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Biomedical subjects

A Blanc

Publications and source records attributed to A Blanc.

At least 55 records · Page 3Linked to original sources

Relationship between the levels of cyclic cytidine 3':5'-monophosphate, cyclic guanosine 3':5'-monophosphate, and cyclic adenosine 3':5'-monophosphate in urines and leukocytes and the type of human leukemias.

Cyclic cytidine 3':5'-monophosphate (cyclic CMP), cyclic guanosine 3':5'-monophosphate (cyclic GMP), and cyclic adenosine 3':5'-monophosphate (cyclic AMP) contents of leukocytes and urines of leukemic patients have been investigated. We have studied four types of leukemia: acute myeloblastic leukemia; chronic myelocytic leukemia; acute lymphoblastic leukemia; and chronic lymphocytic leukemia. As controls, the cyclic nucleotide content of leukocytes and urines of healthy volunteers and patients with solid tumors selected for their normal hemogram has been determined. It has also been measured in phytohemagglutinin-stimulated lymphocytes. Our data show that: (a) the concentration of cyclic CMP is always lower than that of cyclic GMP or cyclic AMP; (b) in urines, the concentrations of the three nucleotides are higher in patients than in healthy volunteers, the greatest differences being observed between the cyclic CMP concentrations of acute leukemia patients and controls; and (c) in white blood cells, cyclic AMP concentration is lower in leukemic than in normal cells. The cyclic GMP concentration is the same everywhere except in monoblastic cells and leukocytes from solid tumor patients. High cyclic CMP levels are associated only with acute leukemia, whether myeloblastic, monoblastic, or lymphoblastic, a fact which suggests that cyclic CMP could be a biochemical marker of hematopoietic stem cell malignancy.

Adult↗

[Diagnostic value of brainstem auditory evoked potentials (author's transl)].

The present work is an evaluation of brainstem auditory evoked potentials (BAEP) as a tool for neurological diagnosis. Filtered alternate clicks with monaural stimulation and ipsilateral recording between the vertex and the ipsilateral mastoid have been used. Normative data of the laboratory established in 50 normal subjects, mean age 35 years, and criteria for interpretation are given. 155 patients had or were suspected of having multiple sclerosis. In definite multiple sclerosis (33 patients), BAEP were abnormal in 67 p. 100 of the cases, among them the 4 patients with an internuclear ophtalmoplegia. In probable multiple sclerosis (54 patients) BAEP were abnormal in 41 p. 100 of the cases and in possible multiple sclerosis (68 patients) there were 19 p. 100 with abnormalities. Results show that BAEP are clearly a useful tool for diagnosis in progressive paraplegia, in optic neuritis, and in cases in which symptoms and signs lead to discuss posterior fossa tumours. In 66 patients with suspected or proved tumours (acoustic neurinomas excluded) and in 25 patients with vascular disease, the contribution of BAEP to neurological diagnosis is of unequal interest. In some cases BAEP only confirmed the data of the clinical examination. When tumours were diagnosed with the CT scan, BAEP could help in pointing out the accurate relation of the tumour with the brainstem and the auditory pathways. In 36 patients the contribution of BAEP was important in establishing the rostral extension of bulbocervical tumours or, mainly, in indicating the presence or absence of infiltrating brainstem tumours which were not clearly apparent on the CT scan.

Adult↗

[Anhidrosis. Presentation of an unusual case report].

A one month old girl with sudden attacks of fever and dehydration was found to have anhydrosis. Histologically the sweat glands were normal but the electrical resistance of the skin showed there was an abnormality of sweating. The cause of the disorder is unknown but could be due to a defect in the secretion of acetyl choline by the post ganglionic sympathetic nerves or due to a receptor defect in the sweat gland. This new syndrome should be considered in all infants with a high fever of unknown origin.

Child, Preschool↗

[Isolated left anterior hemiblock during attacks of angina pectoris].

The clinical significance and mechanism for changes in the axis of the QRS complex during attacks of angina pectoris (excluding cases of Prinzmetal's angina) are unknown. Previous work has suggested that left anterior hemiblock under these circumstances is a sign of unstable angina indicating a lesion in the anterior descending artery. Two cases with left anterior hemiblock associated with frequent attacks of angina have been the subject of careful study. In case one, atrial stimulation tests showed that the left axis deviation was not related to tachycardia. It only occurred when atrial stimulation was carried out for long enough to induce myocardial ischaemia as witnessed by precordial pain and disorders of repolarisation. In case two, the left anterior hemiblock came on at first at the same time as the attacks of angina, and then became permanent. Bypass graft of the anterior descending artery restored the QRS axis to normal, and corrected the repolarisation disorders which were of ischaemic origin. These findings argue in favour of an ischaemic origin of this conduction defect. Unlike ischaemia of the left anterosuperior subbranch, anterior left hemiblock is indicative of extensive ischaemia of the anterior wall of the left ventricle relative to an obstruction in the anterior descending artery or in the main trunk of the left coronary artery.

Aged↗

[Significance of epileptic seizures occurring during the first week of traumatic coma (author's transl)].

Clinically evident epileptic seizures were observed in 145 patients during the first week of traumatic coma. They frequently occurred during the first day in young subjects in reactive coma, and were often isolated attacks. When ssen at a later stage they are more common in adults with non-reactive coma. The partial or generalised nature of the seizures, the depth of the coma, and the chronological order in which the seizures appear have no bearing on the etiology; the only positive finding was that recurrent seizures were more frequent in patients with intracranial hematoma (18,6% of the patients). The early appearance of seizures does not worsen the prognosis of reactive coma or non-reactive coma in young people. Critical discharges without clinical manifestations were present in 37 patients with traumatic coma during the first week. The average age of these injured patients was higher, and the prognosis for non-reactive coma worse in this group. The comatous state does not modify the clinical aspects or the etiological significance of these early post-traumatic discharges.

Adolescent↗