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Biomedical subjects

M Ali

Publications and source records attributed to M Ali.

480 records · Page 27Linked to original sources

Flexural Bazex syndrome associated with tonsillar adenocarcinoma.

Bazex Syndrome (acrokeratosis paraneoplastica) is characterized by a psoriasiform skin eruption that favors acral sites and has been associated with underlying malignancy in all reported cases. Squamous cell carcinoma of the upper third of the respiratory system and upper third of the gastrointestinal tract and squamous cell carcinoma of unknown primary with cervical lymph node metastasis are the most commonly associated neoplasms. Here we report a case of flexural Bazex syndrome with tonsillar adenocarcinoma.

Adenocarcinoma↗

Co-existence of lichen planus and sarcoidosis.

We present a 53-year-old patient with respiratory sarcoidosis who subsequently developed cutaneous lichen planus (LP). Biopsy of the skin lesions showed typical LP with no evidence of sarcoid granulomas. To the best of our knowledge the two conditions have not been reported in association.

Humans↗

Asymptomatic lymphangitis carcinomatosis due to squamous cell lung carcinoma.

Lymphangitis carcinomatosa most commonly due to primary malignancy originating in the breast, stomach, pleura and prostate but may also originate from the lung itself. It is clinically characterised by progressing dyspnoea with or without cough even at an early stage. We report the case of a patient with squamous cell lung cancer presenting with asymptomatic lymphangitis carcinomatosa.

Biopsy, Needle↗

Diabetic nephropathy as a cause of end-stage renal disease in Egypt: a six-year study.

The prevalence of diabetic nephropathy as a cause of end-stage renal disease (ESRD) in Egypt has been examined in small cross-sectional studies, with conflicting results. The need for a large-scale study prompted us to perform this 6-year multiple cross-sectional study. A sample of ESRD patients enrolled in the Egyptian renal data system was evaluated during the period 1996-2001 for the prevalence of diabetic nephropathy. Prevalence gradually increased from 8.9% in 1996, to 14.5% in 2001. The mean age of patients with diabetic nephropathy was significantly higher than that of patients with ESRD from other causes. Mortality was also significantly higher in diabetic patients with ESRD.

Adult↗

Gadolinium use in spine procedures for patients with allergy to iodinated contrast--experience of 127 procedures.

BACKGROUND AND PURPOSE: To review the safety and efficacy of gadolinium as a contrast agent in spine pain management procedures in patients who are at high risk for a contrast reaction and are therefore unacceptable candidates for the use of standard nonionic contrast. METHODS: We reviewed our records over a 4-year period of interlaminar and foraminal epidural steroid injections, nerve blocks, facet injections, intercostal blocks, and diskograms in the lumbar, thoracic, and cervical spine for cases in which patients had allergies that made them unsuitable candidates for standard nonionic contrast and where gadolinium was used to confirm needle tip placement before injection of medication. RESULTS: Ninety-two patients underwent 127 procedures. A spinal needle was used in all but 7 procedures. All patients were outpatients and all were discharged without complication after 20 to 45 minutes with follow-up instructions. No delayed complications were reported. Gadolinium was visualized by using portable C-arm fluoroscopy in vivo allowing for confirmation of needle tip location. For epidural steroid injection, the gadolinium dose ranged from 1 to 5 mL, nerve blocks from 0.2 to 1 mL per level, facet injections from 0.2 to 0.5 mL per level, intercostal blocks used 0.5 mL, and diskograms from 1.5 to 7.5 mL per level. The highest dose received by 1 patient was an intradiskal 15.83 mL during a 3-level diskogram. CONCLUSION: Gadolinium seems to be a safe alternative to standard nonionic contrast in spine pain management procedures in those patients considered to be at high risk for a contrast reaction.

Back Pain↗

Heat shock-induced loss of the glucocorticoid receptor protein in cultured cells.

Effects of heat shock on the glucocorticoid receptor (GR) hormone binding activity and its degradation have been studied in mouse AtT-20 pituitary tumor cells in culture. Heat shock of cultured cells rapidly (30 min at 42 degrees C) enhanced the incorporation of [35S]methionine into heat shock protein 70 (hsp70), hsp90, and other unidentified hsp's. Maximum induction of newly synthesized hsp's occurred after 2-4 h at 42 degrees C. The initiation of the heat shock response rapidly and progressively decreased the total cellular GR hormone binding activity, and 4 h of heat shock resulted in the loss of about 80% of the initial hormone binding. This loss of GR hormone binding occurred at times when the general protein synthesis pattern or cellular viability was not significantly affected. In addition, cycloheximide prevented subsequent heat shock-induced loss of cellular hormone binding, suggesting that protein synthesis is required for this effect. By labeling of cellular GR with [3H]dexamethasone 21-mesylate at 37 degrees C and then transferring the cells to 42 degrees C, it was shown that heat shock caused an actual degradation (loss) of the 94 kDa GR protein. In addition, heat shock also caused loss of immunoreactive 94 kDa GR as detected by anti-GR (BuGR2) in a Western blot assay. A comparison of the loss of hormone binding and the disappearance of 94 kDa GR band during heat shock of AtT-20 cells followed similar kinetics (t1/2 = 1 h). Finally, the residual GR remaining in the cells after heat shock did not associate normally with the cell nucleus, perhaps indicating that a substantial alteration in GR structure had occurred. These studies suggest that the initiation of the shock response, and possibly the elevated levels of hsp's themselves, may be involved in the specific degradation of cellular GR. Therefore, heat shocked cells are likely to be refractile to the glucocorticoids.

Affinity Labels↗

Respiratory symptoms due to Branhamella catarrhalis and other Neisseria species infections--response to erythromycin therapy.

Neisseria microorganisms (Neisseria lactamica, Neisseria sicca, and Neisseria mucosa) are regarded as normal respiratory commensals. Branhamella catarrhalis (formerly Neisseria catarrhalis) has also been regarded as a normal respiratory commensal, but reports indicate that it can be pathogenic. The role of Neisseria spp was studied in 160 patients with chest infections and symptoms and signs of obstructive respiratory disease. Group I patients (n = 140) had a history of asthma, bronchitis, and emphysema. Group II patients (n = 20) had an initially responsive pulmonary tuberculosis but presented with fever and obstructive airway disease. Group I patients had disease that was difficult to control despite increased bronchodilator therapy, but they responded dramatically after two to three days of appropriate antibiotic therapy. Patients in group II showed a similar response to erythromycin. Neisseria infection was responsible for precipitating or exacerbating respiratory distress in both groups. Accordingly, it is concluded that Neisseria can be pathogenic and that patients with fever and obstructive respiratory symptoms require treatment.

Adolescent↗