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Biomedical subjects

G Guillet

Publications and source records attributed to G Guillet.

At least 163 records · Page 9Linked to original sources

[Pilomatrixoma (Malherbe's calcifying epithelioma). Apropos of 13 cases observed in 6 years].

Thirteen pilomatrixomas were seen over a six year period. These small benign cutaneous tumors are infrequent though not exceptional and occur mainly in children (mean age six years). The tumor's hard consistency, irregular shape and frequently cephalic location (nearly 50% of cases) are suggestive. Diagnosis is established upon histological examination which demonstrates irregularly shaped clusters of basophilic epithelial cells; these develop into highly suggestive momified areas with shadow cells and secondary calcification. Attention is drawn to the presence of hemorrhagic modifications in recent tumors and telangiectasia. Pilomatrixomas must be considered as suborganoid hamartomas arising from the primary hair-matrix germ cells. The treatment is minimal surgical excision.

Adolescent↗

[Clinical and etiological aspects of erythema multiforme. A propos of 40 cases].

The authors analyse 40 cases of erythema multiforme (including twenty children under fifteen) seen over a five-year period at the Sick Children's Hospital in Bordeaux, Bullous erythematous target lesions of the skin were associated, in most cases, with pluri-orificial ulcerations on the mucous membranes and, less frequently, with more or less severe systemic or visceral symptoms. Borderline cases were observed, associating features of erythema multiforme simplex and of Lyell disease with variable degrees of dermoepidermal blistering and epidermal necrosis. Infection (32.5% of cases) is a more common etiology in children than in adults; the main pathogens are herpes simplex virus, vaccinia pox virus, and Mycoplasma pneumoniae. Drug-induced forms (37% of cases), which are more often seen in adults than in children, are usually due to sulfonamides or antiinflammatory agents. In 30% of cases, no etiology could be demonstrated. Attention is drawn to the frequency of facial vespertilial erythema, as well as the possible occurrence of severe conjunctival sequellae. The connections between erythema multiforme, fixed drug-induced eruptions, and Lyell disease are discussed: only the last, which implies dermoepidermal cleavage, can be categorized with erythema multiforme. The staphylococcal scalded skin syndrome, in which the epidermolysin of Staphylococcus aureus type II 71 is responsible for a superficial cleavage, proceeds from entirely different mechanisms and should be regarded as totally distinct from erythema multiforme.

Adolescent↗

Papillomavirus in cervical condylomas with and without associated cervical intraepithelial neoplasia.

The aim of this study was to analyze the cytohistologic features of cervical condylomas with respect to the presence of associated cervical intraepithelial neoplasia (CIN) and to evaluate whether or not the prevalence of virus antigen, as detected by immunologic staining with peroxidase-antiperoxidase technique, varies with the histologic appearance of the lesions. In a series of 94 histologically confirmed condylomas of the cervix, almost half (43) had features of CIN grades 1 and 2, corresponding to mild and moderate dysplasia. The prevalence of papillomavirus antigen decreased markedly as the features of associated dysplasia became more severe. The antigen prevalence was 82% in pure condylomas, 32% in condylomas with CIN 1, and 0% in condylomas with CIN 2. The evidence that virus production decreased as the lesion became more severe does not preclude papillomavirus etiology for the CIN lesions. Cells transformed by papillomavirus may be expected to cease production of virus particles even as they continue to harbor the viral genome.

Adolescent↗

[Cervical condyloma and dysplasia: histological and virological correlation apropos of 100 cases].

Colposcopy and cytology have pointed at the frequency of cervical condylomas with special consideration to flat types. The association condyloma/dysplasia and the behavior of carcinomas in situ as sexually transmitted diseases, suggest that human papillomavirus (H. P. V.) could play a role in cervical cancer. 100 patients have undergone examination for coloscopy, cytology, histology and virology. Dysplastic features were observed in 47 p. 100 and led to classify the lesions in 3 groups according to their importance: condylomas (53 p. 100), dysplastic condylomas (25 p. 100) with predominance of condylomatous pattern, dysplasia (22 p. 100) with a predominant dysplastic pattern. Virologic data were correlated with this classification and demonstrate a dramatic relationship between viral disappearance and the presence of dysplastic features. Virus was found in 83 p. 100 of pure condylomas, 16 p. 100 of dysplastic condylomas and 0 p. 100 of condylomatous dysplasias. Such a phenomenon of viral absence is observed in animal models (malignant transformation of Shope's papilloma): this could be a new argument to suspect the carcinogenic potential of H. P. V. for cervix and external genitalia.

Adolescent↗

[Diffuse poikiloderma with acrokeratosis, preceded by bullous lesions: Weary-Kindler's disease. Nosologic and histopathologic discussion].

The authors report the case of a six and a half year old girl, with extensive poikilodermatous condition and acrokeratosis, preceded by early blistering and light sensitivity. The sequence of cutaneous symptoms suggests the diagnosis of hereditary and bullous acrokeratotic poikiloderma of Weary and Kindler; forty-two cases have already been reported in the literature and our patient would better fit into Kindler's type. The original findings under electron microscopy and direct immunofluorescence (colloid bodies, IgM deposition) that are reported herein are discussed from a pathogenic point of view.

Atrophy↗