Cocaine-induced mesenteric ischemia: treatment with intra-arterial papaverine.

Mesenteric vascular ischemia is a known complication of cocaine use. Although the majority of cases of cocaine-induced mesenteric ischemia present with ischemic colitis and rectal bleeding, several cases have been described presenting only with abdominal pain. We present a case of mesenteric vasoconstriction with angiographic documentation and treatment.

Diffuse panbronchiolitis: a treatable sinobronchial disease in need of recognition in the United States.

Diffuse panbronchiolitis (DPB) is a progressive inflammatory disease, well recognized in Japan, characterized by sinusitis and obstructive small airway disease; if left untreated, it progresses to bronchiectasis, respiratory failure, and death. Treatment using low-dose erythromycin has proven to be highly efficacious. Lack of familiarity with DPB in the United States may result in the failure to correctly diagnose and treat this disorder.