Case report: late perianal mucinous adenocarcinoma after Crohn's disease proctectomy: an oncological rarity.

Background: As in ulcerative colitis, there is an increased incidence of colorectal carcinoma in Crohn's disease. While carcinoma formation originating from ano-rectal fistulas is generally considered as a rare event there are different publications reporting on mucinous adenocarcinoma formation in association with a neovagina and rectovaginal fistulas. To the best of our knowledge this is the first description of a perianal mucinous adenocarcinoma arising in a patient after Crohn's disease proctocolectomy.

Risk factors of worsening renal function in hospitalized elderly patients.

Background: Worsening renal function during hospital treatment is a substantial hazard, especially for elderly hospitalized patients. However, data concerning the prevalence and significance of potential risk factors is lacking.

Methods: All patients admitted during a 6-month observation period to a department of general internal medicine and geriatrics were enrolled.

Bedside estimation of the glomerular filtration rate in hospitalized elderly patients.

Aims: To evaluate the quality of bedside estimation of glomerular filtration rate (GFR) in hospitalized elderly patients.

Methods: We evaluated common estimators of GFR in 29 women and 32 men aged 60 and older hospitalized in a geriatric ward: creatinine clearance (CCR), the Cockcroft-Gault formula (CG), the modification of diet in renal disease formula (MDRD), Baracskay formula (BAR), and a newly developed formula derived recently by us (GCM). Inulin clearance (CINU) was used to assess GFR.

[Individualizing education for patients with diabetes attending an acute care unit].

Background: An increasing number of diagnostic procedures and shortened length of stay impede education for patients with diabetes mellitus attending an acute care unit. Therefore, an individualized approach to patient education may be more suitable.

Patients And Methods: The educational needs of inpatients with diabetes attending a department of general internal medicine were analyzed using a structured 5- to 10-minute interview.

Diagnostic efficiency of cystatin C and serum creatinine as markers of reduced glomerular filtration rate in the elderly.

This is a secondary analysis of data from a cross-sectional study to evaluate the diagnostic efficiency of cystatin C as a marker of the glomerular filtration rate in the elderly. Thirty patients (15 male, 15 female, mean age 75.4 +/- 7.

[An unusual cause of pulmonary fibrosis in a 71-year-old patient].

Case Report: A 71-year-old woman, suffering from spinal stenosis presented interstitial lung disease, albinism, and severe loss of visual acuity. On physical examination she showed tic-like automatism predominantly periorbital in the face and in the fingers. A computed tomography of the chest revealed typical findings of interstitial lung disease and additional mediastinal lymphomas and ground-glass attenuation in the lower regions of the lung.