No serious complications occurred. We did a retrospective analysis of cases with a diagnosis of PTLD at Children's Hospital of Wisconsin. Ten patients were identified. The average time to development of PTLD after transplantation was 120 days. Associated findings in this series included tonsillar necrosis, tonsillitis, airway obstruction, lymphadenitis, sinusitis, and otitis media.
Diagnosis generally requires pathologic evaluation of tonsillar or adenoid tissue.
Surgical intervention may also be important for relief of airway obstruction when present. Physicians have been called upon to counsel patients about firearm safety, but the personal prevalence of firearm ownership among physicians is poorly established. Those who were older, married, practicing in a rural region, and residing in the South Central or Mountain states were more likely to report having a firearm in the home. Emergency medicine specialists, Protestants, physicians reporting a history of depression, and those on call more than six times per month were also more likely to report keeping a firearm in their home. Female physicians residing on the East Coast, Hindus, and Jews were least likely to report keeping a firearm in the home.