmentation associated with a nasal and a cervical polyp, hiatus hernia, diverticulosis, and clinical symptoms of gastrointestinal disturbance, but in whom no intestinal polyps have been observed thus far.

Elimination diets as an aid in the diagnosis and treatment of eczema

Abstract 1.1. Elimination diets have been found of value in the diagnosis of chronic eczema. 2.2. As compared with skin tests they present the advantage of: (a) giving direct evidence of the relationship of sensitivity to the patients symptoms; (b) enabling one to detect sensitivity during the periods when the skin reaction is suppressed; (c) being available to the practitioner when proper reagents for skin testing cannot be obtained. 3.3. The chief disadvantages are: (a) the difficulty in interpreting results due to the slow response of eczemas to the elimination of foods and to the interference of other sensitizing factors; (b) the tediousness of the procedure; (c) the difficulty of rigidly excluding the most common food allergens from the diet. 4.4. The combined use of elimination diets and skin tests is usually necessary for accurate diagnosis. 5.5. Of the 112 patients studied eczema was caused solely by food sensitization in 17 per cent. This sensitivity was determined solely by means of elimination diets in 6 per cent. 6.6. Desensitization was apparently accomplished in two cases by the use of the specific peptones of Luithlen and Urbach.

Part II: Assets and Deficiencies of Available Sources of Radiant Energy for Medical Uses: Deficiencies of Available Sources of Radiant Energy for Medical Uses

Before enumerating our practical needs for therapy and clinical experiments it might be well to review the medical uses and sources of available ultraviolet light.

Part II: Assets and Deficiencies of Available Sources of Radiant Energy for Medical Uses: Deficiencies of Available Sources of Radiant Energy for Medical Uses: Practical Clinical Needs1

Before enumerating our practical needs for therapy and clinical experiments it might be well to review the medical uses and sources of available ultraviolet light.

Part II: Assets and Deficiencies of Available Sources of Radiant Energy for Medical Uses: Deficiencies of Available Sources of Radiant Energy for Medical Uses: Practical Clinical Needs11From the College of Physicians and Surgeons, Columbia University, New York City, New York.

Before enumerating our practical needs for therapy and clinical experiments it might be well to review the medical uses and sources of available ultraviolet light.