AbstracL Four cases of lactobezoar, an unusual cause of vomiting in the neonatal period, are described and illustrated. From our experience with the first case we were able to diagnose the next three cases from the plain radiographs.The condition is likely to resolve spontaneously on intravenous feeding.

Results of the Veterans Administration Sickle Cell Program for a period of 10 years are presented. We screened 370,250 patients; 404,341 attended educational sessions, and 38,347 had individual counseling sessions. Sickle cell trait was present in 6.4% of patients, and HbC trait was present in 1.8%. The clinically significant disorders HbSC disease, sickle cell anemia, and sickle beta thalassemia were present in 0.41% of individuals screened. A large number of uncommon variants were detected. The program enhanced the awareness of and the approach to evaluation of hemoglobinopathies.

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