Woman presenting with chronic iron deficiency anemia associated with hereditary hemorrhagic telangiectasia: a case report.

Background: Hereditary hemorrhagic telangiectasia is an autosomal dominant disorder associated with frequent nose bleeds that can be troublesome and difficult to contain. A further manifestation is telangiectasia, which may develop in the upper and lower gastrointestinal tract. The associated blood loss can be chronic, resulting in iron deficiency anemia which, when severe, has historically been treated by blood transfusions.

INR: Intervals of measurement can safely extend to 14 weeks.

The number of patients taking warfarin is increasing. Each of these patients requires regular blood tests to ensure that the level of anticoagulation reaches and remains within a defined target range. INR monitoring is expensive and time-consuming and the frequency of the tests has repercussions for NHS resources and patient convenience.

The incidence and cause of coagulopathies in an intensive care population.

We studied 235 patients admitted to an adult intensive care unit in order to determine the incidence and cause of coagulation disturbances. Clinical coagulopathy, defined as bleeding unexplained by local or surgical factors, was identified in 13.6% of patients.

Factors affecting results obtained with European Community tests for pasteurized milk sampled at the heat treatment establishment.

A total of 3000 samples of pasteurized milk taken at the heat treatment establishment over a 1-year period were examined for the presence of phosphatase and by a plate count at 30 degrees C, a coliform count at 30 degrees C, and a plate count at 21 degrees C after pre-incubation of the sample for 5 days at 6 degrees C, performed as prescribed in EC Directive 85/397/EEC. Samples were also examined for presence of Listeria species. Of 2690 samples (1713 from small dairies and 977 from large commercial premises) received at 4 degrees C or less, 96 (3.

Response of T-beta CD8+ lymphocytosis-associated neutropenia to G-CSF.

Only limited data are reported on the response to granulocyte-colony stimulating factor (G-CSF) of large granular lymphocytosis-associated neutropenia. We report features of such a case who developed a suppurating leg ulcer following a dog bite. G-CSF was used to increase the neutrophil count, allowing the ulcer to be successfully skin grafted.