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Measles Epidemic in Young AdultsClinical Manifestations and Laboratory Analysis in 40 Patients
Meir Mouallem, MD;
Eitan Friedman, MD;
Rachel Pauzner, MD;
Zvi Farfel, MD
Arch Intern Med. 1987;147(6):1111-1113.
Abstract
Between February and June 1985, 40 military personnel were hospitalized because of measles. Diagnosis in all patients was entirely clinical, and serologic investigations were noncontributory. A transient disturbance in liver function occurred in 70% of patients, and its extent correlated with duration of fever and disease complications. Spontaneously resolving, measles-specific hypocalcemia, which was not associated with hepatic dysfunction, was noted in about one third of the patients. All these patients were asymptomatic, except one patient who developed tetany. The pathophysiologic basis for the hypocalcemia is still unknown. The disease course in three previously immunized patients was benign and uncomplicated.
(Arch Intern Med 1987;147:1111-1113)
Author Affiliations
From the Medical Corps, Israel Defence Force (Dr Mouallem), and the Department of Internal Medicine "E" (Drs Friedman, Pauzner, and Farfel), Chaim Sheba Medical Center, Tel Hashomer, Israel, and Sackler School of Medicine, Tel Aviv (Israel) University.
Footnotes
Accepted for publication Nov 18, 1986.
Reprint requests to Department of Internal Medicine "E" (No. 37), Chaim Sheba Medical Center, Tel Hashomer 52621, Israel (Dr Friedman).
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