We describe a unique case of spontaneous resolution of hyperparathyroidism in a lady with combined parathyroid adenoma and prolactinoma, raising the possibility of underlying multiple endocrine neoplasia (MEN) 1 syndrome. We also discuss the mechanism and natural history of such spontaneous remission.
he Research and Development Group was reestablished in October 2004 to advance the Infection Control Nurses Association's research aspirations. This strategy is the result of the work of the group since its first meeting in January 2005. The draft strategy was discussed and approved by branch representatives and the National Executive Committee in June 2005. It sets out the background and objectives for the research and development strategic plan for the period 2005 to 2010. The strategy will be launched at the ICNA's annual conference in Torquay in September 2005.
Mentally handicapped patients with esophageal pathology may present a diagnostic challenge, as they may not complain of any specific symptoms or be able to give a clear history of either dysphagia or odynophagia. This paper reports 2 such patients who recently presented to the Royal Wolverhampton Hospitals. In the first case, upper gastrointestinal endoscopy under general anesthesia enabled both the identification and removal of a large esophageal foreign body. In the second case, repeated upper gastrointestinal endoscopy facilitated both the identification and nonsurgical management of a paraesophageal abscess.
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