Herpes simplex encephalitis.
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Acyclovir↗
Biomedical subjects
Qidong Yang
Publications and source records attributed to Qidong Yang.
[The relationship of apolipoprotein H G1025C (Try316Ser) polymorphism with stroke and its effect on plasma lipid levels in Changsha Hans].
OBJECTIVE: To investigate the relationship between G1025C (Try316Ser) polymorphism in exon 8 of apolipoprotein H (apoH) gene and stroke and to evaluate the effect of G1025C(Try316Ser) polymorphism on plasma lipid levels in Changsha Hans. METHODS: G1025C (Try316Ser) polymorphism in apoH gene was determined by PCR-single strand conformation polymorphism analysis and DNA sequencing in 100 healthy controls, 260 patients with stroke, and 20 stroke pedigrees. Serum antiphospholipid antibody (APA) levels were tested by enzyme linked immunosorbent assay (ELISA). Plasma lipid levels were measured by routine methods. RESULTS: No statistically significant differences were found in frequencies of genotypes and alleles of G1025C (Try316Ser) polymorphism between the controls and stroke patients. The serum levels of TG in the GC genotype of cerebral infarction patients and controls were markedly higher than those in GG genotype. CONCLUSION: There was no association betweenG1025C (Try316Ser) polymorphism and stroke in Changsha Hans. G1025C (Try316Ser) polymorphism was associated with plasma lipid metabolism in Changsha Hans.
Adult↗
[Mutation analysis of neurofilament-light gene in Chinese Charcot-Marie-Tooth disease].
OBJECTIVE: To study the characteristic of the mutation of neurofilament-light (NF-L) gene in Chinese Charcot-Marie-Tooth disease (CMT) patients. METHODS: Mutation analysis of NF-L gene was made by use of polymerase chain reaction-single strand conformation polymorphsim combined with DNA direct sequencing in 32 CMT probands from the Hans of five provinces in China who had been diagnosed by clinical feature and electromyography and/or biopsy of sural nerve. RESULTS: In 32 CMT probands, only one sporadic case was found to display variant banding pattern, and this case was confirmed as 1329C to T (Tyr443Tyr) single nucleotide polymorphism by sequencing. CONCLUSION: Mutation of NF-L gene may be rare in Chinese CMT patients.
Adolescent↗
[Clinical features and treatment of giant cell arteritis in Chinese, a prospective study].
OBJECTIVE: To investigate the clinical features of giant cell (temporal) arteritis (GCA) in China. METHODS: The clinical manifestations, temporal artery biopsy, response to steroid therapy, and follow-up data of sixteen patients with the diagnosis of GCA from July 1999 to March 2001 were analyzed. The American College of Rheumatology (ACR) criteria for classification of GCA were used as reference. RESULTS: Twenty-one patients who sought medical advice in the Second Hospital Affiliated to Xiangya Medical College were suspected of GCA. A definite diagnosis of GCA was made among sixteen patients. The diagnosis among 13 of them fulfilled the 1990 American College of Rheumatology criteria for the classification of GCA. The mean age at disease onset was 43.13 years (range 28 approximately 60 years) and 81.25% of the patients were under the age of 50 when they came down with the disease. The ratio between male and female cases was 15:1. The commonest initial clinical manifestations included newly occurring headache, temporal artery abnormality, visual symptoms, fever, and raised erythrocyte sedimentation rate. Jaw claudication, fatigue, syncope, and hemiparesis could be found in some patients. All the 16 patients underwent temporal artery biopsy. Light and electron microscopy showed inflammatory cell infiltration in arterial wall in 11 cases, fragmented internal elastica in 16 cases, fibrinoid necrosis in 3 cases, smooth muscle cell changes in 10 cases, and thrombosis in the lumen in 5 cases. The mean time from symptom onset to suspicion of GCA or biopsy was 5.52 months (range 0.25 approximately 24.33 months). The misdiagnosis rate during first visit was 87.50%. CONCLUSION: GCA may not be a rare disorder in China. In comparison with the cases abroad, the Chinese GCA patients come down with disease at the earlier age, and most Chinese GCA patients are male. This disease is not understood by many clinicians in China. Misdiagnosis is common.
Adult↗
[Relationship between apolipoprotein H and lipid in stroke patients].
OBJECTIVE: To study the correlation of serum apolipoprotein H (ApoH) with blood lipids and the relationship between ApoH and stroke. METHODS: The serum levels of ApoH of 33 patients with acute cerebral infarction (ACI), 18 patients with acute cerebral hemorrhage (ACH), 17 patients with cerebral apoplexy and family history, and 33 healthy control were measured by radioimmunoassay. The blood lipids of the above mentioned subjects were measured by enzymological methods. RESULTS: The serum ApoH levels in acute cerebral infarction (ACI) patients, acute cerebral hemorrhage (ACH) patients, and healthy controls were 288 +/- 85 mg/L, 248 +/- 68 mg/L, and 256 +/- 71 mg/L respectively. There was a significant correlation between serum ApoH and total CHO and between ApoH and LDL in ACI patients (r = 0.394, P < 0.05; r = 0.394, P < 0.05). However, no correlation between ApoH and triglyceride was found. In 17 cases of cerebral apoplexy with familial history, the serum ApoH was correlated with HDL. CONCLUSION: Serum ApoH is correlated with CHO and LDL in ACI patients. No such correlation can be found in healthy persons and ACH patients.
Aged↗
[Distribution characteristics of types of stroke in three urban area in China].
OBJECTIVE: To analyze the distribution characteristics of types of stroke in china. METHODS: A prospective study and comprehensive prevention were conducted in urban communities with 300 000 people in Changsha, Beijing and Shanghai, and 2 570 case of stroke at their first occurance were selected with established typing diagnosis (r). RESULTS: Hemmorrhagic, ischemic, and unclassified stroke accounted for 37.1%, 62.3%, and 0.6% respectively. The proportion of hemmorrhagic stroke was more than 50 percent among persons under 50. The average yearly incidence of stroke was 142.3/100 thousand in the intervention areas and was 187.0/100 thousand in the control areas. CONCLUSION: Prevention should be focused on hemorrhagic stroke for those aged over 50 and on ischemic stroke for those aged less than 50. The average incidence rates of hemmorrhagic and of ischemic stroke were lower in the intervention area than in the control area.
Adolescent↗
Giant cell arteritis in China: a prospective investigation.
The objective of this prospective study was to investigate further the clinical features of patients with giant cell (temporal) arteritis (GCA). All patients diagnosed from July 1999 to March 2001 at the Department of Neurology of the Second Xiangya Hospital in China were included. The final diagnosis was based on clinical manifestations, a temporal artery biopsy, response to steroid, and follow-up. The American College of Rheumatology (ACR) criteria for the classification of GCA were tested in the patients identified. Sixteen patients with GCA were identified; 13 (81.25%) patients fulfilled the 1990 ACR criteria for the classification of GCA. Clinical findings included the following: mean age at disease onset 43.13 years (range 28-60) and 81.25% of the patients under the age of 50 when the disease began; men 93.75%; the common initial symptoms including new headache 62.50% and.visual symptoms 18.75%; the common clinical findings at presentation including new headache 93.75%, temporal artery abnormality 81.25%, visual abnormality 56.25%, and fever 25.00%; raised erythrocyte sedimentation rate (ESR) 68.75%; and uncommon findings including jaw claudication, ptosis, fatigue, syncope, hemiparesis; all 16 patients underwent a temporal artery biopsy; inflammatory cell infiltration 68.75% in arterial wall, fragmented internal elastica 100.00%, fibrinoid necrosis 18.75%, smooth muscle cell changes 62.50%, and thrombosis in the lumen 31.25%. The mean time from symptom onset to suspicion of GCA or biopsy was 5.52 months (range 0.25-24.33); the initial diagnosis was wrong in 87.50% of patients. These examples are too small a number to permit definite conclusion. But the results suggest that GCA may not be a rare disorder in China, mean age at disease onset was relatively young, males may be more susceptible, the clinical features of GCA have not been widely appreciated yet, there was a delay between diagnosis and treatment, and initial diagnosis was wrong in many patients.
Adult↗