[Public health situation of CIDP patients in nine German centers-neuritis network Germany].

Background: Diagnosis and treatment of patients with immune-mediated neuropathies is challenging due to the heterogeneity of the diseases.

Objectives: To assess similarities and differences in the current care of patients with immune-mediated polyneuropathies in specialized centers in Germany within the German neuritis network "Neuritis Netz".

Material And Methods: We conducted a cross-sectional survey of nine neurological departments in Germany that specialize in the care of patients with immune-mediated neuropathies.

[Disseminated extrapulmonary tuberculosis in idiopathic CD4-lymphocytopenia].

A previously healthy, now 42-year-old man suddenly fell ill with bouts of septic fever up to 39.5 degrees C, sweats and weight loss without any demonstrable organ involvement. Physical examination on hospitalization 3 weeks after onset of the illness was unremarkable.

[Endoscopic diagnosis of colonic tuberculosis].

A 67-year-old woman had developed weakness, fatigue and a 10 kg weight loss over the past year. On examination a cylindrical mass was palpated in the right middle abdominal cavity. Erythrocyte sedimentation rate was increased to 87/126 mm, there was an hypochromic anaemia (haemoglobin 9.

Reliable treatment of pyogenic granuloma of the hand.

Pyogenic granuloma (PG) is a common skin tumour whose aetiology is unknown. There is a significant recurrence rate whatever method of treatment is used, and there are many studies in the literature on the treatment of recurrence. In our experience, the most effective way of preventing recurrence is the complete removal of the tumour using the microscope, operating in a bloodless field.

Intermittent axillary nerve palsy caused by a humeral exostosis.

We report an uncommon case of intermittent axillary nerve palsy caused by a humeral exostosis in an 11-year-old boy. After excision of the cartilagenous exostosis of the proximal end of the left humerus, the pre-operative symptoms of axillary nerve compression were alleviated.

[Fournier's gangrene. Case report and review of the literature].

Fournier's gangrene is a rare condition, far from being 'idiopathic', which must be taken seriously and which is, although at first manifesting itself only locally, a generalized condition with high mortality and--unless recognized--taking a rapid course with lethal outcome. Many risk factors have been recognized which favor an often lethal outcome. Although oftentimes not recognized, a port of entry is always present and haemolytic streptococci are as a rule involved.

Training in basic microsurgical techniques without experiments involving animals.

Until recently, anaesthetised rats have been the usual material employed for learning basic microvascular and microneurosurgical techniques. However, ethical considerations, the costs involved and legislation controlling experiments with animals allow training in microsurgery for extended periods of time at a few medical centres only. This paper reports on our experience of an alternative training programme largely conducted without using live animals.

Metastasis to the colon from primary bronchogenic carcinoma presenting as occult gastrointestinal bleeding--report of a case.

A case of colonic metastasis in a 69-year old man detected due to positive fecal blood tests is presented. Histologic and clinical findings suggested bronchogenic small cell carcinoma as the primary tumor. Metastatic involvement of the colon is an unusual feature of primary bronchogenic carcinoma which is rarely recognized during lifetime.