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Biomedical subjects

C Papageorgiou

Publications and source records attributed to C Papageorgiou.

111 records · Page 7Linked to original sources

External ophthalmoplegia with ragged-red fibres and acetylcholine receptor antibodies.

The cases of two elderly women with external ophthalmoplegia, generalized muscle weakness and serum anti-acetylcholine receptor antibodies, are presented. The electophysiological studies showed a myopathic pattern but no indications of myasthenia after repetitive stimulation. The edrophonium test was negative and there was no response to anticholinesterase medication. In addition, elevated serum lactic acid levels and ragged-red muscle fibres in the muscle biopsy, were observed in both patients. These findings are discussed in relation to the fact that anti-acetylcholine receptor antibodies are diagnostic of myasthenia gravis, whereas ragged-red fibres and elevated lactic acid are correlated with mitochondrial myopathies.

Aged↗

Type II glycogenosis and thyroxine binding globulin deficiency in the same family.

An eight-member family is presented with two female members suffering from the juvenile form of acid maltase deficiency (AMD), the diagnosis confirmed by biochemical study of muscle. Biochemical leucocyte investigation revealed reduced a-glucosidase activity in both patients, a brother and the parents. Endocrinological study of the family disclosed reduced levels of thyroxine binding globulin (TBG) in the father and the three daughters. We consider the co-existence of AMD and TBG deficiency interesting, as thyroxine seems to play a role in the activation of acid maltase.

Adult↗

Size and proportion of fiber types in human muscle fascicles.

Size and distribution of 2 histochemical types of muscle fibers within the human muscle fascicle were investigated. Cryostat sections (ATPase, pH 9.4) were studied from 15 quadriceps femoris, 15 biceps brachii and 15 deltoid muscles taken at autopsy from 12 males and 9 females who had no history of neuromuscular disease. The number and the lesser diameter of type 1 and type 2 fibers were counted and percentage and mean diameter of the 2 types of fibers were calculated separately for periphery and interior of randomly selected fascicles. The results showed that a progressive age-related reduction of the diameter of type 2 fibers is observed and the predominance of type 2 fibers in the periphery is a constant finding in all muscles studied, regardless of sex and age.

Adolescent↗