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Biomedical subjects

M Lluch

Publications and source records attributed to M Lluch.

At least 55 records · Page 3Linked to original sources

Method for successive absorptions with intestinal perfusion in vivo.

A simple technique to study intestinal absorption in vivo, a modification of that of SOLS and PONZ (34), is described. It uses a perfusion pump, with or without recycling of the solution along the intestinal lumen, and allows the carrying out of a series of successive absorption periods with high comparative value on the same intestinal segment. The technique is applied to sugar absorption in rat and hamster, but it can be extended to other substrates and other animal species. For each concentration of sugar, the intestinal absorption rate of glucose remains constant along a number of 1 min successive periods.

Animals↗

Kinetics of intestinal sugar transport, in vivo.

Sugar absorption by the small intestine has been studied in rat and hamster in vivo, with luminal perfusion, during 1 minute successive periods. Transport is calculated as the difference between absorption and diffusion. The diffusion component is evaluated in the presence of phlorizin or as absorption of sorbose. The resulting KT values for glucose and galactose (rat: 7.7 and 10 mM; hamster: 10 and 14 mM) and 3-0-methyl-glucose (hamster: 25-33 mM) are quite lower than those previously obtained in vivo, but still higher than those in vitro. The physiological levels of glucose in the intestine of normally fed animals imply that the diffusion component plays an important role in the proximal regions of the small intestine, especially in rat.

Animals↗

Influence of luminal Na+ on the intestinal absorption of sugars in vivo.

The effect of substituting Na+ with Tris, Li+, K+ or mannitol on the intestinal absorption of sugars, in successive periods of 1 minute duration, has been studied in rat and hamster in vivo. The absorption of 2 mM D-glucose, D-galactose, 3-0-methyl-D-glucose and D-fructose is clearly inhibited in the absence of Na+, up to 70-80%, and returns to its normal value of restoring Na+. The degree of inhibition varies with the sugar, increases on lowering Na+ concentration, reaches maximum values with mannitol as substituent, and minimum with Tris, D-arabinose absorption is not affected by Na+. These results prove once more how important Na+ is in sugar intestinal transport in vivo, while they reveal additional influences of the different substituents on the transport system.

Animals↗

[Effect of various coumarins on the intestinal absorption of galactose in vivo (author's transl)].

The effect of various coumarins on the active transport of galactose by small intestine in chick and rat was studied, using the in vivo technique of sucessive absorptions. A 10(-4) M concentration of the different coumarins inhibits the absorption of galactose in the chick. This effect persists in successive absorptions without coumarin. In rat, inhibition of galactose active transport by coumarins was observed at 10(-3) M concentration.

Animals↗

Localized pustulosis induced by betalactams.

Localized forms of pustular drug eruptions related to antibiotics are uncommon and their mechanism is still unknown. We describe herein a patient who developed numerous pin-head pustules without erythema in the peribuccal area after ingestion of ceftibuten and amoxicillin. The relationship with these drugs was confirmed by single-blind oral challenges. The following tests were performed: prick and intradermal tests with benzylpenicilloyl polylysine, minor determinant mixture, benzylpenicillin and amoxicillin; patch tests were also carried out with benzylpenicillin, amoxicillin, cloxacillin, cefuroxime, ceftriaxone, cefazolin, ceftibuten and cefaclor. All cutaneous tests were negative. Controlled single-blind challenge tests were performed with amoxicillin, cefadroxil, ceftibuten, cefuroxime, cefaclor, erythromycin and ciprofloxacin. All betalactam antibiotics tested gave a positive reaction, with good tolerance of other antibiotics; this would appear to indicate a specific mechanism of hypersensitivity and not an unspecific reaction to wide spectrum antibiotics.

Adult↗

Treatment of perennial allergic rhinitis with cetirizine.

A study was made of 30 patients with perennial extrinsic rhinitis sensitized only to dust mites who were treated with cetirizine for 15 days, at a dose of 10 mg/24 hours. The following parameters were evaluated in each patient on day -1 before initiating treatment and on day 15: histamine 1/100 prick-test, Dermatohophagoides pteronyssinus prick-test, physical examination, assessment of nasal edema and rhinorrhea by anterior rhinoscopy, and of the degree of nasal obstruction by active anterior rhinomanometry. Each patient was given a form for daily clinical self-evaluation of the following subjective symptoms: sneezing, rhinorrhea, nasal obstruction, and nasal itchiness. The occurrence of side effects was evaluated. Cetirizine reduced significantly the area of the histamine and D. pteronyssinus papules elicited by prick-test. Clinical symptoms decreased significantly, with sneezing, nasal itchiness and rhinorrhea being greatly relieved, and nasal obstruction, evaluated by means of active anterior rhinomanometry performed before and after 15 days of treatment, being less alleviated. There was scant incidence of side effects in patients treated with cetirizine.

Adolescent↗

[Occupational hypersensitivity to spiramycin. Report of a case].

A case report of occupational hypersensitivity to Spiramycin. Rhinoconjunctivitis and spasmodic cough are reported in a 34 year-old female handling spiramycin powder in a pharmaceutical factory. The symptoms appeared within the first few hours of coming into contact with the drug and continued for several hours after leaving her place of work. The patient had no personal case history of atopy. Results for prick-test with extracts using a concentration of 1/100 (w/v) were positive, as were results por intradermical tests with a solution using a concentration of 1/10.000 (w/v). The diagnostic was confirmed with the application of a nasal provocation test. Our criteria to determine positivity to this test was according to Bachman (1) and the European Committee of Rhinomanometry. On our suggestion the patient was transferred to another section of the pharmaceutical company whereupon all symptoms disappeared immediately and no further allergic reactions to drugs were registered. This case suggest that reactions to a chemical product may involve immunological mechanisms.

Adult↗