Adult-onset Still's disease associated with G6PD deficiency: a case report and literature review.

A 37-year-old man presented with symptoms consistent with adult-onset Still's disease. Fever and leukocytosis were prominent, and the patient was started on high-dose aspirin for possible acute rheumatic fever. He developed severe anemia as a result of glucose-6-phosphate dehydrogenase deficiency.

Desmopressin for nocturnal incontinence in the spina bifida population.

Purpose: We report our experience with the use of desmopressin in the spina bifida population that is dry during the day but wet at night.

Materials And Methods: From 1994 to 1996, 18 patients with myelodysplasia were treated with desmopressin for persistent nocturnal enuresis. Initial dose was 40 mcg.

Relevance of phosphorylation state to opioid responsiveness in opiate naive and tolerant/dependent tissue.

This laboratory previously reported that the mu-selective opiate receptor agonist, sufentanil, produces a naloxone-reversible, concentration-dependent facilitation or inhibition of the stimulated formation of cAMP in the myenteric plexus. Chronic in vivo exposure to morphine results not only in the loss of inhibitory opioid responsiveness but in the reversal of inhibition to enhancement. The present study demonstrates, in tolerant/dependent as well as opiate naive tissue, that the state of phosphorylation is a critical determinant of the balance between positive and negative opioid modulation of stimulated cAMP formation.

Congenital anterior urethral diverticulum.

A congenital anterior urethral diverticulum is a rare abnormality. We present two adults with nonobstructing congenital wide-mouthed diverticulum and an adult with a diverticulum containing a partially obstructing distal lip. The clinical presentation, radiographic appearance, treatment, and possible etiology are described.