Subject syndrome

Stevens-Johnson syndrome fever, cough, muscular aches and pains, headache, and lesions of the skin, mucous membranes, and eyes. The lesions appear as red wheals or blisters, often starting on die face, in the mo util, or on the lips, neck, and extremities, stomatitis inflammation of die mo util striae lines or bands elevated above or depressed below surrounding tissue, or differing in color or texture subjective data information supplied by the patient or family sublingual under die tongue... 

The term refers to a distinct clinical syndrome characterized by aggressive and continuous inflammatory disease of the airways with chronic eosinophilic rhinosinus-itis, asthma and often nasal polyposis [6-8]. Aspirin and other NSAIDs that inhibit COX-1 exacerbate the condition, precipitating violent asthmatics attacks. This is a hallmark of the syndrome. The prevalence of aspirin hypersensitivity in the general population ranges from 0.6 to 2.5%, but is much more frequent in adult asthmatic subjects where it reaches 10-15%, although it is often underdiagnosed. 

Deletions in the elastin gene (located at 7qll.23) have been found in approximately 90% of subjects with Williams syndrome, a developmental disorder affecting connective tissue and the central nervous system. The mutations, by affecting synthesis of elastin, probably play a causative role in the supravalvular aortic stenosis often found in this condition. A number of skin diseases (eg, scleroderma) are associated with accumulation of elastin. Fragmentation or, alternatively, a decrease of elastin is found in conditions such as pulmonary emphysema, cutis laxa, and aging of the skin. 

Irritable bowel syndrome (IBS) is a disorder of the gastrointestinal tract that interferes with the normal functions of the colon. At various points in the past, IBS has been referred to as mucous colitis, spastic colon, irritable colon, or nervous stomach. IBS is generally described as afunctional disorder rather than a disease per se. A functional disorder involves symptoms that cannot be attributed to a specific injury, infection, or other physical problem. A functional disorder occurs because of altered physiologic processes rather than structural or biochemical defects and may be subject to nervous system influence. IBS is associated with frequent fluctuation in symptoms, loss of productivity, and decreased quality of life. Although IBS has been referred to as functional bowel disease, true functional bowel disease may be more indicative of widespread gastrointestinal involvement including (but not limited to) the colon. 

In the region with pesticide contamination where subjects contracted viral hepatitis A, the pre-jaundice period was 4.2 days (in the control area, 5.1), the jaundice period lasted 32 days (22.4 in the control area), the liver enlarged more than in the control area and took longer to return to normal size, there was a larger number of patients who also had an enlarged spleen, there was more frequent damage to the nervous and cardiovascular systems (1.5-2 times higher than in the control area), mixed syndrome was observed more often (45% of the time, compared to 12.6% in the control area), and the illness was more frequently serious. 

A number of clinical studies have now made use of the phase advancing property of melatonin for treating delayed sleep phase syndrome (DSPS). Melatonin, at a 5 mg dose, has been found beneficial in advancing the sleep onset time and wake time in DSPS subjects (Dahlitz et al. 1991 Nagtegaal et al. 1998 Kayumov et al. 2001). Melatonin was found to be effective when given five hours before its endogenous onset or seven hours before sleep onset. 

Bouchahcha, M. L., Dorval, E., Aehan, P., Devroede, G., Arsac, M., Patterns of normal colorectal transit time in healthy subjects and in patients with an irritable bowel syndrome (IBS), Gastroenterology 1999, 3 36, G4192. 

The answer is c. (Hardman, pp 574—575.) Phencyclidine is a hallucinogenic compound with no opioid activity Its mechanism of action is amphetamine-like. A withdrawal syndrome has not been described for this drug in human subjects. In overdose, the treatment of choice for the psychotic activity is the antipsychotic drug haloperidol. 

Del Bo, R., Comi, G. R, Giorda, R. etal. The 129 codon polymorphism of the prion protein gene influences earlier cognitive performance in Down syndrome subjects. /. Neurol. 250 688-692,2003. 

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