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Biomedical subjects

B Veress

Publications and source records attributed to B Veress.

At least 73 records · Page 4Linked to original sources
PubMed1991

Dysplasia and DNA aneuploidy in a pelvic pouch. Report of a case.

A patient with an 18-year history of ulcerative colitis was operated on with colectomy, mucosal proctectomy, ileoanal anastomosis, and an S-type pelvic pouch due to intractable chronic continuous disease. The patient was followed by endoscopic controls and biopsy sampling from the pouch at regular intervals. A gradual development of severe atrophy in the ileal mucosa was followed by the development of low grade dysplasia. At the most recent endoscopic control, 4 years after the construction of the pouch, biopsies were sampled also for flow cytometric DNA analyses. DNA aneuploidy was detected in a biopsy from the center of the pouch, and a biopsy taken immediately adjacent showed low grade dysplasia. These findings underline the importance of endoscopic follow-up after construction of a pelvic pouch and focus attention to the potential of malignant transformation of the mucosa.

Adult↗
PubMed1991

Granulomatous peritonitis and appendicitis of food starch origin.

Two patients with food starch granulomatous reactions, one a necrotising granulomatous peritonitis after the perforation of a gastric ulcer and the other a non-necrotising granulomatous appendicitis, are described. The possibility of food starch induced inflammation must be considered in the differential diagnosis of granulomatous diseases of the gastrointestinal tract.

Adult↗
PubMed1991

Mixed colorectal polyps. An immunohistologic and mucin-histochemical study.

The morphology of mixed colorectal polyps was analysed. Thirteen such polyps were found out of 2700 colorectal polyps (0.5%). Histology showed a spectrum of hyperplastic crypts from almost pure goblet cell population (two polyps) to hypermature serrated epithelium with scanty goblet cells (seven polyps). Tubular adenomas occurred in 12 polyps, and a tubulovillous adenoma was found in the largest polyp. Moderate dysplasia was seen in the five large polyps. The border between neoplastic and hyperplastic cells was usually sharp. Mucin histochemistry showed similarities between the mixed polyps and colorectal carcinomas--namely, the reduction/absence of sialomucin in both mature hyperplastic crypts and adenomatous glands. The expression of carcinoembryonic antigen within the hyperplastic crypts and within the neoplastic crypts showing moderate dysplasia was similar to that seen in colorectal carcinomas, whereas it was normal within the neoplastic crypts with low-grade dysplasia. IgA was reduced or absent in both components. Blood group antigen was found only within the adenomatous component of the largest polyp showing also moderate dysplasia.

Adenoma↗
PubMed1990

Different types of mucosal adaptation in the ileal reservoir after restorative proctocolectomy. A two-year follow-up study.

A histomorphologic study of the pelvic pouch mucosa during the first two years of function was performed in 11 consecutive patients treated for ulcerative colitis. Two types of mucosal adaptation were delineated. Type A response (5 patients) showed stable slight atrophy, normal numbers of goblet cells, and numerous sulphated mucin positive cells. The frequency of mitoses was higher than in the normal ileum. The degree of acute and chronic inflammation was low and decreasing or stable. Dysplasia was never seen. Type B response (5 patients) comprised progressive, finally severe atrophy accompanied by increasing degree of acute inflammation. The number of mitoses was higher than in type A response. In two patients the number of goblet cells was moderately/severely decreased and epithelial atypia or low grade dysplasia occurred repeatedly. The response was regarded as indeterminate in one patient. The determination of the types of mucosal adaptation may help in the planning of the follow-up of these patients.

Adaptation, Physiological↗
PubMed1990

Studies of human gastric mucosa after application of 0.42% fluoride gel.

Dental prophylaxis with APF gels (1.23%) may cause gastric distress as a side-effect. This gastric irritation is probably due to a direct toxic effect of fluoride (F), swallowed in conjunction with the treatment, on the gastric mucosa. The aim of the present study was to investigate whether--and to what extent--a dental treatment with 3 g of a 0.42%-F gel could affect the gastric mucosa due to inadvertent swallowing of the gel. Ten subjects underwent a control gastroscopy, and two weeks later, a second gastroscopy was performed two h after a F gel treatment. During the gastroscopy, the mucosa was examined and the injuries graded according to an arbitrary scale. Four biopsies of the antral and corpus regions of the stomach were taken and evaluated histologically. The mean (+/- SD) amount of F retained after the application was 5.1 +/- 2.1 mg, i.e., 40% of the applied amount of F. Petechiae and erosions were found in the mucosa in seven of the ten patients. The histopathological evaluation revealed changes in nine of ten patients, with the surface epithelium as the most affected component of the mucosa. The present study clearly shows that a treatment with a F gel of rather low F concentration may result in injuries to the gastric mucosa. The importance of current recommended guidelines so that the amount of F swallowed during a gel application can be minimized is emphasized. From a toxicological standpoint, the use of a low-F gel instead of a 1.23%-F gel in small children is recommended for avoidance of adverse gastric effects.

Binomial Distribution↗
PubMed1989

Qualitative assessment and morphometry in the study of the ileal reservoir after restorative proctocolectomy.

Little is known about the long-term effects on the reservoir mucosa in patients with ulcerative colitis and familial polyposis coli who undergo proctocolectomy with subsequent construction of ileal reservoir/pouch and ileoanal anastomosis. In these patients, questions regarding adaptation towards a more colon-like mucosa and/or development of (pre)malignant changes are of particular importance. With the aim of designing a method for reliable evaluation of the mucosa in the ileal pouch, biopsies from 10 patients were studied by semiquantitative assessment and morphometry. The findings were compared with those obtained from normal jejunum, ileum, and colon. The following parameters were found to be important: Villous surface density, quantity of goblet cells, number of mitoses, and the presence/absence of predominantly sulphated mucin+ goblet cells. The number of Paneth cells did not show significant changes. The villous surface density was determined by a cycloid test system applied to vertical sections. Semiquantitative assessment was a sufficiently precise method for the evaluation of the quantity of goblet cells. The counting of sulphated mucin+ goblet cells was not reproducible, instead a simple statement about the presence or absence of these cells was judged to be adequate. The number of mitoses and of Paneth cells were counted directly. During the first year of function the ileal pouch showed signs of adaptation towards a colon-like mucosa: Reduction of villous surface density, increased mitotic activity, and appearance of sulphated mucin+ goblet cells. The number of Paneth cells did not show significant changes. The amount of goblet cells was generally not increased, rather reduced in some patients.

Adult↗
PubMed1987

Primary hepatic pregnancy.

A case of primary hepatic pregnancy in a 31-year-old woman is reported. She underwent laparotomy due to abdominal symptoms suggesting peritonitis. A 2 x 2 cm large bleeding lesion was found on the upper side of the right lobe of the liver. Microscopic examination of the excised lesion showed chorionic villi and trophoblast cells. The patient made an uneventful recovery.

Adult↗
PubMed1987

The distribution of S100 and lysozyme immunoreactive cells in the various phases of granuloma development in sarcoidosis.

The number and distribution of lysozyme and S100 immunoreactive cells were analyzed in ten cases of lymph node sarcoidosis. Three phases of granuloma development could be differentiated, each showing a typical immunohistological pattern. The early small granulomas consisted of lys- or very weakly lys+ mononuclear phagocytes and developed within an area of focalized accumulation of S100+ antigen-presenting cells. The mature large granulomas were composed of polygonal epithelioid cells with abundant cytoplasm showing very strong granular lysozyme positivity. S100+ cells could still be observed, mainly around the granulomas, but in diminished number. In the final fibrozing phase the epithelioid cells lost their lysozyme immunoreactivity and no S100+ antigen-presenting cells were present within or around the granulomas. In one patient granulomas with central necrosis and palisading, lys- epithelioid cells were also observed, possibly representing a different microenvironment (antigen/antibody equilibrium?). The change in the pattern and number of lysozyme and S100 immunoreactive cells probably reflects the development of the granulomas and is related to the activity of the disease.

Epithelium↗
PubMed1986

Vascular changes in human leishmaniasis: a light microscope and immunohistological study.

The study of human cutaneous leishmaniasis from Saudi Arabia (37 cases), and of Sudanese mucosal (52 cases) and visceral (27 cases) leishmaniasis revealed the occurrence of vascular alterations. Vasculitis with or without fibrinoid necrosis and fibrin thrombi were found in both the arteries and veins within the area of inflammation in cutaneous and mucosal leishmaniasis; whereas subendothelial oedema, hyalinosis and intimaproliferation were seen in the small arteries of the various organs in visceral leishmaniasis. Immunoperoxidase staining of the cutaneous leishmaniasis lesions showed the presence of IgG and IgA within the endothelial cells, in the media, and in the perivascular space of the diseased vessels. The formation of immune complexes, locally in cutaneous and mucosal leishmaniasis and circulating in visceral leishmaniasis, is considered responsible for these vascular lesions.

Blood Vessels↗
PubMed1986

Immunohistological investigations in chronic cutaneous leishmaniasis in Saudi Arabia.

The distribution and numbers of IgG-, IgA-, IgM-, and lysozyme-positive cells were investigated by the immunoperoxidase method in paraffin-sections of 13 cases of chronic cutaneous leishmaniasis of low parasite load from Saudi Arabia. The majority of the peroxidase-positive plasma cells contained IgG, whereas the numbers of IgA+ and IgM+ plasma cells were not so numerous. Small groups of squamous epithelial cells showed immunoreactivity for IgG and IgA. Similar positive staining was observed extracellularly in the oedematous upper dermis, in the endothelial cells, and in the perivascular space. The activated macrophages showed strong and diffuse peroxidase staining for lysozyme, whereas epithelioid cells and multinucleated giant cells were negative or had finely granular and considerably weaker staining. It is suggested that humoral immunity also participates in the elimination of the parasites and an immunologically induced necrosis might be responsible for the ulceration of the skin in cutaneous leishmaniasis. It is also assumed that the lysozyme immunoreactivity can be a marker of the activation state of the macrophages.

Adolescent↗
PubMed1985

Immunohistochemical demonstration of S-100 protein antigen-containing cells in chronic cutaneous leishmaniasis.

The presence and distribution of S-100 protein antigen and lysozyme were investigated by the immunoperoxidase method in paraffin sections of 13 cases of chronic cutaneous leishmaniasis from Saudi Arabia. Varying numbers of S-100+lys- histiocytic reticulum cells were found in the dense inflammatory infiltrate in 11 out of 13 cases. These cells were considerably more numerous in the lesions dominated by cells of the mononuclear phagocytic system and granulomata than in the cases with plasma cellular or lymphocytic predominance. Activated lys+ macrophages, epithelioid cells, and multinucleated giant cells were always S-100-. Around the granulomata several S-100+lys- histiocytic reticulum cells could be found. These findings suggest that antigen-presenting cells are present in the inflammatory infiltrate of cutaneous leishmaniasis.

Adolescent↗
PubMed1984

The ultrastructural morphology of human cutaneous leishmaniasis of low parasite load.

The ultrastructural morphology of the inflammatory infiltrate in cutaneous leishmaniasis with low parasite load from seven patients was studied. Cells of the mononuclear phagocyte system (macrophages and epithelioid cells), plasma cells, and lymphocytes formed the infiltrate. Disseminated shrinkage necrosis or apoptotis as well as coagulative necrosis with loss of the plasma membrane of single macrophages occurred. An intimate contact was observed between macrophages and lymphocytes. The relationship of the morphological alterations to the persistence of the chronic inflammatory reaction and the possible explanations of the macrophage necrosis are discussed.

Adolescent↗
PubMed1983

Visceral spreading depletion of thymus-dependent regions and amyloidosis in mice and hamsters infected intradermally with Leishmania isolated from Sudanese cutaneous leishmaniasis.

Eighteen outbred mice and 21 golden hamsters were each inoculated intradermally with 2 X 10(6) Leishmania amastigotes obtained from 1 case of Sudanese cutaneous leishmaniasis. The skin lesions, spleen, lymph nodes, liver and kidney were examined by light-, polarizing-, and electron microscope at 5, 9 and 18 weeks after inoculation. The aim of the investigations was to follow the development of the inflammatory reaction and the change of the morphology of the lymphoid organs during the infection. In all the mice and in the majority of the hamsters visceral leishmaniasis developed which was characterized by a "noncure" type of cellular reaction, a selective T-cell depletion in the lymph nodes and the spleen, and the development of a reactive, systemic amyloidosis. These findings point to the failure of the acquired resistance against Leishmania to develop. In some of the hamsters the response was of the "cure" type without the development of amyloidosis. At the site of the inoculation the lesions healed suggesting the positive role of necrosis and the elimination of the parasites through the ulcer in the healing process. Electron microscopy showed erythrophagocytosis in the spleen of the 2 mice examined presenting an experimental evidence of the destruction of the red blood cells, which is a common feature of human kala-azar.

Amyloidosis↗
PubMed1982

A case of adult rhabdomyoma in the tonsillar region. A light and electron microscope study.

A case of rhabdomyoma in a 71-year-old woman is reported. The lobulated, soft tumour was situated in the left tonsillar region. It was encapsulated, easily removable and of a uniformly greyish-red colour on the cut surface. Both light and electron microscopy showed the classical features of a benign rhabdomyoma of adult type, with large "spider" cells and typical myofilaments, as well as Z-band fragments. To achieve the correct diagnosis in such cases the most important thing is probably to bear the possibility of this rare, but benign tumour in mind.

Aged↗
PubMed1982

A histomorphological study on the effect of iridocapsular intraocular lens on the iris. A case report.

A Binkhorst iridocapsular intraocular lens was implanted into an eye of a patient after an extracapsular cataract extraction. The patient died 4 months after surgery of gastric cancer. The eye was obtained for histopathologic examination at the autopsy. The superior loop was inside the residual capsular bag causing no damage to the iris and ciliary body. The inferior loop, however, was found outside the capsular sac and caused depression of the iris tissue but neither inflammation nor scarring of the iris had developed. These findings emphasize the importance of the location of iridocapsular intraocular lenses which can cause mechanical damage to the supporting tissues if the loops are not placed inside the capsular bag.

Ciliary Body↗