A review of the literature reveals a need to clarify the pathologic physiology of congenital polychlorinated biphenyl (PCB) poisoning, which is characterized by intrauterine growth retardation, brown staining of the skin and mucous membranes, as in Addison's disease, natal teeth, widely open fontanelles and sagittal suture and apparent overgrowth of the gingiva. The skull abnormalities may represent irregular calcification, with natal teeth appearing because the bone of the mandible is penetrated more easily than usual. Some fetuses were poisoned at the time the mothers ingested the oil; others were affected in the subsequent years from residual contamination in the mothers' bodies. The misadventure in Japan was repeated in Taiwan in 1979. The seven congenital cases in Taiwan reported thus far seem to differ from those in Japan. In Taiwan the noses were somewhat black, two of the infants did not have low birth weight and the osseous abnormalities of the skull and gingival hyperplasia were not observed. Systematic followup studies should be made in Taiwan of the children born within 2 years of maternal poisoning with PCBs. Special attention should be given to age at first dentition and skull X-rays for spotty calcification, among other measures of physical, neurologic and intellectual development.

No abstract

Camptocormia is a disabling psychiatric condition characterized by a fixed flexion of the spine usually occurring during the stress or anticipation of battle. We present an illustrative case study and a summary of six cases. In this clinical sample the camptocormia was associated with a high likelihood of a history of significant back trauma; this lends to difficulty in assigning a diagnosis from the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R). Camptocormic patients retained in the military have a poor prognosis; rapid diagnosis and medical separation is recommended.

No abstract

No abstract