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Biomedical subjects

W C Lambert

Publications and source records attributed to W C Lambert.

At least 91 records · Page 5Linked to original sources

Indolent lymphadenopathic Kaposi's sarcoma.

Kaposi's sarcoma is usually an indolent skin neoplasm. Diffuse lymph node and visceral involvement have been described in young African patients and in patients who are immunosuppressed; in such patients the disease is usually rapidly progressive. We describe the case of a 64-year-old man of Italian ancestry with diffuse lymph node involvement by Kaposi's sarcoma in the absence of any skin lesions. The patient had no evidence of immunosuppression. The course has been indolent, with no disease progression over 2 years of follow-up on no therapy.

Biopsy↗

Cutaneous onchocerciasis.

Onchocerciasis was diagnosed when a skin biopsy specimen immersed in saline revealed microfiliariae. The patient was a 22-year-old student from Cameroon, West Africa, complaining of small, recurrent, pruritic papules on his thighs. Chemotherapy with ivermectin, an established antiparasitic agent with newly recognized anti-onchocercal potential, was well tolerated, and microfilariae were not detected in post-therapy skin biopsy specimens. The diagnosis of onchocerciasis should be entertained in individuals returning or emigrating from endemic areas.

Adult↗

Granulomatous reaction to purple tattoo pigment.

An acute dermatitis overlying an immunologic granuloma was noted at the site of purple "dye" injection in a man with multiple multicolored tattoos. The skin reaction was observed 3 weeks after the injection, which proved to contain manganese, the usual metallic salt used for purple colored tattoos. Atomic absorption spectrometry showed a large amount of manganese in the biopsy specimen. Neither the dermatitis nor an immunologic granuloma could be reproduced with manganese salts or the alleged tattoo pigment. In addition, his peripheral blood lymphocytes were shown to be normal both in subset distribution and in their function, but these cells did not respond by blastogenesis to dilutions of the alleged pigment or to 2 manganese salts tested.

Adult↗

Genetic diseases associated with DNA and chromosomal instability.

Diseases associated with DNA and chromosomal instability, along with their underlying etiopathologic mechanisms, are among the most complex and poorly understood of any group of disorders known. Their pathogenesis is almost certainly intimately related to the most fundamental processes of life itself: the maintenance, replication, and expression of the genome. Include is a discussion of xeroderma pigmentosum, ataxia-telangiectasia. Cockayne's syndrome, Fanconi's anemia, retinoblastoma, and neurodegenerative diseases.

Ataxia Telangiectasia↗

Giant basal cell carcinoma with metastases and myelophthisic anemia.

We report a 59-year-old, dark-complexioned black man with a giant basal cell carcinoma infiltrating virtually the entire scalp. Widespread metastatic bone marrow involvement produced a myelophthisic anemia. Basal cell carcinoma is rare in blacks, is rarely this large, and very rarely produces myelophthisic anemia from bone marrow metastases.

Anemia, Myelophthisic↗

Comparison of histones in normal and xeroderma pigmentosum lymphoblastoid cells.

Histones from normal human and xeroderma pigmentosum, complementation group A (XPA), lymphoblastoid cells were compared both quantitatively, qualitatively and for binding affinity for DNA. Electrophoretic examination of the histones showed that all five major histone species were present in both cell groups and that there were no quantitative differences between normal and XPA histones. Binding affinity to [3H] mammalian DNA of the histones was determined. No significant differences were observed in binding of either normal or XPA histones to DNA.

Animals↗

Cold urticaria.

Cold urticaria is probably the most common form of physical urticaria. It is usually a chronic idiopathic disorder but may be secondary to another disease characterized by abnormal serum proteins with a cold-dependent property. In delayed cold urticaria, hives appear 24 to 48 hours after cold challenge. In addition to challenge testing, the physician should obtain serologic tests to exclude the presence of associated cold agglutinins, Donath-Landsteiner antibody, cryoglobulins and cryofibrinogen.

Cold Temperature↗

Erythroderma with fulminant hepatitis: a possible association.

Exfoliative dermatitis or erythroderma may be a sign of systemic disease, usually a T-cell lymphoma, although other malignancies may also be associated. We observed two patients in whom severe hepatitis and an exfoliative dermatitis occurred simultaneously. We believe that this association has not been reported previously.

Adult↗

Pustular acneiform secondary syphilis.

A patient with a generalized acne-like skin eruption on the trunk, extremities, and face is described. Examination of a skin biopsy specimen revealed syphilis as did positive results of serologic tests. Physicians should be aware of this type of secondary syphilis.

Acne Vulgaris↗

Congenital melanocytosis with myelomeningocele and hydrocephalus.

We report an infant who had diffuse blue hyperpigmentation at birth, which rapidly progressed to gray, over the back, buttocks, and posterior aspect of the legs, and an associated congenital anomaly. The entire thickness of the dermis contained numerous very prominent melanocytic cells which, especially in the superficial dermis, were markedly dendritic, rather than merely fusiform. An epidermal melanocyte proliferation was also present. Histologically, the lesion thus differed markedly from a mongolian spot. We believe that diffuse hyperpigmentation in the neonate should call attention to the possibility of an associated neuroectodermal malformation.

Humans↗

Erythema dyschromicum perstans.

A 29-year-old woman from Trinidad experienced the rapid onset of extensive lesions characteristic of erythema dyschromicum perstans following an x-ray study using orally administered contrast. Eleven months later a skin biopsy specimen showed few epidermal changes but extensive incontinence of melanin pigment and marked dilatation of lymphatics in the superficial dermis. Results of a systemic evaluation were normal. The available data on this disease are analyzed and conclusions offered regarding its nature and causes.

Adult↗

Multiple dermatofibromas and systemic lupus erythematosus.

We report on three black women with multiple dermatofibromas and systemic lupus erythematosus. In one patient occurrence of new dermatofibromas was definitely related to increases in corticosteroid dosage, but in another the dermatofibromas predated all treatment. Histopathologic, ultrastructural, and direct immunofluorescence studies of lesions of two of the patients showed characteristic changes of dermatofibroma but did not reveal a specific cause. This finding in patients with systemic lupus erythematosus is probably much more common than has previously been appreciated.

Adult↗

Dermatofibrosarcoma non-protuberans: description and report of five cases of a morpheaform variant of dermatofibrosarcoma.

Five cases of dermatofibrosarcoma are reported. All showed features typical of dermatofibrosarcoma protuberans except that in four cases, and a portion of the fifth case, no protusion of the tumor was noted clinically despite the rather advanced stage of growth of the tumor. These lesions resembled morphea or a morpheaform basal cell carcinoma clinically but could be recognized as "dermatofibrosarcoma non-protuberans" by physicians who had observed a previous case.

Adolescent↗