The Spectrum of Odd

The Spectrum of Odd

Medicine, and life, can be odder than I can imagine. There are what we call pearls in medicine, factoids about diagnosis or treating than can be important.

Someone notices a relationship between aortic stenosis and gastrointestinal bleeding. Odd. But it appears to have a legitimate potential underlying pathophysiology, an acquired type 2A con Willebrand syndrome.

Someone else notices an association between an ear lobe crease and coronary artery diseases. That seems even odder and studies have been both pro and con for the association.

But a recent meta-analysis, Ear lobe crease as a marker of coronary artery disease: A meta-analysis., suggests the association is legit.

…our meta-analysis strongly supports the hypothesis that ELC could be a marker for CAD, with a sensitivity of 0.62 and a specificity f 0.67 and a diagnostic odd retain of 3.3.

It is odder still and the purported mechanism is a loss of dermal and vascular elastic fibers due to end artery loss from atherosclerosis. I guess. Not as compelling an explanation, but I am no cardiologist.

Statues of the Emperor Hadrian had deep creases in both ear lobes and died young of what sounds like progressive heart failure. That’s a pearl.

What both of these conditions have in common is an odd association between diseases and physical findings. Both, though, are , at least somewhat, in known physiology.

What to make of a study when the association is based on the fantasy that is qi as in Color distribution differences in the tongue in sleep disorder.?

They say

The state of the qi and blood, which is an essential concept in TEAM, is related to the tongue from the early stages of a syndrome to the final stages. A deficiency of the qi and blood at an early stage of a syndrome is represented in the tongue.

So they took digital photos of the tongues of normal and sleep disorder groups, ran them though color analysis (except

those with Among the 16 histogram ranges, ranges with rarely distributed color in the tongue were excluded from the analysis)

and found differences that as best I can determine are not detectable to the human eye. They concluded

The tongue states in the sleep disorder group showed typical conditions of the qi and blood deficiency syndrome according to TEAM, which represents the physiological states of fatigue. The differences in the tongue in the sleep disorder group imply that the tongue represents the state of qi and blood during conditions of no apparent disease. It is expected that the seven TDCH variables derived from the tongue image will aid in the diagnosis of deficiency syndromes in conjunction with fatigue in the clinic.

High tech tooth fairy science. Amazing.

Points of Interest 5/30/2014
Points of Interest: 05/29/2014