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At least 397 records · Page 22Linked to original sources
PubMed1982

Dermatology in the workplace.

Dermatoses related to the industrial environment are costly and underreported. Contact dermatitis is due to irritants in 75 percent of cases and to true allergy in only 25 percent. Differences between these two types of dermatitis include a longer induction period for allergy. Patch testing may be useful for diagnosis of allergic contact dermatitis. Photoallergy, chloracne, occupational leukoderma and neoplasia are special occupational problems. A precise history and physical examination as well as a visit to the plant are essential elements in evaluating the patient.

Acne Vulgaris↗
PubMed1983

[Multiple lentiginosis and hypertrophic obstructive cardiomyopathy].

Two patients with Multiple Lentiginosis (ML) had hypertrophic cardiomyopathy with severe obstruction of the right and left ventricular outflow tracts. ML is a rare syndrome in which there is a typical skin pigmentation disorder together with various other abnormalities like slight mental retardation, sensorineural deafness, genital and skeletal anomalies and sometimes a characteristic facies. Obstruction of the right ventricular outflow tract is frequent in such patients. The association of ML and obstructive hypertrophic cardiomyopathy has been recently reported. A critical examination of the literature in addition to our clinical observations suggests that the biventricular obstructive hypertrophic cardiomyopathy may play a major role in the clinical feature of ML syndrome.

Cardiomegaly↗
PubMed1983

[Actinoreticulosis with dyschromic changes in high altitude polycythemia].

A review of all aspects of actinoreticulosis is made, a photodermatosis which is relatively frequent on the Bolivian Altiplano. One case is described which is peculiar because of the vitiligoid and lichenoid aspect of the skin lesions and because of its association with high altitude polycythemia. The influence of high altitude on the pathogenesis of both forms by decrease of the oxygen partial pressure and the exposure to ultraviolet radiation of higher intensity is commented.

Altitude Sickness↗
PubMed1984

Thyroid gland pigmentation and minocycline therapy.

Thyroid pigments in black thyroid glands from minocycline-treated patients were compared by light and electron microscopy, histochemistry, and energy-dispersive x-ray analysis with minocycline-induced pigment in thyroid glands of laboratory animals, and with naturally occurring lipofuscins in untreated laboratory animals and humans. All thyroid samples examined contained nonbirefringent, Schmorl-positive pigment. However, the pigments in black thyroids from minocycline-treated patients resembled lipofuscins of untreated humans since both fluoresced and were Ziehl-Neelsen- and Sudan IV-positive. Minocycline induced pigment in rats was nonfluorescent and Ziehl-Neelsen- and Sudan IV-negative. Ultrastructurally, pigments in black thyroid glands of minocycline-treated humans resembled lipofuscins in untreated humans, and initial elemental analyses yielded similar spectra. Repeated analyses of the most electron-dense pigment deposits yielded spectra that resembled those of minocycline-induced pigment in laboratory animals-ie, both contained calcium. Black thyroid glands associated with minocycline administration contained predominantly lipofuscins with a small amount of another, possibly minocycline-related pigment. The absence of functional changes in patients and animals given minocycline suggests that discoloration of the thyroid gland associated with minocycline administration is innocuous. This is further supported by the lack of documented changes in thyroid physiology in patients that have received tetracyclines for a variety of indications in the last 30-odd years since their introduction to therapy.

Adult↗
PubMed1984

Dermal lipofuscinosis associated with amiodarone therapy. Report of a case.

Amiodarone hydrochloride is a noncompetitive adrenergic blocker used in the treatment of tachyarrhythmias. Its use in Europe and South America has been associated with cutaneous pigmentation thought to be caused by lipofuscin deposition in the dermis. We describe a similar case occurring in North America. A skin biopsy specimen from the patient was examined by light microscopy, fluorescence microscopy, and electron microscopy. From these examinations, a diagnosis of dermal lipofuscinosis was made.

Aged↗
PubMed1978

Waardenburg's syndrome in Kenyan Africans.

Waardenburg's syndrome is characterized by deafness and pigment disorders of the eyes, hair and skin. Two types are distinguished; e.g. type I with dystopia canthorum and type II without dystopia canthorum. In Kenya 12 out of 724 pupils of schoools for the deaf were found to suffer from the syndrome. Ten of these belonged to eight families; 20 other members of these families had signs of the syndrome. Of these 30 patients 18 had type I, 12 type II. The expression of most characteristics in these Kenyan patients was almost the same as in Caucasians. The mode of inheritance was autosomal dominant, as in Caucasians. The interocular distances were measured in 168 healthy children and adults of the Luo tribe. In most age groups slightly larger values were found than in the Caucasian race. For the diagnosis of dystopia canthorum this should be taken into account.

Abnormalities, Multiple↗
PubMedDate not supplied

An approach to the detection of malnutrition in rural children using socio-economic indices and level of education of mother as proxy.

The hypothesis that social indices and educational level of mother are potential sources of childhood malnutrition was tested in Kampumbu, Zambia. Hemoglobin, hematocrit, protein and albumin levels in children were studied in relation to malnutrition. Six hundred and fifty rural children (306 males and 344 females) aged one and fourteen years exposed to various types of diet and environmental factors were selected randomly. Data on economic status, diet environment and educational attainment as well as other demographic information were collected. The major epidemiological findings were that the difference in the distribution of malnourished children by socio-economic status (as measured by income) and hypochromotrichia, oedema or stomatitis was significant (X2 = 4.1, P less than 0.025), and the relative odds were significantly greater than unity at 0.05 level. Similarly, there was a very significant difference (X2 = 7.4, P less than 0.005) in the distribution of malnourished children by socio-economic status (as measured by house grades) and hypochromotrichia, oedema or stomatitis. The estimated relative odds were significantly greater than unity at 0.05 level. Other variables, including age, history of hookworm, were not found to be determinants of risk for malnutrition.

Adolescent↗
PubMed1981

[Pigment spot polyposis (Peutz-Jeghers syndrome)].

Clinical findings in Peutz-Jeghers-Syndrome in a 14-year-old female patient are presented. In addition differential diagnosis and therapeutic possibilities are discussed. Furthermore, the authors assume that ultrastructural characteristics of this pigment disorder are described for the first time.

Adolescent↗
PubMed1980

On the neurochemistry of an adult form of ceroid lipofuscinosis (Kuf's disease).

Little progress has been made in procedures for diagnosis of this baffling group of diseases known as ceroid lipofuscinoses (CL), which exhibit infantile, juvenile, and adult forms. Although these have been shown for the most part to be genetic in origin, the enzymatic or other defects leading to accumulation of lipopigments in tertiary lysosomes of neurons or astrocytes re unknown. Among the more commonly discussed theories is the role of peroxy radicals or their products formed by lipoperoxidation of polyunsaturated fatty acids. Although peroxy radicals are damaging to tissues and biological processes, no differences were observed in levels of leucocyte peroxidase (metabolizing H2O2) for Kuf's patients in comparison to age-matched controls. Also, no differences were observed in levels of blood factors that affect the rates of lipoperoxidatin by rat or human brain homogenates in vitro (measured by formation of MDA or other TBA positive materials).

Adult↗