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Due to the benefits of prophylactic mastectomy in women at risk of breast cancer or recurrent disease, we have noted an increase in the number of women presenting for bilateral breast reconstruction. Current dogma stipulates that flaps of abdominal origin constitute the gold standard of breast reconstruction.However, women presenting for bilateral breast(More)
Pachyonychia congenita is a rare hereditary disorder characterized mainly by nail hypertrophy and dyskeratoses of skin and mucous membranes. A thorough literature survey since its first description in 1904 up to 1985 revealed 168 cases of pachyonychia congenita. There were no indications of any sex or ethnic group predilection. Based on this survey the(More)
STUDY OBJECTIVE To evaluate the safety and effectiveness of diltiazem CD for reducing blood pressure in Mexican-American patients with mild to moderate hypertension. DESIGN Randomized, double-blind, placebo-controlled trial. SETTING Twelve clinical sites in the United States. PATIENTS Patients with baseline diastolic blood pressures between 95 and 115(More)
Isolated extraocular muscle metastasis is rare and is unreported for thyroid carcinoma. The authors describe a 72-year old man who presented with pain, redness, and proptosis of the right eye. Orbital computed tomography showed a large fusiform soft tissue mass along the medial aspect of the right orbit, involving the medial rectus. Orbital exploration(More)
The internal jugular vein is an uncommon site of deep venous thrombosis. Infection, prolonged central venous catheterization, and trauma are the usual causes of this condition. We present an unusual case of spontaneous thrombosis of the internal jugular vein. The evaluation of this case included a search for possible anatomic, hematologic, and oncologic(More)
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