Syphilis: a disease to exclude in diagnosing sarcoidosis.

Abstract:

:A 37-year-old man was referred to our institution for assessment of possible sarcoidosis with involvement of the central nervous system. Before referral, he experienced a systemic illness that persisted for several months, during which time ocular and pulmonary noncaseating granulomas were identified. Sarcoidosis with involvement of the central nervous system was tentatively diagnosed. Because of several inconsistencies in the preliminary diagnosis of sarcoidosis, further assessment was pursued, and syphilis was diagnosed. Herein we emphasize the useful clinical features for distinguishing syphilis from sarcoidosis and review the clinical manifestations of pulmonary syphilis.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Edmonds LC,Stubbs SE,Ryu JH

doi

10.1016/s0025-6196(12)60277-8

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

37-41

issue

1

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)60277-8

journal_volume

67

pub_type

杂志文章
  • Individualized Medicine in Gastroenterology and Hepatology.

    abstract::After the completion of the Human Genome Project, there has been an acceleration in methodologies on sequencing nucleic acids (DNA and RNA) at a high precision and with ever-decreasing turnaround time and cost. Collectively, these approaches are termed next-generation sequencing and are already affecting the transform...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2017.03.002

    authors: Stephens MC,Boardman LA,Lazaridis KN

    更新日期:2017-05-01 00:00:00

  • Second malignant lesions after therapy for Hodgkin's disease.

    abstract::Among 169 adult pathologically staged patients with Hodgkin's disease who were treated at the Mayo Clinic between 1974 and 1978, we identified four cases of second malignant lesions that developed. The median duration of follow-up after diagnosis for the entire population was 4.1 years. Of the 169 patients, 73 receive...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60440-6

    authors: Schomberg PJ,Evans RG,Banks PM,White WL,O'Connell MJ,Earle JD

    更新日期:1984-07-01 00:00:00

  • Adult-Onset Hypogonadism.

    abstract::In August 2015, an expert colloquium commissioned by the Sexual Medicine Society of North America (SMSNA) convened in Washington, DC, to discuss the common clinical scenario of men who present with low testosterone (T) and associated signs and symptoms accompanied by low or normal gonadotropin levels. This syndrome is...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.04.022

    authors: Khera M,Broderick GA,Carson CC 3rd,Dobs AS,Faraday MM,Goldstein I,Hakim LS,Hellstrom WJ,Kacker R,Köhler TS,Mills JN,Miner M,Sadeghi-Nejad H,Seftel AD,Sharlip ID,Winters SJ,Burnett AL

    更新日期:2016-07-01 00:00:00

  • Platelets in atherothrombosis.

    abstract::Atherosclerosis is a diffuse, systemic disease that affects the coronary, cerebral, and peripheral arterial trees. Disruption of atherosclerotic plaques leads to thrombus formation and arterial occlusion. This unpredictable and potentially life-threatening atherothrombotic sequence underlies clinical events such as an...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/81.1.59

    authors: Vorchheimer DA,Becker R

    更新日期:2006-01-01 00:00:00

  • Thoracic manifestations after esophageal variceal sclerotherapy.

    abstract::Endoscopic esophageal variceal sclerotherapy (EVS) is often used in the treatment of upper gastrointestinal hemorrhage due to esophageal varices. We retrospectively reviewed the Mayo Clinic experience with EVS between 1980 and 1989 to determine the incidence of thoracic manifestations and chest roentgenographic abnorm...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62086-2

    authors: Zeller FA,Cannan CR,Prakash UB

    更新日期:1991-07-01 00:00:00

  • Leukemia in Olmsted County, Minnesota, 1965--1974.

    abstract::Extending a study of the period 1935-1964, we determined the incidence rates of leukemia in Olmsted County during the decade 1965-1974. In this decade, the overall crude annual incidence rate was 9.5 per 100,000. The ratio of males to females was 2.4 to 1; and the incidence rate was significantly higher among males th...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Linos A,Kyle RA,Elveback LR,Kurland LT

    更新日期:1978-11-01 00:00:00

  • Providing Appropriate End-of-Life Care to Religious and Ethnic Minorities.

    abstract::There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities. Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life. Failure to address...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.08.024

    authors: Partain DK,Ingram C,Strand JJ

    更新日期:2017-01-01 00:00:00

  • Noninvasive ventilation.

    abstract::Noninvasive ventilation refers to the delivery of assisted ventilatory support without the use of an endotracheal tube. Noninvasive positive pressure ventilation (NPPV) can be delivered by using a volume-controlled ventilator, a pressure-controlled ventilator, a bilevel positive airway pressure ventilator, or a contin...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/74.8.817

    authors: Rabatin JT,Gay PC

    更新日期:1999-08-01 00:00:00

  • Diagnosing Lyme disease: the contribution of serologic testing.

    abstract::Lyme disease is a multisystem disorder caused by a tick-transmitted spirochete, Borrelia burgdorferi. The diagnosis is based on clinical findings in most patients, particularly those with erythema migrans or exposure to geographic locations endemic for the disease. Detection of a specific antibody to B. burgdorferi is...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)65506-2

    authors: Duffy J,Mertz LE,Wobig GH,Katzmann JA

    更新日期:1988-11-01 00:00:00

  • The effect of adjuvant perfusion techniques on the incidence of paraplegia after repair of traumatic thoracic aortic transections.

    abstract:OBJECTIVE:To analyze the effect of adjuvant perfusion techniques of the distal aorta on the outcome of traumatic thoracic aortic transections. PATIENTS AND METHODS:From 1973 to 2004, 72 patients (mean age, 39 years) with thoracic aortic transections arrived alive at the emergency department. Nineteen patients arrived ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/81.5.625

    authors: Crestanello JA,Zehr KJ,Mullany CJ,Orszulak TA,Dearani JA,Puga FJ,Sundt TM 3rd,McGregor CG,Daly RC,Schaff HV

    更新日期:2006-05-01 00:00:00

  • Effect of β-blockers and other antihypertensive drugs on the risk of melanoma recurrence and death.

    abstract:OBJECTIVE:To verify preliminary studies on patients with melanoma exposed to β-blockers that suggested a reduced risk of disease recurrence and death. PATIENTS AND METHODS:Data were obtained from all consecutive patients diagnosed as having melanoma between January 1, 1993, and December 31, 2009, at the Department of ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2013.09.001

    authors: De Giorgi V,Gandini S,Grazzini M,Benemei S,Marchionni N,Geppetti P

    更新日期:2013-11-01 00:00:00

  • Leiomyosarcoma of the stomach: determinants of long-term survival.

    abstract::To determine factors associated with a favorable long-term prognosis in gastric leiomyosarcoma, we retrospectively reviewed the medical records of 93 Mayo Clinic patients with this biopsy-proven tumor diagnosed during the 25-year period from 1964 through 1988. Six patients who had Carney's triad (gastric epithelioid l...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)60459-5

    authors: Farrugia G,Kim CH,Grant CS,Zinsmeister AR

    更新日期:1992-06-01 00:00:00

  • Whole-Exome Sequencing of 10 Scientists: Evaluation of the Process and Outcomes.

    abstract:OBJECTIVE:To understand motivations, educational needs, and concerns of individuals contemplating whole-exome sequencing (WES) and determine what amount of genetic information might be obtained by sequencing a generally healthy cohort so as to more effectively counsel future patients. PATIENTS AND METHODS:From 2012 to...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2015.05.021

    authors: Lindor NM,Schahl KA,Johnson KJ,Hunt KS,Mensink KA,Wieben ED,Klee E,Black JL,Highsmith WE Jr,Thibodeau SN,Ferber MJ,Aypar U,Ji Y,Graham RP,Fiksdal AS,Sarangi V,Ormond KE,Riegert-Johnson DL,McAllister TM,Farrugia G,

    更新日期:2015-10-01 00:00:00

  • Bronchogenic carcinoma: immunologic aspects.

    abstract::Evidence that host immunologic function may influence the behavior of lung cancer is accumulating. Non-small-cell lung cancers are heavily infiltrated by host lymphocytes. The fact that monoclonal antibodies have been developed against lung cancer cells implies that such cells express surface antigens and are therefor...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/s0025-6196(12)60137-2

    authors: Pisani RJ

    更新日期:1993-04-01 00:00:00

  • Normal-Weight Central Obesity and Mortality Risk in Older Adults With Coronary Artery Disease.

    abstract:OBJECTIVE:To study the relationship between body mass index (BMI) and central obesity and mortality in elderly patients with coronary artery disease (CAD). PATIENTS AND METHODS:We identified 7057 patients 65 years or older from 5 cohort studies assessing mortality risk using either waist circumference (WC) or waist-hi...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2015.12.007

    authors: Sharma S,Batsis JA,Coutinho T,Somers VK,Hodge DO,Carter RE,Sochor O,Kragelund C,Kanaya AM,Zeller M,Park JS,Køber L,Torp-Pedersen C,Lopez-Jimenez F

    更新日期:2016-03-01 00:00:00

  • The effect of small amounts of alcohol on the clinical course of chronic pancreatitis.

    abstract:OBJECTIVE:To investigate the hypothesis that an increasing intake of alcohol accelerates the course of chronic pancreatitis. PATIENTS AND METHODS:In this retrospective record analysis and subsequent prospective follow-up of 372 patients with chronic pancreatitis, we separately compared the clinical course of chronic p...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/76.3.242

    authors: Lankisch MR,Imoto M,Layer P,DiMagno EP

    更新日期:2001-03-01 00:00:00

  • Multiple aortic thrombi associated with protein C and S deficiency.

    abstract::We describe a woman with an unusual case of thromboembolism of the mesenteric artery in whom multiple thrombi were subsequently found in the aorta and right heart chambers on transesophageal echocardiography. Further evaluation revealed a deficiency of protein C and S plasma proteins, inhibitors of the clotting system...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/76.3.319

    authors: Onwuanyi A,Sachdeva R,Hamirani K,Islam M,Parris R

    更新日期:2001-03-01 00:00:00

  • Vulvovaginal Issues in Mature Women.

    abstract::Mature women often present with symptomatic vulvovaginal atrophy and vulvar dermatoses, causing noncoital pain, dyspareunia, and sexual changes. Diagnosis of these conditions can be challenging, and long-term management is required to decrease morbidity and enhance quality of life. Vaginal estrogen therapies remain sa...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.10.031

    authors: Marnach ML,Torgerson RR

    更新日期:2017-03-01 00:00:00

  • Metastatic carcinoma of the breast resembling early gastric carcinoma.

    abstract::We describe a case of gastric metastasis from a lobular carcinoma of the breast in a 45-year-old woman who had undergone a left mastectomy with axillary dissection 7 years earlier. At the current presentation, she had been experiencing progressive epigastric discomfort for 3 months. The initial diagnosis was early gas...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/S0025-6196(11)63129-7

    authors: Pera M,Riera E,Lopez R,Viñolas N,Romagosa C,Miquel R

    更新日期:2001-02-01 00:00:00

  • Symptomatic hyperthyroidism in a patient taking the dietary supplement tiratricol.

    abstract::An 87-year-old woman was referred for evaluation of nervousness, tremor, insomnia, and fatigue of 2 months' duration. Initial laboratory evaluation revealed a suppressed thyrotropin level and an elevated triiodothyronine level. A review of her medications revealed that she had started taking several dietary supplement...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.4065/77.6.587

    authors: Bauer BA,Elkin PL,Erickson D,Klee GG,Brennan MD

    更新日期:2002-06-01 00:00:00

  • Diagnostic value of albumin gene expression in liver tumors: case report and review of the literature.

    abstract::Management of a solitary liver mass necessitates reliable distinction between primary hepatocellular carcinoma and metastatic lesions. The histologic differentiation can be difficult even with special stains such as alpha-fetoprotein, cytokeratin, and carcinoembryonic antigen. Albumin is a specific product of hepatocy...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/73.6.533

    authors: Rajkumar SV,Richardson RL,Goellner JR

    更新日期:1998-06-01 00:00:00

  • Q fever: epidemiology, diagnosis, and treatment.

    abstract::Q fever, a zoonosis caused by Coxiella burnetii, is seen throughout the world. Recent reports suggest that its incidence in the United States is increasing, with more than 30 cases reported in the US military. The disease has many acute and chronic manifestations. Endocarditis is the most common form of chronic diseas...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.4065/83.5.574

    authors: Hartzell JD,Wood-Morris RN,Martinez LJ,Trotta RF

    更新日期:2008-05-01 00:00:00

  • Assessment of functional gastrointestinal disease: the bowel disease questionnaire.

    abstract::A need exists for a self-report questionnaire that reliably and accurately measures symptoms and that distinguishes patients with functional gastrointestinal disease from those with other conditions. We have developed such an instrument, the bowel disease questionnaire, and herein describe details of its discriminator...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62169-7

    authors: Talley NJ,Phillips SF,Wiltgen CM,Zinsmeister AR,Melton LJ 3rd

    更新日期:1990-11-01 00:00:00

  • 3. The laboratory investigation of monoclonal gammopathies.

    abstract::The monoclonal gammopathies are a group of disorders characterized by proliferation of a single clone of plasma cells that produce a homogeneous, monoclonal (M) protein. The structure of immunoglobulins, relationship of normal (polyclonal) immunoglobulins to myeloma and macroglobulin (monoclonal) immunoglobulins, patt...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:

    authors: Kyle RA,Greipp PR

    更新日期:1978-11-01 00:00:00

  • Treatment of the red nose with the argon laser.

    abstract::Nasal telangiectasias, a common condition, can be caused by chronic exposure to ultraviolet light, rosacea, topically applied corticosteroids, or rhinoplasty. Use of the argon laser for 15 to 45 minutes in a continuous mode over the entire involved area can produce considerable lightening of the nasal redness and impr...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62611-1

    authors: Dicken CH

    更新日期:1986-11-01 00:00:00

  • Crohn's disease: the role of surgical treatment.

    abstract::The surgical treatment of Crohn's disease is necessitated by complications of the disease or by failure of medical therapy. Despite the fact that the patients with Crohn's disease who undergo operation have the most severe spectrum of problems, about half these patients may never need a further procedure, and the mort...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)61933-8

    authors: Wolff BG

    更新日期:1986-04-01 00:00:00

  • Olmesartan, other antihypertensives, and chronic diarrhea among patients undergoing endoscopic procedures: a case-control study.

    abstract:OBJECTIVE:To investigate a recent association between the use of the angiotensin receptor-blocker (ARB) olmesartan and a severe enteropathy resembling celiac disease. PATIENTS AND METHODS:We searched our endoscopy database for all outpatient esophagogastroduodenoscopy (EGD) or colonoscopy examinations in patients aged...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2014.05.012

    authors: Greywoode R,Braunstein ED,Arguelles-Grande C,Green PH,Lebwohl B

    更新日期:2014-09-01 00:00:00

  • New Developments in Clinical Bacteriology Laboratories.

    abstract::There are a number of changes underway in modern clinical bacteriology laboratories. Panel-based molecular diagnostics are now available for numerous applications, including, but not limited to, detection of bacteria and select antibacterial resistance markers in positive blood culture bottles, detection of acute gast...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章,评审

    doi:10.1016/j.mayocp.2016.06.020

    authors: Patel R

    更新日期:2016-10-01 00:00:00

  • A comparison of general medical and clinical ethics consultations: what can we learn from each other?

    abstract::Despite the emergence of clinical ethics consultation as a clinical service in recent years, little is known about how clinical ethics consultation differs from, or is the same as, other medical consultations. A critical assessment of the similarities and differences between these 2 types of consultations is important...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/j.mayocp.2011.10.010

    authors: Geppert CM,Shelton WN

    更新日期:2012-04-01 00:00:00

  • Outcome of chronic idiopathic meningitis.

    abstract:OBJECTIVE:To record long-term follow-up data on patients with chronic idiopathic meningitis. DESIGN:We retrospectively reviewed the outcome of 49 patients who were examined at the Mayo Clinic between 1978 and 1990. MATERIAL AND METHODS:For all patients, symptoms, signs, laboratory values, results of imaging studies, ...

    journal_title:Mayo Clinic proceedings

    pub_type: 杂志文章

    doi:10.1016/s0025-6196(12)62246-0

    authors: Smith JE,Aksamit AJ Jr

    更新日期:1994-06-01 00:00:00