04-30-2006, 12:56 PM
tel me more
which vitamin deficiency is related?
which vitamin deficiency is related?
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carcinoid syndrome - djyoti
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04-30-2006, 01:10 PM
niacin deficiency
increased secrn of serotonin due to carcinoid tumors39% small intestine 26% appendix 15% rectum 10% bronchial system of the lungs 5-7% colon 2-4% stomach 2-3% pancreas Intermittent migratory Flushing of head and neck skin Explosive Diarrhea Nausea and Vomiting Abdominal pain or cramping Bronchoconstriction Cardiovascular Changes Thickening of endocardium (valves, chambers) Tricuspid insufficiency Pulmonary stenosis Right Heart Failure Telangiectasia Intestinal hypermotility (borborygmi Labs 24 hour Urine 5-hydroxyindoleacetic acid (5-HIAA) Management Octreotide 75 to 150 ug up to 750 ug q8 hours Indications: Flushing Adverse Effects Hypoglycemia Steatorrhea Cholelithiasis Alpha-Interferon Possibly efficacious as adjunctive therapy Antihistamines May be useful in histamine-related tumors Surgery Excision of primary tumor or tumor debulking Tumor debulking
04-30-2006, 01:24 PM
tumors that are somewhat larger and have spread to local tissues and local lymph nodes but which, along with these locally invaded tissues, are still totally removable surgically, the average survival has been 8 years with a range up to 23 years.
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