Revisiting the Identities of the Four Foreigners Represented on Ashurbanipal Relief BM ME 124945-6

This joint study of Novotny and Watanabe deals with the personal and ethnic identity of four foreigners depicted on a wall relief of the North Palace in Nineveh as submitting to Ashurbanipal after the fall of Babylon. The study analyzed the pictographic details with circumstantial evidence from the king’s inscriptions

Revisiting the Identities of the Four Foreigners Represented on Ashurbanipal Relief BM ME 124945-6

This joint study of Novotny and Watanabe deals with the personal and ethnic identity of four foreigners depicted on a wall relief of the North Palace in Nineveh as submitting to Ashurbanipal after the fall of Babylon. The study analyzed the pictographic details with circumstantial evidence from the king’s inscriptions

Endoscopic and clinical evaluation of treatment and prognosis of Cronkhite–Canada syndrome: a Japanese nationwide survey

BACKGROUND: First reported in 1955, Cronkhite–Canada syndrome (CCS), a rare syndrome characterized by ectodermal abnormalities and inflammatory changes of the gastrointestinal tract mucosa, has been associated with a poor prognosis and life-threatening malignant complications. In a large population survey, we endeavored to characterize the course and treatment outcome of CCS through clinical and endoscopic assessment, and to explore its optimal treatment and surveillance strategy. METHODS: A retrospective analysis of 210 patients with CCS was conducted via a questionnaire-based nationwide survey of 983 teaching hospitals located throughout Japan. We assessed clinical features, endoscopic findings, treatments used, and short- and long-term outcomes. RESULTS: The average age at diagnosis was 63.5 years. In all cases, upper or lower gastrointestinal tract polyposis was confirmed, accompanied by characteristic ectodermal abnormalities. Of the treatments used, oral corticosteroids (30–49 mg/day) were the most effective treatment for active disease, with adjunctive nutritional support considered beneficial. With corticosteroid treatment, abdominal symptoms were relieved within a few months, whereas polyp regression often required more than 6 months. Maintenance of endoscopic remission with or without steroids for 3 years significantly lowered the development of CCS-related cancer, compared with relapsers or nonresponders, underscoring the importance of sustained endoscopic remission for cancer prevention. CONCLUSIONS: The prognosis of CCS has greatly improved through the use of improved medical treatment. Although CCS continues to be relentlessly progressive, carrying a high cancer risk, a sufficient dose and duration of corticosteroid therapy accompanied by nutritional support and periodic endoscopic surveillance appears to improve its natural history. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00535-015-1107-7) contains supplementary material, which is available to authorized users