Terrence Hunter

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The ankylosed osteoporotic spines of patients with long-standing ankylosing spondylitis are prone to fracture. The spinal trauma is of a trivial nature in many patients and the diagnosis may be overlooked, unless neurologic damage occurs. The fractures most commonly occur in the cervical region and may be multiple. Because of spinal osteoporosis and(More)
AIM The significant deterioration of insulin sensitivity and glucose tolerance during pregnancy can have serious health implications for both the pregnant woman and her baby. Although it is well established that regular exercise benefits insulin sensitivity in the nonpregnant population, the effect on glucose tolerance in obese pregnant women is not known.(More)
Visual, brainstem auditory and somatosensory evoked potentials were studied in 30 patients with ankylosing spondylitis (AS). Twenty-four patients were male and 6 were female. The mean age was 44 years and the mean duration of AS was 16 years (range 1-34 years). Evoked potential abnormalities affecting the visual pathways were recorded in 18 (60%) patients.(More)
Twenty-two spinal fractures in 20 patients with chronic ankylosing spondylitis are reported. Nineteen fractures occurred in the cervical region. Fourteen of the fractures were caused by minor falls, 3 by falls down steps, 4 by motor vehicle accidents, and 1 by cardiopulmonary resuscitation. Long-term followup (mean 3.2 years) of 9 fractures diagnosed early(More)
This study compares the effect of azathioprine with those of gold and chloroquine in early (Class II) rheumatoid arthritis (RA). Thirty-three similar patients with classic or definite RA of less than 5 years duration were randomly entered, 11 into each drug group. Assessment of standard clinical and laboratory measures at 12 and 24 weeks showed significant(More)
Fracture of an ankylosed spine is often overlooked. Because the force that damages an ankylosed spine is frequently slight, patients do not realize they are injured. Doctors can miss the fracture for the same reason and because patients already have a history of back pain. Plain radiographs sometimes fail to demonstrate the fracture site.