tbuckley/cabot-search huggingface dataset:
Stem Cells
Authors: H. He, M. R. Emmett, A. G. Marshall, Y. Ji, C. A. Conrad, W. Priebe, H. Colman, F. F. Lang, T. L. Madden, K. Kristoffersen, M.-T. Stockhausen, H. S. Poulsen, Z. A. Binder, B. Orr, M. Lim, J. D. Weingart, H. Brem, A. Olivi, G. J. Riggins, G. L. Gallia, N. S. Litofsky, D. C. Miller, P. Rath, D. C. Anthony, Q. Feng, C. Franklin, L. Pei, A. Free, M. D. Kirk, H. Shi, M. Timmer, H. Theiss, K. Juerchott, C. Ries, I. Paron, W. Franz, J. Selbig, K. Guo, J. C. Tonn, C. Schichor, Y.-H. Zhou, Y. Hu, P. D. Pioli, K. Rajneesh, C. L. Limoli, L. Yu, K. R. Hess, M. E. Linskey, F. Faber, K. Guo, D. Jaeger, J. Thorsteinsdottir, V. Albrecht, J.-C. Tonn, C. Schichor, R. Price, J. Song, P. Zimmerman, H. Duale, A. Rivera, B. Kaur, L. Parada, C. Cook, E. A. Chiocca, C.-H. Kwon, D. M. Munoz, A. Guha, A. Estrada-Bernal, J. R. Van Brocklyn, C. Gu, K. V. Mahasenan, K. Joshi, S. Gupta, A. Mattson, C. Li, I. Nakano, A. S. Chi, E. Rheinbay, H. Wakimoto, S. Gillespie, S. Kasif, S. D. Rabkin, R. L. Martuza, B. E. Bernstein, S. L. Skirboll, H. Wurdak, S. Zhu, A. Romero, M. Lorger, J. Watson, C.-y. Chiang, J. Zhang, V. S. Natu, L. L. Lairson, J. R. Walker, C. M. Trussell, G. R. Harsh, H. Vogel, B. Felding-Habermann, A. P. Orth, L. J. Miraglia, D. R. Rines, P. G. Schultz, T. Hide, T. Takezaki, H. Nakamura, K. Makino, J.-i. Kuratsu, T. Kondo, J. Yao, Y.-W. Kim, D. Koul, J. S. Almeida, J. N. Weinstein, W. K. Alfred Yung, K. Joshi, T. Miyazaki, A. R. Chaudhury, I. Nakano, A. J. Wong, C. Del Vecchio, S. Mitra, S.-Y. Han, M. Holgado-Madruga, P. Gupta, A. Golebiewska, N. H. Brons, R. Bjerkvig, S. P. Niclou, P. Ramm, A. Vollmann-Zwerenz, C. Beier, L. Aigner, U. Bogdahn, H. R. Kalbitzer, P. Hau, M. Sanzey, A. Golebiewska, L. Vallar, S. P. Niclou, K. Tamura, M. Aoyagi, N. Ando, T. Ogishima, H. Wakimoto, M. Yamamoto, K. Ohno, A. Perin, K. H. Fung, P. Longatti, M.-C. Guiot, R. F. Del Maestro, S. Rossi, O. Stechishin, S. Weiss, S. Stifani, L. Goodman, F. Gao, J. Gumin, R. Ezhilarasan, P. Love, A. George, H. Colman, F. Lang, K. Aldape, E. P. Sulman, A. Soeda, D.-H. Lee, M. E. Shaffrey, E. H. Oldfield, D. M. Park, J. Dietrich, R. Han, M. Noble, M. Y. Yang, X. Liu, A. B. Madhankumar, J. Sheehan, B. Slagle-Webb, J. R. Connor, J. Fu, R.-J. Shen, H. Colman, F. F. Lang, W. K. Alfred Yung, D. Koul, M. Kaluzova, R. Machaidze, E. N. K. Nduom, C. T. Burden, C. G. Hadjipanayis, L. Lei, A. Sonabend, P. Guarnieri, T. Ludwig, S. Rosenfeld, J. Bruce, P. Canoll, B. D. Vaillant, K. Bhat, V. Balasubramaniyam, S. Wang, J. Gumin, E. Sulman, F. Lang, K. Aldape, H. Colman, E. P. Sulman, R. Ezhilarasan, L. D. Goodman, P. N. Love, A. George, K. Aldape, M. Soules, T. Zhu, C. Flack, C. Talsma, L. Hamm, K. Muraszko, X. Fan, M. Aoyagi, Y. Matsuoka, K. Tamura, N. Ando, Y. Kawano, K. Ohno, D. Kobayashi, J. Kumagai, R. T. Frank, J. Najbauer, K. S. Aboody, K. S. Aboody, J. Najbauer, M. Metz, E. Garcia, S. Aramburo, V. Valenzuela, M. Gutova, A. J. Annala, M. Barish, M. Danks, S. U. Kim, J. Portnow, C. Hofstetter, D. Gursel, L. Mubita, E. Holland, J. Boockvar, M. Monje, M. Freret, M. Masek, M. S. Edwards, P. G. Fisher, H. Vogel, P. Beachy
Journal: Neuro-Oncology (2010)
CHRISTIAN FENGER.
Journal: JAMA (1900)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
<TITLE>Assisted Breathing</TITLE>
Journal: JAMA (2000)

public service of JAMA.The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis.For specific information concerning your personal medical condition, JAMA and the AMA suggest that you consult your physician.This page may be reproduced noncommercially by physicians and other health care professionals to share with patients.Any other reproduction is subject to AMA approval.
SYMPTOMATOLOGY OF SPINAL CORD TUMORS
Journal: JAMA (1920)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
BODY BUILD AND RESTRICTED GROWTH
Journal: JAMA (1935)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Retinal Venous Blood Oxygen Saturation in Human Subjects by Photographic Means
Journal: JAMA (1963)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Update: Heterosexual Transmission of Acquired Immunodeficiency Syndrome and Human Immunodeficiency Virus Infection—United States
Journal: JAMA (1989)

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Abstract 4917: Clopidogrel Resistance and Coronary Artery Plaque Burden in Patients Undergoing Percutaneous Coronary Intervention
Authors: Amala Chirumamilla, Akiko Maehara, Gary S Mintz, Roxana Mehran, Adriano Caixeta, Somjot S Brar, Srinivas Iyengar, Leroy Rabbani, Carlos Oveido, Damiana Fiscella, Konstantinos Sfakianakis, Edward M Kreps, Michael B Collins, Varinder Singh, Martin B Leon, Gregg W Stone, Jeffrey W Moses, George Dangas
Journal: Circulation (2008)

Background: Clopidogrel anti-inflammatory effect and plaque burden are important factors for atherothrombotic process. Data are lacking on relationship of plaque burden and clopidogrel resistance in patients undergoing percutaneous coronary intervention (PCI) Methods: We identified 138 patients who had intravascular ultrasound during PCI between Jan 2007 to June 2007. Using the Verify Now Point-of-care assay, P2Y12 platelet reaction units (PRU) and percent inhibition of platelet activation (IPA) were measured 16 –24 hours after the loading dose of clopidogrel (600mg for patients not on clopidogrel daily, and 300mg for patients on clopidogrel 75mg daily) but before the next day of clopidogrel dose. CR was defined as PRU &gt;200 or as IPA&lt;10% or &lt;20%. Results: Mean age of patients was 66±11 years and 74% were males. PRU&gt;200 was found in 53 patients (38.4%) and PRU ≤200 in 85 patients (61.6%). Presence of myocardial infarction, hyperlipidemia, renal disease, smoking history, stable or unstable angina at admission were similar between the PRU groups and between IPA groups. Hypertension, diabetes, older age and reference site plaque burden were higher in clopidogrel resistance (Table ). With use of alternative definitions, reference segment plaque burden was also higher in clopidogrel resistance patients: 0.50±0.12 vs 0.41±0.13 in &lt;10% vs ≥10% platelet inhibition (p=0.05), and 0.49±0.12 vs 0.41±0.13 in &lt;20% vs ≥20% platelet inhibition (p=0.03) Conclusion: Clopidogrel resistance patients have more high risk baseline characteristics and higher plaque burden at the reference vessel segment, implying diffuse intracoronary atherosclerosis compared to clopidogrel sensitive patients who underwent PCI
WHEN APPENDICITIS IS NOT APPENDICITIS: A CASE OF DIVERTICULITIS OF THE CECUM
Journal: JAMA (1922)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Tacrine for treating Alzheimer's disease
Authors: G. W. Small
Journal: JAMA (1992)

Tacrine (tetrahydroaminoacridine, THA) was first available in Australia in the mid 1940s when it was used with morphine to lessen respiratory depression without affecting analgesia.<sup>1</sup>Its anticholinesterase activity eventually led to clinical trials in patients with presumptive Alzheimer's disease (AD), but these pilot studies demonstrated only modest efficacy using tacrine alone<sup>2</sup>or in combination with lecithin.<sup>3</sup>Consistent findings of a cholinergic deficit in AD make such cholinergic manipulation a theoretically attractive palliative treatment. Trials of other cholinomimetics, however, had shown at best modest results and often practical limitations—eg, choline causes a fishy skin odor and the 30-minute half-life of physostigmine is too brief for lasting clinical effects. See also p 2523. Scientific and public interest, as well as controversy, exploded in 1986 when Summers and colleagues<sup>4</sup>reported dramatic results from a double-blind, placebo-controlled trial of tacrine in 17 patients with apparent clinical diagnoses of AD. One
Strategies proposed so cars won't harm kids
Authors: J. W. Zylke
Journal: JAMA (1995)

WARMER WEATHER brings with it ball games and picnics. And an increased risk of pedestrian injuries, as children dart out into the street after that ball or ice cream truck. The effort toward prevention of unintentional injuries in children has seen some successes. Childhood injuries in motor vehicle crashes have declined with the use of car seats and seat belts. Protective helmets decrease the risk of head injury in pediatric bicyclists. But, until recently, little attention has been paid to injuries to children being hit by cars. Epidemiologic information is accumulating that should allow prevention strategies to be developed. <h3>'Huge Pediatric Problem'</h3> Mark Widome, MD, MPH, Pennsylvania State University College of Medicine, Hershey, calls pedestrian injuries "a huge pediatric problem." At a recent American Academy of Pediatrics meeting, he provided the statistics to defend that assertion. According to the National Center for Health Statistics, pedestrian injuries are the third leading
No Clues
Authors: Jack Coulehan
Journal: Annals of Internal Medicine (2009)

Ad Libitum1 December 2009No CluesJack Coulehan, MD, MPHJack Coulehan, MD, MPHFrom Setauket, NY 11733.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-151-11-200912010-00008 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Between lying on my left sidewith an anonymous person proppinga bunched blanket against the smallof my back, and the endoscopistreplacing his instrument on a tray,I expected to recall a blank—not that I cared at first, giventhe juice they gave me, and my reliefthat my pancreas had survived.But a gap of thirty-two minuteson the tape! There ought to beevidence, like a crack in the panel,or a subtle displacement of carpet.Not nothing. It isn't, after all,our older, all-forgiving, sistersleep they put us into. This time.by ... Author, Article, and Disclosure InformationAffiliations: From Setauket, NY 11733.Current Author Address: Jack Coulehan, MD, MPH, 4 Townsend Court, Setauket, NY 11733. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 December 2009Volume 151, Issue 11Page: 803KeywordsConsciousnessDeceptionPancreasSleep ePublished: 1 December 2009 Issue Published: 1 December 2009 Copyright & PermissionsCopyright © 2009 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
Fracture risk in woman with osteoporosis: must tennis cease?
Authors: S. L. Greenspan
Journal: JAMA (1993)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
All-Blood (Miniplegia) Versus Dilute Cardioplegia in Experimental Surgical Revascularization of Evolving Infarction
Authors: Daniel A. Velez, Cullen D. Morris, Jason M. Budde, Satoshi Muraki, Rachel N. Otto, Robert A. Guyton, Jakob Vinten-Johansen
Journal: Circulation (2001)

Background The advantages of blood cardioplegia include the oxygen-carrying capacity, superior oncotic and buffering properties, and endogenous antioxidants contained in blood. However, the partial dilution of blood in 4:1 (blood:crystalloid) cardioplegic solutions may nullify these advantages and progressively dilute blood during continuous retrograde delivery. This study tested the hypothesis that all-blood (66:1) cardioplegia provides superior myocardial protection compared with dilute (4:1) cardioplegia delivered in a continuous retrograde modality during surgical reperfusion of evolving myocardial infarction. Methods and Results After 60 minutes of left anterior descending coronary artery (LAD) occlusion, anesthetized canines were placed on cardiopulmonary bypass and randomized to either all-blood cardioplegia (AB group) or dilute blood cardioplegia (Dil group). After cross clamping, arrest was induced with 5 minutes of tepid (30°C) antegrade potassium all-blood or dilute blood cardioplegia and maintained with tepid retrograde coronary sinus cardioplegia for a total of 1 hour. The LAD was released after 30 minutes of arrest, simulating revascularization. The cardioplegia hematocrit for the Dil group was lower than that for the AB group (7±1% versus 12±2%, P &lt;0.05); at the end of bypass, systemic hematocrit was lower in the Dil group than in the Ab group (15±1% versus 20±1%, P &lt;0.05). Infarct size (triphenyltetrazolium chloride staining) was comparable between the AB and Dil groups (29.6±2.9% versus 30.3±3.9% of area at risk), and there was no difference in area-at-risk myocardium systolic shortening (by sonomicrometry, −0.3±1% versus −0.4±1%). Tissue edema after bypass tended to be greater in the Dil group compared with the AB group in the heart (82±0% versus 81±1%), lung (79±1% versus 78±1%), liver (75±1% versus 74±0%), and skeletal muscle (76±1% versus 73±2%) and was significantly greater in the duodenum (80±1% versus 79±1%, P &lt;0.05) and kidney (82±1% versus 79±1%, P &lt;0.05). Postexperimental endothelial function (relaxation of acetylcholine) was impaired in LADs of the AB group versus the Dil group (59±6% versus 77±5%, P &lt;0.05). Conclusions Both all-blood cardioplegia and dilute cardioplegia have disadvantages, but these do not have an impact on the pathogenesis of infarct size or recovery of regional contractile function.
Hospital Epidemiology
Authors: Harold T. Fuerst
Journal: JAMA (1965)

The need for closer liaison between hospitals and public health agencies arose from the increasing concern of hospitals with community health services and the broadening compass of public health epidemiology. The impetus for these expanded interests came in part from an appreciation of the importance of ecological factors in disease causation and prevention. Considerations such as these led to the organization of a hospital epidemiology program in New York city. In this pilot project 16 hospitals in the borough of Brooklyn each nominated a staff member as hospital epidemiologist. The epidemiologist, acting for both the hospital and the health department, conducts a variety of investigative, educational, and related activities in his institution. These are coordinated with extramural activities of the health department's field epidemiologists. Steps are being taken to expand the hospital epidemiology program throughout the city.
Scrofulous Diseases of the External Lymphatic Glands: Their Nature, Variety, and Treatment
Authors: P. C. Price
Journal: BMJ (1860)

at the lower part of the lung; friction-sound was heard towards the front, and bronchlial breathing down to the extreme base.June 8ti.He complained of little pain.The dulness and bronclhial breathing still remained.He had expectorated somne very adhesive sputum.He was ordered to take the mix- ture three times a day; to have a blister to the left side; and to talke ordinary diet, and four ounces of wine daily.Jurne 9tli.Thle ailtimonial was omitted, and a mixture with ammonia andl squills suibstituted.He progressed steadily from day to day; and was discharged well on the 26th.
Abnormal patency of the eustachian tube. A complication of oral contraception
Authors: G. W. Allen
Journal: JAMA (1967)

ALL OF THE ESSENTIAL features of the condition of abnormal patency of the eustachian tube were described by Jago,<sup>1</sup>who himself suffered from it, in 1867. It is characterized by an unpleasant feeling of tension upon the ear drum, an abnormal loudness of the voice and respiratory sounds in the affected ear termed "autophony," absence of deafness, and a normal appearance of the tympanic membrane. Jago discovered that the tube could be made to close temporarily by a sudden inspiratory effort with nose and mouth held closed. Symptoms also disappeared after a period during which he gained weight. After 14 years of practice, he had discovered only one other case. For many years this was considered to be a very rare entity, being found usually in association with rapid weight loss. It seems more likely that it has been overlooked or misdiagnosed. Although there are brief references to pregnancy