Papillomatosis of the gallbladder associated with metachromatic leukodystrophy.

A 9-year-old boy with metachromatic leukodystrophy (MLD) was found to have diffuse papillomatosis of the gallbladder that was virtually obliterating the lumen of the gallbladder. To our knowledge, two other examples of this lesion have been reported previously in MLD.

Renal failure in Wegener's granulomatosis: recovering following dialysis and cyclophosphamide-prednisone therapy.

Two patients with Wegener's granulomatosis, crescentic glomerulonephritis, and severe renal failure are described. Both patients required hemodialysis for control of uremic symptoms. Cyclophosphamide-prednisone therapy successfully controlled the extra-renal manifestations of their disease and reversed the renal failure so that dialysis could be discontinued.

Malakoplakia of palatine tonsil.

This paper's purpose is to document a case of unilateral tonsillar malakoplakia. Escherichia coli was repeatedly cultured from the lesion, and the isolate was studied by expert microbiologists who found no abnormalities in its biologic properties. The course of the lesion was followed by repeated punch biopsies before, and after the institution of antibiotic therapy.

Ovarian twin pregnancy.

A case of ovarian twin pregnancy is reported. Three other cases have been previously reported. All 4 cases were in parous women in their thirties.