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Biomedical subjects

E Okon

Publications and source records attributed to E Okon.

At least 145 records · Page 8Linked to original sources

Hairy cell leukemia: report of an unusual case with hepatomegaly due to a large vascular tumor of the liver, mediastinal mass and pleural effusion containing hairy cells.

An unusual patient with hairy cell leukemia (HCL) who developed marked hepatomegaly due to a large vascular tumor in the liver is reported. The relation of this vascular tumor to the microscopic splenic pseudosinuses and hepatic angiomatous lesions encountered in HCL is discussed. To the best of our knowledge this represents the first case report of the association of HCL with large macroscopic hemangioma of the liver causing hepatomegaly. The patient also developed a large paratracheal mediastinal mass with a recurrent pleural effusion which was shown to contain many typical hairy cells. This rare finding is discussed in relation to the isolated cases of lymphocytic lymphoma who present with clinical and morphological features mimicking HCL. This patient had HCL according to all established criteria with characteristic morphological, cytochemical and ultrastructural features and the pleural effusion and mediastinal mass were most probably part of the HCL neoplasia, despite the fact that biopsy was not performed.

Female↗

Human peripheral blood mononuclear cells cultured in serum-free medium: a functional and morphological study using light and scanning electron microscopy.

Mononuclear cells of the human peripheral blood (PBMs), separated by the gradient-centrifugation technique, were cultured in serum-free medium. After separation into adherent cells (A-PBMs) and non-adherent cells (NA-PBMs), morphological differences between the two cell populations were observed. A-PBMs grew in serum-free culture for up to 70 days and the NA-PBMs for 30 days, without loss of viability. Cells were examined for phagocytosis of latex particles and prostaglandin secretion (PGE2 and thromboxane), in particular. Of all cells studied, the young adherent cells (3-7 days in culture) were the most efficient in performing these functions. In mixed cultures, containing A-PBMs and NA-PBMs, attachments between both cell types via elongated cytoplasmic extensions were seen. Toward the end of the culture period, a dense cellular network developed on the substrate of the culture chamber. This phenomenon has not been reported for PBMs culture using conventional serum-enriched media.

Blood↗

Angioimmunoblastic lymphadenopathy. A case with an unusual clinical course with marked tumorous infiltration of multiple organs and striking intestinal involvement.

An unusual case of angioimmunoblastic lymphadenopathy (AILD) with a rare clinical course and marked gastrointestinal involvement is reported. Two years after the onset of AILD, there was a dramatic alteration in the clinical picture which appeared to take on a malignant course. Despite the clinical course and the presence of macroscopic tumors in multiple sites at autopsy, there was no transformation to immunoblastic sarcoma. The typical histologic picture of AILD was still evident in all organs examined. The rarity of massive gastrointestinal involvement in AILD is stressed.

Aged↗

Immunoperoxidase method of identification of Leishmania in routinely prepared histological sections.

An indirect immunoperoxidase technique was applied for identification of Leishmania in routinely prepared histological sections. Paraffin embedded, formalin-fixed slide preparations of skin (1 case), bone marrow (2 cases) and lymph node (1 case) were examined. The tissues were obtained from one patient with cutaneous leishmaniasis and from three patients with visceral leishmaniasis. Specific rabbit antisera against L. donovani, L. tropica and L. mexicana were used as primary reagents. Positive controls were performed simultaneously and included L. tropica cultures in blood-agar (NNN media) - free promastigotes and amastigotes within macrophages. Strongly positive brown staining was localized specifically in Leishman-Donovan (LD) bodies only. This method increases the probability of microscopic diagnosis of leishmaniasis and helps to prevent confusion of Leishmania with other infective agents in histological sections.

Bone Marrow↗

The association between autoimmunity and agnogenic myeloid metaplasia.

A patient with agnogenic myeloid metaplasia (AMM) associated with an ill-defined autoimmune disease is described and the literature on autoimmunity in AMM is reviewed. In view of the available data, it seems that the association between AMM and autoimmunity observed in our patient is not fortuitous.

Adult↗

The use of carcinoembryonic antigen for identification of human tumor cells in malignant effusions.

A specific anti-carcinoembryonic antigen (CEA) antiserum was used to identify CEA-positive tumor cells in peritoneal and pleural effusions obtained from patients with various malignant neoplasia. In 7 out of 10 fluids in which tumor cells were detected by cytological examinations, cytoplasmic CEA-positive cells were also detected by an indirect immunofluorescence test. In addition, out of 11 fluid samples cytologically negative for tumor cells, CEA-positive cells were found in 8 cases. When both staining for cytoplasmic CEA and soluble fluid CEA levels were considered in combination, 81% of the samples were found to be positive by either one or both of these markers, whereas only 54% were positive by using cytological criteria. The data suggest that CEA marker may be used to identify tumor cells and to assess malignancy in pleural and peritoneal effusions in patients with certain types of cancer. The CEA marker was also used for identifying tumor cells grown in tissue cultures and for separating viable CEA-positive and CEA-negative cells from a mixed cell population using the fluorescence-activated cell sorter.

Ascitic Fluid↗

Giardiasis in childhood: poor clinical and histological correlations.

Ten pediatric patients investigated for chronic diarrhea, chronic weight loss, or failure to thrive were found on intestinal biopsy and/or in a duodenal aspirate to have Giardia lamblia. Serum immunoglobulin levels were normal or elevated in all patients. Three children had increased excretion of fecal fat and three other children had low D-xylose absorption. Jejunal biopsy specimens showed two severe, three moderate, and two mild morphological abnormalities, and three were normal. Except for lactase deficiency, disaccharidase activities correlated poorly with the severity of mucosal damage on biopsy. Steatorrhea was seen only with the more normal biopsies. Immunofluorescent staining of the biopsies for IgG, IgM, IgA, and secretory piece revealed no immune defects. Thus, there was no single malabsorption defect associated with giardiasis, and the specific defects did not necessarily correlate with morphological changes.

Child↗

Strongyloidiasis in infancy. Case report and review.

A 15-month-old child with extreme failure to thrive due to intractable diarrhea since the age of 20 days was found to have live Strongyloides larvae in aspirated duodenal juice. Larvae were seen embedded in crypts of jejunal mucosa obtained by peroral biopsy. Following treatment with thiabendazole, a dramatic recovery ensued. The pathophysiology and clinical spectrum of strongyloidiasis is reviewed and the importance of its recognition stressed.

Biopsy↗

Duplication of the gallbladder associated with childhood obstructive biliary disease and biliary cirrhosis.

A 4-yr-old girl presented with recurrent attacks of abdominal pain, vomiting, fever, and jaundice, progressing to biliary cirrhosis. The diagnosis of duplication of the gallbladder was established by transhepatic cholangiography. Clinical recovery and histologic improvement followed removal of the gallbladders. In every case of obstructive biliary disease or biliary cirrhosis in childhood, no effort should be spared in searching for a malformation of the biliary system.

Child, Preschool↗

Renal pseudotumour following treatment of Wilms' tumour.

A 9 1/2-year-old boy was found to have a mass occupying the lower pole of his left kidney, six years after his right kidney had been removed because of a Wilms' tumour. Investigation of the mass included angiography which demonstrated a mass with pathological arteries. Open biopsy of the mass revealed histological changes of nonspecific nephritis. It is probable that this nephritis was a result of radiation damage potentiated by concurrent treatment with actinomycin D, which he had received six years ago.

Angiography↗

A novel method for localization of gonadotropin releasing hormone receptors.

Two 125I-labeled analogs of GnRH, [acidobenzoyl-D-Lys6]GnRH (I) and [D-Lys6]GnRH (II) were used for the localization of GnRH receptors in pituitary cells. The analogs exhibited high binding affinity to pituitary membrane preparations and after photoactivation (analog I) or cross-linking with glutaraldehyde (analog II), these analogs are bound covalently to pituitary cells. The distribution of the labeled hormones by light and electron microscopic autoradiography indicated that after exposure of pituitary cells to 125I-labeled hormones at 4 C (90 min), most of the labeled hormones were associated with the cell surface membrane, while at 37 degrees C (30 min) most of the cell-bound labeled hormones were internalized.

Animals↗