Marvin Boris

Treatment for lymphedema of the arm-The Casley-Smith method†

This paper gives an outline of the Casley‐Smith method for the treatment of lymphedema of the arm. It includes a brief summary of the development of manual techniques and the terminology applied to them.

Low doses of animal antigen attenuates the late asthmatic reaction.

Five subjects with a history of asthma after exposure to cat or dog underwent a trial of low-dose antigen injection followed by bronchoprovocation with the relevant antigen. The neutralization dose of antigen was determined by serial and point dilution skin testing. In a crossover protocol, patients received this antigen or placebo injections. They then underwent bronchoprovocation with the same antigen. The results of the early and late reaction to bronchoprovocation were compared, with each patient serving as her own control. As measured by the number of breath units to lower the FEV, by 20%, placebo group tolerated only 6.9 ± 2 breath units, whereas the neutralization group tolerated 29 ± 3 breath units (p < 0.05). The maximum decline in FEV, during the late reaction was 27 ± 13% after injection of placebo and 12 ± 12% after injection of antigen (p < 0.05). In this model of antigen-induced asthma, injection of low doses of allergen immediately preceding bronchoprovocation blunted the immediate and delayed asthmatic reaction.