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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1991-11-4
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pubmed:abstractText |
We investigated the relationship between use of L-tryptophan and development of eosinophilic fasciitis by two methods: a retrospective patient survey and a case-control study of patients with eosinophilic fasciitis diagnosed at the Mayo Clinic between 1977 and 1989. Before 1986, no traceable patients with eosinophilic fasciitis had taken L-tryptophan. Between Jan. 1, 1986, and July 31, 1989, 8 of 34 patients had ingested L-tryptophan (P less than 0.001). In the case-control study, traceable patients with eosinophilic fasciitis were matched with patients who had systemic sclerosis or rheumatoid arthritis and healthy control subjects who had undergone a general medical examination. Of the 60 matched control subjects, 2 had used L-tryptophan. Thus, the odds ratio was 19, indicating a 19-fold greater likelihood of use of L-tryptophan in patients with eosinophilic fasciitis than in the control group. A retrospective assessment of clinical features, response to treatment, and blinded review of biopsy specimens of skin and fascia in patients who had eosinophilic fasciitis with or without exposure to L-tryptophan disclosed no significant differences in the two groups. This retrospective study confirms a strong association between consumption of L-tryptophan and development of eosinophilic fasciitis in some patients. No clinical or histopathologic features were detected that distinguished this disorder on the basis of previous exposure to L-tryptophan.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0025-6196
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
66
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
892-8
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pubmed:dateRevised |
2007-10-29
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pubmed:meshHeading |
pubmed-meshheading:1921498-Adult,
pubmed-meshheading:1921498-Biopsy,
pubmed-meshheading:1921498-Case-Control Studies,
pubmed-meshheading:1921498-Eosinophilia,
pubmed-meshheading:1921498-Fasciitis,
pubmed-meshheading:1921498-Female,
pubmed-meshheading:1921498-Humans,
pubmed-meshheading:1921498-Male,
pubmed-meshheading:1921498-Middle Aged,
pubmed-meshheading:1921498-Odds Ratio,
pubmed-meshheading:1921498-Retrospective Studies,
pubmed-meshheading:1921498-Tryptophan
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pubmed:year |
1991
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pubmed:articleTitle |
Eosinophilic fasciitis associated with use of L-tryptophan: a case-control study and comparison of clinical and histopathologic features.
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pubmed:affiliation |
Division of Rheumatology and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
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pubmed:publicationType |
Journal Article,
Comparative Study
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