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Administration of Retinal S Antigen As an Oral Tolerizing Ofrapport, the Benefit Is Less Clear, Particularly in the Later Agent

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Administration of Retinal S Antigen As an Oral Tolerizing Ofrapport, the Benefit Is Less Clear, Particularly in the Later Agent Postgraduate Medical Journal EDITOR B.I. HofTbrand, London ASSISTANT EDITOR P.J.A. Moult, London EDITORIAL BOARD J. Bamford, Leeds K.T. Khaw, Cambridge P.J. Barnes, London R.I. McCallum, Edinburgh A.H. Barnett, Birmingham P.H. Millard, London G.F. Batstone, Salisbury M.W.N. Nicholls, London C.J. Bulpitt, London N.T.J. O'Connor, Shrewsbury C. Coles, Southampton M. Sarner, London G.C. Cook, London M. Super, Manchester P.N. Durrington, Manchester I. Taylor, London J.C. Gingell, Bristol T. Treasure, London T.E.J. Healy, Manchester P. Turner, London C.R.K. Hind, Liverpool I.V.D. Weller, London D. Ingram, London P.D. Welsby, Edinburgh C.D. Johnson, Southampton W.F. Whimster, London P.G.E. Kennedy, Glasgow P.R. Wilkinson, Ashford, Middx National Association of Clinical Tutors Representatives I.J.T. Davies, Inverness R.D. Abernethy, Barnstaple International Editorial Representatives G.J. Schapel, Australia P. Tugwell, Canada J.W.F. Elte, The Netherlands E.S. Mayer, USA F.F. Fenech, Malta B.M. Hegde, India C.S. Cockram, Hong Kong Editorial Assistant Mrs J.M. Coops Volume 69, Number 818 December 1993 The Postgraduate Medical Journal is published Subscription price per volume oftwelve issues EEC monthly on behalf ofthe Fellowship of Postgraduate £E130.00; Rest ofthe World £140.00 or equivalent in Medicine by the Scientific & Medical Division, any other currency. Orders must be accompanied by Macmillan Press Ltd. remittance. Cheques should be made payable to Macmillan Press, and sent to: the Subscription Postgraduate Medical Journal publishes original Department, Macmillan Press Ltd, Brunel Road, papers on subjects ofcurrent clinical importance. Houndmills, Basingstoke, Hampshire RG21 2XS, Each issue contains commissioned review and leading UK. Where appropriate, subscribers may make articles but unsolicited submissions are also welcome. payments into UK Post Office Giro Account No. Each issue also includes 'Letters to the Editor', book 519 2455. Full details must accompany payments. reviews and an international postgraduate diary. The Postgraduate Medical Journal (ISSN 0032-5473) Many issues contain papers or abstracts of symposia is published (monthly) by Macmillan Publishers Ltd, devoted to a single subject, and the full proceedings of c/o Mercury Airfreight International Ltd, 2323 meetings are published as supplements to the Journal. Randolph Avenue, Avenel, NJ 07001, USA. The Journal, as the organ ofthe Fellowship of Subscription price is $260.00 per annum. 2nd Class Postgraduate Medicine, is dedicated to advancing the postage is paid at Rahway NJ. understanding and practice ofpostgraduate medical POSTMASTER: education and training. Send address corrections to Macmillan Publishers, c/o Mercury Airfreight International Ltd, 2323 The Fellowship of Postgraduate Medicine was founded Randolph Avenue, Avenel NJ 07001. (US PS Permit after the First World War and was a pioneer in the Number 009072.) United Kingdom in the development of programmes Enquiries concerning advertising space or rates of postgraduate study in all branches ofmedicine (see should be addressed to: Michael Rowley, Postgrad MedJ61, 1). It always has been, and Advertisement Manager, Macmillan Press Ltd, 4 remains, independent of University, Health Service Little Essex Street, London WC2R 3LF. and Government. Currently the Fellowship works Telephone: 071 836 6633; Fax: 071 379 0820. closely with the National Association of Clinical Tutors in furthering mutual aims. Amongst other All rights ofreproduction are reserved in respect ofall papers, articles, illustrations, etc. published in this activities, the Fellowship provides research grants journal in all countries of the world. and support for young investigators especially those working temporarily in the UK. All material published in thisjournal is protected by copyright, which covers exclusive rights to reproduce Further details ofthe Fellowship ofPostgraduate and distribute the material. No material published in Medicine can be obtained from The Executive this journal may be reproduced or stored on Secretary, The Fellowship ofPostgraduate Medicine, microfilm or in electronic, optical or magnetic form 12 Chandos Street, London WIM 9DE. without the written authorisation of the Publisher. The Journal is covered by Current Contents, Biological Authorization to photocopy items for internal or Abstracts, ASCA, ISI/BIOMED, Index Medicus, personal use, or the internal or personal use of specific Excerpta Medica and Science Citation Index. clients, is granted by The Fellowship ofPostgraduate Medicine for libraries and other users registered with i) 1993 The Fellowship ofPostgraduate Medicine the Copyright Clearance Center (CCC) Transactional ISSN 0032- 5473 Reporting Service, provided that the base fee of $9.00 per copy is paid directly to CCC, 21 Congress St., Manuscripts and all editorial correspondence, Salem, MA 01970, USA. 0032-5473/93 $9.00 + $0.00 including books for review should be sent to: The Editor, Postgraduate Medical Journal, Apart from any fair dealing for the purposes of research or private study, or criticism or review, as 12 Chandos Street, London WI M 9DE, UK. permitted under the Tel: Copyright, Designs and Patent 071-636 6334, Fax: 071-436 2535. Act 1988, this publication may be A reproduced, stored 'Notice to Contributors' is usually published on the or transmitted, in any form by any means, only with inside back cover ofeach issue. The Editor reserves the prior permission in writing ofthe publishers, or in the right to make changes which may clarify or the case of reprographic reproduction, in accordance condense papers where this is considered desirable. with the terms oflicences issued by the Copyright All business correspondence, and reprint requests Licensing Agency. should be addressed to the Scientific & Medical Typeset by Elite Typesetting Techniques, Division, Macmillan Press Ltd, Houndmills, Southampton Basingstoke, Hampshire RG21 2XS. Printed in Great Britain by Cambridge University Telephone: (0256) 29242; Fax: (0256) 810526 Press Whilst every effort is made b thepublishers and editorial board to see that no inaccurate or misleading data, opinion or statement appears in this Journal, they wish to make it clear t at t e data and opinions appearing in the articles and advertisements herein are the responsibility of the contributor or advertiser concerned. Accordingly, the publishers and The Fellowship, the editorial committee and their respective employees officers and agents accept no liability whatsoever for the consequences of any such inaccurate or misleading data, opinion or statement. Whilst every elort is made to ensure that drug doses and other quantities are presented accurately, readers are advised that new methods and techniques involving drug usage, and described within this Journal, should only be followed in conjunction with the drug manufacturer's own published literature. ABSTRACTS 955 PEG for more than 14 days gained weight. In 12 (16%) out accidentally. In all cases PEG feeding continued until cases swallowing recovered sufficiently to allow removal recovery or death. We conclude that (a) the use ofPEG in of the PEG after a median period of 55 days (range an unselected patient population has a low incidence of 20-150 days). Minor complications included: local sepsis complications; (b) PEG can be of benefit in patients with at the insertion site 1 (2%), tube blockage 9 (12%) and reversible dysphagia offew weeks duration and (c) the use tube leakage 4 (5%). In one case a PEG tube was pulled of PEG merits wider consideration. EUROPEAN DOCTORS IN LONDON European Medical Fellowship of Research Group Postgraduate Medicine The European Medical Research Group has been formed by the European Association of Internal Medicine with the support of the Fellowship of Postgraduate Medicine, to provide a meeting place for professional and social contact among physicians in training, particularly those from continental Europe. Regular meetings are held at the Medical Society of London. An invited lecture is given, preceded by poster presentations and followed by a buffet supper. Members of the Group are mailed regularly about the meetings. Dates of future meetings: 25 January 1994 and 17 May 1994. European research fellows and other visiting doctors who would like details of these meetings should write to: Dr D.R.J. Singer, c/o The Fellowship of Postgraduate Medicine, 12 Chandos Street, London WIM 9DE. Tel: 071 636 6334 Postgrad Med J (I993) 69, 956 958 r d9 The Fellowship of Postgraduate Medicine, 1993 Conference Reports Behcet's disease and bilateral and are seen on the chest radiograph as round or oval opacities in the hilar, parahilar or basal Introduction regions ofthe lung. Computed tomography was helpful in confirming the diagnosis. Endo-luminal thrombosis was The Sixth International Conference on Behcet's disease noted in 17 of 33 aneurysms. Recognition ofthe aetiology (BD) was held at the Pitie-Salpetriere Hospital, Paris, on of pulmonary artery aneurysms depends on the presence 30 June-I July 1993. It took place in the Charcot of other classical signs of BD. Treatment comprised amphitheatre to commemorate a centenary of Charcot corticosteroids, anticoagulants and also surgery in the (1825-1893). The 250 participants included represen- event of life-threatening haemoptysis. However, since tatives from Japan, Turkey, Greece, Morocco, Tunisia these aneurysms are bilateral and often multiple, lobec- and Iran, countries in which BD is frequent. The discip- tomy is rarely possible.
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