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Biomedical subjects

K Shioda

Publications and source records attributed to K Shioda.

At least 37 records · Page 2Linked to original sources

Clinical course of early fetal loss and its chromosomal characteristics.

The relationship between types of chromosomal abnormalities and fetal development documented by ultrasonography was discussed in early spontaneous abortions. The subjects were 113 patients who had vaginal ultrasonography at least twice between 6 and 8 weeks of pregnancy, among 167 abortuses with chromosome analyzed. The results were also compared against those for 303 normally developing fetuses. The results obtained in the present study suggested that each fetus with a chromosomal abnormality succumbed at or after a specific stage of fetal development and that the fetal death might be the results of severe fetal growth suppression.

Abortion, Spontaneous↗

[A case of Klippel-Trenaunay-Weber syndrome accompanied by congenital hydrocephalus and micropolygyria].

We report a patient with the Klippel-Trenaunay-Weber syndrome accompanied by congenital hydrocephalus, which was slowly progressive and an Ommaya's reservoir was set up. However, the hydrocephalus remained stable even when the shunt was removed due to infection. Generalized tonic clonic convulsions had appeared from six months after birth and were treated with valproic acid. The electroencephalogram showed hypsarrhythmia. He died at eight months of age. Autopsy revealed extensive micropolygyria of the bilateral cerebral hemispheres and hydrocephalus. To our knowledge, it is rare for the Klippel-Trenaunay-Weber syndrome to be accompanied by congenital hydrocephalus, and there has been no previous report of its occurrence with micropolygyria.

Brain↗

[Comparison of the indirect immunobead test and the sperm immobilization test for detection of antisperm antibody].

The indirect immunobead test (indirect IBT; IgG.IgA) and the sperm immobilization test (SIT) were carried out for 75 infertile patients to detect antisperm antibodies in the sera. The results were as follows. 1) Twenty three cases showed positive results in the IBT, and 14 out of the 23 showed also positive in the SIT. 2) Fifty two cases which had negative results in IBT also had negative results in SIT. 3) IgG-IB attached to sperm were observed in 14 with positive SIT, but no IgA-IB were observed in 4 cases out of the 14. 4) IgG-IB attached to both the sperm head and end-tail in 12 cases out of the 14, but only to the sperm end-tail in the other 2 cases. We therefore concluded that, 1) IBT detected anti-sperm antibodies more readily than SIT. 2) IBT was an alternative to SIT for screening. 3) Sperm immobilization antibodies appeared to be in the IgG class rather than in the IgA class. 4) It appeared that sperm immobilization antibodies might be able to attach to the sperm tail as well as the head.

Agglutination Tests↗

[Clinical significance of direct immunobead test to detect anti-sperm antibody].

Direct immunobead test (IBT) (IgG.IgA) was carried out for 290 infertile men to detect antisperm antibodies. The results, compared with semen data analyzed by traditional methods and a computer assisted semen analyzer and with hormone levels, were as follows. 1) In 21(7.2%) out of the 290 men, IgG-immunobead (IB) binding was observed in more than 50% of their motile spermatozoa; in 10(3.4%) of the 290, IgA-IB binding. 2) In all of the cases with proven fertility, the IB binding rate was less than 60% for IgG-IB, and less than 40% for IgA-IB. This suggested that antibodies attached to sperm could be among the factors in male infertility. 3) Antibodies attached to the sperm head with binding rate of less than 40% were not considered to be a causative factor in male infertility. 4) The incidence of positive IgG-IB was higher, and also in each case the IgG-IB binding rate was higher than the IgA-IB. 5) IgG-IB binding parts of each spermatozoon included IgA-IB binding parts. 6) No significant relationship was observed between the results of traditional semen analysis, LH.FSH.PRL levels or PENETRAK and the rates of IB binding.

Adult↗

[Neuropathological study of severely handicapped children: relationships of cortical and subcortical destructive lesions].

Neuropathological examinations were performed on 30 autopsy cases of severely handicapped children. Among them, 11 cases showed bilateral cerebral destructive lesions. The cerebral lesions were divided into three groups; six cases with dominantly grey matter lesions, three with dominantly white matter lesions and two with combined grey and white matter lesions. The cortical lesions were found in the fronto-parieto-occipital lobes and cingulate gyri, while undersurface of the temporal lobes showed less destruction. The white matter lesions, consisting of marked gliosis and atrophy accompanied by ventricular dilatation, were remarkable in the area extending from the periventricular region to the centrum semiovale. These changes were more apparent in the occipital lobes. Cerebellar lesions were found in nine cases, which also were classified into grey matter and white matter lesions. The extent and characteristics of these lesions resembled those of the cerebral lesions. The basal ganglia showed no remarkable destruction in the cases with severe cortical and subcortical damages. It was assumed that these nuclei had survived the disconnection from the cortex. Thalamic lesions were observed in six cases, mainly restricted to the dorsal and/or lateral nuclei. No relationship was found between these thalamic lesions and the extent or intensity of cerebral destruction. It is suggested that each of the thalamic nuclei has a different characteristic vulnerability to such destructive conditions.

Adult↗

Subacute necrotizing lymphadenitis --a clinicopathologic study.

This report describes the clinical and pathologic findings of 21 patients with subacute necrotizing lymphadenitis (N.L.). Clinical features of all but 2 patients were as typically described in the literature; young age, enlargement of cervical or axillary lymph nodes, slight to moderate fever with poor response to antibiotics, and invariable spontaneous resolution. Two patients showed atypical clinical findings; remittent high fever with profound prostration in both patients, generalized lymphadenopathy in one, and being a Caucasian in the other. Systemic symptoms resolved gradually, and both patients are now doing well. One patient, however, underwent a staging laparotomy due to a misdiagnosis as unclassifiable lymphoma of the lymph node biopsy. Biopsies of the lymph nodes from all patients demonstrated the typical pathologic features of N.L.; i.e., an intensive proliferation of leukocytes were characteristically absent. Bacteriologic and serological studies were negative. We conclude that some patients with N.L. run a protracted course with remittent high fever before spontaneous resolution and that a correct pathologic diagnosis helps precluding unnecessary diagnostic or therapeutic measures on such patients.U

Adolescent↗