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Biomedical subjects

J H Graham

Publications and source records attributed to J H Graham.

At least 55 records · Page 3Linked to original sources

Carcinoma cuniculatum (verrucous carcinoma of the skin): a clinicopathologic study of 46 cases with ultrastructural observations.

Forty-six examples of carcinoma cuniculatum, a rare variant of squamous cell carcinoma of the skin, were studied by means of light and electron microscopy and immunoperoxidase techniques. The tumors usually presented as ulcerated, fungating, and polypoid masses with openings of sinus tracts onto the skin surface that exuded foul-smelling greasy material when pressure was applied. On microscopic examination the tumors were seen to be composed mainly of mature squamous keratinocytes with foci of cellular atypia. Electron microscopic studies revealed features of well-differentiated squamous cell carcinoma. The tumor may affect any cutaneous area of the body, and there is a predilection for the feet, particularly the soles. The cause must still be determined, but trauma, chronic irritation, and/or viral infection may play a role. The neoplasm is a low-grade carcinoma capable of local invasion, extension into bone, and rare metastasis to the regional lymph node. Although immunoperoxidase studies revealed no inclusions, infection by human papilloma virus (HPV) remains a possibility.

Adult↗

Membrane-mediated decrease in root exudation responsible for phorphorus inhibition of vesicular-arbuscular mycorrhiza formation.

The mechanism responsible for phosphorus inhibition of vesicular-arbuscular mycorrhiza formation in sudangrass (Sorghum vulgare Pers.) was investigated in a phosphorus-deficient sandy soil (0.5 micrograms phosphorus per gram soil) amended with increasing levels of phosphorus as superphosphate (0, 28, 56, 228 micrograms per gram soil). The root phosphorus content of 4-week-old plants was correlated with the amount of phosphorus added to the soil. Root exudation of amino acids and reducing sugars was greater for plants grown in phosphorus-deficient soil than for those grown in the phosphorus-treated soils. The increase in exudation corresponded with changes in membrane permeability of phosphorus-deficient roots, as measured by K(+) ((86)Rb) efflux, rather than with changes in root content of reducing sugars and amino acids. The roots of phosphorus-deficient plants inoculated at 4 weeks with Glomus fasciculatus were 88% infected after 9 weeks as compared to less than 25% infection in phosphorus-sufficient roots; these differences were correlated with root exudation at the time of inoculation. For plants grown in phosphorus-deficient soil, infection by vesicular-arbuscular mycorrhizae increased root phosphorus which resulted in a decrease in root membrane permeability and exudation compared to nonmycorrhizal plants. It is proposed that, under low phosphorus nutrition, increased root membrane permeability leads to net loss of metabolites at sufficient levels to sustain the germination and growth of the mycorrhizal fungus during pre- and postinfection. Subsequently, mycorrhizal infection leads to improvement of root phosphorus nutrition and a reduction in membrane-mediated loss of root metabolites.

Journal Article↗

Generalized pediculosis corporis. Microscopic study of hairs.

A case generalized pediculosis corporis is presented. Microscopic study of sectioned hairs stained with hematoxylin and eosin and of hairs under polarized light allowed identification of larval content and eggs. The value of microscopic examination of hairs is shown.

Diagnosis, Differential↗

Desmoplastic nevus: a distinct histologic variant of mixed spindle cell and epithelioid cell nevus.

From a series of 75 cases of mixed spindle cell and epithelioid cell nevi, 14 were designated as desmoplastic nevi. Junctional activity, theque formation, and pigmentation were uncommon features. As a result, desmoplastic nevi may be confused with a variety of fibrohistiocytic lesions. Well defined intranuclear invaginations of cytoplasm occurred in 12 cases, and were helpful in differentiating desmoplastic nevi from these lesions. Desmoplastic malignant melanoma must also be considered in the microscopic differential diagnosis, but distinguishing features of desmoplastic melanoma include the presence of preexisting lentiginous melanoma, and necrosis of tumor cells and collagen. Desmoplastic nevus was compared to the ordinary variants of mixed spindle cell and eipthelioid cell nevus in an attempt to define etiologic factors responsible for a desmoplastic reaction. No satisfactory explanation could be found since the clinical variables examined were not statistically different.

Adolescent↗

Elastosis perforans serpiginosa associated with morphea. An example of "performing morphea".

A 16-year-old girl is described with elastosis perforans serpiginosa occurring within a lesion of morphea. Histologic examination showed a definite relationship between the abnormal elastic fibers in the perforation and in foci of surrounding morphea. Although the concurrence of these conditions may be coincidental, we believe that this case represents perforating morphea, a secondary form of elastosis perforans serpiginosa.

Adolescent↗

Ethylene production by ectomycorrhizal fungi, Fusarium oxysporum f. sp. pini, and by aseptically synthesized ectomycorrhizae and Fusarium-infected Douglas-fir roots.

The ectomycorrhizal fungi Cenococcum geophilum, Hebeloma crustuliniforme, and Laccaria laccata produced ethylene in vitro in modified Melin-Norkrans liquid medium only if amended with 2.5-10mM methionine; Pisolithus tinctorius failed to produce ethylene unless the cultures were renewed with fresh methionine-amended medium before ethylene assay. An additional 19 ectomycorrhizal fungi, plus five isolates of Fusarium oxysporum f. sp. pini, all produced ethylene in renewed and (or) nonrenewed media. Although the rates varied, ethylene production by many ectomycorrhizal fungi equaled that of Fusarium. Culture filtrates of H. crustuliniforme and L. laccata also evolved ethylene that was apparently of nonenzymatic origin. Ethylene was produced by aseptically grown Douglas-fir seedlings inoculated with C. geophilum, H. crustuliniforme, and L. laccata and appearance of ethylene coincided with the formation of mycorrhizae; production by P. tinctorius inoculated seedlings was inconsistent. Lateral root formation of Douglas-fir was stimulated by inoculation with C. geophilum, H. crustuliniforme, and L. laccata but was inhibited by P. tinctorius. Fusarium-inoculated seedlings produced more ethylene sooner than seedlings inoculated with mycorrhizal fungi. The disparity in the levels of ethylene associated with ectomycorrhiza formation compared with Fusarium infection suggests a possible differential role for ethylene in symbiotic and pathogenic fungus-host interactions.

Cells, Cultured↗

Cytomegalovirus infection of the colon associated with ulcerative colitis.

We report a 12th case in which infection of the colon with cytomegalovirus was demonstrated in association with ulcerative collitis. Rectal biopsy has proven to be reliable in identifying cells with cytomegaloviral inclusion bodies if careful histologic evaluation is performed. Thus far, prognosis has been serious when cytomegalovirus of the colon has been documented in ulcerative colitis. Nine of 12 patients have required a colectomy, and only seven of 12 have survived.

Agammaglobulinemia↗

Granular cell basal cell carcinoma. A distinct histopathologic entity.

In two cases of basal cell carcinoma with prominent granular cell features, light microscopic examination showed a tumor with the general configuration of a nodular basal cell carcinoma. Focally, there were masses of cells with eosinophilic, granular cytoplasm and large cytoplasmic inclusions, strongly suggestive of granular cell myoblastoma. Ultrastructural observations in one case showed numerous lysosome-like organelles that were similar to those described for granular cell myoblastoma, but were identical to those described for the granular cell variant of ameloblastoma, a tumor that frequently resembles basal cell carcinoma. Additional features included tonofilaments and desmosomes, both of which support an epithelial origin for the granular cells in this rare variant of basal cell carcinoma.

Aged↗

Reverse phase high pressure liquid chromatographic determination of some iodoamino acid contaminants in sodium liothyronine or sodium levothyroxine.

Some iodoamino acids have been separated and determined by high pressure liquid chromatography on octadecylsilane reverse phase packing with a mobile phase consisting of methanol, potassium phosphate monobasic, and orthophosphoric acid at 44 degrees C. The method separates and quantitates mixtures of 3,5-diiodothyronine, liothyronine, isoliothyronine, and levothyroxine. The procedure provides an accurate, sensitive, and rapid estimation of decomposition and/or impurities in standards in approximately 30 min, at the less than 75 pmole level, using an ultraviolet detector at 254 nm.

Amino Acids↗

Epithelioma cuniculatum pedis, a variant of squamous cell carcinoma.

The rare lesion of epithelioma cuniculatum pedis may be recognized by the gross appearance of a slow-growing, bulky, "squashy," non-healing, exophytic mass of long duration on the sole, exuding foul-smelling purulent keratin debris from numerous sinuses, and biopsies showing extensive infiltrating plaques of keratinizing, well-formed, squamous epithelium forming walls for numerous sinuses filled with purulent material. The rarity of the lesion, the slow growth, and biopsies showing relatively benign-appearing well-differentiated squamous epithelium caused considerable diagnostic difficulty to clinicians and pathologists. The tumor failed to heal, extensively penetrated the soft tissues, ultimately destroyed the metatarsal bones, and invaded the skin of the dorsum of the fott. The lesion should be treated as a slow-growing, well-differentiated squamous cell carcinoma by wide local excision or by amputation when extensive growth causes deformity of the foot or penetration of the metatarsal bones.

Adult↗

Intravascular papillary endothelial hyperplasia. A benign lesion mimicking angiosarcoma.

Observations were made of three cases of intravascular papillary endothelial hyperplasia (IPEH). Lesions of IPEH usually occur on the head and neck area as a subcutaneous red or blue nodule. This papillary proliferation of endothelial and stromal tissue occurs de novo in organizing venous thrombi or in preexisting hemangiomas or phlebectasias. An adequate understanding of this benign vascular disorder is important, since the lesion may be clinically and histologically mistaken for low grade angiosarcoma.

Adult↗

Rapid method for Tzanck preparations.

Use of the Paragon Multiple Stain for Frozen Sections (PMS) for Tzanck preparations of herpetic lesions has several distinct advantages over procedures previously described; the method is rapid, simple, inexpensive, and results in hematoxylin-eosin-like staining. This enables a diagnosis to be made from a single, affected cell.

Cytodiagnosis↗