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Symmetrical Gangrene Occurring in a Female African Affected with Endomyocardial Fibrosis

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dc.creator Gelfand, Michael
dc.date.accessioned 2015-08-14T13:06:48Z
dc.date.accessioned 2015-12-08T10:55:44Z
dc.date.available 2015-08-14T13:06:48Z
dc.date.available 2015-12-08T10:55:44Z
dc.date.created 2015-08-14T13:06:48Z
dc.date.issued 1957-09
dc.identifier Gelfand, M. (1957) Symmetrical Gangrene Occurring in a Female African Affected with Endomyocardial Fibrosis. Central African Journal of Medicine (CAJM), vol. 3, no. 9, (pp. 374-377). UZ (formerly University College Rhodesia), Harare (formerly Salisbury) : Faculty of Medicine (UCR).
dc.identifier 0008-9176
dc.identifier http://opendocs.ids.ac.uk/opendocs/handle/123456789/6744
dc.identifier.uri http://hdl.handle.net/10646/2339
dc.description.abstract Endomyocardial fibrosis was first described in Africans in 1946 by Bedford and Konstam, who recognised it in West African soldiers, and two years later Davies gave a fuller account of it from Uganda. Since then several important and confirmatory papers from Uganda, the Union and elsewhere in Africa have appeared. We now possess a fairly good conception of its pathology and clinical course. Briefly, it is characterised by an endomyocardial fibrosis of varying extent, especially marked at the apex of the left ventricle. Almost always a thrombus is seen on the damaged endocardium or a large one forms in the appendage of one or other of the auricular appendages. The fibrosis may be patchy or diffuse, involving the whole of the ventricle. The layer may be several millimetres thick, extending on to the epicardium, and in rare instances may be so pronounced that an obliterative effect from the fibrosis is produced, reducing considerably the capacity of the right ventricle (Ball, Williams and Davies, 1954). The site of election is in the apex of the left ventricle.
dc.language en
dc.publisher Faculty of Medicine, Central African Journal of Medicine (CAJM), University College of Rhodesia (now University of Zimbabwe)
dc.rights http://creativecommons.org/licenses/by-nc-nd/3.0/
dc.rights University of Zimbabwe (UZ) (formerly University College of Rhodesia)
dc.subject Health
dc.title Symmetrical Gangrene Occurring in a Female African Affected with Endomyocardial Fibrosis
dc.type Article


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