My husband's constant harping about the condition of the house threatens to drive me to distraction.
The Edict of Diocletian (A. D. 301) lists all manner of dalmaticae in fine wool, silk, wool and silk union fabric, and linen, for men and women.
The provincial people, intimidated by Gudrun’s perfect sang-froid and exclusive bareness of manner, said of her: “She is a smart woman."
CANOMAD (Chronic ataxic neuropathy with ophthalmoplegia, M-protein, cold agglutinins and disialosyl antibodies) is a rare disorder with specific clinical features consisting of severe sensory ataxia and cranial nerve involvement including ophthalmoplegia, dysphagia or dysarthria and only minimal weakness. 50 It occurs in around 2% of patients with IgM PDN. 51 CANOMAD is associated with antibodies to ganglioside disialosyl moieties. 50 CANOMAD typically progresses over years and peripheral neuropathy may precede the development of other features such as ophthalmoplegia. 52 Slightly less uncommon is the POEMS syndrome (Polyneuropathy, Organomegaly, Endocrinology, Monoclonal gammopathy and Skin changes), which is usually associated with plasma cell dyscrasia of an IgA or IgG paraprotein and a cluster of multisystem clinical features. 42 It often presents with neuropathy 53 typified by sensory and motor involvement with demyelinating and axonal features. 42 The onset is subacute and progression leads to severe motor weakness. 54 Neuropathic pain may be prominent. 53 High levels of the cytokine vascular endothelial growth factor 55 are helpful in diagnosis.
アカウントを持っていませんか？ 新規登録
アカウントを持っていますか？ ログイン
DiQt（ディクト）
無料
★★★★★★★★★★
