12 C
THURSDAY. MAY 10, 1962
MEDFORD MAIL TRIBUNE. MEDFORD. OREGON
The Medical Roundup
by
Jr fell 1
v M y Em.rllu.
L'oniultant In Medlrlnt
Mavo clinic
Prifesiur of Medlcln
Mayo clinic
(Register and Trtbuna ftyndlcala,
1963)
Systemic Lupus
Erythematosus.
The National Foundation
March of Dimes (800 Second
ave.. New York 17) has just
prepared a
good article
on sys t e m i c
lupus erythe
matosus. Lu
pus in Latin
means a wolf,
and this sug
gests that the
disease tends
to "eat away
parts of the
body." Erythema means red
ness, which refers to the ap
pearance of the skin.
This rare disease is a miser
able one in which the weird
symptoms tend to keep com
ing back at intervals. It Is an
inflammatory disease affect-
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Western Thrift Stora
30 N. Central Mail Orders Filled due to an infection with cither
ing the so-called connective or
gristle-like tissues of the body.
Systemic lupus erythematosus
- called SLE for short - is one
of the so-called collagen dis
eases. Collagen refers to the
tough, gristle-like tissues of
the body. Other collagen dis
eases are polyarteritis nodosa,
a nodular inflammation in
some of the arteries of the
body; another In scleroderma
in which the skin becomes
dense and hard and thick
Another is dermalo-myositis,
which means an inflammation
of the skin and the muscles
under it; others are rheumatic
fever and rheumatoid arth
ritis. As I said, SLE is a disease
in which flare-ups tend to
come every so often. For a
while, only one or two organs
may seem to be affected. Oft
en, the joints are painful.
There may come periods in
which the disease leaves the
patient alone, or it may keep
bothering the victim for years
in either a mild or a severe
form. Occasionally it may be
come so acute that it quickly
endangers the patient's life.
It may come at any time of
life, but usually it begins in
the person's twenties or thir
ties. Most of the patients are
women. The most serious
symptoms are likely to be due
to disease in the kidneys or
in the heart. Dangerous in
fections may come along. In
many cases, especially at first,
the disease can be so puzzling
that, for a while, the diagnosis
will be missed. In many of
these unrecognized cases, the
symptoms will be mild.
Causa Not Known
The cause of SLE is not
known. Some experts suspect
that it is due to a sort of al
lergy to the person's own tis
sues. 11 doesn't appear to be
bacteria or viruses, but it
could be. It is possible that,
at times, the disease is in
herited. It often is hard to say what
the disease is because it
changes from time to time. It
may start out as a rheumatoid
arthritis and later change into
a sort of Bright's Disease of
the kidneys, or it may turn
into a skin disease or an
anemia. There is some inflam
mation of the joints in 90 per
cent of.the cases.
In some cases, most of the
trouble may seem to be in the
heart and the arteries. Pleur
isy appears at times, in half
of the cases, and there may
be symptoms suggesting pneu
monia. Sometimes, there are symp
toms obviously arising in the
nervous system - symptoms
such as seizures, or hallucina
tions, or mental disturbances.
There may be acute disturb
ances in the stomach and
bowel with perhaps bleeding.
From 15 to 20 per cent of the
patients have a large spleen
and large lymph nodes in the
neck, the arm pits, and the
groins. The laboratory expert
can often make the diagnosis
by demonstrating the so-called
LE cells, which my friend, Dr
M. M. Hargraves at Mayo's
found years ago in the blood
of these patients. A little bit
of inflamed tissue cut out and
examined under the micro
scope (a biopsy) may confirm
the diagnosis. The "rheuma
toid factor" may be found in
the blood of a third of the
patients.
Drug Produces Symptoms
It is interesting that the
drug, hydralazine, which is
used in the treatment of high
blood pressure, sometimes pro
duces symptoms that suggest
the coming of a SLE. For
tunately, the symptoms disap
pear when the use of the drug
is stopped.
The treatment of SLE is
aimed at controlling and sup
pressing the symptoms as they
arise. Salicylates such as as
pirin arc used to relieve pain,
particularly when the joints
are involved. Fever can be
reduced with the help of cer
t a i n drugs. Corticosteroids
will sometimes put a stop to
a bad flare-up in the disease,
Grocery Clerks
Reject Proposal
Portland -flJPli- Some 2,000
Portland area grocery clerks,
members of the Food and
Drug Clerks Union, Local '
1092. "overwhelmingly" voted
to reject an employer offer
and authorized their negotiat-'
ing committee to call a strike
if an acceptable offer is not
forthcoming, the union said
Wednesday.
The .clerks rejected a two-
year offer from Food Employ
ers, Inc., and some independ
ent grocers.
The present contract ex
pired April 29. Negotations 1
have been carried on under
the U.S. Mediation and Con-'
ciliation Service.
Journeymen clerks present
ly are paid $2.46'i an hour.
They are asking for 15 cents
an hour a year increase over
a two-year perid.
PERSIAN GULF OIL
Chicago - IUPD - A discov
ery well on the offshore field
of Standard Oil Co. (Indiana)
in the Persian Gulf has pro
duced oil at rates up to 35,000
barrels a day. National Iran
ian Oil Co. is partner with !
Indiana Standard in the ven-1
ture. I
but they have no effect on the !
basic cause of the trouble.
Unfortunately, steroids
must be used with great care
because they can produce ser
ious and dangerous "side re
actions." Curiously, certain
anti-malarial drugs such as
atabrine and chloroquine will
sometimes help the arthritis
and the skin lesions. If infec
tions give trouble, antibiotics
will be used. Treatment is
difficult especially when the
kidneys fail to function well.
With his informative book
let, "Menopause and Hysterec
tomy," Dr. Alvarez has re
moved the fears of thousands
of women. If you would like
a copy, send 25 cents and a
large, stamped, self-addressed
envelope with your request to
Dr. Walter C. Alvarez, Dept.
MMT, The Register and Trib
une Syndicate, Box 957, Des
Moines 4, Iowa.
You are invited to . . .
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330 North Fir Street
Phone SP 3-4503
W
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GET YOUR TICKETS IN THE POTI
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SPECIALS
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NAILS, U495
(Domestic) Keg I I
BAILER TWINE ST25
Bale I
HI TENSIL $A4S
BARBWIRE Roll 3
ASS'T HAND TOOLS,
Values to $2.49
PENICILLIN,
lOcc .
87'
19'
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Geranium Plant
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Mothers Day
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SUPPORT YOUR FFA BOYS FROM CRATER, PHOENIX AND EAGLE POINT
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n . .in i ii.ii
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VEGETABLE PLANTS, JQc
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PACKAGE SEEDS,
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ft 39
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Mandarin Oranges 5 TJ1oo
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Pkg. of 12 Envelopes
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IVORY SOAP
l 5 bars 1
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RHUBARB, ., g;28cg!gfi
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