Search PubMed⌕ Search

Biomedical subjects

L Juhlin

Publications and source records attributed to L Juhlin.

At least 109 records · Page 6Linked to original sources
PubMed1985

Scanning electromicroscopy of suction blister-roofs from psoriatic lesions and normal skin.

Suction blisters were raised on psoriatic lesions and normal appearing skin. The epidermis was separated at the epidermal-dermal junction. Scanning electronmicroscopy of the dermal side of the blister-roofs from normal looking skin and almost healed psoriatic lesions showed stellate cells probably formed by cytoplasmic extensions ending at desmosomes. In non-treated psoriatic plaques the cells were rounded and lacked the stellate extensions.

Cytoplasm↗
PubMed1985

Detection of anthralin in skin during treatment.

Free anthralin was detected in the stratum corneum and in hair follicles in histological sections of patients with psoriasis undergoing short contact therapy. A solution of sodium borate was used to provoke a yellow fluorescent complex. There was a strong fluorescence especially on the plaques and anthralin could be detected in psoriatic plaques up to 48 hours after treatment. It was difficult to completely eliminate the drug by washing with soap and anthralin could even be detected on non-treated areas.

Administration, Topical↗
PubMed1985

Epidermolysis bullosa acquisita with negative direct immunofluorescence.

Epidermolysis bullosa (EB) appeared in a patient at the age of 54 years. Other bullous disorders could be excluded by electron microscopy, and there was no family history of EB. The patient would therefore best be classified as having EB acquisita. Repeated direct immunofluorescence studies were, however, negative for all tested serum samples, suggesting that there might be a subgroup lacking immunoglobulin deposits in the skin. Collagen IV, laminin, and fibronectin were expressed normally at the dermoepidermal junction.

Diagnosis, Differential↗
PubMed1984

Bullae in skin grafts.

We describe eight patients with grafted leg ulcers, in whom subepidermal bullous lesions appeared after 4-8 weeks either at the donor or the grafted site. The blisters were seen in the centre as well as just outside the graft. They remained for some days and then disappeared. Histology revealed a normal epidermis and a dermis with a moderate lymphocytic infiltration around the capillaries. No clinical signs of pemphigoid were found and friction does not seem to have been a contributing factor. We have at present no explanation for the appearance of the blisters.

Aged↗
PubMed1984

Abnormal amino acid composition of nails in Bazex's paraneoplastic acrokeratosis.

Bazex's paraneoplastic acrokeratosis is a syndrome with psoriasiform acral hyperkeratosis and nail changes associated with carcinoma of the upper respiratory or alimentary tract. We report here a case where amino acid analysis of the hyperkeratotic and friable nails differed from normal and other diseased nails investigated by us, but they were similar to those reported in trichothiodystrophy or the BIDS syndrome.

Amino Acids↗
PubMed1984

Short contact anthralin therapy of psoriasis with and without UV-irradiation and maintenance schedule to prevent relapses.

A short term anthralin application schedule was used at home in 42 patients with severe psoriasis. In another group of 21 patients treated at our day care center, UV-B irradiation was added when the surplus of anthralin had been washed off. Good healing results within 3-8 weeks were noted in most patients. To prevent relapses 31 patients continued the anthralin treatment once or twice a week after healing. In 15 cases this was combined with UV irradiation. One patient relapsed after a severe infection, but 16 others were observed for 6-9 months and 14 for 3-5 months without relapses. Irritation of non-affected skin is common especially at the beginning of the treatment and some staining of clothes and linen can occur. With proper information about this, the treatment is well accepted by the patient who generally finds it reasonably simple without the need of special protective dressings.

Adult↗
PubMed1984

Vascular effects of a local anesthetic mixture in atopic dermatitis.

An anesthetic cream with an eutectic mixture of 5% lidocaine and 5% prilocaine has been tested on the skin of healthy subjects and patients with atopic dermatitis and generalized eczema. In healthy subjects a blanching was seen when the analgesia was complete after 30-60 min. In the dry skin and eczematous lesions of atopic dermatitis an application time of 5-15 min caused a blanching and a good analgesia. When applied for 30-60 min the eczematous skin became increasingly red and in one patient purpura appeared. The white dermographism turned red in treated areas. The abnormal vascular reactions to the cream in diseased skin can be explained by a rapid and increased percutaneous absorption of the anesthetics. A shortened application time is here recommended.

Adolescent↗
PubMed1983

Wheal reactions in human skin after injection of leukotrienes B4, C4, D4 and E4.

Intradermal injections of 1-50 pmol leukotriene B4, C4, D4 and E4, (LTB4, LTC4, LTD4 and LTE4) were performed in healthy subjects and patients with recurrent urticaria. A wheal and erythema were seen 15 minutes after injection and were most marked after LTC4 and LTD4. LTE4 also produced a wheal whereas the reaction to LTB4 did not significantly differ from the saline control. When mixed with histamine no potentiation of the wheals was noted and no significant difference in reaction was observed between the healthy controls and those with urticaria.

Drug Hypersensitivity↗
PubMed1983

Effect of infrared irradiation on the recoverable levels of free arachidonic acid and prostaglandins in human forearm skin.

The inside skin of the forearm of healthy volunteers was irradiated with an infrared (IR) lamp for 1 hr, resulting in the rapid appearance of an erythema and an elevation of skin surface temperature from 30 +/- 1 degree C to 38 +/- 2 degrees C within 5 min. The erythema and elevated skin surface temperature decayed within 10-30 min when the IR irradiation was stopped. Suction blisters were raised on nonirradiated skin and on irradiated skin both during irradiation and at various times after irradiation stopped. Elevated levels of free arachidonic acid, PGE2, PGD2, PGF2 alpha and 6-oxo-PGF1 alpha were found up to 24 h after irradiation. By 48 h the prostaglandin levels had returned to control values whereas the free arachidonic acid levels were still elevated at 72 h. The peak level of 6-oxo-PGF1 alpha appears between 0-6 h whereas for PGE2, D2, and F2 alpha it is between 6-16 h, suggesting a different cellular source for this prostaglandin.

6-Ketoprostaglandin F1 alpha↗
PubMed1983

The influence of treatment on fibrin microclot generation in psoriasis.

The in vitro formation of fibrin microclots in blood from patients with psoriasis was studied before, during and after treatment. When a bacterial lipopolysaccharide was added to the blood, the microclot test was positive in 0% of controls, in 17% of the patients with untreated slight psoriasis and in 100% of those with severe psoriasis. A positive test without added lipopolysaccharide indicates the presence of circulating endotoxins. It was negative in all patients with slight psoriasis but positive in 75% of those with a severe form. During treatment the microclots decreased concurrently with clinical improvement in 79% of the patients. After treatment, eleven patients still had a positive test and nine of these patients showed a relapse within 1-2 months. Warfarin treatment rapidly inhibited microclot formation but this had little or no effect on the psoriatic lesions. High doses of potent corticosteroids under occlusion inhibited microclot formation for some hours. It seems likely that there may be a release of endotoxins in severe psoriasis which is decreased during successful treatment.

Adult↗
PubMed1983

Effect of vasoactive agents on prostanoids in suction blister fluid.

Iontophoresis of histamine in the skin has been shown to release prostaglandins and arachidonic acid in suction blister fluid. Application of DMSO had a similar effect. No effect was found after using the following erythema and oedema irritants: scraping, vibration and ketocaine. Treatment with vasoconstricting drugs such as noradrenaline betamethasone and lidocaine-prilocaine mixture did not influence the prostaglandin or arachidonic acid levels.

Adult↗