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Query: UMLS:C0019158 (hepatitis)
 30,205 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Asymmetric affection of the major lower limb joints is a characteristic feature of the joint syndrome in yersiniosis-associated arthritis. The sacroiliac articulations are frequently (47% cases) involved. In addition, yersiniosis-associated arthritis concurs with the signs and symptoms of systemic disease--gastroenterocolitis, myocardiopathy and myocarditis, erythema nodosum, hepatitis, urethritis, conjunctivitis, myositis and myalgia, enteropathy; changes in the CNS typical for the astheno-neurotic syndrome are frequently present. Comparison of the immunological assay data in complicated and uncomplicated yersiniosis shows equally high levels of IgG and CIC. High anti-DNA antibody titres are more frequently found in the serum of uncomplicated yersiniosis patients. ELISA quantitation of specific IgA, IgM, and IgG class antibodies in yersiniosis-associated arthritis patients demonstrated persistence of all the three antibody classes or of IgA-IgG combination in cases with most severe of the joint syndrome. In the presence of cardiac disease, patients were found to have high titres of antibodies reactive with the cardiac interstitial tissue, while in authentically diagnosed myocarditis cases with the sarcolemma. The investigation findings strongly suggest a high degree of involvement of immune and autoimmune processes in the pathogenesis of arthritides secondary to Yersinia infection.
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PMID:[Clinico-immunologic characteristics of complicated and uncomplicated yersiniosis]. 277 63

In 1986, an estimated 13 million cases of sexually transmitted diseases (STDs) were diagnosed in the United States, with the highest incidence rates occurring within the adolescent age group. Homosexual adolescent men are at particularly high risk for STDs. Because of the myriad clinical presentations of STD in gay men, these diseases are often not recognized as being sexually transmitted. In this paper, the epidemiology and clinical features of STDs in gay adolescents are discussed. The sexual history is emphasized as an integral tool in developing a differential diagnosis. A priori, the sexual history also can give a risk-assessment profile for STD. Clinical aspects of STD are reviewed using a syndrome approach, and the diagnostic workup is outlined for the etiologic agents most likely implicated in each syndrome. Clinical signs and symptoms of urethritis, genital ulcers and papular lesions, pharyngitis, and hepatitis are reviewed. Sexually acquired gastrointestinal disorders are described. As the AIDS epidemic continues, disease prevention, risk reduction, and patient education are becoming more important. Current recommendations for "safer sex" practices are reviewed.
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PMID:Sexually transmitted diseases in homosexual adolescents. 328 89

A review of the medical and personal histories of 100 gay men in San Francisco, 24 of whom had already developed acquired immunodeficiency syndrome (AIDS), uncovered disproportionate prior antibiotic and immunosuppressive drug use. 25 of the men reported at least 9 of the following 12 conditions: antibiotic treatment for multiple episodes of gonorrhea, hepatitis, nonspecific urethritis, dermatological eruptions treated with long-term tetracycline, sedative or tranquilizer use, chronic sore throat treated with antibiotics, herpes simplex, chronic use of allergy medications and symptom suppressants, lymphadenopathy, diarrhea, daily alcohol use, and recreational drug abuse. On the basis of this finding, it is hypothesized that a prior history of chronic inflammation, combined with the administration of antibiotics and other immunosuppressive drugs, creates an environment conducive to the growth and reproduction of an array of micro-organisms, including the retrovirus found in AIDS. Moreover, among both US homosexuals and African AIDS patients, chemical immunosuppression is often linked to endemic syphilis. The expression of such secondary and tertiary syphilis is commonly masked and distorted by the long-term effects of subcurative doses of antibiotics; in fact, late latent and tertiary syphilis produce symptoms and immunosuppression similar to the profile of AIDS. It is estimated that at least 60% of US homosexuals have a history of syphilis, and 90% of gay with AIDS have had at least 1 syphilitic infection. Since the immunosuppression of advanced syphilis and drug-induced immunosuppression can produce false-negative results in antigen and antibody tests for syphilis, it is recommended that gay men obtain baseline serologic tests for syphilis and undergo repeat testing if new symptoms arise.
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PMID:Unmasking AIDS: chemical immunosuppression and seronegative syphilis. 364 10

The authors report the case of a 46-year old patient who died from fulminant herpetic hepatitis. No cause of immuno-depression was documented in this patient. No skin or mucosal herpetic lesion was found except a questionable urethritis. Herpes virus was demonstrated in the hepatocytes by electron microscopy and isolated from the serum. It was identified as herpes virus hominis type II. The low titer of circulating antibodies did not permit the distinction between herpetic primo-infection and reactivation. The features of the hepatic injury are discussed and compared with previous reports. An active diagnostic approach of herpetic hepatitis is considered.
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PMID:[Fatal herpetic hepatitis in an apparently healthy adult]. 630 98

We describe three related studies of possible aetiological risk factors for sexually transmitted diseases (STDs) in men attending an STD clinic. In this paper we present the results for a variety of social and demographic variables traditionally associated with STD. In contrast to the results in the next two papers, these were largely negative. Occurrence rates of overall STD or of hepatitis, syphilis, gonorrhoea, or non-specific urethritis (NSU) had no aetiologically relevant association with age, nationality, marital status, social class, occupation, non-sexual social contact, drug abuse, or aggressive attitudes and behaviour. Gonorrhoea, however, was the only STD which correlated with alcohol abuse and with eating out rather than at home. We conclude that, with the possible exception of gonorrhoea, social factors contribute little to the distribution of STD risk within the study population.
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PMID:Social and psychological factors in the distribution of STD in male clinic attenders. I Demographic and social factors. 668 59

Most studies of sexually transmitted diseases in homosexual men have examined prevalence in clinic populations; for comparative purposes, we analyzed data from a survey of 4,329 gay men conducted in 1977. Among 4,212 respondents to the self-administered questionnaire, 66.8 per cent reported previous infection with pediculosis; 38.4 per cent, gonorrhea; 24.1 per cent, nonspecific urethritis; 18.1 per cent, venereal warts; 13.5 per cent, syphilis; 9.7 per cent, hepatitis; and 9.4 per cent, herpes. Number of different lifetime sexual partners best predicted histories of symphilis (r = .249), gonorrhea (r = .402), and the other diseases; frequency of checkups, years as a practicing homosexual, and furtive sexual activities were among the many other significant correlates of venereal infections. Respondents most often sought examinations from private physicians (39.4 per cent); those who visited gay clinics were examined most often and felt most positive about their medical care. Gay men who participated in the survey reported frequent infections with many of the same sexually transmitted diseases often seen in private medical practices, public VD clinics, and gay health centers. Since high rates of disease are related to large numbers of different partners, frequent exposures with anonymous contacts, and anal intercourse, we recommend frequent examinations for those whose life-styles include these characteristics.
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PMID:The gay report on sexually transmitted diseases. 689 4

This article provides population-based estimates of the prevalence of patient-reported sexually transmitted diseases (STDs) and characterizes patterns of treatment utilization according to specific STDs and client characteristics in the US. Using data from the 1992 National Health and Social Life Survey, which included 3432 persons aged 18-59, an estimated 2 million STDs were self-reported in the previous year, and 22 million 18-59 year olds self-reported lifetime STDs. Respondents reported bacterial STDs (gonorrhea, chlamydia, nongonococcal urethritis, pelvic inflammatory disease and syphilis) more than viral STDs (genital herpes, genital warts, hepatitis and HIV). About 49% of the respondents who had an STD mentioned having gone to a private practice for treatment, while only 5% had sought treatment at an STD clinic. Moreover, variations were seen in treatment-seeking for specific bacterial STDs, such as chlamydia and gonorrhea. Other factors that could influence where people go for treatment include gender, race, and income status. Characteristics of providers could also influence patient choice, such as geographic distribution, availability of support services, quality of care, convenience, and privacy.
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PMID:Where do people go for treatment of sexually transmitted diseases? 1002 27