Biomedical subjects
M Weber
Publications and source records attributed to M Weber.
[Rheumatologic effects of etretinate].
The effects of chronic hypervitaminosis A and long-term isotretinoin treatment on bone include cortical hyperostosis, ligament calcification and premature epiphyseal closure. Similar effects have now been reported in patients under maintenance treatment with etretinate in high doses. Etretinate, an oral, aromatic, synthetic vitamin A derivative, is widely used in Europe for disorders of keratinization. We report the cases of two patients--one with lamellar ichthyosis, the other with pachyonychia congenita--who developed such bone diseases during treatment with etretinate over 2 and 6 years respectively. The doses ranged from 0.5 to 1 mg/kg/day. Two years after starting treatment (total dose 25 g), the patient with lamellar ichthyosis complained of mechanical pain in the lumbar region and hips. Radiography showed calcification of the extraspinal tendons and ligaments and hyperostosis of the calcaneus bone at the insertion of the plantar ligament. After six years of etretinate treatment (total dose 50 g), the patient with pachyonychia congenita presented with scoliosis and limb length discrepancy. The musculoskeletal abnormalities resembled chronic hypervitaminosis A, with such osseous changes as demineralization, thinning and increased curvature of long bones with osteopenia, and premature closure of the epiphyses. Acroosteolysis was also present. Etretinate has been implicated in the formation of spinal hyperostoses and calcification of extraspinal ligaments in patients who had taken the drug for many years. The occurrence of premature epiphyseal closure in children certainly is a consequence of therapy with relatively high doses of etretinate for six years. But premature epiphyseal closure may also result from trauma to a fragile bone.(ABSTRACT TRUNCATED AT 250 WORDS)
[Occult complications of dog bites: DF2 septicemias].
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[In vitro determination of the sensitivity of mycobacteria to fluoroquinolones].
In vitro activity of four fluorinated quinolones: pefloxacin, norfloxacin, ciprofloxacin, ofloxacin were determined against various clinical isolates of mycobacteria. The method of agar dilution was used, seventy strains of ten species were tested: Mycobacterium tuberculosis (25), Mycobacterium bovis (5), Mycobacterium africanum (2), BCG (5), Mycobacterium kansasii (6), Mycobacterium marinum (5), Mycobacterium avium (11), Mycobacterium xenopi (6), Mycobacterium chelonae (3), Mycobacterium fortuitum (2). Except for Mycobacterium avium and Mycobacterium chelonae (CMI 100% greater than 8 mg/l) fluorinated quinolones showed activity against tested mycobacteria (CMI 100% less than or equal to 8 mg/l). Ofloxacin and ciprofloxacin where found to be the most active. Their activity against the different strains of Mycobacterium tuberculosis was unrelated to their susceptibility or resistance to the antituberculous drugs.
[In vivo bactericidal effect of ciprofloxacin, ofloxacin and pefloxacin against Staphylococcus aureus].
The bactericidal activity of ciprofloxacin, ofloxacin, pefloxacin, against methicillin sensitive S. aureus (2 different strains) was studied on a model of infected fibrin clots inserted subcutaneously in rabbit. The quinolones were delivered intravenously, as a single daily dose of 100 mg/kg/day. The bactericidal activity was evaluated by determining for various time points (1 h, 2 h, 6 h, 12 h, and 24 h after the infusion of the antibiotics), viable organisms in the dissolved clots. This study shows that: 1) No significant difference appears between the quinolones studied. 2) The in vivo early bactericidal activity of quinolones against S. aureus appears to be better than oxacillin but lesser than oxacillin-netilmicin combination.
[Intracerebral cavernous angioma].
Thirty four cases (18 operated, 16 non-operated), of cavernous angioma are reported. The presenting symptoms and signs were epilepsy in 22 cases, neurologic deficit in 9 and cerebromeningeal hemorrhage without vigilance disorders in 3. In the operated group 15 angiomas were supratentorial, 3 were subtentorial. In the non-operated group symptoms and signs were epilepsy in 11 cases and a neurologic deficit related to a brain stem lesion in 4/5 cases. Follow-up of 2 to 39 years after the first fit episode and of 1 to 7 years after initial diagnosis suggested that the risk of hemorrhage is low. Indications for neurosurgery are discussed as a function of the site of the angiomas and of the operative hemorrhagic risk.
Time course of cerebral vasospasm after severe head injury.
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One-dimensional hopping mobility in disordered layered semiconductors: Applications to InSe.
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Persistence of Streptococcus mitis in an aortic vegetation after 25 days of penicillin-netilmicin combination therapy.
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[Relations between sleep stages and asthma crisis: continuous study of electroencephalography and capnography].
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Immunohistochemistry of aromatic L-amino acid decarboxylase in the cat forebrain.
The topographic distribution of aromatic L-amino acid decarboxylase (AADC)-immunoreactive (IR) neurons was investigated in the cat hypothalamus, limbic areas, and thalamus by using specific antiserum raised against porcine kidney AADC. The perikarya and main axons were mapped on an atlas in ten cross-sectional drawings from A8 to A16 of the Horsley Clarke stereotaxic plane. AADC-IR neurons were widely distributed in the anterior brain. They were identified in the posterior hypothalamic area, rostral arcuate nucleus of the hypothalamus, dorsal hypothalamic area, and periventricular complex of the hypothalamus, which contain tyrosine hydroxylase (TH)-IR cells and are known as A11 to A14 dopaminergic cell groups. AADC-IR perikarya were also found in the other hypothalamic areas where few or no TH-IR cells have been reported: the supramamillary nucleus, tuberomamillary nucleus, pre- and anterior mamillary nuclei, caudal arcuate nucleus, dorsal hypothalamic area immediately ventral to the mamillothalamic tract, anterior hypothalamic area, area of the tuber cinereum, retrochiasmatic area, preoptic area, suprachiasmatic and dorsal chiasmatic nuclei. We also identified them in the anterior commissure nucleus, bed nucleus of the stria terminalis, stria terminalis, medial and central amygdaloid nuclei, lateral septal nucleus, and nucleus of the diagonal band of Broca. AADC-IR neurons were localized in the ventromedial part of the thalamus, lateral posterior complex, paracentral nucleus and lateral dorsal nucleus of the thalamus, medial habenula, parafascicular nucleus, subparafascicular nucleus, and periaqueductal gray. Conversely, we detected only a few AADC-IR cells in the supraoptic nucleus whose rostral portion contains TH-IR perikarya. Comments are made on the relative localizations of the AADC-IR and TH-IR neurons, on species differences between the cat and rat, as well as on the possible physiological functions of the enzyme AADC.
Erratum: Density-functional approach to second-harmonic generation at metal surfaces
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Multiple papules in a localized area. Segmental neurofibromatosis.
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[Reproducibility of sonographic measurements in the follow-up of liver size].
Liver diameters determined in various standardised sonographic section planes are investigated concerning their reproductiveness and validity in controls of liver size. The most reliable parameters proved to be the length in the posterior axillary line, the maximised depths of the right lobe at the portal branching and at the venous confluence, and the maximised length, breadth and thickness of the left lobe. Accuracy is improved by mean values calculated from the diameters of the adjacent longitudinal sections in the axillary lines and of the maximised depth sections of the right lobe. There are no significant differences of liver diameters caused by methodical aberrations, which are found to be 0.5-1.5%, whereas individual variations of the diameters are differentiated by the method. Correlations of the various liver diameters are investigated.
A sequence-specific single-strand-binding protein for the late-coding strand of the simian virus 40 control region.
We have purified a protein from uninfected monkey CV1 cells that binds specifically in vitro to the late-coding simian virus 40 DNA strand in the region of transcription control without any detectable binding to the complementary single strand. Nuclease protection experiments detected two binding sites in the 21-base-pair repeat region. The protein did not bind to this region in the double-stranded form, nor did it bind to RNA synthesized in vitro by using either DNA strand as a template. This protein, and perhaps other DNA single-strand-sequence-specific proteins, may play a role in the control of gene expression in higher organisms.
IgG subclass distribution of autoantibodies to glomerular basement membrane in Goodpasture's syndrome compared to other autoantibodies.
The IgG subclass distribution of autoantibodies to glomerular basement membrane (anti-GBM antibodies) was investigated and compared to the distribution of liver-kidney microsomal (LKM) autoantibodies in chronic active hepatitis, to antimitochondrial autoantibodies (AMA) in primary biliary cirrhosis, and to the subclass distribution of total serum IgG within a healthy population. Solid phase assays for the demonstration of these autoantibodies were performed with four mouse monoclonal antibodies specific for each human subclass to provide quantitative data for the autoantibodies. In addition, the subclass distribution of total IgG in these sera was analyzed. IgG1 accounted for 75% of the total antibody activity in anti-GBM antibodies. In LKM antibodies a more homogeneous distribution was observed between the different subclasses with a relative high proportion of IgG4 autoantibodies (21.2%). In AMA a high proportion of IgG3 subclass autoantibodies was found (anti-p-48 = 28.7%, anti-p-62 = 29.9%). In these patients a high proportion of IgG3 (23 vs. 27.2%) could also be demonstrated in the subclass distribution of total IgG, whereas in patients with anti-GBM antibodies and LKM antibodies the subclass distribution of total IgG was comparable to a population of healthy volunteers. We conclude that the subclass distribution in anti-GBM antibodies differs from the distribution in other autoimmune diseases and from a healthy population and that these differences may be of pathogenetic relevance.