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Biomedical subjects

A Berman

Publications and source records attributed to A Berman.

At least 91 records · Page 5Linked to original sources

Seborrheic keratoses: appearance in course of exfoliative erythroderma and regression associated with histologic mononuclear cell inflammation.

We observed a patient in whom large numbers of seborrheic keratoses developed in the course of a generalized dermatitis that progressed into an exfoliative erythroderma. A renal mass was finally discovered and was surgically excised. On microscopic examination, the kidney tumor proved to be a benign fibrous-walled, multilocular cyst. After removal of the renal cyst, the erythroderma and exfoliation subsided. A few months later, the seborrheic keratoses were noted to have become smaller, flatter, and fewer in number. Microscopic examination of five such involuting lesions showed, in each instance, mononuclear cell infiltration of the seborrheic keratoses. Our findings confirm earlier reports that seborrheic keratosis-like lesions developing during the course of widespread inflammatory cutaneous disorders may regress after control of the dermatosis and suggest that mononuclear cell inflammation may be the mechanism by which regression of these lesions is accomplished.

Aged↗

Blood flow distribution during artificially induced respiratory hypocapnic alkalosis in the fowl.

In birds, hyperthermia is normally associated with panting and progressive respiratory alkalosis. The effect of respiratory alkalosis on capillary blood flow distribution was examined by artificially hyperventilating normothermic fowls, thereby dissociating it of the normally occurring concomitant hyperthermia. In contrast with mammals, in which hyperventilation associated with hypocapnia reduced blood flow to the brain, uterus and other organs, in the hen blood flow distribution in most organs remained unaltered. This indicates that the potential change in acid-base balance which develops in the hyperthermic birds during panting is not likely to affect the regulation of blood flow. The comb and wattles were the only affected organs, in which capillary blood flow diminished to about 45% of normal values. This reduction did not prevent a vasodilatation in those organs in hyperthermic fowls, though it probably limited its full expression.

Alkalosis, Respiratory↗

Responses of the reproductive vascular system during the egg-formation cycle of unanaesthetised laying hens.

1. Vascular adjustments to the process of egg formation were examined in the unanaesthetised laying hen, by the radioactive microspheres method. 2. Three- to four-fold increases in blood flow were found in segments surrounding the egg during its passage along the oviduct, possibly due to an enhanced metabolic activity in the muscle layer of the oviduct. 3. Shell-gland blood flow was minimal in the absence of an egg and increased gradually to a maximum (5-fold) about 5 h after entrance of the egg into the shell gland. This parallels the rate of calcification of the egg shell. 4. Changes in blood flow in the ovarian follicles and other parts of the oviduct were small while the egg was in the shell gland. This might be typical for the reproductive system of the fowl, which undergoes little structural alteration during egg formation.

Animals↗

Bullae in the donor site of a split-thickness skin graft.

A patient developed bullae in a donor site 3 weeks after a split-thickness skin graft was taken. No reference to blistering in the donor site of a recently taken split-thickness skin graft could be found in the surgical literature, and a computerized search of the world's medical literature revealed only a single report of a similar case. The mechanism of bulla formation has not been elucidated. We alert physicians to this phenomenon and urge that each case that is seen be studied in an orderly manner by histologic, electron microscopic, and immunofluorescent techniques.

Adult↗

Effect of climatic conditions on peripheral concentrations of LH, progesterone and oestradiol-17 beta in high milk-yielding cows.

In a subtropical climate, high milk-yielding dairy cows were kept during the summer under ventilated conditions or untreated; during the winter, cows were kept untreated. The afternoon mean rectal temperature for multiparous cows in the three groups was 39.3, 39.8 and 38.9 degrees C, respectively. Each group was significantly different from the other two (P less than 0.05). Plasma LH concentrations measured every 6 h during the oestrous period in 38 'summer' cows were not significantly different for untreated and ventilated animals. Conception rate was higher (P less than 0.05) in cows that showed oestrous behaviour before the LH surge reached its peak than in cows in which oestrus coincided with or occurred later than the LH surge. Plasma progesterone levels measured in 62 cows during the oestrous cycle before the first insemination were higher in the winter than in the summer in multiparous, but not in primiparous, cows. Ventilation increased progesterone levels in multiparous and primiparous cows. Plasma oestradiol-17 beta levels did not differ between groups until 36 h before the onset of oestrus, when they remained at 4.75 pg/ml in winter and summer-ventilated cows but increased to 6.75 pg/ml in summer untreated cows (P less than 0.01). Significant negative correlations were found between oestradiol levels observed 12 h before to 12 h after the onset of oestrus and plasma progesterone concentration during both the preceding and the subsequent oestrous cycles.

Animals↗

Adenohypophyseal cytology of chemically and surgically thyroidectomized cockerels.

Reproductive traits and histology of the adenohypophysis were studied in adult White Leghorn cockerels after surgical thyroidectomy or .1% propylthiouracil (PTU) food supplementation. Both treatments caused hypothyroidism as judged by a marked reduction in plasma thyroxine levels, a decrease in resting metabolic rate values, an increase in liver and adipose tissue weights, and a marked elevation in the alcianophilic cell population in the adenohypophysis. Both the PTU-treated and thyroidectomized birds demonstrated reduced testes and comb weights. However, although thyroidectomy was found to increase the number of PAS-positive cells in the adenohypophysis, the PTU treatment reduced them. This phenomena is discussed.

Animals↗

Plantar warts recently turned black. Clinical and histopathologic findings.

The inflammatory component associated with blackening and subsequent regression of plantar warts has been little appreciated in the literature. Two patients with plantar warts in whom one of the warts showed prominent, clinically evident inflammation were observed. Blackening and subsequent regression of all plantar warts then occurred. In one patient, microscopic examination of biopsy specimens of two lesions that were taken within 24 and 72 hours, respectively, after they had turned black demonstrated the following histologic findings: blood clots and hemorrhage in the stratum corneum, degeneration and necrosis of epidermal cells, eosinophilic cytoplasmic masses within degenerating epidermal cells, thrombosis of superficial and deeper dermal blood vessels, a mononuclear cell infiltrate in and around dermal blood vessels, and a mixed polymorphonuclear and lymphocytic infiltration in the areas of hemorrhage and degenerating epidermis. This constellation of histopathologic changes suggests that involution was in progress long before blackening of the warts occurred.

Administration, Topical↗

The involuting lichenoid plaque.

Progressive involution and subsequent regression of a plaque that showed the characteristic histologic findings of solitary lichen planus-like keratosis were observed in five patients. In each lesion, involution took place during a four- to eight-week period. In four patients, the lesion arose in a preexisting pigmented macule. Evolution into a plaque-like lesion coincided with the development of the inflammatory process. Origin from a preexisting lesion suggests that the lichenoid plaque is not an independent entity but a stage in the involution of the preexisting pigmented macule. The lichenoid inflammatory process resembles a delayed hypersensitivity reaction and seems to represent a cell-mediated rejection reaction.

Female↗

Heat stress effects on capillary blood flow and its redistribution in the laying hen.

The effect of heat stress on capillary blood flow (CBF) distribution was examined in laying hens, using 15 micron microspheres, by determining CBF before and after elevating body temperature by 1-2 degrees C. No changes was evident in unfeathered metatarsal skin, although its temperature increased by 7 degrees C. Breast skin CBF change was 3.5 times larger than that of back skin. Comb CBF increase was larger than in wattles. CBF in upper respiratory tract increased proportionally to increment in respiratory frequency. Digestive system CBF was reduced by hyperthermia: the effect was pronounced in its upper organs (46% of normal) and decreased along the tract. CBF increased 4-fold in an expiratory abdominal muscle, a smaller rise occurred in a pectoral muscle and no change in a leg muscle. CBF in the tibia fell to 64% of normal. In the reproductive system, CBF fell to 58% of control level in the uterus, to 70-80% in the larger ovarian follicles and infundibulum with no significant changes in magnum and isthmus. Cerebral CBF increased during hyperthermia. Heat stress significantly reduced CBF to inner body organs, with marked differences between systems as well as within systems. Changes were more pronounced on 2 degrees C hyperthermia than on 1 degree C hyperthermia.

Animals↗

Vascular response in halo of recent halo nevus.

The depigmented halo of a recently acquired halo nevus showed prominent erythema. Microscopic examination of a specimen from the halo showed dilatation of the dermal blood vessels, thickening of the vessel walls, and swelling of the endothelial cells; cellular infiltration was totally absent. Direct immunofluorescent studies on skin from the halo failed to show vessel, basement membrane, or intercellular fluorescence with IgG, IgM, IgA, C3, and fibrin. We conclude that the erythema in the skin of the depigmented halo is the result of dilated dermal blood vessels and that the mechanism of vascular dilatation is not associated with direct infiltration by inflammatory cells nor with immune complex formation. Erythema in the skin of the depigmented halo has not, to our knowledge, been studied previously.

Adult↗

Effects of phyto-oestrogens on progesterone synthesis by isolated bovine granulosa cells.

The effects of phyto-oestrogens on progesterone synthesis by isolated bovine granulosa cells in vitro were assessed. Various concentrations (0.37-3700 nmol/1) of biochanin A, genistein or oestradiol were added to cultures of bovine granulosa cells and the consequent changes in progesterone synthesis were measured. The effects of alkali-soluble extracts of Rhodes grass (Chloris gayana) and fodder beet (Beta vulgaris, var.) were also examined. Another series of experiments tested the effects of genistein and oestradiol on the increase of progesterone synthesis brought about by the addition of LH to the culture medium. It was found that biochanin A and genistein increased progesterone synthesis by 40-50% when added in concentrations of 3.5 and 185 nmol/1 respectively. At higher concentrations of phyto-oestrogens greater than 176 nmol/1 for biochanin A and 1850 nmol/1 for genistein. Oestradiol showed similar effects: maximum stimulation of progesterone secretion occurred in the presence of 0.184 nmol/1; inhibition was found with concentrations of greater than 1.84 nmol/1. Extracts of Rhodes grass but not of fodder beet also showed biphasic effects. Both genistein and oestradiol in high concentrations (3700 and 3671 nmol/1 respectively) inhibited the increase in progesterone synthesis provoked by LH. The data indicated that phyto-oestrogens, like oestradiol, have a dose-related, biphasic effect on steroidogenesis in the isolated bovine granulosa cell system.

Animals↗

Colitis in the elderly. A reappraisal.

The records of 81 patients with colitis whose symptoms began after the age of 50 years were analyzed to determine the importance of ischemia as a cause of colitis in this age group and to evaluate the accuracy of previous diagnoses. Patients were classified by clinical, roentgenological and pathologic criteria. A retrospective diagnosis of ischemic colitis was made in three-fourths of the patients, one-half of whom had original discharge diagnoses of ulcerative, Crohn's or nonspecific colitis. This study supports our belief that ischemia is the most common cause of colitis beginning in patients older than 50 years of age. Moreover, the incorrect diagnosis of idiopathic inflammatory bowel disease in a large proportion of these patients may explain why colitis has been reported to behave differently in the elderly than in the young.

Aged↗

Involuting common warts. Clinical and histopathologic findings.

Patterns of regression in common warts were studied. Patients with multiple verrucae vulgaris lesions applied topical agents to the warts and were observed at regular intervals until the lesions disappeared. Regression took place without the warts turning black in all but one instance. All warts did not disappear simultaneously; some lesions persisted weeks after others had disappeared. Microscopic examination in five patients of a wart persisting after most had regressed demonstrated mononuclear cell infiltration, exocytosis, and degenerative epidermal changes. Failure to demonstrate cellular infiltration in regressing common warts in earlier studies was probably due to concentration on studying only warts that had turned black. The regression of some of the warts in patients with multiple common warts may serve as an indicator that involution is in progress. Utilization of this observation to recognize clinically the period of involution may make possible studies during the critical phase of the involutionary process.

Administration, Topical↗

The thermoneutral temperature zone and seasonal acclimatisation in the hen.

1. Oxygen consumption, body temperature, respiratory frequency and respiratory water loss of White Leghorn x Rhode Island hens were measured for short periods at six air temperatures between 2 and 32 degrees C. The hens were kept between tests in an open shed. The experiments were carried out over 3 years. 2. The upper critical temperature (Tcu) was estimated by the air temperature at which: 1, respiratory frequency increased above 60 respirations/min and 2, body temperature increased by 0.3 degrees C above that at the lower critical temperature. These responses to the test temperatures were examined as a function of the acclimatisation temperature (Ta) represented by the mean daily temperature during experimental periods. 3. A seasonal change in Tcu was observed, which correlated with Ta(r = 0.836). The seasonal 10 degrees C change in the Ta brought about a 3 degrees C change in Tcu, compared with an 8.5 degrees C change in the lower critical temperature. 4. Thermoneutral temperature zone decreased with increasing Ta; the two critical temperatures tended to merge at a Ta of 32 degrees C. The latter probably represents an upper limit for acclimatisation to heat.

Animals↗

Histologic changes in seborrheic keratoses after rubbing.

Seborrheic keratoses in five patients were rubbed and biopsied at varying intervals after injury. Microscopic examination revealed acute and chronic patterns of histologic change. Hemorrhage, hyalinization of dermal papillae, and necrosis of epithelial tips were conspicuous early changes. Specimens taken more than 48 h after rubbing showed a spectrum of changes which included: loss of epithelial mass, expansion and interconnection of keratin cysts, thinning of the epithelium, proliferation of epithelial strands from the residual epithelium, increase in size of epithelial cells, and evidence of hair follicle relationships including trichostasis spinulosa and, in one specimen, hair germ proliferation. Dermal lymphocytic infiltration was variable and only rarely involved the epithelium. These observations demonstrate a patterned response of the seborrheic keratosis to trauma, and also indicate a relationship between seborrheic keratosis and the hair follicle.

Biopsy↗