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Biomedical subjects

M Krulik

Publications and source records attributed to M Krulik.

At least 145 records · Page 8Linked to original sources

[Systemic mastocytosis with myeloid splenomegaly type hematological manifestations].

The authors report the case of a patient suffering from systemic mastocytosis with cutaneous, medullary, bone, hepatic and splenic involvement, the clinical and haematological picture of which was that of myeloid splenomegaly. Furthermore, this picture included hypersplenism, clearly demonstrated by isotopic study and the successful results of splenectomy. Blood histamine levels were normal though urinary excretion of histamine was increased. Histamine levels in the spleen were greatly increased. Serotonin levels in the blood and its urinary metabolites were normal. Heparin activity was demonstrated in the spleen, but not in the blood.

Biopsy↗

[Human erythrocyte glycerides].

There are difficulties in measuring red cell glycerides mainly because the amount found in erythrocytes is so differne from that of other lipids in blood cells. The red corpuscles contain only very small quantities of glycerides, about 5mg/1, while the amount of cholesterol and phospholipids is 200 to 500 times higher. The methods currently used for estimating glycerides in serum can be used here only after removing these other lipids. The distribution of glycerides in erythrocytes is ver different from that of serum: serum contains mainly triglycerides while there are diglycerides as well as triglycerides in erythrocytes (on average 3,4 micro mol/1 of triglycerides and 1,7 mumol/1 of diglycerides).

Cholesterol↗

[Monoclonal paraproteins other than in Kahler's and Waldenström's diseases. Apropos of 67 cases].

On the basis of 67 cases of patients suffering from monoclonal dysglobulinaemias other than multiple myeoloma and Waldenström's disease, the authors report the characteristics of their series. The review current diagnostic criteria and, in this context, present their experience of caryotypic determination which was carried out in 24 subjects. These dysglobulinaemias may occur in isolation, on a familial basis or in association with some other pathology, which leads to the suggestion of a number of aetiopathogenic hypotheses, which are probably interlinked.

Adult↗

[Myelomatous G-kappa immunoglobulin with antistreptolysin O activity].

A new case of myeloma with antistreptolysin O activity is described. The myeloma protein is Kappa IgG. By precipitation of this myeloma IgG with anti-Kappa antiserum, the antistreptolysin O activity is completely inhibited. For the antibody activities of the myeloma protein described in the litterature, the antistreptolysin O activity is the most frequently found. With this 19th case the authors discuss the fundamental problems of the antibody activities of myeloma protein.

Antibody Specificity↗

[Spontaneous septic arthritis in disseminated lupus erythematosus].

The authors report the case of a young 17 year-old girl with acute systemic lupus erythematosus who presented with purulent arthritis due to Group A hemolytic streptococcus in the knee, and perhaps other joints. She had not yet received any treatment. The purulent arthritis was cured by antibiotics. In spite of corticosteroids and immuno-suppressive agents (Chlorambucil), the patient died one year later. Spontaneous purulent arthritis is rare during systemic lupus erythematosus. We found only 8 other cases in the world literature. Contrary to our case, these were patients already treated with corticosteroid or immuno-suppressive agents. In our patient, the absence of previous treatment permitted us to incriminate the lupus itself in the onset of this infection. The conditions of onset of infection during lupus erythematosus are discussed.

Adolescent↗

[Pseudo-tumoral suprarénal-renal dysgenesis (author's transl)].

Intimate fusion of the renal and suprarenal parenchyma, associated with cystic lesions in the zone of tissue juxtaposition, constitutes a form of suprarenal-renal dysgenesis for which the name "dystopia" has been suggested. The distinction must be made from suprarenal-renal adhesions in which a connective tissue barrier between the two parenchymas persists. In this present case, the malformation gave rise to a pseudo-tumoral syndrome of rapid appearance in association with a haemorrhage. Removal of the kidney cannot be avoided in view of the absence of any plane of cleavage with the suprarenal when the suprarenal tumour is removed.

Adrenal Gland Neoplasms↗