One advantage of the transperitoneal approach to laparoscopic radical nephrectomy (LRN) is the familiarity of the anatomy to most urologists. An understanding of the ligaments at the upper and lateral borders of each kidney helps in colon mobilization and dissection of the upper renal poles.
polyglandular autoimmune syndrome; PGA syndrome type 1; autoimmune polyendocrinopathy type 1; autoimmune-polyendocrine-candidiasis-ectodermal dystrophy syndrome; Disorder Subdivisions. None; General Discussion. APS-1 is a rare and complex inherited disorder of immune-cell dysfunction with multiple autoimmunities. It presents as a constellation of symptoms and side-effects with potentially life-threatening endocrine gland and gastro-intestinal
The same is true of multiple chemical sensitivity syndrome (MCSS); symptoms of chemical sensitivity are part of the core symptoms of M.E. and have long been associated with M.E.(as well as with several other autoimmune illnesses such as multiple sclerosis and Lupus) and so there is no need for an additional diagnosis of MCSS to be made.