WorldWideScience

Sample records for arteritis

  1. What Is Giant Cell Arteritis?

    Science.gov (United States)

    ... Uveitis Focus On Pediatric Ophthalmology Education Center Oculofacial Plastic Surgery Center Laser Surgery Education Center Redmond Ethics ... What Is Giant Cell Arteritis? Giant Cell Arteritis Symptoms Who Is At Risk for Giant Cell Arteritis? Giant Cell Arteritis Diagnosis ...

  2. Giant Cell Arteritis

    Science.gov (United States)

    Giant cell arteritis is a disorder that causes inflammation of your arteries, usually in the scalp, neck, and arms. ... arteries, which keeps blood from flowing well. Giant cell arteritis often occurs with another disorder called polymyalgia ...

  3. Three patients with arteritis.

    OpenAIRE

    Eke, F.; Balfe, J W; Hardy, B E

    1984-01-01

    Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differenti...

  4. Three patients with arteritis.

    Science.gov (United States)

    Eke, F; Balfe, J W; Hardy, B E

    1984-09-01

    Three boys were treated for arteritis of the aorta and great vessels and bilateral renal artery stenosis. One presented at age 6 months with failure to thrive, excessive sweating, and vomiting: hypertension and cardiac failure were subsequently diagnosed. The two older boys (7 and 14 years) presented with symptomless hypertension. The clinical and angiographic findings in the three patients suggest that the illness may have been Takayasu's arteritis, which should be included in the differential diagnosis of hypertension in infancy and childhood. Renal autotransplantation was performed in all three patients with good results. Early renal autotransplantation may reduce the morbidity associated with this disease. PMID:6148918

  5. Giant cell arteritis: a review

    Directory of Open Access Journals (Sweden)

    Patil P

    2013-03-01

    Full Text Available Pravin Patil,1 Niral Karia,2 Shaifali Jain,3 Bhaskar Dasgupta1 1Department of Rheumatology, 2Department of Ophthalmology, 3Department of Radiology, Southend University Hospital, Westcliff, Essex, United Kingdom Abstract: Giant cell arteritis is the most common vasculitis in Caucasians. Acute visual loss in one or both eyes is by far the most feared and irreversible complication of giant cell arteritis. This article reviews recent guidelines on early recognition of systemic, cranial, and ophthalmic manifestations, and current management and diagnostic strategies and advances in imaging. We share our experience of the fast track pathway and imaging in associated disorders, such as large-vessel vasculitis. Keywords: giant cell arteritis, diagnosis, treatment, polymyalgia rheumatica

  6. [Aortitis in giant cell arteritis].

    Science.gov (United States)

    Schmidt, J; Duhaut, P

    2016-04-01

    Aortitis is a frequent complication of giant cell arteritis. Imaging techniques can reveal the inflammation of the aortic wall. CT-scan can show circumferential aortic wall thickening, or TEP-scan can show aortic FDG-uptake. Aortic aneurysm and dissection is a feared but probably rare complication of the inflammation of the aortic wall during GCA. Screening for aortitis could be proposed for patients with symptoms of aortic involvement, for patients with signs of large vessels involvement (limb claudication, bruit) or for patients with incomplete response to treatment. The best follow-up and treatment are to be determined for the patients with aortitis related to GCA. PMID:26781692

  7. Giant cell arteritis presenting as scalp necrosis.

    Science.gov (United States)

    Maidana, Daniel E; Muñoz, Silvia; Acebes, Xènia; Llatjós, Roger; Jucglà, Anna; Alvarez, Alba

    2011-01-01

    The differential of scalp ulceration in older patients should include several causes, such as herpes zoster, irritant contact dermatitis, ulcerated skin tumors, postirradiation ulcers, microbial infections, pyoderma gangrenosum, and giant cell arteritis. Scalp necrosis associated with giant cell arteritis was first described in the 1940s. The presence of this dermatological sign within giant cell arteritis represents a severity marker of this disease, with a higher mean age at diagnosis, an elevated risk of vision loss and tongue gangrene, as well as overall higher mortality rates, in comparison to patients not presenting this manifestation. Even though scalp necrosis due to giant cell arteritis is exceptional, a high level of suspicion must be held for this clinical finding, in order to initiate prompt and proper treatment and avoid blindness. PMID:21789466

  8. Lymphocytic Thrombophilic Arteritis Induced by Minocycline

    OpenAIRE

    Kassardjian, Michael; Horowitz, David; Shitabata, Paul K.; Clark, Lani E.

    2012-01-01

    Lymphocytic thrombophilic arteritis is an entity only recently defined in the literature. This term describes a distinctive histopathological combination of lymphocytic vascular inflammation associated with a hyalinized fibrin ring in the vessel lumina, changes reflecting a thrombophilic endovasculitis. The authors present the case of a woman who developed lymphocytic thrombophilic arteritis coinciding with the use of minocycline. In addition to these histopathological findings, the cutaneous...

  9. RARE PRESENTATION OF TAKAYASU’S ARTERITIS

    OpenAIRE

    Maheswara Rao; Sarma,, P.; Ananda

    2014-01-01

    Takayasu’s arteritis is a rare form of large vessel granulomatous arteritis affecting young or middle aged women of Asian origin. It leads to intimal fibrosis and vascular narrowing. It mainly presents as pulseless extremities, so it is also called as pulseless disease. Treatment is mainly with steroids and immunosuppressants but TNF-α blockers gives promising results. Surgical options may need to be explored for patients who don’t respond to steroids

  10. Excess mortality in giant cell arteritis

    DEFF Research Database (Denmark)

    Bisgård, C; Sloth, H; Keiding, Niels;

    1991-01-01

    A 13-year departmental sample of 34 patients with definite (biopsy-verified) giant cell arteritis (GCA) was reviewed. The mortality of this material was compared to sex-, age- and time-specific death rates in the Danish population. The standardized mortality ratio (SMR) was 1.8 (95% confidence...

  11. Prevalence of equine viral arteritis in Algeria.

    Science.gov (United States)

    Laabassi, F; Amelot, G; Laugier, C; Zientara, S; Nasri, A M; Hans, A

    2014-12-01

    In order to determine the prevalence of equine viral arteritis in Algeria, 268 sera from non-vaccinated horses were collected from the western and eastern regions. Serological analysis of the sera, which were collected from 2009 to 2011, was performed using the virus neutralisation test, as described by the World Organisation for Animal Health. Overall, 20 sera (7.46%) were seropositive, 152 (56.71%) were negative and 96 sera (35.82%) were cytotoxic. Equine arteritis virus (EAV) seroprevalence was significantly higher in the western region (Tiaret) than in the eastern region (Barika and El-Eulma). Interestingly, more than 20% of the tested horses over 16 years old were seropositive for EAV. However, EAV prevalence did not depend on either horse breed or horse gender. This study is the first to describe the circulation of EAV in the Algerian horse population. PMID:25812220

  12. Koroner arter ektazisi olan hastalarda plazma viskozitesi

    Directory of Open Access Journals (Sweden)

    Halil Bilgili

    2014-09-01

    Full Text Available Amaç. Koroner arter ektazisi (CAE koroner arterlerdeki lokalize veya yaygın anevrizmatik genişlemeler olarak tanımlanır. Plazma viskozitesi fibrinojen, immünoglobülinler ve lipoproteinler gibi çeşitli makromoleküller tarafından belirlenir. Bu nedenle kardiyovasküler hastalıklarda klasik risk faktörleri, hemostatik bozukluklar ve enflamasyon etkilerini çeşitli açılardan yansıtabilir. Çalışmada koroner arter hastalığında (KAH risk faktörü olarak kabul edilen plazma viskozitesinin, koroner arter ektazili hastalarda bir farklılık gösterip göstermediğini incelemeyi amaçladık. Yöntem. Çalışmaya rutin koroner anjiyografiler sırasında koroner arter ektazisi (24 hasta ve koroner arter hastalığı (24 hasta tespit edilen hastalar alındı. Hastaların yaş, cinsiyet, diyabet varlığı, hipertansiyon, tütün içiciliği gibi kardiyovasküler risk faktörleri ve aldığı tedaviler sorgulandı. Tüm hastaların plazma viskozite düzeyleri ölçüldü ve istatistiksel olarak karşılaştırıldı. Bulgular. Plazma viskozitesi KAH’lı grupta 1,19 ± 0,70 mPa•s, KAE’li grupta 1,18 ± 0,80 mPa•s olarak ölçüldü. Her iki grup arasında istatistiksel olarak anlamlı fark bulunamadı (p>0,05. Sonuç. Plazma viskozitesinin kardiyovasküler risk faktörü olmakla birlikte, KAE hastalığı fizyopatolojisinde, nedensel bir rol oynamadığı söylenebilir. Fibrinojen seviyelerinde gruplar arası değişiklik saptanmaması viskozite değerleri bulgularımızı desteklemektedir.

  13. Multidetector CT angiography in Takayasu arteritis

    Energy Technology Data Exchange (ETDEWEB)

    Khandelwal, Niranjan; Kalra, Naveen [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Garg, Mandeep Kumar, E-mail: gargmandeep@hotmail.com [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Kang, Mandeep; Lal, Anupam [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Jain, Sanjay [Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India); Suri, Sudha [Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012 (India)

    2011-02-15

    Objective: To analyse the spectrum of Takayasu's arteritis (TA) on multidetector CT angiography (MDCTA). Materials and methods: A retrospective analysis of the MDCTA findings was performed on 15 patients clinically diagnosed as Takayasu's arteritis. The spectrum and incidence of imaging findings on CTA were compared to studies in literature on catheter angiography in Takayasu's arteritis. Laboratory parameters were available in nine patients. The disease was considered active if erythrocyte sedimentation rate (ESR) levels were elevated and 'C' reactive protein (CRP) was positive. An attempt was made to correlate disease activity with the imaging findings. Results: Ascending aorta, arch of aorta and descending thoracic aorta were involved in 14 out of 15 (93%) patients. The wall thickness varied between 1 and 10 mm with maximal involvement in arch and descending thoracic aorta. Major neck vessels were involved in 11 (73%) patients with most pronounced changes seen in the brachiocephalic trunk, left common carotid artery (CCA) and left subclavian artery (SCA). Abdominal aorta and its branches were involved in all the 11 (100%) patients in whom abdominal CTA was performed. Celiac axis and SMA were involved in 10 (91%) and seven (64%) patients, respectively while renal artery stenosis was present in five (45%) patients. In six patients, ESR was elevated and CRP was positive indicating active disease. All patients in whom the laboratory parameters were available showed mural thickening in the aorta and at least one of the neck vessels except for one patient with inactive disease who had aortic mural thickening only. Conclusion: MDCTA provides information about both the vessel wall and lumen in patients with Takayasu's disease.

  14. Extracranial giant cell arteritis: A narrative review.

    Science.gov (United States)

    Lensen, K D F; Voskuyl, A E; Comans, E F I; van der Laken, C J; Smulders, Y M

    2016-06-01

    A systematic literature search was performed to summarise current knowledge on extracranial giant cell arteritis (GCA), i.e. large-artery involvement in patients with or without clinically apparent temporal arteritis (cranial GCA). Extracranial GCA is increasingly recognised, both in patients with cranial GCA and with solitary extracranial GCA, due to increased awareness among physicians and development of modern imaging modalities. The literature on the pathogenesis and histopathology of extracranial GCA is scarce. It is considered to be similar to cranial GCA. Patients with solitary extracranial GCA often present with non-specific signs and symptoms, although vascular manifestations, mostly secondary to stenosis, may occur. Due to the non-specific clinical presentation and low sensitivity of temporal artery biopsies, extracranial GCA is usually diagnosed by imaging. 18F-FDG-PET, MRI, CT angiography and ultrasound are used for this purpose. At present, the optimal diagnostic strategy is undetermined. The choice for a particular modality can be guided by the clinical scenario that raises suspicion of extracranial GCA, in addition to local availability and expertise. Extracranial complications in GCA consist of aortic aneurysm or dissection (mainly the ascending aorta), aortic arch syndrome, arm claudication and posterior stroke (although this is technically a cranial complication, it often results from stenosis of the vertebrobasilar arteries). Mortality is generally not increased in patients with GCA. Treatment of patients with solitary extracranial and those with extracranial and cranial GCA has been debated in the recent literature. In general, the same strategy is applied as in patients with temporal arteritis, although criteria regarding who to treat are unclear. Surgical procedures may be indicated, in which case optimal medical treatment prior to surgery is important. PMID:27323671

  15. Multidetector CT angiography in Takayasu arteritis

    International Nuclear Information System (INIS)

    Objective: To analyse the spectrum of Takayasu's arteritis (TA) on multidetector CT angiography (MDCTA). Materials and methods: A retrospective analysis of the MDCTA findings was performed on 15 patients clinically diagnosed as Takayasu's arteritis. The spectrum and incidence of imaging findings on CTA were compared to studies in literature on catheter angiography in Takayasu's arteritis. Laboratory parameters were available in nine patients. The disease was considered active if erythrocyte sedimentation rate (ESR) levels were elevated and 'C' reactive protein (CRP) was positive. An attempt was made to correlate disease activity with the imaging findings. Results: Ascending aorta, arch of aorta and descending thoracic aorta were involved in 14 out of 15 (93%) patients. The wall thickness varied between 1 and 10 mm with maximal involvement in arch and descending thoracic aorta. Major neck vessels were involved in 11 (73%) patients with most pronounced changes seen in the brachiocephalic trunk, left common carotid artery (CCA) and left subclavian artery (SCA). Abdominal aorta and its branches were involved in all the 11 (100%) patients in whom abdominal CTA was performed. Celiac axis and SMA were involved in 10 (91%) and seven (64%) patients, respectively while renal artery stenosis was present in five (45%) patients. In six patients, ESR was elevated and CRP was positive indicating active disease. All patients in whom the laboratory parameters were available showed mural thickening in the aorta and at least one of the neck vessels except for one patient with inactive disease who had aortic mural thickening only. Conclusion: MDCTA provides information about both the vessel wall and lumen in patients with Takayasu's disease.

  16. Lyme carditis mimicking giant cell arteritis

    Directory of Open Access Journals (Sweden)

    Krati Chauhan

    2015-10-01

    Full Text Available Presenting an interesting case of a patient who complained of myalgias, fatigue, headache, jaw claudication and scalp tenderness. Patient’s physical examination was unremarkable. Laboratory findings showed elevated erythrocyte sedimentation rate and C-reactive protein, bilateral temporal artery biopsy results were negative and first degree atrioventricular block was seen on electrocardiogram. Serology for Borrelia burgdorferi was positive; patient was diagnosed with Lyme carditis and treated with doxycycline. Lyme is a tick-borne, multi-system disease and occasionally its presentation may mimic giant cell arteritis. On follow-up there was complete resolution of symptoms and electrocardiogram findings.

  17. Pathogenesis of Takayasu's arteritis: a 2011 update.

    Science.gov (United States)

    Arnaud, Laurent; Haroche, Julien; Mathian, Alexis; Gorochov, Guy; Amoura, Zahir

    2011-11-01

    While our knowledge of the pathogenesis of Takayasu's arteritis (TA) has considerably improved during the last decade, the exact pathogenic sequence remains to be elucidated. It is now hypothesised that an unknown stimulus triggers the expression of the 65kDa Heat-shock protein in the aortic tissue which, in turn, induces the Major Histocompatibility Class I Chain-Related A (MICA) on vascular cells. The γδ T cells and NK cells expressing NKG2D receptors recognize MICA on vascular smooth muscle cells and release perforin, resulting in acute vascular inflammation. Pro-inflammatory cytokines are released and increase the recruitment of mononuclear cells within the vascular wall. T cells infiltrate and recognize one or a few antigens presented by a shared epitope, which is associated with specific major Histocompatibility Complex alleles on the dendritic cells, these latter being activated through Toll-like receptors. Th1 lymphocytes drive the formation of giant cells through the production of interferon-γ, and activate macrophages with release of VEGF resulting in increased neovascularisation and PDGF, resulting in smooth muscle migration and intimal proliferation. Th17 cells induced by the IL-23 microenvironnement also contribute to vascular lesions through activation of infiltrating neutrophils. Although still controversial, dendritic cells may cooperate with B lymphocytes and trigger the production of anti-endothelial cell auto-antibodies resulting in complement-dependent cytotoxicity against endothelial cells. In a near future, novel drugs specifically designed to target some of the pathogenic mechanisms described above could be expanding the physician's therapeutic arsenal in Takayasu's arteritis. PMID:21855656

  18. Giant cell arteritis associated with chronic active Epstein-Barr virus infection

    Directory of Open Access Journals (Sweden)

    A. Giardina

    2013-03-01

    Full Text Available Giant cell arteritis is an inflammatory vasculopathy that preferentially affects medium-sized and large arteries. A viral cause has been suspected but not confirmed in polymyalgia rheumatica and giant-cell arteritis. We report the case of a 81-year-old female who suffered from chronic active Epstein-Barr virus infection and developed giant cell temporal arteritis.

  19. Giant cell temporal arteritis associated with overlying basal cell carcinoma: co-incidence or connection?

    Directory of Open Access Journals (Sweden)

    Salem Alowami

    2012-06-01

    Full Text Available Giant cell arteritis is a granulomatous vasculitis of large and medium sized arteries manifesting as temporal arteritis and/or polymyalgia rheumatica. The histological assessment of temporal artery biopsies is frequently encountered in anatomical pathology and has important diagnostic consequences in patients clinically suspected of having giant cell arteritis. We present an intriguing case of giant cell arteritis associated with a Basal cell carcinoma and discuss the ongoing controversy pertaining to the association of giant cell arteritis/polymyalgia rheumatica with malignancy.

  20. Takayasu's arteritis: An update on physiopathology.

    Science.gov (United States)

    Arnaud, Laurent; Kahn, Jean-Emmanuel; Girszyn, Nicolas; Piette, Anne-Marie; Bletry, Olivier

    2006-07-01

    Takayasu's arteritis (TA) is a chronic large vessel vasculitis. The physiopathology of TA has not been completely elucidated, but it appears to be multifactorial and to mainly involve cellular immunity. The pathologic sequence could implicate stimulation from an antigen that triggers heat shock protein (HSP)-65 expression in aortic tissue which, in turn, induces MHC class I-related chain A (MICA). T-cells and natural killer (NK) cells expressing NKG2D receptors could recognize MICA, resulting in acute inflammation. Pro-inflammatory cytokines released from these infiltrating cells induce matrix metalloproteinases and amplify the inflammatory response, inducing more MHC antigen and costimulatory molecule expression on vascular cells and, thus, recruiting more mononuclear cells. Alpha-beta T-cells then infiltrate and specifically recognize one or a few autoantigens presented by a shared epitope associated with specific MHC on the dendritic cells (DC). These DC simultaneously cooperate to some extent with B-cells and determine a humoral immunity mainly constituted by anti-endothelial cell autoantibodies that could trigger complement-dependent cytotoxicity against endothelial cells. The use of corticosteroids and of other immunosuppressive agents can bring TA into remission in most patients. A better understanding of the immunological mechanisms responsible for the vascular injury has led to trials of anti-TNF-alpha agents with encouraging results. In the near future, new drugs specifically designed to target some of the mechanisms described above may be able to expand the physician's therapeutic arsenal in TA. PMID:16762772

  1. Clinical evaluation of digital subtraction angiography in Takayasu's arteritis

    International Nuclear Information System (INIS)

    Twenty-eight patients with Takayasu's arteritis were evaluated by either intra-venous DSA (28 patients) and/or intra-arterial DSA (9 patients). IV-DSA provided information comparable to those obtained by conventional angiography, although evaluation of collateral vessels with IV-DSA was not sufficient. With IA-DSA, images of definitive quality and completeness were obtained with small amount of contrast media in nearly all cases. IV-DSA is a choice of examination in screening and follow-up study for Takayasu's arteritis. Its usefulness and limitations are discussed, and interesting cases are presented. (author)

  2. A Five Years Old Girl Child with Takayasu Arteritis

    International Nuclear Information System (INIS)

    Takayasu arteritis is a systemic vasulitis of large vessels that mainly involves the aorta and its branches. It normally presents in third decade of life and has rarely been reported in children under 10 years of age. We report here a case of Takayasu arteritis in a 5 years old girl who presented with headache, generalized body swelling, severe hypertension, proteinuria and minimal functioning kidneys. Conventional angiography demonstrated narrowing of descending aorta, right subclavian artery and right common iliac artery. She responded steroids, diuretics, antiplatelets and digoxin and discharged home on maintenance therapy. (author)

  3. Transluminar catheter angioplasty of abdominal aorta in Takayasu's arteritis

    International Nuclear Information System (INIS)

    Nine patients with Takayasu's arteritis and a long stenotic segment of the abdominal aorta were treated by percutaneous transluminal angioplasty (PTA). Intermittent claudication dissappeared in six of seven cases, the femoral pulse reappeared in all five; ankle/arm indices increased in seven cases; elevated blood pressure normalized in seven of eight cases. Seven patients were followed for 3 to 28 months. They were all free of symptoms from the lower extremities. In three patients with or without renal artery stenosis and with hypertension, the blood pressure decreased after PTA of the abdominal aorta only. PTA may be a valuable treatment in Takayasu's arteritis and stenosis of the abdominal aorta. (orig.)

  4. Imaging difficulties in Takayasu arteritis – case report and review of the literature

    International Nuclear Information System (INIS)

    Takayasu arteritis is an inflammatory disease of large-diameter arteries. Aorta and its branches are most frequently affected. Takayasu arteritis occurs mainly in young women and, if left untreated, leads to fatal complications. Digital subtraction angiography (DSA) is considered the gold standard in imaging of Takayasu arteritis. A thirty-five-year-old woman was admitted to the hospital with transient loss of consciousness, effort-associated vertigo, upper limb weakness and temporary vision problems. On admission, there was no pulse on the left radial artery while there were bruits over subclavian arteries. Imaging of the aortic arch (computed tomography angiography, DSA) revealed stenoses of its main branches, indicating Takayasu arteritis. Computed tomography angiography (CTA) performed with a 64-slice unit revealed high effectiveness in localization of vascular wall and lumen pathologies resulting from Takayasu arteritis. Thanks to this fast diagnostic method, it is now possible to perform successful monitoring of patients with Takayasu arteritis and to plan possible interventional treatment

  5. Severe supraaortal atherosclerotic disease resembling Takayasu’s Arteritis

    Directory of Open Access Journals (Sweden)

    Bernhard Kis

    2007-07-01

    Full Text Available Bernhard Kis1,2, Thomas Liebig3,4, Peter Berlit11Department of Neurology, Alfried Krupp Hospital, Essen, Germany; 2Department of Psychiatry, University of Duisburg-Essen, Essen, Germany; 3Department of Neuroradiology, Alfried Krupp Hospital, Essen, Germany; 4Department of Neuroradiology, Technical University of Munich, Munich, GermanyAbstract: We report a case of a 64 year-old man whose clinical presentation and neuroimaging findings strikingly resembled those found in Takayasu’s Arteritis which is characterized by the triad of absent radial pulses, ischemic retinopathy, and carotid sinus hyperreflexia causing syncopes. Angiographically, the patient exhibited severe atherosclerotic changes of the supraaortic large vessels. Stent-assisted angioplasty resulted in both clinical improvement and increased cerebral blood flow as measured by angiography and ultrasound.Keywords: Takayasu’s arteritis, atherosclerosis, angiography, stent, angioplasty

  6. Takayasu's arteritis in association with tuberculosis in a young woman

    International Nuclear Information System (INIS)

    A possible relationship between Takayasu's arteritis (TA) and Tuberculosis (TB) has been proposed. Both diseases present similar chronic inflammatory lesions and occasionally granulomas on the arterial walls. We report a case of simultaneous presence of Takayasu's arteritis and tuberculosis in a 20 year old lady. She presented with fever, pain and intermittent claudication of all four limbs and easy fatigability for two months. We found an enlarged lymph node in left axillary region. All the peripheral pulses were absent and measurement of blood pressure was not possible. Her ESR was 62 mm in first hour and C reactive protein was 12mg/L. Duplex vascular USG revealed significant narrowing of both subclavian arteries and descending abdominal aorta. Histopathology of left axillary lymph node showed caseating tubercles suggestive of granulamatous tuberculous lymphadenitis. (author)

  7. Etiopatogenia de la arteritis de células gigantes Etiopathogenesis of giant cell arteritis

    Directory of Open Access Journals (Sweden)

    J.M. Casas

    2003-04-01

    Full Text Available La arteritis de células gigantes es una vasculitis que afecta a arterias de diámetro medio y ancho, preferentemente aquellas del arco aórtico con distribución extracraneal, pero también la aorta y otras de sus ramas mayores. Se caracteriza por la presencia de infiltrados inflamatorios mononucleares en la proximidad de la lámina elástica interna constituidos por linfocitos y macrófagos, que en aproximadamente algo más del 50% de los casos contienen células gigantes multinucleadas. La morbilidad asociada a esta enfermedad se relaciona con fenómenos de isquemia distales a la estenosis luminal de las arterias inflamadas y en menor medida con la formación de aneurismas por el debilitamiento de la pared arterial. De etiología desconocida, su patogenia es inmune a través de la migración y localización de células T productoras de γ-INF en la capa adventicia de las arterias inflamadas, suponiéndose que éste es el lugar del estímulo inmune por un antígeno aún no identificado. El reclutamiento y activación de macrófagos por esta citocina constituye uno de los puntos más importantes de su patogenia. La destrucción por éstos del tejido elástico arterial es un fenómeno relevante, así como la producción de otros factores promotores de neoangiogénesis y proliferación de la neoíntima, responsable a través de la obliteración de la luz, de las manifestaciones isquémicas de la enfermedad. El proceso se acompaña de una importante repercusión sistémica caracterizada por una fuerte reacción de fase aguda y síntomas generales de enfermedad poco específicos. Por otra parte, un importante porcentaje de los pacientes presentan un cuadro de polimialgia reumática, entidad en histórica y controvertida relación con esta arteritis. En los últimos años se han producido importantes aportaciones al conocimiento de los mecanismos inmunes implicados en su patogenia.Giant cell arteritis is a vasculitis of large and medium size

  8. Case Study: Giant Cell Arteritis with Vertebral Artery Stenosis

    OpenAIRE

    Daniel Chomlak, R.; Ghazanfari, Farshad; Datta, Mineesh

    2016-01-01

    In giant cell arteritis (GCA), involvement of the vertebral arteries is rare with reported rates of 3%–4% for ischemic events secondary to vertebral artery stenosis or occlusion for those patients with GCA. This case study describes a patient who initially presented with acute onset of vertigo but was also found to have transient, side-alternating upper limb neurological findings. While initial imaging showed no vascular abnormalities, it was not until GCA was eventually confirmed with a temp...

  9. Optimal management of giant cell arteritis and polymyalgia rheumatica

    Directory of Open Access Journals (Sweden)

    Charlton R

    2012-04-01

    Full Text Available Rodger CharltonCollege of Medicine, Swansea University, Wales, UKAbstract: Giant cell arteritis (GCA and polymyalgia rheumatica (PMR are clinical diagnoses without "gold standard" serological or histological tests, excluding temporal artery biopsy for GCA. Further, other conditions may mimic GCA and PMR. Treatment with 10–20 mg of prednisolone daily is suggested for PMR or 40–60 mg daily for GCA when temporal arteritis is suspected. This ocular involvement of GCA should be treated as a medical emergency to prevent possible blindness and steroids should be commenced immediately. There are no absolute guidelines as to the dose or duration of administration; the therapeutics of treating this condition and the rate of reduction of prednisolone should be adjusted depending on the individual's response and with consideration of the multiple risks of high-dose and long-term glucocorticoids. Optimal management may need to consider the role of low-dose aspirin in reducing complications. Clinicians should also be aware of studies that indicate an increased incidence of large-artery complications with GCA. This clinical area requires further research through future development of radiological imaging to aid the diagnosis and produce a clearer consensus relating to diagnosis and treatment.Keywords: arteritis, visual loss, blindness, erythrocyte sedimentation rate, stiffness, pain, aspirin, disability, glucocorticoids

  10. Takayasu Arteritis with Rheumatic Heart Disease with Congestive Cardiac Failure mimicking as having Infective Endocarditis

    OpenAIRE

    Upadhyay, Piyush

    2013-01-01

    Takayasu Arteritis (TA) is a chronic, idiopathic and granulomatous vasculitis of the large arteries. It involves primarily the aorta, especially aortic proximal branches, and occasionally the pulmonary arteries. We report a 10 year old boy with Takayasu arteritis with Rheumatic heart disease who developed congestive heart failure with valvular heart disease mimicking as having infective endocarditis. Complete aortogram revealed narrowing of abdominal aorta, superior ...

  11. Telethermography with thermostimulus in the study of temporal arteritis

    Science.gov (United States)

    Di Carlo, Aldo

    2004-12-01

    Giant-cell arteritis or Horton's arteritis (HA) is an immunomediated disease of large vessels. In particular it affects temporal arteries; its outcome is generally benign, but in some cases brain strokes or blindness are possible. Paraclinical diagnostic tools and, in particular, imaging techniques are very useful for diagnosing and monitoring the evolution. The method of thermostimulus applied to traditional telethermography (Ts-TTG) is particularly useful in the study of HA. While direct thermography (TTG) is limited in the evaluating fluximetric data because of its reduced sensitivity (no more than 0.1 °C), the thermostimulus technique allows us to know exactly the minimal variations in blood flow of these arteries. This method uses a thermogenerator connected with a thermal probe, a latex balloon containing a mixture of alcohol-water. Once this liquid reaches the temperature of the thermal stress (5 °C × 20 s), the probe is applied by contact on the cutaneous area of interest. Thermal insulation enables us to see, immediately after the thermal stimulus, a time-lag in the thermal recovery of these two components, respectively that of the artery (mean time of thermal recovery ⩽20 s) and that of the surrounding healthy skin (mean time of thermal recovery ⩾60 s). Moreover, applying the thermal stimulus successively on the two temporal areas, there will be a temporal difference in their respective thermal recoveries, also in cases of very low thermal differences (affected by monolateral temporal arteritis was examined in a retrospective study. The results demonstrate the usefulness of this innovative method that, among other advantages, excludes the possibility of false negatives.

  12. Glucocorticoids for Management of Polymyalgia Rheumatica and Giant Cell Arteritis.

    Science.gov (United States)

    Matteson, Eric L; Buttgereit, Frank; Dejaco, Christian; Dasgupta, Bhaskar

    2016-02-01

    Diagnosis of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) is based on typical clinical, histologic, and laboratory features. Ultrasonographic imaging in PMR with assessment especially of subdeltoid bursitis can aid in diagnosis and in following response to treatment. In GCA, diagnosis and disease activity are supported with ultrasonographic, MRI, or [(18)F]fluorodeoxyglucose PET evaluation of large vessels. Glucocorticoids are the primary therapy for PMR and GCA. Methotrexate may be used in patients at high risk for glucocorticoid adverse effects and patients with frequent relapse or needing protracted therapy. Other therapeutic approaches including interleukin 6 antagonists are under evaluation. PMID:26611552

  13. Response to intravenous gammaglobulin in refractory Takayasu arteritis

    International Nuclear Information System (INIS)

    Takayasu arteritis (TA ) is a large-vessel vasculitis which affects the aorta and its major branches. Steroids are the cornerstone of treatment; however, more than half of the patients relapse, requiring additional immunosuppressive agents. Open studies have suggested that methotrexate, cyclophosphamide, azathioprine, mycophenolate mofetil and anti-TNF therapy may be useful in such cases. We conducted a case report of a patient with TA with multiple relapses despite methotrexate,steroids, rituximab, cyclophosphamide, infliximab, percutaneous, and surgical revascularization. Intravenous immunoglobulin (IVIg) was employed, obtaining total and sustained control of vasculitic manifestations, achieving tapering and suspension of steroids as well as diminution of acute phase reactants

  14. Lethal subarachnoid bleeding under immunosuppressive therapy due to mycotic arteritis

    Energy Technology Data Exchange (ETDEWEB)

    Weigel, S.; Kloska, S.; Freund, M. [Dept. of Clinical Radiology, Univ. Hospital of Muenster, Muenster (Germany); Kehl, H.G. [Dept. of Pediatric Cardiology, Univ. Hospital of Muenster, Muenster (Germany)

    2003-12-01

    A subarachnoid haemorrhage (SAH) occurred 67 days after cardiac transplantation in 10-year-old girl with consecutive immunocompromising therapy. Neither digital subtraction angiography (DSA) nor computed tomographic angiography showed signs of intracranial vascular malformations. One month before the lethal SAH occurred, she had developed arterial hypertension and attacks of severe headache with cerebrospinal fluid (CSF) pleocytosis while CT scans showed an infarct of the left thalamus. Pathologic findings established the rare diagnosis of SAH due to aspergillosis-related mycotic arteritis. Imaging characteristics are presented. (orig.)

  15. Silent Giant Cell Arteritis in an Elderly Korean Woman

    OpenAIRE

    Cha, Dong Min; Lee, Taeseung; Choe, Gheeyoung; Yang, Hee Kyung; Hwang, Jeong-Min

    2013-01-01

    Giant cell arteritis (GCA) is a rare disease among Asians. Arteritic anterior ischemic optic neuropathy, which accompanies GCA, has not yet been reported in Koreans. Diagnosis of GCA is difficult if typical symptoms other than visual loss are absent. Here, we report a case of an 83-year-old Korean woman presenting with sudden visual loss in both eyes (oculus uterque, OU). Her visual acuities included perception of light in the right eye (oculus dexter, OD) and perception of hand motion in the...

  16. Angiographic diagnosis and interventional therapy for Takayasu arteritis

    International Nuclear Information System (INIS)

    Objective: To explore the value of angiographic diagnosis and interventional therapy for Takayasu arteritis. Methods: Thirty-eight patients with Takayasu Arteritis (TA) (11 men, 27 woman; aged 8-54; average age, 30.5 ± 18) undergone angiography were analyzed retrospectively. The angiographic appearances in all of the patients were observed dynamically in a double blind method by two experienced radiologists together and formed a consensus interpretation. Results: According to the classification of Lupi-Herrea, type I was found in 11 cases, type II in 15, type III in 7 and type IV in 5 by angiography. Among 38 patients the arterial involvement included subclavian artery in 20 cases (52.6%), the abdominal aorta in 15 cases (39.5%), the renal artery in 14 cases (36.8%), thoracic aorta in 10 cases (26.3%), carotid artery in 9 cases (23.7%), iliac artery in 9 cases (23.7%), axillary artery in 7 cases (18.4%), superior mesenteric artery in 4 cases (10.5%), coronary artery in 3 cases (7.9%), pulmonary artery in 3 cases (7.9%), and so on. Percutaneous transluminal angioplasty was performed in 22 cases and the stent placement was managed in 12 cases successfully. Conclusions: Angiography is one of the ideal and reliable methods for the diagnosis and guidance of the interventional treatment for TA, and the latter is a mini-invasive and effective way for TA. (authors)

  17. Using temporal artery biopsy to diagnose giant cell arteritis in a patient with bilateral arm ischemia

    Directory of Open Access Journals (Sweden)

    Julia Glaser

    2015-01-01

    Conclusion: Giant cell arteritis can present in atypical forms, and should remain on the differential when atypical-appearing lesions are found, even in the absence of features usually associated with GCA.

  18. Extracranial–intracranial bypass for Takayasu’s arteritis: A case report

    Directory of Open Access Journals (Sweden)

    Richard M. Young, M.D.

    2014-12-01

    Conclusion: STA–MCA bypass to enhance cerebral blood flow in the setting of stroke symptoms due to Takayasu’s arteritis can serve as a bridge before definitive cardiothoracic treatment of the great vessels.

  19. Concurrent central retinal artery occlusion and branch retinal vein occlusion in giant cell arteritis

    OpenAIRE

    Chu, Edward

    2010-01-01

    Edward R Chu, Celia S ChenDepartment of Ophthalmology, Flinders Medical Centre and Flinders University, Bedford Park, SA, AustraliaAbstract: Ophthalmic involvement in giant cell arteritis can manifest in a number of ways. Central retinal artery occlusion is one of the common causes of visual loss in giant cell arteritis. On the contrary, branch retinal vein occlusion is rarely associated with the latter. We report an 89-year-old lady with acute left central retinal artery occlusion on a backg...

  20. Case Study: Giant Cell Arteritis with Vertebral Artery Stenosis

    Science.gov (United States)

    Daniel Chomlak, R.; Ghazanfari, Farshad; Datta, Mineesh

    2016-01-01

    In giant cell arteritis (GCA), involvement of the vertebral arteries is rare with reported rates of 3%–4% for ischemic events secondary to vertebral artery stenosis or occlusion for those patients with GCA. This case study describes a patient who initially presented with acute onset of vertigo but was also found to have transient, side-alternating upper limb neurological findings. While initial imaging showed no vascular abnormalities, it was not until GCA was eventually confirmed with a temporal artery biopsy that the initial scans were shown to have bilateral narrowing of the vertebral arteries. While rare, vertebral artery involvement is an important complication to consider in the setting of GCA due to the high rate of associated mortality, despite immunosuppressive therapy. PMID:27279753

  1. Tratamento da arterite de Takayasu Takayasu’s arteritis treatment

    Directory of Open Access Journals (Sweden)

    Alexandre Wagner Silva de Souza

    2006-06-01

    Full Text Available A arterite de Takayasu (AT é uma vasculite granulomatosa crônica que envolve a aorta e seus principais ramos. A monitoração da atividade da doença e o melhor esquema terapêutico ainda têm sido um desafio para todos os que tratam estes pacientes. Corticosteróides e imunossupressores vêm sendo utilizados na prática clínica diária com resultados nem sempre animadores. Apesar de não haver estudos controlados que abordem o tratamento da AT, diferentes estudos observacionais descrevem a resposta de pacientes com AT ao uso de corticosteróides, metotrexato (MTX, azatio-prina e ciclofosfamida. Após a introdução da terapia biológica, novas perspectivas têm surgido para os pacientes com AT refratários aos esquemas terapêuticos tradicionais.Takayasus’s arteritis is a chronic granulomatous vasculitis involving the aorta and its main branches. Monitoring disease activity and the choice for the best therapy has been major challenger faced by all physicians who treat these patients. Corticosteroids and immunosuppressive therapy have been used in daily medical practice, but results have not always been encouraging. Although there are no controlled studies evaluating the treatment of Takayasu’s arteritis, observational studies have described the response to the use of corticosteroids, methotrexate, azathioprine and cyclophosphamide. The emerging of biological therapy has brought new perspective for Takayasu’s patients who are refractory to conventional therapy.

  2. Pseudoarthrosis and ankylosis of the vertebral spine without sacroiliitis associated with Takayasu's arteritis: review of the association

    Energy Technology Data Exchange (ETDEWEB)

    Schuetz, C.T.; Anderson, S.E. [Department of Diagnostic Radiology, University Hospital of Berne, Inselspital, 3010 Berne (Switzerland); Aeberli, D.; Oertle, S. [Department of Rheumatology, University Hospital of Berne, Inselspital, 3010 Berne (Switzerland)

    2002-09-01

    Pseudoarthrosis and ankylosis of the vertebral spine associated with Takayasu's arteritis is extremely rare. We present a patient with the entity who was HLA-B27 negative and had normal sacroiliac joints. The association between Takayasu's arteritis and ankylosing spondylitis appears real but seemingly rare. (orig.)

  3. Necrotizing arteritis occurring in an intralobar pulmonary sequestration of a patient without systemic vasculitis syndrome.

    Science.gov (United States)

    Hashimoto, Hirotsugu; Hara, Kei; Matsumoto, Jun; Nashiro, Tamaki; Nagano, Masaaki; Kusakabe, Masashi; Kurata, Atsushi; Kuroda, Masahiko; Suzuki, Yoshio; Horiuchi, Hajime

    2016-01-01

    Necrotizing arteritis is a complex lesion of pulmonary hypertension, as are plexiform lesions, and is classically recognized as grade 6 in the Heath and Edwards grading scheme for hypertensive pulmonary vascular disease. The vascular changes observed in intralobar pulmonary sequestration have been reported to be similar to those observed in pulmonary hypertension, such as plexiform lesions. However, necrotizing arteritis occurring in an intralobar sequestration of a patient without systemic vasculitis syndrome has never been reported to our knowledge. Here, we report a case of a 38-year-old woman with pulmonary sequestration detected on a medical checkup. She was treated with surgery, and subsequent pathological analyses revealed necrotizing vasculitis in her sequestrated lung. We suspected systemic vasculitis syndromes, such as Takayasu arteritis, polyarteritis nodosa, and antineutrophil cytoplasmic antibody-associated vasculitis. However, physical and blood examination did not show any other abnormalities, and hence, she did not have systemic vasculitis syndrome. Immunohistochemical analyses of the resected specimen showed that inflammatory cells of the arteries were mainly composed of T lymphocytes. T-lymphocytic inflammation with little neutrophil and histiocyte infiltration may be a pathological feature of necrotizing arteritis observed in pulmonary sequestration. This is the first case to our knowledge of necrotizing arteritis in an intralobar pulmonary sequestration of a patient without systemic vasculitis syndrome. PMID:26874730

  4. Angiographic features of 26 children with Takayasu's arteritis

    International Nuclear Information System (INIS)

    Background: Takayasu's arteritis (TA) is a chronic idiopathic inflammatory disease affecting primarily the aorta, its proximal branches and the pulmonary arteries Objectives: To retrospectively review the angiograms of children with TA so as to describe the patterns of vascular involvement. Patients and methods: Twenty-six children with TA who differed from most other studies in that almost all of them presented with hypertension, reflecting the incidence of abdominal aortic and renal artery involvement. Results: The most consistent finding was stenosis of the aorta. Marginal irregularity/undulation of the aorta was also a useful angiographic diagnostic feature in subtle disease. The incidence of aneurysms was high compared to other studies and both fusiform and saccular aneurysms were encountered. Percutaneous transluminal angioplasty (PTA) was successful in all eight patients in whom it was performed. MRI, CT angiography and US are discussed as less invasive imaging alternatives. TA is a significant cause of renovascular hypertension in children in South Africa where there is a high incidence of tuberculous infection. Knowledge of the angiographic features and pattern of aortic involvement is essential for diagnosis and initiation of early and appropriate treatment, including PTA. (orig.)

  5. Takayasu's arteritis on steroid therapy. Seven years follow-up.

    Science.gov (United States)

    Del Corso, L; Moruzzo, D; Agelli, M; Pentimone, F

    1999-12-01

    The authors report a 7 year follow-up of Takayasu's arteritis (TA) type III, group 1, in a young Italian woman. At diagnosis, at the age of 25, the echotomographic and angiographic studies showed narrow subclavian arteries, narrow abdominal aorta (diameter of 0.6-0.8 cm) below the renal arteries, stenotic left common carotid and renal arteries, and occluded upper mesenteric artery. With steroid therapy, (prednisone 50 mg/day per os), the erythrocyte sedimentation rate (ESR) normalized within 12 days. With a maintenance dosage of 7.5 mg/day per os, the patient achieved remission as documented by the absence of symptoms, the persistent normalization of ESR, and the improving of the diameter of the abdominal aorta (1.3-1.4 cm). On steroid therapy, the patient had a normal pregnancy and delivered a healthy baby girl. The disease has been stable for seven years. Recently, diabetes mellitus occurred and it has been treated with insulin therapy. The rising of ESR after tapering of steroid therapy (prednisone 5 mg per os on alternate days) suggests an alternative treatment with a cytotoxic agent. PMID:10705719

  6. Giant cell arteritis. Part I. Terminology, classification, clinical manifestations, diagnosis

    Directory of Open Access Journals (Sweden)

    Azamat Makhmudovich Satybaldyev

    2012-09-01

    Full Text Available Giant cell arteritis (GCA is a vasculitis affecting mainly large and medium-sized arteries, which the classification of systemic vasculitides refers to as those mainly involving the large vessels. GCA is typified by the involvement of extracranial aortic branches and intracranial vessels, the aorta and its large vessels are being affected most frequently. The paper considers the terminology, classification, prevalence, major pathogenic mechanisms, and morphology of GCA. A broad spectrum of its clinical subtypes is due to target vessel stenosis caused by intimal hyperplasia. In 40% of cases, GCA is shown to be accompanied by polymyalgia rheumatica that may either precede or manifest simultaneously with GCA, or follow this disease. The menacing complications of GCA may be visual loss or ischemic strokes at various sites depending on the location of the occluded vessel. Along with the gold standard verification of the diagnosis of GCA, namely temporal artery biopsy, the author indicates other (noninvasive methods for detection of vascular lesions: color Doppler ultrasonography of the temporal arteries, fluorescein angiography of the retina, mag-netic resonance angiography, magnetic resonance imaging, and computed tomography to rule out aortic aneurysm. Dynamic 18F positron emission tomography is demonstrated to play a role in the evaluation of therapeutic effectiveness.

  7. Magnetic resonance imaging findings in giant cell arteritis.

    Science.gov (United States)

    D'Souza, N M; Morgan, M L; Almarzouqi, S J; Lee, A G

    2016-05-01

    PurposeGiant cell arteritis (GCA) is a systemic vasculitis that affects medium-to-large-caliber arteries. Early diagnosis and treatment is essential as involvement of the ophthalmic artery or its branches may cause blindness. Radiographic findings may be variable and non-specific leading to delay in diagnosis. We conducted a review of the literature on neuroimaging findings in GCA and present a retrospective case series from tertiary-care ophthalmic referral centers of three patients with significant neuroimaging findings in biopsy-proven GCA.MethodsRetrospective case series of biopsy-proven GCA cases with neuroimaging findings at the Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital between 2010-2015 were included in this study. Literature search was conducted using Google Scholar and Medline search engines between the years 1970 and 2015.ResultsWe report findings of optic nerve enhancement, optic nerve sheath enhancement, and the first description in the English-language ophthalmic literature, to our knowledge, of chiasmal enhancement in biopsy-proven GCA. We describe four main categories of neuroimaging findings that may be seen in GCA from our series and from past cases in the literature.DiscussionIt is essential that clinicians be aware of the possible radiographic findings in GCA. Appropriate and prompt treatment should not be delayed based upon these findings. PMID:26915748

  8. Carotid and subclavian sonography in the diagnosis of takayasu arteritis

    International Nuclear Information System (INIS)

    Takayasu arteritis (TA) is an inflammatory disease of aorta and its major branches and pulmonary artery affecting young females in most cases. Diagnosis of TA in its early phase is important in prevention of serious complications. However, clinical diagnosis of TA may be difficult due to nonspecific symptoms. Thirty-three consecutive patients (aged 15 to 60 years; mean age, 44.6 years) with TA (19 in clinically active, 14 in inactive stage) were included in this study. Concentric wall thickening (1.2-4.0 mm ), stenosis or occlusion of one or both common carotid arteries or innominate artery was found in 78% (26/33) of patients with TA. Wall thickening or occlusion of one or both subclavian arteries was seen in 60.6% (20/33) of patients with TA. Most patients (91%, 31/33) except two chronic inactive patients with aortic stenosis had disease in at least one of four arteries at sonography. Because subclavian and carotid lesions are peculiar in young patients with TA. Carotid and subclavian US is sensitive and specific in diagnosis of TA as revealed in our study. Findings of carotid sonography in TA have been concentric wall thickening and calcifications. Early diagnosis mainly depends on detection of subtle mural thickening at sectional imaging studies, while stenosis or dilatation of aorta and its branches appears in the later stage. Changes in mural thickness after medical treatment could be assessed with sonography.

  9. A rare case of Takayasu's arteritis in pregnancy

    Directory of Open Access Journals (Sweden)

    Sanjay Singh

    2016-02-01

    Full Text Available Takayasu's arteritis (TA is an uncommon, chronic inflammatory vascular disease of unknown etiology that primarily involves aorta and its branches and pulmonary arteries. Though it is present worldwide, it is more prevalent in Asian countries. It usually presents during reproductive age group with non-specific symptoms. The symptoms of the disease are varied and patients can present asymptomatically with impalpable pulses. There are no specific laboratory tests to diagnose TA. Angiographic imaging is considered to be the gold standard investigation in diagnosing TA. Steroids with subsequent tapering doses are the mainstay of medical treatment. Reconstructive vascular surgery is limited to the severe and irreversible stenotic lesions. Though the disease process theoretically is not aggravated by the pregnancy, development of preeclampsia and fetal growth restriction may occur during pregnancy. Preconception counseling and careful monitoring of pregnant mother by a multidisciplinary team, improves the pregnancy outcome. Here we present a bad obstetric case with TA who subsequently developed severe preeclampsia and fetal growth restriction. The pregnancy outcome could be made favourable by strict monitoring and multidisciplinary team approach. [Int J Reprod Contracept Obstet Gynecol 2016; 5(2.000: 552-555

  10. Crohn's disease and Takayasu's arteritis: an uncommon association.

    Science.gov (United States)

    Taddio, Andrea; Maschio, Massimo; Martelossi, Stefano; Barbi, Egidio; Ventura, Alessandro

    2013-09-21

    Takayasu's arteritis (TA) and Crohn's disease (CD) are two rare autoimmune disorders; however some reports describe the presence of both diseases in the same patient. This finding has suggested the possibility that both diseases could share some common etiologic origin. We describe a case of a 13-year-old male affected by CD characterized by fever, diarrhea, weight loss, abdominal pain and elevation of inflammatory markers. Clinical and histological features from colonic specimens were consistent with CD. Treatment with steroids and azathioprine was started, however disease flared every time steroids were tapered. One year later, while still on treatment, he came back to our attention for dyspnea at rest and at night, tiredness and weakness. At physical examination a diastolic heart murmur was found as well as a left carotid artery bruit. A transthoracic echocardiography showed mild aortic valve insufficiency, left ventricular hypertrophy and a dilated ascending aorta with same findings at the aortic arch. A computed tomography scan showed abdominal aorta thickening, dilated thoracic aorta and the presence of a thoracic aortic aneurysm. TA associated with CD was diagnosed and medical treatment with cyclophosphamide, steroids and aminosalicylic acid was started, with good clinical response at 6 mo follow-up. We discuss the presence of possible common causes for the two diseases and the importance of differential diagnosis in those patients characterized for intractable disease. PMID:24124342

  11. Digital gangrene an unusual presentation of takayasu′s arteritis

    Directory of Open Access Journals (Sweden)

    Manoj Kumar Roy

    2015-01-01

    Full Text Available Context: Takayasu arteritis (TA is a chronic inflammatory disease involving large vessels like aorta and its major branches. It presents to clinician with features of arm claudication, stroke, asymmetrical pulse, or asymmetrical blood pressure in both limbs. Digital gangrene may be occurred secondary to various systemic diseases like diabetes, thrombophilic states, vascular embolism, and medium and small vessel vasculitis or infections. Through evaluation to diagnose the exact etiology and timely intervention is needed to prevent progression of the gangrene which at the time can be life-threatening. Digital gangrene as an initial presentation in TA is very rare. In medical literature, there are only few case reports have been reported. Case Report: We are reporting a case of a 26-year-old female patient presented with right little finger and index finger gangrene, ultimately diagnosed as TA and responded dramatically to treatment. Conclusion: Though rare, TA should be taken in the differential diagnosis for work up in a case of digital gangrene and it necessitates more studies in this field to uncover the exact pathophysiology for such presentation.

  12. Giant cell arteritis. Part I. Terminology, classification, clinical manifestations, diagnosis

    Directory of Open Access Journals (Sweden)

    Azamat Makhmudovich Satybaldyev

    2012-01-01

    Full Text Available Giant cell arteritis (GCA is a vasculitis affecting mainly large and medium-sized arteries, which the classification of systemic vasculitides refers to as those mainly involving the large vessels. GCA is typified by the involvement of extracranial aortic branches and intracranial vessels, the aorta and its large vessels are being affected most frequently. The paper considers the terminology, classification, prevalence, major pathogenic mechanisms, and morphology of GCA. A broad spectrum of its clinical subtypes is due to target vessel stenosis caused by intimal hyperplasia. In 40% of cases, GCA is shown to be accompanied by polymyalgia rheumatica that may either precede or manifest simultaneously with GCA, or follow this disease. The menacing complications of GCA may be visual loss or ischemic strokes at various sites depending on the location of the occluded vessel. Along with the gold standard verification of the diagnosis of GCA, namely temporal artery biopsy, the author indicates other (noninvasive methods for detection of vascular lesions: color Doppler ultrasonography of the temporal arteries, fluorescein angiography of the retina, mag-netic resonance angiography, magnetic resonance imaging, and computed tomography to rule out aortic aneurysm. Dynamic 18F positron emission tomography is demonstrated to play a role in the evaluation of therapeutic effectiveness.

  13. Takayasu Arteritis with Bilateral Renal Artery Stenosis and Left Subclavian Artery Stenosis in Pregnancy.

    Science.gov (United States)

    Nalini, Sharma; Santa, Singh Ahanthem

    2015-09-01

    Takayasu arteritis (TA) is a rare, systemic, chronic inflammatory, progressive, idiopathic disease of aorta and its main branches. It causes narrowing, occlusion and aneurysm of arteries. It affects mainly young females in about 80-90% of cases (young female arteritis). TA has adverse effect on pregnancy in the form of abortion, superimposed preeclampsia, IUGR (Intrauterine growth restriction), IUFD (intrauterine fetal death), abruption and CCF (congestive cardiac failure). Careful assessment, treatment of TA complication, regular antenatal followup and multidisciplinary approach involving obstetrician, cardiologist, rheumatologist and anaesthetist improve maternal and fetal outcome. We described here a case of pregnancy with TA with bilateral renal artery stenosis and left subclavian artery stenosis. PMID:26500964

  14. The equine arteritis virus isolate from the 2010 Argentinian outbreak.

    Science.gov (United States)

    Metz, G E; Serena, M S; Panei, C J; Nosetto, E O; Echeverria, M G

    2014-12-01

    A semen sample from a stallion infected during the 2010 equine arteritis virus (EAV) outbreak was received for viral isolation prior to castration of the animal. The virus was identified using a polyclonal antibody immunofluorescence test. Reverse-transcription polymerase chain reaction (RT-PCR) was used to amplify a region of the GP5 gene with primers GL105F and GL673R. The PCR products were purified and sequences of both strands were determined in a MegaBACE™1000 with inner primers CR2 and EAV32. A phylogenetic dataset was built with the previously reported sequences of five strains isolated in Argentina, together with a group of selected sequences obtained from GenBank. The unrooted neighbour-joining tree was constructed using molecular evolutionary genetic analysis (MEGA) and bootstrap analyses were conducted using 1,000 replicate datasets. Evolutionary distances were computed using the maximum composite likelihood method. A NetNGlyc server analysis at the Technical University of Denmark (www.cbs.dtu.dk/services/NetNGlyc/) was used to predict N-glycosylation in GP5 sequences. The phylogenetic analysis revealed that the new strain GLD-LP-ARG), together with other strains previously isolated, belongs to the European group EU-1 but in a different branch. The new strain shows 99% nucleotide identity with strain Al1and 98.1% with the Belgian strain 08P178. Persistently infected stallions and their cryopreserved semen constitute a reservoir of EAV, which ensures its persistence in the horse population around the world. These findings reinforce the importance of careful monitoring of persistently infected stallions, as well as semen straws, by RT-PCR or test mating, in accordance with national regulations. PMID:25812217

  15. Temporal artery biopsy is not required in all cases of suspected giant cell arteritis.

    LENUS (Irish Health Repository)

    Quinn, Edel Marie

    2012-07-01

    Temporal artery biopsy (TAB) is performed during the diagnostic workup for giant cell arteritis (GCA), a vasculitis with the potential to cause irreversible blindness or stroke. However, treatment is often started on clinical grounds, and TAB result frequently does not influence patient management. The aim of this study was to assess the need for TAB in cases of suspected GCA.

  16. Color doppler sonography of patients with temporal arteritis: Comparison with normal superficial temporal artery

    International Nuclear Information System (INIS)

    To evaluate the color doppler sonographic findings of superficial temporal artery of patients with temporal arteritis in comparison with normal superficial temporal artery. The superficial temporal arteries and their frontal and parietal branches were examined by color doppler sonography in 6 patients with temporal arteritis and 30 normal controls. Vessel diameter, vessel wall thickness, peak systolic velocity, end-diastolic velocity and resistive index in proximal and distal portion of superficial temporal arteries and their frontal and parietal branches were examined. For statistical analysis, Student's t-test was used and a p-value<0.01 was considered significant. Mean vessel wall thickness, peak systolic velocity in patients with temporal arteritis were 0.63 0.08 mm and 49.25 11.93 cm/sec,respectively inproximal superficial temporal arteries; 0.63 0.17 mm and 30.53 11.57 cm/sec in distal superficial temporal arteries. Mean vessel wall thickness of normal branches of superficial temporal arteries in patients with temporal arteries was 0.62 0.11 mm. The vessel wall superficial temporal arteries and their frontal branches in temporal arteries group was thicker than normal control group (p<0.01). The mean peak velocity of main superficial temporal arteries in temporal arteries group was significantly lower than normal control group (p<0.01). The vessel wall was hypoechoic in temporal arteries group. We obtained various color doppler sonographic findings in patients with temporal arteritis for comparison with normal group. The wall thickness, the peak systolic velocity and wall echogenicity of superficial temporal artery could be useful in diagnosis of temporal arteritis.

  17. F-18 FDG PET/CT Findings of a Patient with Takayasu Arteritis Before and After Therapy

    Directory of Open Access Journals (Sweden)

    Sait Sağer

    2012-04-01

    Full Text Available Vasculitis is defined as inflammation and necrosis with leukocytic infiltration of the blood vessel wall. Takayasu arteritis is a chronic inflammatory arteritis that primarily involves the aorta and its main branches. A 64-year-old female patient with a 2-month history of fever of unknown origin was presented to our clinic for F-18 FDG PET/CT imaging. Baseline PET/CT images demonstrated intense F-18 FDG uptake in the aorta, bilateral subclavian and brachiocephalic arteries consistent with Takayasu arteritis. After 2 months of immunosuppressive therapy, she was asymptomatic and follow-up FDG PET/CT scan showed almost complete disappearance of large vessels’ F-18 FDG uptake. FDG PET/CT is a sensitive technique for assessing presence of large-vessel vasculitis such as Takayasu arteritis, extent of large-vessel inflammation and disease activity after therapy. (MIRT 2012;21:32-34

  18. Cerebral Aspergillus arteritis with bland infarcts: A report of two patients with poor outcome

    Directory of Open Access Journals (Sweden)

    Uppin Megha

    2007-01-01

    Full Text Available Two patients with cerebrovascular aspergillosis, in the form of arteritis, thrombosis and bland infarcts are reported. One patient had systemic lupus erythematosus with disseminated aspergillosis in lungs, kidneys and brain. The other patient was immunocompetent and had sphenoid sinusitis. Both the patients were diagnosed at autopsy only, despite extensive imaging and laboratory studies. High index of clinical suspicion and early aggressive antifungal therapy are required since definite diagnostic modalities are not available.

  19. Takayasu's arteritis: Is it a reversible disease? Case Report and Literature Review

    OpenAIRE

    Hedna, Vishnumurthy Shushrutha; Patel, Akhil; Bidari, Sharathchandra; Elder, Melissa; Hoh, Brian L.; Yachnis, Anthony; Waters, Michael F.

    2012-01-01

    Background: Takayasu's arteritis (TA) is a rare and potentially devastating condition leading to prolonged morbidity and even death. Case Description: We report an 18-year-old female presenting with an acute ischemic stroke treated with intravenous thrombolysis and subsequent endovascular therapy (ET) with excellent results followed by chronic treatment with immunosuppressants after a formal diagnosis of TA. Following immunosupression, improvement was noted in critical stenoses of the extracr...

  20. Serological survey for equine viral arteritis in several municipalities in the Orinoquia region of Colombia

    OpenAIRE

    Agustín Góngora O; María Barrandeguy; Karl Ciuoderis A.

    2015-01-01

    ABSTRACTObjective. The goal of this study was to determine the current status of the Equine Arteritis virus (EAV) in horse populations in the Orinoquia region of Colombia. Materials and methods. A transversal study was conducted by serological survey of equine (n=100) from 11 municipalities of the Colombian Orinoquia region. Serum samples were tested by virus seroneutralization assay according to the guidelines provided by the World Organization for Animal Health. Results. After testing was c...

  1. Successful medical and surgical treatment of dermal arteritis of the nasal philtrum in a Saint Bernard dog

    Directory of Open Access Journals (Sweden)

    Vuolo S

    2014-09-01

    Full Text Available Sarah Vuolo, Lisa Peters, Louis Licari Department of Emergency and Critical Care, Fox Valley Animal Referral Center, Appleton, WI, USA Abstract: A four-year-old neutered male Saint Bernard dog presented with a 2 year history of nasal philtrum ulceration and recent recurrent arterial hemorrhage from this region. Dermal arteritis of the nasal philtrum was diagnosed and the patient was started on immunosuppressive medications. Clinical signs continued to recur until surgical resection of the lesions was performed. Dermal arteritis of the nasal philtrum is a rare phenomenon but should be considered in certain breeds. Surgical removal of affected tissue should be considered when medical treatment fails. Long-term management with cyclosporine was initiated which has not been previously described in the literature. Keywords: dermal arteritis, immunology, nasal resection, immunosuppression

  2. Association between IL-18 gene polymorphisms and biopsy-proven giant cell arteritis

    OpenAIRE

    Palomino-Morales, Rogelio; Vázquez-Rodríguez, Tomás R.; Torres, Orlando; Morado, Inmaculada C.; S. Castañeda; Miranda-Filloy, J. A.; Callejas-Rubio, J. L.; Fernández-Gutiérrez, B.; González-Gay, M. A.; Martín, J.

    2010-01-01

    Introduction The objective was to investigate the potential implication of the IL18 gene promoter polymorphisms in the susceptibility to giant-cell arteritis (GCA). Methods In total, 212 patients diagnosed with biopsy-proven GCA were included in this study. DNA from patients and matched controls was obtained from peripheral blood. Samples were genotyped for the IL18-137 G>C (rs187238), the IL18-607 C>A (rs1946518), and the IL18-1297 T>C (rs360719) gene polymorphisms with polymerase chain reac...

  3. Concomitant Takayasu arteritis and Cushing syndrome in a child undergoing open adrenalectomy: An anaesthetic challenge

    Directory of Open Access Journals (Sweden)

    Hemlata

    2014-01-01

    Full Text Available Takayasu′s arteritis (TA is a rare, chronic progressive panendarteritis involving the aorta and its main branches. Anaesthesia for patients with TA is complicated by their severe uncontrolled hypertension, end-organ dysfunction, stenosis of major blood vessels, and difficulties encountered in monitoring arterial blood pressure. In a patient with Cushing′s syndrome (CS, the anaesthesiologist needs to deal with volume overload, hyperglycaemia, hypokalaemia, difficult airway and ventilation. Anaesthetic management of a patient with concomitant TA and CS undergoing adrenalectomy has hardly ever been reported. We present the successful anaesthetic management of a 15-year-old child with coexisting TA and CS undergoing open adrenalectomy.

  4. Idiopathic CD4 lymphocytopenia with giant cell arteritis and pulmonary mucormycosis

    Directory of Open Access Journals (Sweden)

    Ryan A. Denu

    2014-10-01

    Full Text Available Idiopathic CD4 lymphocytopenia (ICL is characterized by a low CD4+ lymphocyte count in the absence of HIV or other underlying etiologies. We report a case of a 57-year old man with ICL and giant cell arteritis (GCA who developed pulmonary mucormycosis, which, to our knowledge, is the first report of these occurring in a patient with ICL. Abnormally low total lymphocyte or CD4+ cell counts occurring in patients with autoimmune disorders should alert clinicians to the possibility of ICL. Immunosuppressive treatment should be used with caution in this context.

  5. Takayasu's arteritis: low corticosteroid dosage and pregnancy--a case report.

    Science.gov (United States)

    Del Corso, L; De Marco, S; Vannini, A; Pentimone, F

    1993-10-01

    The authors describe a case of Takayasu's arteritis in a twenty-five-year-old Italian woman, characterized by nonspecific symptoms (weakness, arthralgias, fever) and elevated erythrocyte sedimentation rate early onset of these symptoms at the age of about twenty-three years early diagnosis, only eighteen months after the onset of symptomatology absence of progression of the disease under corticosteroid therapy with a follow-up of three years uneventful pregnancy ending in cesarean section and birth of a baby without maternal and neonatal complications. PMID:8105731

  6. Giant Cell Arteritis in a 12-Year-Old Girl Presenting with Nephrotic Syndrome

    Directory of Open Access Journals (Sweden)

    Zeinab A. El-Sayed

    2014-01-01

    Full Text Available Giant cell arteritis (GCA is rare in children. The kidneys are generally spared. We present a case of GCA in a 12-year-old girl with severe headache and tender scalp especially over the right temporal area. The right superficial temporal artery was cord like and nodular and the pulsations were barely felt. Several small tender nodular swellings were felt in the occipital area. She had been previously diagnosed as a case of nephrotic syndrome due to underlying membranoproliferative glomerulonephritis. This report is aimed at drawing attention to this rare form of vasculitis in children aiming at decreasing its morbidities.

  7. Estudio inmunogenético e inmunohistoquímico de la arteritis de Horton

    OpenAIRE

    Cid Xutglà, M. Cinta

    1989-01-01

    [spa] INTRODUCCIÓN:La etiopatogenia de la arteritis temporal (AT) es poco conocida. Estudios epidemiológicos sugieren una perdisposición genética a padecer la enfermedad. Por otro lado, la excelente respuesta clínica al tratamiento con corticosteroides y la frecuente demostración en estos pacientes de anomalías inmunológicas inespecíficas como complejos inmunes circulantes y disminución de linfocitos CD8, entre otras, sugieren la participación de fenómenos de autoinmunidad en su patogenia. En...

  8. Azathioprine in giant cell arteritis/polymyalgia rheumatica: a double-blind study.

    OpenAIRE

    M. Silva; Hazleman, B L

    1986-01-01

    The ability of azathioprine to reduce the maintenance prednisolone requirement of 31 patients with polymyalgia rheumatica (PMR) or giant cell arteritis (GCA), or both, was tested in a double-blind placebo controlled study over one year. Clinical and laboratory assessments were made at four-weekly intervals over a period of 52 weeks. A statistically significant difference (p less than 0.05) in mean prednisolone dose was noted between the two groups at the end of 52 weeks, there being a fall in...

  9. Takayasu’s Arteritis and Crohn’s Disease in a Young Hispanic Female

    Directory of Open Access Journals (Sweden)

    Namrata Singh

    2014-01-01

    Full Text Available Takayasu’s arteritis (TA and Crohn’s disease (CD are chronic inflammatory granulomatous disorders of undetermined etiology. TA is a large vessel vasculitis with a predilection for the aorta and its branches in young women of Asian descent; whereas CD has characteristic gastrointestinal manifestations more prevalent in young Caucasians. We describe a case of both diseases in a young Hispanic female, review the literature, and impart new insight on possible genetic linkage and the role of interleukin 12 B (IL-12B as the common autoimmune mechanism and potential therapeutic target in this rare disease combination.

  10. Mannose-binding lectin variant alleles and HLA-DR4 alleles are associated with giant cell arteritis

    DEFF Research Database (Denmark)

    Jacobsen, Soren; Baslund, Bo; Madsen, Hans Ole;

    2002-01-01

    To determine whether variant alleles of the mannose-binding lectin (MBL) gene causing low serum concentrations of MBL and/or polymorphisms of HLA-DRB1 are associated with increased susceptibility to polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) or particular clinical phenotypes of PMR/GCA....

  11. Ventilation-perfusion lung scan for the detection of pulmonary involvement in Takayasu's arteritis

    International Nuclear Information System (INIS)

    The aim of study was to analyse ventilation and perfusion (V/Q) lung scan findings in a series of Italian patients with Takayasu's arteritis. Eighteen consecutive patients underwent V/Q lung planar scintigraphy and single-photon emission tomography (SPET). Before perfusion scan acquisition was started, a first-pass study with 99mTc-macroaggregates of albumin was performed to assess the right ventricular ejection fraction (RVEF). All patients had normal chest X-rays and were symptom free at the time of the investigation. They also underwent echocardiography to evaluate pulmonary artery pressure and in 13 patients respiratory function tests were performed. In four patients, perfusion lung scan was repeated after 1 year. In 10/18 patients (55.5%), 43 unmatched lobar, segmental or subsegmental perfusion defects were found on planar images; ventilation scintigraphy was normal in all cases. On SPET images, 55 defects were found; no defects were found with SPET in the remaining patients who had normal planar images. All patients had normal RVEF and 5/13 patients had mild restrictive-obstructive lung disease. The pulmonary artery pressure was increased in two patients with perfusion defects. In the four patients who had repeat scintigraphy, all defects remained unchanged. The prevalence of lung perfusion abnormalities observed in Italian patients with Takayasu's arteritis is within the range of values reported in other countries, and V/Q planar scintigraphy is sufficient for the screening of patients. (orig.)

  12. Ocular pneumoplethysmography can help in the diagnosis of giant-cell arteritis.

    Science.gov (United States)

    Bosley, T M; Savino, P J; Sergott, R C; Eagle, R C; Sandy, R; Gee, W

    1989-03-01

    We compared the results of ocular pneumoplethysmography in nine patients who had a temporal artery biopsy (TAB) diagnostic of giant-cell arteritis with results of ocular pneumoplethysmography in nine patients with normal TAB results and 112 patients with anterior ischemic optic neuropathy or central retinal artery occlusion assumed to be nonarteritic. The mean +/- SD ocular pulse amplitude with ocular pneumoplethysmography was 3.9 +/- 1.8 mm in the group with abnormal TAB results and 10.6 +/- 4.0 mm in the group with normal TAB results. Every patient with abnormal TAB results had an average calculated ocular blood flow less than 0.60 mL/min, while only one patient with normal TAB results fell in this range. The average calculated ocular blood flow had a sensitivity of 100% and a specificity of 93.4% in the diagnosis of giant-cell arteritis, with a diagnostic accuracy of 93.9%. These results rival the diagnostic accuracy of the erythrocyte sedimentation rate and TAB results. PMID:2923561

  13. Diagnóstico clínico y angiográfico de la arteritis de Takayasu. Clinical and angiographic diagnosis of Takayasu's arteritis.

    Directory of Open Access Journals (Sweden)

    Julio C. Echarte Martínez

    1996-01-01

    Full Text Available Se estudiaron tres enfermas aquejadas de arteritis de Takayasu diagnosticadas en el Instituto de Cardiología y Cirugía Cardiovascular en 1995. El diagnóstico se fundamentó en los criterios de Ishikawa; todos cayeron en la clasificación tipo III de Ueno y colaboradores (afección del arco aórtico y sus ramas principales, y la aorta toracoabdominal y sus ramas. La panaortografía sigue siendo el método diagnóstico esencial para la localización de estas lesiones así como para definir la conducta terapéutica. El tratamiento comporta dos vertienttes: el etiológico que permanece aún empírico basados en los esteroides, la quimioprofilaxis antituberculosa, los citostáticos y el tratamiento de las consecuencias de la enfermedad, el cual es, esencialmente quirúrgico basado en general en la revascularización. Este tratamiento se justifica por el pronóstico sombrio de la enfermedad, la insuficiencia del tratamiento médico y porque la incapacidad funcional del paciente es importante, lo que constituye un desafío a la cirugía cardiovascular. Three female patients with Takayasu's arteritis, diagnosed at the Cardiology and Cardiovascular Surgery Institute in 1995, were studied. The diagnosis was established on Ishakawa's criteria; all of them were included in the Ueno et al. type III classification (affection of the aortic arch and its main branches, and of the thoracoabdominal aorta and its branches. The panaortography is the essential diagnostic method to locate this lesions, and also to determine the therapeutic behaviour. The treatment has two aspects: the etiologic aspect still remains being empirical, with a basis on the therapeutical use of steroids, antituberculotic chemoprophylaxis, and antineoplastic agents, and the treatment of the consequences of the disease, which is essentialy surgical and generally based on revascularization. This treatment is justified by the poor prognosis of the disease, the non sufficient medical

  14. Nissl arteritis in meningovascular syphilis and ceftriaxone therapeutic failure. Case report and review

    Directory of Open Access Journals (Sweden)

    Maria Isabel Montes

    2006-08-01

    Full Text Available The authors report a case of a 45 year old patient, negative VIH,with recurrent stroke, secondary to meningovascular syphilis andtherapeutic failure with ceftriaxone. The neurosyphilis is due to impairment of the nervous central system for the Treponema pallidumin any stadium of the condition, and includes both asymptomatic andsymptomatic forms of the infection. The forms of presentation arediverse and depend of the location and extension of the lesions. TheMRI shown multiple vascular injuries which reflects the impairment ofsmall blood vessels (Nissl arteritis caused by the Treponema .Thecurrent recommendation of the treatment is with crystalline penicillin G intravenously 4 millions every 4 hours for 14 days. The evidence up to the present time in people’s positive VIH with latent syphilis with or without neurosyphilis treated with ceftriaxone has showned up to 23% of therapeutic failures. There is a lack of information in immunocompetent patients.

  15. THE CASE OF THE GIANT-CELL ARTERITIS MANIFESTED AS DORSOLATERAL MEDULLARY INFARCTION

    Directory of Open Access Journals (Sweden)

    V. S. Akimov

    2014-01-01

    Full Text Available The case of a giant-cell arteritis is presented. First clinical signs of the disease were fewer and development of infarction in the basin of the left vertebral artery. Magnetic resonance angiography showed its prolonged diminution. Laboratory results were remarkable for the high rate of erythrocyte sedimentation and the increase of C-reactive protein (CRP concentration. Physical examination revealed acrotism in temporal arteries. Diagnosis was proven by biopsy results which included giant multinucleate cells. Authors discuss problems of diagnosis of the disease, the role of radiological methods (angio-ultrasonography, magnetic resonance and computed tomography aided angiography, positron-emission tomography and the necessity to pay particular attention to the elderly patients with high rate of erythrocyte sedimentation and the increased CRP concentration.

  16. Folgoration as an Example of Pathergy in a Patient Affected by Pyoderma Gangrenosum and Takayasu's Arteritis

    Directory of Open Access Journals (Sweden)

    A. G. Richetta

    2009-01-01

    Full Text Available Pyoderma gangrenosum (PG is a neutrophilic dermatosis of unknown aetiology. Clinical manifestations of PG are characterized by destructive, necrotizing, and noninfective ulceration of the skin. 20–30% of cases are initiated and aggravated by minor trauma or surgery, a phenomenon named pathergy. PG is related to several autoimmune diseases including ulcerative colitis, Crohn's disease, rheumatoid arthritis, and monoclonal gammopathy. The association with Takayasu's arteritis (TA, a chronic inflammatory and stenotic disease of large and medium-sized arteries, is instead less common. We report a case of PG associated with TA that was induced by an accident with folgoration of the skin; in this case the folgoration can be considered as an exemple of Pathergy, that is, a characteristic feature of PG.

  17. Serological survey for equine viral arteritis in several municipalities in the Orinoquia region of Colombia

    Directory of Open Access Journals (Sweden)

    Agustín Góngora O.

    2014-09-01

    Full Text Available Objective. The goal of this study was to determine the current status of the Equine Arteritis virus (EAV in horse populations in the Orinoquia region of Colombia. Materials and methods. A transversal study was conducted by serological survey of equine (n=100 from 11 municipalities of the Colombian Orinoquia region. Serum samples were tested by virus seroneutralization assay according to the guidelines provided by the World Organization for Animal Health. Results. After testing was carried out no positives samples to EAV were found in the population analyzed. Conclusions. Although the sample size of the population screened in this study does not represent the total equine population size for the region or the country, data obtained has shown the absence of EAV infection in these animals. However, a wider study area including other regions of the country, with a feasible statistical design, would determine if this infection continues to be an exotic disease for Colombia.

  18. YKL-40 in giant cells and macrophages from patients with giant cell arteritis

    DEFF Research Database (Denmark)

    Johansen, J S; Baslund, B; Garbarsch, C;

    1999-01-01

    OBJECTIVE: YKL-40, a mammalian member of the family 18 glycosyl hydrolases, is secreted by activated macrophages at a late stage of differentiation. Macrophages are present in inflammation of the arterial wall and are thought to participate in the pathogenesis of giant cell arteritis (GCA). The aim...... of this study was to evaluate whether macrophages and giant cells of patients with GCA produce YKL-40, and whether serum YKL-40 concentrations are elevated in these patients. METHODS: Serum YKL-40 was determined by radioimmunoassay in 19 patients with GCA and 8 patients with polymyalgia rheumatica...... (PMR) who were followed up prospectively during 1 year of treatment with prednisolone. Immunohistochemical staining for YKL-40 was performed in temporal artery biopsy samples that were obtained before treatment. RESULTS: In the arteritic vessels of patients with GCA, positive staining for the YKL-40...

  19. Association of FCGR2A and FCGR2A-FCGR3A haplotypes with susceptibility to giant cell arteritis

    OpenAIRE

    Morgan, Ann W.; Robinson, Jim I; Barrett, Jennifer H; Martín, J.; Walker, Amy; Babbage, Sarah J; Ollier, W E R; González-Gay, M. A.; Isaacs, John D

    2006-01-01

    The Fc gamma receptors have been shown to play important roles in the initiation and regulation of many immunological and inflammatory processes and to amplify and refine the immune response to an infection. We have investigated the hypothesis that polymorphism within the FCGR genetic locus is associated with giant cell arteritis (GCA). Biallelic polymorphisms in FCGR2A, FCGR3A, FCGR3B and FCGR2B were examined for association with biopsy-proven GCA (n = 85) and healthy ...

  20. Identification of the PTPN22 functional variant R620W as susceptibility genetic factor for giant cell arteritis

    OpenAIRE

    Serrano, A.; A. Márquez; Mackie, SL; Carmona, FD; Solans, R.; Miranda-Filloy, JA; Hernández-Rodríguez, J; Cid, MC; S. Castañeda; Morado, IC; Narváez, J.; R. Blanco; Sopeña, B; García-Villanueva, MJ; Monfort, J.

    2013-01-01

    Objective: To analyse the role of the PTPN22 and CSK genes, previously associated with autoimmunity, in the predisposition and clinical phenotypes of giant cell arteritis (GCA). Methods: Our study population was composed of 911 patients diagnosed with biopsy-proven GCA and 8136 unaffected controls from a Spanish discovery cohort and three additional independent replication cohorts from Germany, Norway and the UK. Two functional PTPN22 polymorphisms (rs2476601/R620W and rs33996649/R263Q) and t...

  1. Takayasu's Arteritis

    Science.gov (United States)

    ... while using a handsaw or pain in the calves brought on by walking. The symptoms also include ... as the correct genes), may lead to this disease. This is an attractive hypothesis, but definitive evidence ...

  2. Long-term efficacy and safety of tocilizumab in giant cell arteritis and large vessel vasculitis

    Science.gov (United States)

    Evans, Jobie; Steel, Lauren; Borg, Frances; Dasgupta, Bhaskar

    2016-01-01

    Giant cell arteritis (GCA) is a chronic systemic vasculitis affecting large-sized and medium-sized vessels. Glucocorticoids are currently the mainstay of treatment for GCA and associated large vessel vasculitis (LVV) but are associated with frequent adverse events. Methotrexate has only demonstrated a modest benefit while anti-TNF biological agents (infliximab and etanercept) have been inefficacious. Elevated levels of interleukin-6 (IL-6), a proinflammatory cytokine, has been associated with GCA. Tocilizumab (TCZ), a humanised antihuman IL-6 receptor antibody, has been used successfully in several reports as a treatment for GCA and LVV. We report the potentially long-term successful use of TCZ in 8 cases of refractory LVV. All of our patients achieved a good clinical response to TCZ and C reactive protein reduced from an average of 70.3 to 2.5. In all cases, the glucocorticoid dose was reduced, from an average of 24.6 mg prednisolone prior to TCZ treatment to 4.7 mg, indicating that TCZ may enable a reduction in glucocorticoid-associated adverse events. However, regular TCZ administration was needed for disease control in most cases. TCZ was discontinued in one case due to the development of an empyema indicating the need for careful monitoring of infection when using this treatment. PMID:26819753

  3. Takayasu Arteritis With Antiphosphatidylserine/Prothrombin Antibody-Positive Antiphospholipid Syndrome: Case Report and Literature Review.

    Science.gov (United States)

    Fukui, Shoichi; Hirota, Shogo; Iwamoto, Naoki; Karata, Hiroki; Kawakami, Atsushi

    2015-12-01

    A relationship between Takayasu arteritis (TA) and positive antiphospholipid antibody states has been pointed out, but patients with TA complicated with antiphospholipid antibody syndrome (APS) are rare. Here we report the case of a 17-year-old Japanese man diagnosed with TA based on pulselessness of the left brachial artery, discrepancy of blood pressure between the upper extremities, and arterial wall thickening and narrowing of artery in contrast computed tomography. He was also diagnosed with provisional APS based on a pulmonary infarction without narrowing of the pulmonary artery and positive antiphosphatidylserine/prothrombin antibody. The patient also had concurrent Crohn's disease (CD) based on histopathological findings, which may have been associated with TA. We started high-dose corticosteroid therapy and anticoagulation therapy, and his symptoms including fever, dizziness, chest pain, and lower-right uncomfortable abdomen improved.We reviewed 9 cases of TA with APS including our patient by conducting a PubMed search. Based on past reports, we considered the relationship among TA, APS, and CD.Clinicians should bear in mind that many etiologies can exist in 1 patient, and differential diagnoses are essential. PMID:26705229

  4. A Fatal Case of Acute Steroid Responsive Meningitis Arteritis in a Dog

    Directory of Open Access Journals (Sweden)

    Kwiatkowska Miłosława*, Andrzej Pomianowski and Zbigniew Adamiak1

    2013-04-01

    Full Text Available Nine years old female boxer was evaluated for progressive tetraparesis, cranial nerve deficits, lethargy and stupor. Serum biochemistry revealed elevated liver enzymes alanine aminotransferase (ALT 379 u/l, asparaginian aminotransferase (AST 55 u/l, alkaline phosphatase (ALP 685 u/l and creatinine kinase (CK 511 u/l, and elevated acute phase proteins C-reactive protein (CRP 70 mg/ml. The cerebrospinal fluid examination revealed a mixed pleocytosis, protein content elevation (315 mg/dl and positive Pandy reaction. Immunoglobulin A (IgA in CSF was elevated (357 µg/ml, CRP was characteristic for a presentation period of disease (70 mg/ml. MRI examination revealed multifocal, diffused lesions in grey matter of frontal, occipital lobes. The white matter lesions were detected in cranial fossa region, thalamus, medulla oblongata and pons. The lesions were enhanced after contrast administration. Ventricular system was compressed; sediment was present in both of them. The biochemistry CSF results and MRI image were characteristic for steroid responsive meningitis arteritis (SRMA.

  5. Crohn’s disease and Takayasu’s arteritis: An uncommon association

    Science.gov (United States)

    Taddio, Andrea; Maschio, Massimo; Martelossi, Stefano; Barbi, Egidio; Ventura, Alessandro

    2013-01-01

    Takayasu’s arteritis (TA) and Crohn’s disease (CD) are two rare autoimmune disorders; however some reports describe the presence of both diseases in the same patient. This finding has suggested the possibility that both diseases could share some common etiologic origin. We describe a case of a 13-year-old male affected by CD characterized by fever, diarrhea, weight loss, abdominal pain and elevation of inflammatory markers. Clinical and histological features from colonic specimens were consistent with CD. Treatment with steroids and azathioprine was started, however disease flared every time steroids were tapered. One year later, while still on treatment, he came back to our attention for dyspnea at rest and at night, tiredness and weakness. At physical examination a diastolic heart murmur was found as well as a left carotid artery bruit. A transthoracic echocardiography showed mild aortic valve insufficiency, left ventricular hypertrophy and a dilated ascending aorta with same findings at the aortic arch. A computed tomography scan showed abdominal aorta thickening, dilated thoracic aorta and the presence of a thoracic aortic aneurysm. TA associated with CD was diagnosed and medical treatment with cyclophosphamide, steroids and aminosalicylic acid was started, with good clinical response at 6 mo follow-up. We discuss the presence of possible common causes for the two diseases and the importance of differential diagnosis in those patients characterized for intractable disease. PMID:24124342

  6. Crohn’s disease and Takayasu’s arteritis: An uncommon association

    Directory of Open Access Journals (Sweden)

    Alessandro Ventura

    2013-01-01

    Full Text Available Takayasu’s arteritis (TA and Crohn’s disease (CD are two rare autoimmune disorders; however some reports describe the presence of both diseases in the same patient. This finding has suggested the possibility that both diseases could share some common etiologic origin. We describe a case of a 13-year-old male affected by CD characterized by fever, diarrhea, weight loss, abdominal pain and elevation of inflammatory markers. Clinical and histological features from colonic specimens were consistent with CD. Treatment with steroids and azathioprine was started, however disease flared every time steroids were tapered. One year later, while still on treatment, he came back to our attention for dyspnea at rest and at night, tiredness and weakness. At physical examination a diastolic heart murmur was found as well as a left carotid artery bruit. A transthoracic echocardiography showed mild aortic valve insufficiency, left ventricular hypertrophy and a dilated ascending aorta with same findings at the aortic arch. A computed tomography scan showed abdominal aorta thickening, dilated thoracic aorta and the presence of a thoracic aortic aneurysm. TA associated with CD was diagnosed and medical treatment with cyclophosphamide, steroids and aminosalicylic acid was started, with good clinical response at 6 mo follow-up. We discuss the presence of possible common causes for the two diseases and the importance of differential diagnosis in those patients characterized for intractable disease.

  7. Giant cell arteritis. Part III. New trends in its treatment (role of genetically engineered drugs

    Directory of Open Access Journals (Sweden)

    Azamat Makhmudovich Satybaldyev

    2013-01-01

    Full Text Available Giant cell arteritis (GCA is a well-known vasculitis sensitive to glucocorticoid (GC immuno-suppression. However, during long-term treatment there may be many adverse reactions that remain a serious problem so far. Since GCA encompasses a broad spectrum of clinical subtypes, ranging from severe visual loss and neurological deficits to isolated systemic signs, its treatment must be adjusted specially to each case. The literature contains contradicting recommendations for the therapy for GCA. The paper considers different treatment options for GCA, including that with neuro-ophthalmic and neurological complications, as well as the evidence for their possible adjuvant therapies. Although there is no randomized controlled clinical trial in GCA with ocular and neurological complications, the data available in the literature suggest that these patients are recommended to be admitted for high-dose intravenous methylprednisolone, monitoring, and prevention of GC-induced complications. It is expedient to use aspirin in these cases. The evidence supporting the use of methotrexate, as well as genetically engineered agents (GEAs, infliximab, etanercept as steroid-sparing agents is discussed. Cases of using individual GEAs (adalimumab, tocilizumab and rituximab as an alternative to GC monotherapy are described. It is concluded that there is a need for extended clinical trials evaluating the most effective and safe GC-sparing drugs.

  8. HLA class II genes polymorphism in DR4 giant cell arteritis patients.

    Science.gov (United States)

    Bignon, J D; Ferec, C; Barrier, J; Pennec, Y; Verlingue, C; Cheneau, M L; Lucas, V; Muller, J Y; Saleun, J P

    1988-11-01

    We have previously reported a significant increase of HLA-DR4 antigen frequency in giant cell arteritis (GCA). This finding suggested an important role of immunogenetic factors in this syndrome. Recent data suggest that inherited susceptibility to several autoimmune diseases was associated with specific DR4 associated DQ beta alleles. DNAs from 27 DR4 positive patients with GCA were digested with Taq I and Bam HI, analysed on 0.7% agarose gel and hybridized with DR beta, DQ alpha and DQ beta probes. DR beta hybridization produced no variant detectable within DR4. DQ beta probe confirmed two clusters among DR4 associated DQW3 alleles: DQW 3.1 (Bam HI 360 Kb) and DQw 3.2 (Taq I 1.9 Kb and Bam HI 11 Kb). Among our 27 DR4 positive patients, 34% were DQW 3.1 and 66% were DQW 3.2. These frequencies are the same as those observed in healthy controls. PMID:2906182

  9. Mycobacterium theory regarding pathogenesis of Takayasu’s arteritis: Numerous unsolved dilemmas

    Directory of Open Access Journals (Sweden)

    Chogle AR

    2015-07-01

    Full Text Available Mycobacterium tuberculosis (Mtb has been implicated in the pathogenesis of Takayasu’s arteritis (TA, but there is no direct evidence substantiating the association. Several cases series and laboratory studies provide indirect evidence on the role of Mtb and other related species in the immunopathogenesis of TA. This association could be explained by the molecular mimicry between mycobacterium heat shock protein (mHSP 65 and the human homologue (hHSP60 driving immune response in TA. Two different histopathological studies that have evaluated the presence of mycobacteria in aortic tissue have reported contradictory results. This may be due to regional differences in the prevalence of Mtb, ethnicity, and study methodology. Recent progress in identifying susceptibility genes and study of TNFα-308 gene polymorphism has opened up new avenues for research on mycobacterium theory. Based on the currently available data, three different models have been proposed. Among these, two models favor the mycobacterium theory, while one does not. Transcriptomic and proteomic studies of mycobacteria could help in identifying specific or common traits of mycobacteria that are relevant to the development and reactivation of TA.

  10. Giant cell arteritis. Part III. New trends in its treatment (role of genetically engineered drugs

    Directory of Open Access Journals (Sweden)

    Azamat Makhmudovich Satybaldyev

    2013-03-01

    Full Text Available Giant cell arteritis (GCA is a well-known vasculitis sensitive to glucocorticoid (GC immuno-suppression. However, during long-term treatment there may be many adverse reactions that remain a serious problem so far. Since GCA encompasses a broad spectrum of clinical subtypes, ranging from severe visual loss and neurological deficits to isolated systemic signs, its treatment must be adjusted specially to each case. The literature contains contradicting recommendations for the therapy for GCA. The paper considers different treatment options for GCA, including that with neuro-ophthalmic and neurological complications, as well as the evidence for their possible adjuvant therapies. Although there is no randomized controlled clinical trial in GCA with ocular and neurological complications, the data available in the literature suggest that these patients are recommended to be admitted for high-dose intravenous methylprednisolone, monitoring, and prevention of GC-induced complications. It is expedient to use aspirin in these cases. The evidence supporting the use of methotrexate, as well as genetically engineered agents (GEAs, infliximab, etanercept as steroid-sparing agents is discussed. Cases of using individual GEAs (adalimumab, tocilizumab and rituximab as an alternative to GC monotherapy are described. It is concluded that there is a need for extended clinical trials evaluating the most effective and safe GC-sparing drugs.

  11. Long term results of endovascular treatment in renal arterial stenosis from Takayasu arteritis: Angioplasty versus stent placement

    Energy Technology Data Exchange (ETDEWEB)

    Park, Hong Suk, E-mail: hongsukpark@gmail.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Do, Young Soo, E-mail: ysdo@skku.edu [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Park, Kwang Bo, E-mail: kbjh.park@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Kim, Duk-Kyung, E-mail: dukkyung.kim@samsung.com [Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Choo, Sung Wook, E-mail: sw.choo@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Shin, Sung Wook, E-mail: sw88.shin@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Cho, Sung Ki, E-mail: sungkismc@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Hyun, Dongho, E-mail: mesentery.hyun@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of); Choo, In Wook, E-mail: inwook.choo@samsung.com [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, 135-710 Seoul (Korea, Republic of)

    2013-11-01

    Purpose: To retrospectively evaluate and compare the long term patency and antihypertensive effect of angioplasty and stent insertion in renal artery stenosis caused by Takayasu arteritis, with CT angiography and clinical follow-up. Materials and methods: We retrospectively analyzed and compared effects on hypertension and patency of renal artery in 16 patients (age ranging from 16 to 58 years, mean: 32.1 years) with renovascular hypertension caused by Takayasu arteritis who underwent endovascular treatment including angioplasty (n = 13) and stent placement (n = 9) for 22 stenotic renal arteries. Results: Technical success was 95% (21/22) without major complications. In the last follow-up CT angiogram (mean 85 ± 41 months), restenosis was 8% (1/12) in angioplasty and 66% (6/9) in stent. Patency rates of angioplasty were 100%, 91.7%, 91.7% and primary unassisted and primary assisted patency rates of stent placement were 55.6%, 33.3%, 33.3% and 88.9%, 66.7%, 55.6% at 1-, 3- and 5-years, respectively. In clinical follow-up (mean 120 ± 37.8 months, range 48–183 months), beneficial effects on hypertension were obtained in 87% of patients (13/15) and there was no significant difference between the patients who were treated by only angioplasty and the patients who received stent placement in at least one renal artery, regardless of whether or not angioplasty had been performed in the other renal artery. Conclusion: Compared with stent placement, angioplasty demonstrated better long term patency and similar clinical benefit on renovascular hypertension in renal artery stenosis of Takayasu arteritis. We suggest that stent placement should be reserved for obvious angioplasty failure.

  12. Long term results of endovascular treatment in renal arterial stenosis from Takayasu arteritis: Angioplasty versus stent placement

    International Nuclear Information System (INIS)

    Purpose: To retrospectively evaluate and compare the long term patency and antihypertensive effect of angioplasty and stent insertion in renal artery stenosis caused by Takayasu arteritis, with CT angiography and clinical follow-up. Materials and methods: We retrospectively analyzed and compared effects on hypertension and patency of renal artery in 16 patients (age ranging from 16 to 58 years, mean: 32.1 years) with renovascular hypertension caused by Takayasu arteritis who underwent endovascular treatment including angioplasty (n = 13) and stent placement (n = 9) for 22 stenotic renal arteries. Results: Technical success was 95% (21/22) without major complications. In the last follow-up CT angiogram (mean 85 ± 41 months), restenosis was 8% (1/12) in angioplasty and 66% (6/9) in stent. Patency rates of angioplasty were 100%, 91.7%, 91.7% and primary unassisted and primary assisted patency rates of stent placement were 55.6%, 33.3%, 33.3% and 88.9%, 66.7%, 55.6% at 1-, 3- and 5-years, respectively. In clinical follow-up (mean 120 ± 37.8 months, range 48–183 months), beneficial effects on hypertension were obtained in 87% of patients (13/15) and there was no significant difference between the patients who were treated by only angioplasty and the patients who received stent placement in at least one renal artery, regardless of whether or not angioplasty had been performed in the other renal artery. Conclusion: Compared with stent placement, angioplasty demonstrated better long term patency and similar clinical benefit on renovascular hypertension in renal artery stenosis of Takayasu arteritis. We suggest that stent placement should be reserved for obvious angioplasty failure

  13. Incidentally diagnosed Takayasu arteritis on thyroid ultrasonography showing prominent collateral vessels of thyroidal arteries and common carotid artery occlusion

    International Nuclear Information System (INIS)

    We report a case of middle-aged woman incidentally diagnosed with Takayasu arteritis during the ultrasonography of a thyroid gland nodule. Prominent collaterals of the thyroidal arteries and a thin common carotid artery with mural thickening and deficient intraluminal flow signals were initially depicted on the ultrasonography with color Doppler. Subsequent magnetic resonance angiography and computed tomography aortography confirmed the diagnosis with the imaging features of a bilateral long segment common carotid artery occlusion and segmental stenosis of the left subclavian artery in addition to the suggestive physical findings.

  14. Morphological findings in the cranial mesenteric artery of horses with verminous arteritis

    Directory of Open Access Journals (Sweden)

    Marinković D.

    2009-01-01

    arteritis.

  15. Involvement and prognosis value of CD8(+) T cells in giant cell arteritis.

    Science.gov (United States)

    Samson, Maxime; Ly, Kim Heang; Tournier, Benjamin; Janikashvili, Nona; Trad, Malika; Ciudad, Marion; Gautheron, Alexandrine; Devilliers, Hervé; Quipourt, Valérie; Maurier, François; Meaux-Ruault, Nadine; Magy-Bertrand, Nadine; Manckoundia, Patrick; Ornetti, Paul; Maillefert, Jean-Francis; Besancenot, Jean-François; Ferrand, Christophe; Mesturoux, Laura; Labrousse, François; Fauchais, Anne-Laure; Saas, Philippe; Martin, Laurent; Audia, Sylvain; Bonnotte, Bernard

    2016-08-01

    CD8(+) T cells participate in the pathogenesis of some vasculitides. However, little is known about their role in Giant Cell Arteritis (GCA). This study was conducted to investigate CD8(+) T cell involvement in the pathogenesis of GCA. Analyses were performed at diagnosis and after 3 months of glucocorticoid treatment in 34 GCA patients and 26 age-matched healthy volunteers. Percentages of CD8(+) T-cell subsets, spectratype analysis of the TCR Vβ families of CD8(+) T cells, levels of cytokines and chemokines and immunohistochemistry of temporal artery biopsies (TAB) were assessed. Among total CD8(+) T cells, percentages of circulating cytotoxic CD8 T lymphocytes (CTL, CD3(+)CD8(+)perforin(+)granzymeB(+)), Tc17 (CD3(+)CD8(+)IL-17(+)), CD63(+)CD8(+) T cells and levels of soluble granzymes A and B were higher in patients than in controls, whereas the percentage of Tc1 cells (CD3(+)CD8(+)IFN-γ(+)) was similar. Moreover, CD8(+) T cells displayed a restricted TCR repertoire in GCA patients. Percentages of circulating CTL, Tc17 and soluble levels of granzymes A and B decreased after treatment. CXCR3 expression on CD8(+) T cells and its serum ligands (CXCL9, -10, -11) were higher in patients. Analyses of TAB revealed high expression of CXCL9 and -10 associated with infiltration by CXCR3(+)CD8(+) T cells expressing granzyme B and TiA1. The intensity of the CD8 T-cell infiltrate in TAB was predictive of the severity of the disease. This study demonstrates the implication and the prognostic value of CD8(+) T-cells in GCA and suggests that CD8(+) T-cells are recruited within the vascular wall through an interaction between CXCR3 and its ligands. PMID:27236507

  16. Ventilation-perfusion lung scan for the detection of pulmonary involvement in Takayasu's arteritis

    Energy Technology Data Exchange (ETDEWEB)

    Castellani, M.; Reschini, E.; Gerundini, P. [Dept. of Nuclear Medicine, Milan (Italy); Vanoli, M.; Bacchiani, G.; Origgi, L.; Scorza, R. [Div. of Internal Medicine, Milan (Italy); Cali, G. [Div. of Cardiology, Milan (Italy)

    2001-12-01

    The aim of study was to analyse ventilation and perfusion (V/Q) lung scan findings in a series of Italian patients with Takayasu's arteritis. Eighteen consecutive patients underwent V/Q lung planar scintigraphy and single-photon emission tomography (SPET). Before perfusion scan acquisition was started, a first-pass study with {sup 99m}Tc-macroaggregates of albumin was performed to assess the right ventricular ejection fraction (RVEF). All patients had normal chest X-rays and were symptom free at the time of the investigation. They also underwent echocardiography to evaluate pulmonary artery pressure and in 13 patients respiratory function tests were performed. In four patients, perfusion lung scan was repeated after 1 year. In 10/18 patients (55.5%), 43 unmatched lobar, segmental or subsegmental perfusion defects were found on planar images; ventilation scintigraphy was normal in all cases. On SPET images, 55 defects were found; no defects were found with SPET in the remaining patients who had normal planar images. All patients had normal RVEF and 5/13 patients had mild restrictive-obstructive lung disease. The pulmonary artery pressure was increased in two patients with perfusion defects. In the four patients who had repeat scintigraphy, all defects remained unchanged. The prevalence of lung perfusion abnormalities observed in Italian patients with Takayasu's arteritis is within the range of values reported in other countries, and V/Q planar scintigraphy is sufficient for the screening of patients. (orig.)

  17. Correlation between ocular pulse amplitude measured by dynamic contour tonometer and colour doppler flow imaging of the arteric retrobulbar vessels

    Directory of Open Access Journals (Sweden)

    Marjanović Ivan

    2011-01-01

    Full Text Available Introduction. An altered perfusion of the optic nerve head has been proposed as a pathogenic factor in glaucoma. Objective. The aim of this study was to evaluate the correlation between ocular pulse amplitude (OPA, measured by Dynamic contour tonometer (DCT and colour Doppler imaging (CDI of the arteric retro- bulbar vessels. Methods. Twenty patients older than 50 years were examined, and divided into two equal groups. The first group comprised of patients with normal tension glaucoma treated with topical antiglaucomatous therapy, and the second group included patients with ocular hypertension and glaucoma suspicious without any antiglaucomatous therapy. Ocular pulse amplitude (OPA was measured with DCT. CDI was also performed. We measured haemodynamic parameters of the internal carotid artery (ICA, ophthalmic artery (OA, central retinal artery (CRA, and posterior ciliary arteries (PCA. Peak systolic (PSV, end- diastolic (EDV velocities were measured, and resistance index (RI and pulsatility index (PI were calculated. Results Correlation with OPA showed indirect servitude in the RI of the ICA, RI and PI of the CRA, in the first group; and in the PSV and EDV of the ICA, in the RI and PI of the OA, EDV and RI of the CRA, and RI of the PCA, in the second group Conclusion. Increase of OPA was mostly followed by the increase of the parameters (PSV, EDV, RI, and PI of the arteric retrobulbar vessels in the first group; in the second group, increase of OPA was in almost 50% of parameters followed by their decrease.

  18. Etanercept Suppresses Arteritis in a Murine Model of Kawasaki Disease: A Comparative Study Involving Different Biological Agents

    Directory of Open Access Journals (Sweden)

    Ryuji Ohashi

    2013-01-01

    Full Text Available Coronary arteritis, a complication of Kawasaki disease (KD, can be refractory to immunoglobulin (IVIG treatment. To determine the most effective alternative therapy, we compared the efficacy of different agents in a mouse model of KD. Vasculitis was induced by injection of Candida albicans water-soluble fractions (CAWS into a DBA/2 mouse, followed by administration of IVIG, etanercept, methylprednisolone (MP, and cyclosporine-A (CsA. At 2 and 4 weeks, the mice were sacrificed, and plasma cytokines and chemokines were measured. CAWS injection induced active inflammation in the aortic root and coronary arteries. At 2 weeks, the vasculitis was reduced only by etanercept, and this effect persisted for the subsequent 2 weeks. At 4 weeks, IVIG and CsA also attenuated the inflammation, but the effect of etanercept was more significant. MP exerted no apparent effect at 2 or 4 weeks. The suppressive effect exerted by etanercept on cytokines, such as interleukin- (IL-6, IL-12, IL-13, and tumor necrosis factor-α (TNF-α, was more evident than that of others. The extent of arteritis correlated with the plasma TNF-α levels, suggesting a pivotal role of TNF-α in KD. In conclusion, etanercept was most effective in suppressing CAWS-induced vasculitis and can be a new therapeutic intervention for KD.

  19. Giant-cell arteritis without cranial manifestations: Working diagnosis of a distinct disease pattern.

    Science.gov (United States)

    de Boysson, Hubert; Lambert, Marc; Liozon, Eric; Boutemy, Jonathan; Maigné, Gwénola; Ollivier, Yann; Ly, Kim; Manrique, Alain; Bienvenu, Boris; Aouba, Achille

    2016-06-01

    Diagnosis of giant-cell arteritis (GCA) is challenging in the absence of cardinal cranial symptoms/signs. We aimed to describe the clinical presentation, diagnostic process, and disease course of GCA patients without cranial symptoms, and to compare them to those of patients with typical cranial presentation. In this retrospective multicenter study, we enrolled patients with GCA who satisfied at least 3 of the 5 American College of Rheumatology criteria for GCA, or 2 criteria associated with contributory vascular biopsy other than temporal artery biopsy or with demonstration of large-vessel involvement; underwent iconographic evaluation of large arterial vessels (aortic CT scan or a positron emission tomography with F-fluorodeoxyglucose combined with computed tomography (FDG-PET/CT) scan or cardiac echography combined with a large-vessel Doppler) at diagnosis. We divided the cohort into 2 groups, distinguishing between patients without cranial symptoms/signs (i.e., headaches, clinical temporal artery anomaly, jaw claudication, ophthalmologic symptoms) and those with cranial symptoms/signs. In the entire cohort of 143 patients, all of whom underwent vascular biopsy and vascular imaging, we detected 31 (22%) patients with no cranial symptoms/signs. In the latter, diagnosis was biopsy proven in an arterial sample in 23 cases (74% of patients, on a temporal site in 20 cases and on an extratemporal site in 3). One-third of these 31 patients displayed extracranial symptoms/signs whereas the remaining two-thirds presented only with constitutional symptoms and/or inflammatory laboratory test results. Compared to the 112 patients with cardinal cranial clinical symptoms/signs, patients without cranial manifestations displayed lower levels of inflammatory laboratory parameters (C-reactive level: 68 [9-250] mg/L vs 120 [3-120] mg/L; P < 0.01), highest rate of aorta and aortic branch involvement identified (19/31 (61%) vs 42/112 (38%); P = 0.02) and also a lower rate of

  20. Giant Cell Arteritis which Developed after the Administration of Granulocyte-colony Stimulating Factor for Cyclic Neutropenia.

    Science.gov (United States)

    Umeda, Masataka; Ikenaga, Jin; Koga, Tomohiro; Michitsuji, Toru; Shimizu, Toshimasa; Fukui, Shoichi; Nishino, Ayako; Nakasima, Yoshikazu; Kawashiri, Sin-Ya; Iwamoto, Naoki; Ichinose, Kunihiro; Hirai, Yasuko; Tamai, Mami; Nakamura, Hideki; Origuchi, Tomoki; Kawakami, Atsushi

    2016-01-01

    A 78-year-old woman diagnosed with cyclic neutropenia 5 years previously had been treated with recombinant granulocyte-colony stimulating factor (G-CSF). She developed fever, tenderness and distension of temporal arteries after the treatment with G-CSF. Magnetic resonance imaging and ultrasonography revealed wall thickening of the temporal arteries. She was therefore diagnosed with giant cell arteritis (GCA). Small vessel vasculitis has been reported as a complication of G-CSF. However, the development of large vessel vasculitis after G-CSF treatment is quite rare. To our knowledge, the present case is the first report of GCA suspected to be associated with coexisting cyclic neutropenia and G-CSF treatment. PMID:27523011

  1. Equine arteritis virus is delivered to an acidic compartment of host cells via clathrin-dependent endocytosis

    International Nuclear Information System (INIS)

    Equine arteritis virus (EAV) is an enveloped, positive-stranded RNA virus belonging to the family Arteriviridae. Infection by EAV requires the release of the viral genome by fusion with the respective target membrane of the host cell. We have investigated the entry pathway of EAV into Baby Hamster Kindey cells (BHK). Infection of cells assessed by the plaque reduction assay was strongly inhibited by substances which interfere with clathrin-dependent endocytosis and by lysosomotropic compounds. Furthermore, infection of BHK cells was suppressed when clathrin-dependent endocytosis was inhibited by expression of antisense RNA of the clathrin-heavy chain before infection. These results strongly suggest that EAV is taken up via clathrin-dependent endocytosis and is delivered to acidic endosomal compartments

  2. A forma arterítica da neuropatia óptica isquêmica anterior: estudo de 25 casos

    Directory of Open Access Journals (Sweden)

    Marco Aurélio Lana-Peixoto

    1994-09-01

    Full Text Available O quadro clínico, laboratorial, campimétrico e angiofluoresceinográfico de 25 pacientes (40 olhos com a forma arterítica da neuropatia óptica isquémica anterior (NOIA-A foi estudada com a finalidade de definir o perfil da doença possibilitando seu diagnóstico diferencial com a forma não arterítica (NOIA-NA e com outras doenças do nervo óptico. A NOIA-A ocorreu em pacientes entre 60 e 88 anos (média 74 anos, predominando no sexo feminino (64%. Em 15 pacientes o envolvimento foi bilateral, ocorrendo simultaneamente ou nas primeiras semanas após o acometimento inicial. Cefaléia e dor ocular foram os pródromos mais frequentes, enquanto todos os pacientes apresentavam, ao momento da perda visual, sintomas e sinais sistêmicos da arterite de células gigantes (ACG. Elevação da proteina C reativa, do fibrinogênio e da velocidade de hemossedimentação foram as alterações laboratoriais mais frequentemente encontradas. A acuidade visual, em geral, foi severamente acometida. As principais anormalidades fundoscópicas foram edema do disco óptico, usualmente pálido, com ou sem hemorrragias, e alterações retinianas. Exame do campo visual demonstrou uma variedade de defeitos, principalmente altitudinais inferiores enquanto a principal característica angiofluoresceinográfica observada foi o atraso setorial ou difuso do enchimento da coróide.

  3. Kardiyopulmoner baypas kullanarak veya çalisan kalp tekniği ile yapilan koroner arter baypas operasyonlari sonrasi miyokard hasarinin değerlendirilmesi

    OpenAIRE

    Tamtekin, Burak

    2008-01-01

    Sanayileşmenin artması ve insanların beslenme alışkanlıklarının bununla birlikte değişmesi dünyada koroner kalp hastalıklarının artırmış ve buna bağlı olarak ta koroner revaskülarisazyon ihtiyacını artırmıştır. Çalışan kalpte koroner arter cerrahisi ,kardiyopulmoner baypas ile ortaya çıkan riskler ve komplikasyonları barındırmayan, alternatif ve güvenli bir yöntemdir. Çalışan kalpte koroner arter tekniği veya kardiyopulmoner baypas tekniğinin postop dönemde miyokard hasarını ne derecede e...

  4. Blinded search for varicella zoster virus in giant cell arteritis (GCA)-positive and GCA-negative temporal arteries.

    Science.gov (United States)

    Gilden, Don; White, Teresa; Khmeleva, Nelly; Katz, Bradley J; Nagel, Maria A

    2016-05-15

    Recent analysis of archived temporal arteries (TAs) acquired from 13 pathology laboratories in the US, Canada, Iceland, France, Germany and Israel from patients with pathologically-verified giant cell arteritis (GCA-positive) and TAs from patients with clinical features and laboratory abnormalities of GCA but whose TAs were pathologically negative (GCA-negative) revealed VZV antigen in most TAs from both groups. Despite formalin-fixation, VZV DNA was also found in many VZV-antigen positive sections that were scraped, subjected to DNA extraction, and examined by PCR with VZV-specific primers. Importantly, in past studies, the pathological diagnosis (GCA-positive or -negative) was known to the neurovirology laboratory. Herein, GCA-positive and GCA-negative TAs were provided by an outside institution and examined by 4 investigators blinded to the pathological diagnoses. VZV antigen was found in 3/3 GCA-positive TAs and in 4/6 GCA-negative TAs, and VZV DNA in 1/3 VZV antigen-positive, GCA-positive TAs and in 3/4 VZV antigen-positive, GCA-negative TAs. VZV DNA was also detected in one GCA-negative, VZV-antigen negative TA. Overall, the detection of VZV antigen in 78% of GCA-positive and GCA-negative TAs is consistent with previous reports on the prevalence of VZV antigen in patients with clinically suspect GCA. PMID:27084233

  5. Phage display of the Equine arteritis virus nsp1 ZF domain and examination of its metal interactions

    DEFF Research Database (Denmark)

    Oleksiewicz, Martin B.; Snijder, E.J.; Normann, Preben

    2004-01-01

    A putative zinc finger (ZF) domain in the Equine arteritis virus (EAV) nsp 1 protein was described recently to be required for viral transcription. The nsp 1 ZF (50 aa) was expressed on the surface of M13KE gIII phage, fused to the N terminus of the phage pIII protein. To evaluate the functionality...... of the ZF domain, a binding assay was developed, based on the use of immobilized Ni2+ ions (Ni-NTA). Phages displaying ZF bound significantly better to Ni-NTA than did phages displaying negative-control peptides, which also contained metal-coordinating residues. Also, binding of ZF-displaying phages...... could be inhibited by an anti-nsp 1 serum, or by mutation of residues predicted to be important for zinc coordination. Finally, binding was abolished by low concentrations (0.1%) Tween 20, and rescued by including Zn2+, Ni2+ or Cu2+, but not Mg2+, in the binding buffer, suggesting that formation of...

  6. OCCURRENCE OF ANTIBODIES AGAINST EQUINE HERPESVIRUS AND EQUINE ARTERITIS VIRUS IN HORSE HERDS OF RIO DE JANEIRO STATE, BRAZIL

    Directory of Open Access Journals (Sweden)

    Kathryn Anne Ford Diaz

    2015-07-01

    Full Text Available Infections by equine herpesvirus (EHV and equine arteritis virus (EAV have been associated with important economic losses for the equine industry worldwide. Serological studies have indicated the presence of these agents in Brazil. The aim of this study was to evaluate the occurrence of specific antibodies against EAV and EHV in horse herds from different regions of Rio de Janeiro state. For this purpose, serum samples of 581 non-vaccinated animals and 44 breeding mares regularly vaccinated against equine rhinopneumonitis were collected. All samples were submitted to the virus neutralization test for the detection of specific antibodies to each virus. Results showed 29.6% (172/581 of seropositive animals for EHV (titers between 2 and ≥ 256 and 0.79% (5/630 for EAV (titers between 2 and 4,096. Considering the non-vaccinated animals, these findings demonstrated that specific antibodies were induced after natural exposure to the respective viruses, suggesting a probable circulation of these agents in the studied herds.

  7. 马动脉炎病毒分子生物学研究进展%Molecular Biological Progression of Equine Arteritis Virus

    Institute of Scientific and Technical Information of China (English)

    韦祖樟; 袁世山

    2008-01-01

    马动脉炎病毒(Equine Arteritis virus,EAV)与猪繁殖与呼吸综合征病毒(Porcine reproductive and respirtory syndrome virus,PRRSV)、鼠乳酸脱氢酶升高症病毒(Lactate dehydrogenase elevating virus,LDV)、以及猴出血热病毒(Simian hemorrhagic fever virus,SHFV)同属于尼多病毒目(Nidovirale)、动脉炎病毒科(Atteriviridae)、动脉炎病毒属(Arterivirus)。

  8. MRI displays involvement of the temporalis muscle and the deep temporal artery in patients with giant cell arteritis

    Energy Technology Data Exchange (ETDEWEB)

    Veldhoen, Simon; Bley, Thorsten A. [University Medical Center Wuerzburg, Department of Diagnostic and Interventional Radiology, Wuerzburg (Germany); Klink, Thorsten [Inselspital - University Medical Center Bern, Department of Diagnostic, Interventional and Pediatric Radiology, Bern (Switzerland); Geiger, Julia [University Medical Center Freiburg, Department of Diagnostic and Interventional Radiology, Freiburg (Germany); University Children' s Hospital Zuerich, Division of Radiology, Zuerich (Switzerland); Vaith, Peter; Glaser, Cornelia [University Medical Center Freiburg, Department of Rheumatology and Immunology, Freiburg (Germany); Ness, Thomas [University Medical Center Freiburg, Department of Ophthalmology, Freiburg (Germany); Duwendag, Dirk [University Medical Center Kiel, Department of Ophthalmology, Kiel (Germany); Both, Marcus [University Medical Center Kiel, Department of Diagnostic and Interventional Radiology, Kiel (Germany)

    2014-11-15

    To assess deep temporal artery and temporalis muscle involvement in patients with giant cell arteritis (GCA). Ninety-nine patients who received magnetic resonance imaging (MRI) and superficial temporal artery biopsy (TAB) were included in this study. Patients with positive TAB (n = 61) were defined as GCA patients, those with negative TAB (n = 38) as the GCA-negative reference group. Contrast-enhanced T1w-images were acquired utilizing 1.5 T and 3 T MRI. Two radiologists assessed the images. Mural contrast-hyperenhancement and wall thickening of the deep temporal artery and hyperenhancement of the muscle were defined as inflammation. MRI results were correlated with jaw claudication in 70 patients. The two observers found temporalis muscle involvement in 19.7 % (n = 12) and 21.3 % (n = 13) of GCA patients. It occurred bilaterally in 100 %. Specificities were 92/97 % and sensitivities were 20/21 %. Deep temporal artery involvement was found in 34.4 % (n = 21) and 49.2 % (n = 30) and occurred bilaterally in 80/90.5 %. Specificities were 84/95 % and sensitivities were 34/49 %. Both structures were affected simultaneously in 18/21.3 %. Jaw claudication correlated moderately with inflammation of the temporalis muscle (r = 0.31; p < 0.05) and the deep temporal artery (r = 0.38; p = 0.01). MRI visualizes changes in the temporalis muscle and the deep temporal artery in GCA. Moderate correlation of clinical symptoms with MRI results was observed. circle Approximately 20 % of GCA patients presented with temporalis muscle inflammation. (orig.)

  9. EULAR/PRINTO/PRES criteria for Henoch-Schönlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part I: Overall methodology and clinical characterisation

    DEFF Research Database (Denmark)

    Ruperto, Nicolino; Ozen, Seza; Pistorio, Angela; Dolezalova, Pavla; Brogan, Paul; Cabral, David A; Cuttica, Ruben; Khubchandani, Raju; Lovell, Daniel J; O'Neil, Kathleen M; Quartier, Pierre; Ravelli, Angelo; Iusan, Silvia M; Filocamo, Giovanni; Magalhães, Claudia Saad; Unsal, Erbil; Oliveira, Sheila; Bracaglia, Claudia; Bagga, Arvind; Stanevicha, Valda; Manzoni, Silvia Magni; Pratsidou, Polyxeni; Lepore, Loredana; Espada, Graciela; Kone-Paut, Isabella; Paut, Isabelle Kone; Zulian, Francesco; Barone, Patrizia; Bircan, Zelal; Maldonado, Maria del Rocio; Russo, Ricardo; Vilca, Iris; Tullus, Kjell; Cimaz, Rolando; Horneff, Gerd; Anton, Jordi; Garay, Stella; Nielsen, Susan Mary; Barbano, Giancarlo; Martini, Alberto

    2010-01-01

    To report methodology and overall clinical, laboratory and radiographic characteristics for Henoch-Schönlein purpura (HSP), childhood polyarteritis nodosa (c-PAN), c-Wegener granulomatosis (c-WG) and c-Takayasu arteritis (c-TA) classification criteria....

  10. Chimeric viruses containing the N-terminal ectodomains of GP5 and M proteins of porcine reproductive and respiratory syndrome do not change the cellular tropism of equine arteritis virus

    Science.gov (United States)

    Equine arteritis virus (EAV) and porcine reproductive and respiratory syndrome virus (PRRSV) are members of family Arteriviridae; they share many biological properties but differ significantly in cellular tropism. Using an infectious cDNA clone of EAV, we engineered a panel of six chimeric viruses b...

  11. Third cranial nerve palsy (ptosis, diplopia accompanied by orbital swelling: case report of unusual clinical presentation of giant cell arteritis associated with polymyalgia rheumatica

    Directory of Open Access Journals (Sweden)

    Prassede Bravi

    2012-12-01

    Full Text Available IntroductionGiant cell arteritis (GCA is the most common systemic vasculitis in older individuals, characterized by granulomatosus inflammation of the wall of large and medium-sized arteries. The wide spectrum of arterial sites involved leads to ischemia of different organs resulting in a wide range of clinical signs and symptoms. Temporal artery is commonly involved (temporal arteritis. Unusual patterns of presentation, such as extraocular motility disorders and orbital swelling, may be early and transient manifestations of GCA and precede the permanent visual loss due to ischemic optic neuropathy.Case reportWe describe a patient with uncommon manifestations of GCA consisting of transient recurrent diplopia, ptosis, orbital swelling together with more typical clinical features of the disease such as musculoskeletal manifestations (polymyalgia rheumatica and facial pain: all signs and symptoms promptly resolved under corticosteroid therapy without relapse.Conclusions A high level of suspicion of GCA in individuals over the age of 50 years is needed to prevent the development of severe complications. Clinicians should be aware of uncommon manifestations of the disease such as head–neck swelling and ophthalmoplegia: management guidelines have stated that prompt administration of adequate dose of corticosteroids as soon as ocular manifestations of GCA are noted may almost totally prevent blindness.

  12. 大动脉炎患者心脏损害临床分析%Cardiac Manifestations of Takayasu's Arteritis

    Institute of Scientific and Technical Information of China (English)

    朱卫国; 曾学军; 林雪; 张文; 王玉; 沈敏; 王迁; 方理刚; 张恒; 赵久良

    2011-01-01

    目的:总结大动脉炎(takayasu's arteritis,TA)患者心脏损害的临床特点.方法:回顾性分析北京协和医院1987年至2010年确诊的45例TA合并心脏损害住院患者的临床资料.结果:TA患者心脏损害占同期所有TA的8.6%(45/524),45例患者中高血压心脏病16例、心肌病变12例、心脏瓣膜病变8例(主动脉瓣关闭不全6例,二尖瓣关闭不全2例)、冠状动脉病变3例、肺动脉高压右心功能衰竭2例、混合型4例.平均发病年龄21.31岁,男女比例为1:2.75.75.6%(34/45)的心脏损害患者有心脏症状.17.8%(8/45)的患者因心脏症状首发.其余82.2%患者约于TA起病后6年内出现心脏损害.除发病年龄在心脏瓣膜病变组、肺动脉高压右心功能衰竭组显著大于其他3组外,性别、临床分型、心脏症状、病情严重度、病情活动度、转归等方面,各组间差异无统计学意义(P>0.05).结论:大动脉炎心脏损害并不少见.即使临床无心脏症状,亦应注意评估心脏受累情况.当临床遇到心肌炎、心脏瓣膜病变、冠状动脉病变或心力衰竭时,除考虑原发心脏疾病外,还应注意除外系统性疾病累及心脏的可能,譬如大动脉炎.%Objective To investigate the clinical features of cardiac involvement in Takayasu' s arteritis ( TA ). Methods This study is a retrospective analysis of all hospitalized patients at Peking Union Medical College Hospital between 1987 and 2010 and diagnosed with TA and associated cardiac diseases. Results 45 (8.6% , 45/524) patients with TA complicated by cardiac involvement were seen over 13 years. Cardiac diseases included hypertensive cardiomyopathy (16 patients) , cardiomyopathy (12 patients) , valvular disease (8 patients) , coronary artery disease (3 patients) , and pulmonary hypertension-associated right heart failure (2 patients). Four patients had more than one form of cardiac involvement The mean age at onset of TA was 21. 3 years, and the male to female ratio

  13. No evidence of parvovirus B19, Chlamydia pneumoniae or human herpes virus infection in temporal artery biopsies in patients with giant cell arteritis

    DEFF Research Database (Denmark)

    Helweg-Larsen, J; Tarp, B; Obel, N;

    2002-01-01

    OBJECTIVES: Recent studies have suggested that infective agents may be involved in the pathogenesis of giant cell arteritis (GCA), in particular Chlamydia pneumoniae and parvovirus B19. We investigated temporal arteries from patients with GCA for these infections as well as human herpes viruses...... conditions. DNA was extracted from frozen biopsies and PCR was used to amplify genes from Chlamydia pneumoniae, parvovirus B19 and each of the eight human herpes viruses: herpes simplex viruses HSV-1 and 2, Epstein-Barr virus, cytomegalovirus, varicella zoster virus and human herpes viruses HHV-6, -7 and -8....... RESULTS: In all 30 biopsies, PCR was negative for DNAs of parvovirus B19, each of the eight human herpes viruses and C. pneumoniae. CONCLUSIONS: We found no evidence of DNA from parvovirus B19, human herpes virus or C. pneumoniae in any of the temporal arteries. These agents do not seem to play a unique...

  14. Virulent and avirulent strains of equine arteritis virus induce different quantities of TNF-α and other proinflammatory cytokines in alveolar and blood-derived equine macrophages

    International Nuclear Information System (INIS)

    Equine arteritis virus (EAV) infects endothelial cells (ECs) and macrophages in horses, and many of the clinical manifestations of equine viral arteritis (EVA) reflect vascular injury. To further evaluate the potential role of EAV-induced, macrophage-derived cytokines in the pathogenesis of EVA, we infected cultured equine alveolar macrophages (AMphi), blood monocyte-derived macrophages (BMphi), and pulmonary artery ECs with either a virulent (KY84) or an avirulent (CA95) strain of EAV. EAV infection of equine AMphi, BMphi, and ECs resulted in their activation with increased transcription of genes encoding proinflammatory mediators, including interleukin (IL)-1β, IL-6, IL-8, and tumor necrosis factor (TNF)-α. Furthermore, the virulent KY84 strain of EAV induced significantly higher levels of mRNA encoding proinflammatory cytokines in infected AMphi and BMphi than did the avirulent CA95 strain. Treatment of equine ECs with the culture supernatants of EAV-infected AMphi and BMphi also resulted in EC activation with cell surface expression of E-selectin, whereas infection of ECs with purified EAV alone caused only minimal expression of E-selectin. The presence of TNF-α in the culture supernatants of EAV-infected equine AMphi, BMphi, and ECs was confirmed by bioassay, and the virulent KY84 strain of EAV induced significantly more TNF-α in all cell types than did the avirulent CA95 strain. Thus, the data indicate that EAV-induced, macrophage-derived cytokines may contribute to the pathogenesis of EVA in horses, and that the magnitude of the cytokine response of equine AMphi, BMphi, and ECs to EAV infection reflects the virulence of the infecting virus strain

  15. Dorsal metakarpal arter flepleri

    OpenAIRE

    Bora, Arslan; Ozerkan, Fuat; Kaplan, Ibrahim; Ada, Sait; Ademoglu, Yalcin

    2004-01-01

    We present dorsal metacarpal artery flaps applied to 10 cases with the aim of reconstruction of the skin defects at the dorsum of the fingers and hand and whole thumb. The main aim was to obtain the skin coverage. Average age of our patients was 25,7, and the average follow up period was 25.7 months (2 years and 2 months). 6 out of 10 were island flaps. 3 axial flaps and one was reverse flow (distally based) flap. Seven were to cover the defects on thumb, cne was dorsum of the index finger, o...

  16. Giant Cell Arteritis

    Science.gov (United States)

    ... RhMSUS FAQs RhMSUS Designees RhMSUS Volunteer Opportunities Publications & Communications Journals A&R Table of Contents AC&R Table ... by the American College of Rheumatology Committee on Communications and Marketing. This information is provided for general education only. ...

  17. Arterite de Takayasu e doença de Crohn: uma associação incomum Takayasu's arteritis and Crohn's disease: an unusual association

    Directory of Open Access Journals (Sweden)

    Clóvis Konopka

    2009-12-01

    Full Text Available A arterite de Takayasu e a doença de Crohn são doenças inflamatórias com etiologia desconhecida. Raramente ocorrem de modo concomitante em um mesmo indivíduo, havendo menos de 30 casos relatados na literatura. Este trabalho descreve essa associação em uma paciente de 36 anos de idade portadora de doença de Crohn, que apresentou redução dos pulsos no membro superior esquerdo e pressão arterial de 60/40 mmHg. A angiotomografia evidenciou estenose segmentar de artéria subclávia esquerda e espessamento parietal circunferencial da aorta na transição toracoabdominal entre T10 e L1, estabelecendo o diagnóstico de arterite de Takayasu. Ambas as patologias são mediadas imunologicamente e apresentam granulomas e vasculite granulomatosa, o que contribui para reforçar a hipótese de uma origem imunológica comum no seu desenvolvimento. Acreditamos que este seja o primeiro caso relatado na literatura brasileira da presença concomitante destas duas enfermidades.Takayasu's arteritis and Crohn's disease are chronic inflammatory diseases with unknown etiology. They rarely occur together in the same individual, with less than 30 cases reported in the literature. This case report describes this association in a 36-year-old woman with Crohn’s disease and weak pulses in her left arm with blood pressure of 60/40 mmHg. Angiotomography showed segmental stenosis in the left subclavian artery and circumferential thickening of the aortic wall between T10 and L1, establishing the diagnosis of Takayasu's arteritis. Both are organ-specific and immune-mediated diseases and exhibit granulomas and granulomatous vasculitis, which contribute to reinforce the hypothesis of a common immunologic origin. We believe that this is the first case of concomitant presence of these two diseases reported in the Brazilian literature.

  18. Marked MMP-2 transcriptional up-regulation in mononuclear leukocytes invading the subarachnoidal space in aseptic suppurative steroid-responsive meningitis-arteritis in dogs.

    Science.gov (United States)

    Schwartz, M; Puff, C; Stein, V M; Baumgärtner, W; Tipold, A

    2010-02-15

    Canine Steroid-Responsive Meningitis-Arteritis (SRMA) is a suitable animal model for studies on the development of neutrophilic pleocytosis in aseptic meningitis. Samples of dogs in the acute phase of SRMA (n=16) were examined for gene expression of matrix metalloproteinases (MMP)-2 and -9 and tissue inhibitors of metalloproteinases (TIMP)-1 and -2. Results were compared to those of dogs under glucocorticosteroid treatment for SRMA (n=16) and dogs with other inflammatory and neoplastic diseases of the central nervous system (CNS) (n=19). Samples included mononuclear (PBMCs) and polymorphonuclear cells (PBPMNs) of peripheral blood and cerebrospinal fluid white blood cells (CSF WBCs). In the acute phase of SRMA CSF WBCs showed mRNA expression for MMP-2 and -9 and TIMP-1 and -2, highlighting a contribution of these cells to the overall content of MMPs and TIMPs in CSF. MMP-2 mRNA levels in CSF WBCs were significantly up-regulated in comparison to PBMC expression levels, suggesting that MMP-2 is relevant for PBMC invasion into the subarachnoidal space and that the expression is influenced by migratory activity through the blood-CSF-barrier. PMID:19733404

  19. Characterization of the neutralization determinants of equine arteritis virus using recombinant chimeric viruses and site-specific mutagenesis of an infectious cDNA clone

    International Nuclear Information System (INIS)

    We have used an infectious cDNA clone of equine arteritis virus (EAV) and reverse genetics technology to further characterize the neutralization determinants in the GP5 envelope glycoprotein of the virus. We generated a panel of 20 recombinant viruses, including 10 chimeric viruses that each contained the ORF5 (which encodes GP5) of different laboratory, field, and vaccine strains of EAV, a chimeric virus containing the N-terminal ectodomain of GP5 of a European strain of porcine reproductive and respiratory syndrome virus, and 9 mutant viruses with site-specific substitutions in their GP5 proteins. The neutralization phenotype of each recombinant chimeric/mutant strain of EAV was determined with EAV-specific monoclonal antibodies and EAV strain-specific polyclonal equine antisera and compared to that of their parental viruses from which the substituted ORF5 was derived. The data unequivocally confirm that the GP5 ectodomain contains critical determinants of EAV neutralization. Furthermore, individual neutralization sites are conformationally interactive, and the interaction of GP5 with the unglycosylated membrane protein M is likely critical to expression of individual epitopes in neutralizing conformation. Substitution of individual amino acids within the GP5 ectodomain usually resulted in differences in neutralization phenotype of the recombinant viruses, analogous to differences in the neutralization phenotype of field strains of EAV and variants generated during persistent infection of EAV carrier stallions

  20. The angiographic features of cerebral ischemia due to Takayasu arteritis%大动脉炎性脑缺血的脑血管造影特征分析

    Institute of Scientific and Technical Information of China (English)

    刁士元

    2010-01-01

    Objective To explore the angiographic features of c cerebral ischemia due to Takayasu arteritis. Methods The clinical data and angiographic findings of twenty patients with Takayasu rteritis were analyzed retrospectively. Two experienced radiologists read all the angiographic images of the patients with a double-blind method, then discussed together, and finally formed an unanimous interpretation. Results According to the Lupi-Herrera classification, 17 of 20 patients were type Ⅰ and the rest 3 were type Ⅲ on angiograms. The affected arteries mainly included subclavian artery (19 patients), carotid artery (17 patients), vertebral artery (12 patients), and brachiocephalic trunk (6 patients). Conclusions Cerebral angiography can accurately and effectively assess the vascular status in patients with cerebral ischemia due to Takayasu arteritis. It is beneficial in the diagnosis of Takayasu arteritis..%目的 探讨大动脉炎性脑缺血的脑血管造影特征.方法 回顾性分析20例大动脉炎性脑缺血患者的病例资料及脑血管造影结果.脑血管造影资料由有经验的介入放射学医师按盲法对比进行分析,然后共同讨论并达成一致意见.结果 20例中,经血管造影按Lupi-Herrera 综合分型法Ⅰ型17例,Ⅲ型3例.主要受累动脉包括锁骨下动脉19例,颈动脉17例,椎动脉12例,头臂干6例.结论脑血管造影可准确、有效的评估大动脉炎性脑缺血患者的血管情况,有利于大动脉炎的诊断.

  1. Towards an optimal semiquantitative approach in giant cell arteritis: an {sup 18}F-FDG PET/CT case-control study

    Energy Technology Data Exchange (ETDEWEB)

    Besson, Florent L.; Bouvard, Gerard [CHU Caen, Department of Nuclear Medicine, Caen (France); Boysson, Hubert de; Bienvenu, Boris [CHU Caen, Department of Internal Medicine, Caen (France); Parienti, Jean-Jacques [CHU Caen, Department of Biostatistics, Caen (France); Agostini, Denis [CHU Caen, Department of Nuclear Medicine, Caen (France); University of Caen Lower-Normandy, EA 4650, Caen (France)

    2014-01-15

    Giant cell arteritis (GCA) is the most common form of vasculitis in western countries. {sup 18}F-FDG PET has been shown to be a valuable tool for the diagnosis of extracranial GCA, but results of studies are inconsistent due to a lack of standardized {sup 18}F-FDG PET criteria. In this study, we compared different semiquantitative approaches using a controlled design to define the most efficient method. All patients with biopsy-proven GCA who had undergone an {sup 18}F-FDG PET/CT scan in our PET unit were reviewed and matched with a control group based on age and sex. Different semiquantitative arterial (ascending and descending thoracic aorta and aortic arch) to background (liver, lung and venous blood pool) SUV ratios were blindly compared between GCA patients and matched controls. We included 11 patients with biopsy-proven GCA cases and 11 matched controls. There were no differences between the groups with regard to body weight, injected radioactivity, blood glucose level or CRP. The arterial to venous blood pool ratios discriminated the two groups better than other methods when applied to the aortic arch and the descending thoracic aorta (p < 0.015). In particular, the highest aortic to highest blood pool SUV{sub max} ratio, when applied to the aortic arch, provided optimal diagnostic performance (sensitivity 81.8 %, specificity 91 %, AUC 0.87; p < 0.0001) using a cut-off value of 1.53. Among all tested {sup 18}F-FDG PET/CT methods, the aortic to blood pool SUV{sub max} ratio outperformed the liver and lung ratios. We suggest the use of this ratio for the assessment of aortic inflammation in GCA patients. (orig.)

  2. Tratamento de angina mesentérica em pacientes com arterite de Takayasu Treatment of mesenteric angina in patients with Takayasu's arteritis

    Directory of Open Access Journals (Sweden)

    Luana Thayse Barros de Lima

    2011-04-01

    Full Text Available Aarterite de Takayasu (AT é uma doença inflamatória crônica do tecido conectivo, idiopática, que acomete preferencialmente a aorta e seus ramos. A terapêutica utilizada baseia-se sobretudo no uso de corticosteroides e imunossupressores. É relatado o caso de uma paciente, 33 anos, com mal-estar, febre, mialgia, cefaleia intensa, pulsátil, holocraniana, resistente a analgésicos, hipertensão arterial sistêmica de difícil controle, claudicação no membro inferior direito e dor abdominal de forte intensidade, a qual piorava após a alimentação. A angiotomografia revelou aneurisma da aorta ascendente, estenose da artéria ilíaca comum direita, estenose das artérias renais e estenose da artéria mesentérica superior, fato que embasou o diagnóstico de angina mesentérica e a conduta intervencionista através da angioplastia transluminal percutânea múltipla com a colocação de stents.Takayasu's arteritis (TA is an idiopathic chronic inflammatory disease of the connective tissue that affects mainly the aorta and its branches. Treatment is mainly based on corticosteroids and immunosuppressants. We report the case of a 33-year-old female complaining of malaise, fever, myalgia, severe pulsing holocranial headache resistant to analgesics, systemic arterial hypertension hard to control, right lower limb claudication, and severe abdominal pain that worsened after the meals. Angiotomography revealed aneurysm of the ascending aorta, and stenosis of the following vessels: right common iliac artery, renal arteries, and superior mesenteric artery. Those findings supported the diagnosis of mesenteric angina and the interventional approach by use of percutaneous transluminal angioplasty with stent placement.

  3. Cloning and Expression of Nucleocapsid Protein Gene of Equine Arteritis Virus in E.coli%马动脉炎病毒核蛋白基因的克隆与表达

    Institute of Scientific and Technical Information of China (English)

    杜建; 王志亮; 赵永刚; 宋厚辉; 金宁一; 张念祖

    2005-01-01

    The gene of nucleocapsid protein of Equine arteritis virus was amplified from PMD-18-T plasmid with equine arteritis virus ORF7 sequence by PCR. The PCR product was sequenced aswell as purified and digested with EcoR I and Xho I, then directly cloned into the prokaryotic vector pET32a. Consequently the recombinant plasmid was constructed, designateds pET32a-N.PET32a-N was transformed into the host cell BL21 (DE3) and the expression procedure was optimized including cultivated temperature, optional induction concentration and time of IPTG. The result indicated that the nucleocapsid protein can be expressed efficiently with 0.8mmol/L IPTG and 4 hour induction. The resulting Trx-N recombinant fusion protein was identified to be consisted of 34 kDa protein by SDS-PAGE and western blotting analysis. It indicated that the recombinant fusion protein could be used as antigen of diagnostic assay for detecting antibodies.

  4. Development and evaluation of a reverse transcription-insulated isothermal polymerase chain reaction (RT-iiPCR) assay for detection of equine arteritis virus in equine semen and tissue samples using the POCKIT™ system.

    Science.gov (United States)

    Carossino, Mariano; Lee, Pei-Yu A; Nam, Bora; Skillman, Ashley; Shuck, Kathleen M; Timoney, Peter J; Tsai, Yun-Long; Ma, Li-Juan; Chang, Hsiao-Fen G; Wang, Hwa-Tang T; Balasuriya, Udeni B R

    2016-08-01

    Equine arteritis virus (EAV) is the causative agent of equine viral arteritis (EVA), a respiratory and reproductive disease of horses. Most importantly, EAV induces abortion in pregnant mares and can establish persistent infection in up to 10-70% of the infected stallions, which will continue to shed the virus in their semen. The objective of this study was to develop and evaluate a reverse transcription insulated isothermal polymerase chain reaction (RT-iiPCR) for the detection of EAV in semen and tissue samples. The newly developed assay had a limit of detection of 10 RNA copies and a 10-fold higher sensitivity than a previously described real-time RT-PCR (RT-qPCR). Evaluation of 125 semen samples revealed a sensitivity and specificity of 98.46% and 100.00%, respectively for the RT-qPCR assay, and 100.00% and 98.33%, respectively for the RT-iiPCR assay. Both assays had the same accuracy (99.2%, k=0.98) compared to virus isolation. Corresponding values derived from testing various tissue samples (n=122) collected from aborted fetuses, foals, and EAV carrier stallions are as follows: relative sensitivity, specificity, and accuracy of 88.14%, 96.83%, and 92.62% (k=0.85), respectively for the RT-qPCR assay, and 98.31%, 92.06%, and 95.08% (k=0.90), respectively for the RT-iiPCR assay. These results indicate that RT-iiPCR is a sensitive, specific, and a robust test enabling detection of EAV in semen and tissue samples with very considerable accuracy. Even though the RT-qPCR assay showed a sensitivity and specificity equal to virus isolation for semen samples, its diagnostic performance was somewhat limited for tissue samples. Thus, this new RT-iiPCR could be considered as an alternative tool in the implementation of EAV control and prevention strategies. PMID:27036504

  5. Arterite de Takayasu: tratamento com anti-TNF em uma casuística brasileira Takayasu arteritis: anti-TNF therapy in a Brazilian setting

    Directory of Open Access Journals (Sweden)

    Guilherme Nunes

    2010-06-01

    Full Text Available O objetivo deste estudo é descrever as características clínicas e as respostas às intervenções terapêuticas, incluindo a terapia antifator de necrose tumoral (TNF, em uma série de casos brasileiros de arterite de Takayasu (AT. Foi realizado um estudo observacional, retrospectivo, com base na revisão de prontuários, incluindo todos os pacientes com AT, de acordo com os critérios de classificação do American College of Rheumatology, em acompanhamento no Serviço de Reumatologia do Hospital Universitário da Universidade Federal de Santa Catarina (UFSC, Brasil. Foram incluídos 15 pacientes, sendo 14 (93,3% mulheres, com idade média ao diagnóstico de 29,6 anos. Hipertensão arterial sistêmica (60,0% e ausência de pulsos em membros superiores (53,3% foram os achados clínicos mais comuns ao diagnóstico. As artérias subclávias e carotídeas foram os vasos mais frequentemente acometidos. Doze pacientes (80,0% não obtiveram remissão sustentada em terapia isolada com corticosteroide, tendo sido empregada terapia imunossupressora, sendo metotrexato, azatioprina e ciclofosfamida as drogas utilizadas. Intervenções cirúrgicas foram necessárias em 53,3% dos casos. Três casos (20,0% foram refratários à terapia com corticoides e imunossupressores e foram tratados com agentes anti-TNF, com subsequente remissão da doença. Em conclusão, observou-se que uma parcela importante dos casos de AT é refratária à terapia tradicional e os agentes anti-TNF podem representar uma opção promissora para o controle da doença nesses casos.The aim of this study was to describe clinical features and response to different therapeutic interventions, including anti-tumor necrosis factor (TNF agents, in a case series of Takayasu arteritis (TA from Brazil. A retrospective observational chart-review study was performed including all patients meeting the American College of Rheumatology TA classification criteria followed at the rheumatology

  6. Takayasu's arteritis: a challenging diagnosis.

    LENUS (Irish Health Repository)

    Fanning, D M

    2009-03-01

    The practices of medicine and surgery are inherently and irrevocably entwined. This case report highlights the need for an integrated, multi-disciplinary approach to care of the modern patient. Our patient fulfils the traditional Ishikawa\\'s criteria and the modified Ishikawa\\'s criteria for the clinical diagnosis of Takayasu\\'s disease. Her case underpins the need for co-ordinated care and careful periodic review of the symptomatology and signs of the multiple clinic attendees.

  7. 儿童发病的大动脉炎15例临床分析%Clinical analysis of 15 childr en with Takayasu arteritis

    Institute of Scientific and Technical Information of China (English)

    夏慧; 周纬

    2015-01-01

    Objective To investigate the clinical features and treatment programs in children with Takayasu arteritis (TA) in order to improve awareness of the disease. Methods A retrospective study of hospi-talized children with TA in our hospital from Jan. 1999 to Dec. 2012 was performed. Results Between the 15 patients with TA, the ratio of male to female was 1∶2. The onset was from 14 months to 15 years old, with average age at (10 ±4) years old. It is according to (the European League against Rheumatism/the Pediatric Rheumatology European Society (EULAR/PRES) criteria for the diagnosis of TA. The most common clinical manifestations are hypertension, which occurred in 13 cases(87%), weak pulse or pulseless in 11 cases (73%), and heart failure in 10 cases (67%). About two-thirds of patients were diagnosed when the onset of heart failure occurred. The most common clinical type was type Ⅱ, which occrred in 9 cases (60%). Antihypertensive drugs, oral steroid and congestive heart failure controlling were the main treatment. Three patients with positive purifiedproteinderivative (PPD) test received anti-TB treatment. Three patients had vascular bypass surgery, one patient had percutaneous transluminal angioplasty. Conclusion TA may be life-threatening and progressive. Many patients are with advanced disease at the time of treatment, so the prognosis is generally poor. Early recognition is necessary to initiate appropriate therapy. The disease should be considered in patients with unexplained arterial hypertension or unexplained inflammatory syndromes without local signs.%目的:研究儿童发病的大动脉炎患者的临床特点和治疗方案,提高对此病的认识,以求早期诊断,改善预后。方法收集我院1999年1月至2012年12月住院的大动脉炎患者的临床资料进行回顾性分析。结果15例患者中,男女比例为1∶2,年龄14个月至15岁,平均(10±4)岁。按照EULAR/欧洲儿童风湿病学协会(PRES)标准诊

  8. Anterior ischemic optic neuropathy: a comparison of the optic disc area of patients with the arteritic and non-arteritic forms of the disease and that of normal controls Neuropatia óptica isquêmica anterior: estudo comparativo da área do disco óptico de pacientes com as formas arterítica e não-arterítica da doença e de controles normais

    Directory of Open Access Journals (Sweden)

    Mário Luiz Ribeiro Monteiro

    2006-12-01

    Full Text Available PURPOSE: To evaluate the optic disc area of patients with non-arteritic anterior ischemic optic neuropathy (NA-AION and arteritic anterior ischemic optic neuropathy (A-AION and compare the results between each other and with those from controls in order to verify the existence and the magnitude of anatomical factors predisposing to the development of anterior ischemic optic neuropathy. METHODS: This is a case-controlled study of the optic disc area of 24 consecutive patients affected with NA-AION, 13 patients with A-AION and 24 consecutive healthy normals, sex- and age-matched with the patients with the NA-AION group. Measurements of optic disc area were performed for each studied group using disc photographs projected, measured and corrected for the refractive error and the keratometric readings, according to Littmann's method in each studied group. The results were compared using variance analysis. RESULTS: The mean areas and standard deviations of the optic discs from patients with NA-AION, A-AION and normals were respectively 1.99 ± 0.35 mm², 2.29 ± 0.39 mm² and 2.49 ± 0.53 mm². The statistical analysis revealed that the mean areas of the optic disc of patients with NA-AION were significantly different from those of normal controls. No statistical difference was found between A-AION and normal controls. CONCLUSION: NA-AION occurs predominantly in small discs while the arteritic form of the disease shows no such preference. Factors related to optic disc structure play a role in the pathophysiology of NA-AION. The occurrence of AION in large optic optic discs should raise the suspicion of temporal arteritis. On the other hand, small optic disc areas do not rule out that vasculitis.OBJETIVO: Calcular a área do disco óptico de pacientes com neuropatia óptica isquêmica anterior não arterítica (NOIA-NA e com neuropatia óptica isquêmica anterior por arterite temporal (NOIA-A comparando os resultados entre si e com o grupos controle

  9. Parliamentary Democracy in Scandinavia / David Arter

    Index Scriptorium Estoniae

    Arter, David

    2004-01-01

    Põhjamaade poliitika võrdlus Westminster-stiilis majoritaarse süsteemiga, seadusandlike ja täidesaatvate institutsioonide suhted; rahvusparlamentide suhteline suletus avalikkuse ees (eriti komisjonid)

  10. Atypical visual loss in giant cell arteritis

    DEFF Research Database (Denmark)

    Thystrup, Jan Deichmann; Knudsen, G M; Mogensen, A M;

    1994-01-01

    terminal stage of his disease due to bilateral occipital cortex infarctions, verified by CT-scan. Autopsy revealed involvement of several intracranial arteries. In case No. 2 there was severe unilateral visual loss and cotton-wool exudates in both eyes. Central vision recovered after corticosteroid therapy...

  11. Polymyalgia Rheumatica and Giant Cell Arteritis

    Science.gov (United States)

    ... 718-6366 Email: NIAMSinfo@mail.nih.gov Website: http://www.niams.nih.gov If you need more ... nih.gov . Other Resources National Eye Institute Website: http://www.nei.nih.gov National Heart, Lung, and ...

  12. Mortality in patients with giant cell arteritis

    DEFF Research Database (Denmark)

    Baslund, Bo; Helleberg, Marie; Faurschou, Mikkel;

    2015-01-01

    OBJECTIVE: The aim of this study was to examine whether GCA is associated with increased mortality. METHODS: We conducted a nationwide population-based cohort study including all individuals who between 1993 and 2011 were registered in the Danish National Hospital Register and the Danish Patholog...

  13. Prevalência de anticorpos contra os vírus da influenza, da arterite viral e herpesvírus em eqüinos do Estado do Rio Grande do Sul, Brasil Prevalence of antibodies to influenza virus, viral arteritis and herpesvirus in horses of the Rio Grande do Sul state, Brazil

    Directory of Open Access Journals (Sweden)

    Diego Gustavo Diel

    2006-10-01

    Full Text Available O presente estudo teve como objetivo determinar a prevalência de anticorpos contra os vírus da influenza (EIV, da arterite viral (EVAV e herpesvírus (EHV em eqüinos no Estado do Rio Grande do Sul (RS, Brasil. Amostras de soro provenientes de eqüinos de 65 municípios do Estado foram submetidas ao teste de inibição da hemaglutinação (HI para a pesquisa de anticorpos contra o EIV, e à técnica de soroneutralização (SN, para a detecção de anticorpos contra os vírus da EVA e da EHV. Das 1.506 amostras testadas, 986 (65,4% apresentaram anticorpos para o EIV (títulos entre 10 e 1280, 33 (2,2% para o EVAV (2-16 e 67 (4,5% foram positivas para o EHV (2-64. Dentre os 65 municípios amostrados, 55 (84,6% apresentaram pelo menos um animal positivo para o EIV, 15 (23% para o EVAV e 12 (18,5% para o EHV. A prevalência de anticorpos para cada vírus não variou muito entre animais de diferentes propósitos (esporte, exposição e reprodução e entre machos e fêmeas, indicando que os diferentes sistemas de criação apresentam condições epidemiológicas semelhantes em relação a essas infecções. Os resultados obtidos sugerem a circulação desses agentes na população eqüina do RS e alertam para a necessidade de estudos adicionais sobre a importância e o impacto econômico-sanitário dessas viroses para a eqüideocultura do Estado.This study was aimed at investigating the prevalence of antibodies against infections virus of influenza virus (EIV, viral viral arteritis (EVAV, and herpesvirus (EHV among horses in Rio Grande do Sul (RS state, Brazil. Serum samples from horses of Serum samples from horses from 65 counties of northern and northwestern of RS, submitted to serological diagnosis for equine infectious anemia (EIA at the University of Passo Fundo (UPF, were tested by inhibition hemaglutination test (HI for EIV and by virus -neutralization test (VN for EVAV and EHV antibodies. From 1506 samples, 986 (65.4% presented antibodies

  14. Mõnus kontsert Bostonis / Rein Pirn ; foto: Marko Mumm (Arter)

    Index Scriptorium Estoniae

    Pirn, Rein

    2004-01-01

    8. veebr. 2004 esinesid Bostoni First and Second Church'is lauljatar Hanna-Liina Võsa ning pianist Hando Nahkur; kõlasid eesti rahvalaulud, eesti ja ameerika heliloojate laulud ning F. Liszti klaverimuusika

  15. Subclavian Arteritis and Pseudoaneurysm Formation Secondary to Stent Infection

    International Nuclear Information System (INIS)

    Technically uncomplicated percutaneous angioplasty and stent placement of a left subclavian artery stenosis was performed in a 56-year-old man for treatment of subclavian steal syndrome and vertebrobasilar insufficiency. Six days later the patient was readmitted with Staphylococcus aureus bacteremia and stigmata of septic emboli isolated to the ipsilateral hand. Nine days later he had computed tomography (CT) evidence of a contrast-enhancing phlegmon surrounding the stent. Despite clinical improvement and resolution of bacteremia on intravenous antibiotic therapy, the phlegmon progressed, and at day 21 a pseudoaneurysm was angiographically confirmed. The patient underwent surgical removal of the stented arterial segment and successful autogenous arterial reconstruction. The possible contributory factors leading to stent infection were prolonged right femoral artery access and an infected left arm venous access. Although the role of prophylactic antibiotics remains to be defined, it may be important in cases where the vascular access sheath remains in place for a prolonged period of time

  16. Exercise thallium scintigraphy in aortitis syndrome (Takayasu's arteritis)

    International Nuclear Information System (INIS)

    It is important for patient management to evaluate coronary arterial involvement in aortitis syndrome. Twenty one cases of aortitis syndrome who experienced chest pain were examined using exercise thallium scintigraphy. The patients were divided into four groups according to the angiographic findings. There were: Five patients with left main coronary arterial involvement (group A), four with left or right coronary arterial involvement (group B), nine with aortic regurgitation (group C), and three with pulmonary arterial involvement (group D). In group A and B, all patients had positive ECGs and thallium perfusion defects. Group A patients showed extensive anterolateral perfusion defects, which were compatible with left main coronary arterial involvement. Group C and D patients, who had normal coronary arteries, showed no remarkable perfusion defects although five had positive ECG findings. Thus, the sensitivity and specificity of exercise scintigraphy for detection of myocardial ischemia were 9/9 and 12/12, while those of stress ECG were 9/9 and 7/12 (58%), respectively. It is recommended that exercise thallium scintigraphy be used for detecting clinically occult but significant coronary arterial involvement in aortitis syndrome with chest pain. (orig.)

  17. What Are Polymyalgia Rheumatica and Giant Cell Arteritis?

    Science.gov (United States)

    ... Submit this page to Yahoo! Buzz '); document.write(' Rank this page on Digg '); document.write(' Bookmark this ... proper treatment can prevent serious complications. You should learn about and watch for symptoms. Be sure to ...

  18. Konjenital sağ ve sol koroner arter kaynaklı koroner-pulmoner arter fistülü

    OpenAIRE

    Ali Kemal Gür; Ahmet Karakurt; Yüksel Kaya

    2013-01-01

    Coronary artery fistula (CAF) is a rare congenital anomalywith an incidence of 1 in 50 000 live births. The fistula wasobserved at the right coronary artery in 53%, the left coronaryartery in 42% and both coronary artery in 5% of thecases. Echocardiography examination in a 46 year-oldwoman with the symptoms of chest pain, palpitation anddyspnea revealed a severe mitral valve insufficiency anda moderate to severe tricuspid valve insufficiency. A CAForiginating from the proximal part of the lef...

  19. Analysis of factors related to ovarian function damage in patients with systemic lupus erythematosus or Takayasu arteritis receiving cyclophosphamide therapy%环磷酰胺致系统性红斑狼疮及大动脉炎患者卵巢功能受损的相关因素分析

    Institute of Scientific and Technical Information of China (English)

    廖秋菊; 郑峥; 赵义; 李小霞

    2015-01-01

    目的:探讨女性系统性红斑狼疮(SLE)及大动脉炎(TA)患者应用环磷酰胺(CTX)治疗中发生卵巢功能受损的相关因素。方法收集2012年6月至2014年10月在首都医科大学宣武医院住院接受 CTX 治疗并在门诊随访的女性 SLE 和 TA 患者进行回顾性研究。使用 CTX 治疗的SLE 患者为 SLE 组;使用 CTX 治疗的 TA 患者为 TA 组。记录并比较2组患者卵巢功能受损总发生率、闭经发生率、出现卵巢功能受损和闭经时 CTX 的用药时间及 CTX 的累积剂量。结果共纳入患者63例,SLE 组46例,年龄15~41岁;TA 组17例,年龄17~37岁。2组患者应用 CTX 后出现卵巢功能受损的年龄集中分布在20~39岁之间。2组患者卵巢功能受损总发生率及闭经发生率差异均无统计学意义[60.9%(28/46)比35.3%(6/17),19.6%(9/46)比5.9%(1/17),均 P >0.05]。SLE 组在应用 CTX 治疗6周开始出现卵巢功能受损,平均时间为13周;TA 组在用药16周开始出现卵巢功能受损,平均时间为21周,SLE 组出现卵巢功能受损时间较 TA 组早(P =0.021)。SLE 组出现卵巢功能受损时 CTX 累积剂量少于 TA 组[(7.2±0.8)g 比(8.0±0.9)g],组间差异有统计学意义(P =0.045)。CTX 累积剂量与年龄呈负相关(SLE 组 r =-0.681,P =0.028;TA 组 r =-0.244,P =0.043)。结论 CTX 的累积剂量是 SLE 及 TA 患者发生卵巢功能受损的危险因素。SLE 患者出现卵巢功能受损时 CTX 的累积剂量低于 TA 患者。患者初始应用 CTX 的年龄越大,出现卵巢功能受损的风险越高。%Objective To explore the factors related to ovarian injury after cyclophosphamide therapy in the patients with systemic lupus erythematosus(SLE)and Takayasu arteritis(TA). Methods Data of patients with SLE and TA hospitalized in Xuanwu Hospital of Capital Medical University from June 2012 to October 2014 were collected and a

  20. Phylogenetic characterisation of the G(L) sequences of equine arteritis virus isolated from semen of asymptomatic stallions and fatal cases of equine viral arteritis in Denmark

    DEFF Research Database (Denmark)

    Larsen, Lars Erik; Storgaard, Torben; Holm, Elisabeth

    2001-01-01

    three different outbreaks of EVA. From these fatalities, the complete open reading frame 5, encoding the EAV GL protein, was amplified by reverse transcription-polymerase chain reaction and subjected to nucleotide sequence analysis. Furthermore, DNA sequences were obtained from virus isolated from semen...

  1. Takayasu arteritis with dilated cardiomyopathy and aortic dissection: a rare presentation

    International Nuclear Information System (INIS)

    We report a peculiar case of TA in a young male Pakistani patient presenting with dilated cardiomyopathy (DCM) and aortic dissection. To our knowledge this is the first reported case of TA with DCM and aortic dissection simultaneously. (author)

  2. Contribution a la modelisation et simulation numerique de l ecoulement du sang dans l artere

    CERN Document Server

    Alla, H; Bensaid, M H

    2009-01-01

    Numerous are the questionings raised by medicine interventionnelle, concerning the hold in charge of the pathologies of the arterial partition (aneurysm, dissection, coarctation, atherosclerosis).for it we made the modeling and the numeric simulation of the blood flow in the renal artery taken by the Medical imagery. Geometry has been rebuilt from the medical pictures of angiography, angioscanner and IRM. While considering that blood like a fluid Newtonian and stationary flow. The results gotten in terms of the physical parameters as the velocity, the dynamic pressure is shown that the simplest case was enough to collect relevant data for the development of stenos or thrombosis in the arteries.

  3. Five Vessel Coronary Arter Bypass Graft Surgery in a Case with Familial Hypercholesterolemia

    Directory of Open Access Journals (Sweden)

    Sureyya Talay

    2014-08-01

    Full Text Available We report a case of a rare and sypmtomatic familyal hypercholesterolemia case with an end-point of coronary artery bypass surgery at the age of 16. Patient was evaluated at the emergency department with chest pain and discomfort. Physical examination were within normal limits. The electrocardiogram showed a normal sinus rhythm for 108/ min. Arterial blood pressure was 90/60 mmHg. Lungs and heart were clear to auscultation. Patient was under treatment with a prior diagnosis of familial hypercholesterolemia (FH for one year by daily 40 mgs rosuvastatine. A coronary artery angiography was performed for chest pain. Multivessel coronary artery disease was diagnosed with a total occlusion of left anterior descending artery. Transthoracic echocardiography presented a left ventricular (LV ejection fraction 50%, LV diameters 44/26 mm, aneurysm formation at interatrial septum and mild dyskinesia of anterior wall. Thus, a five vessel emergent coronary artery graft bypass surgery was performed at this early age. FH is with a severe elevation in total cholesterol (TC and low density lipoprotein cholesterol (LDL in an autosomal dominant characteristic disorder that approximately occurs in 1 per 500 persons by its heterozygous form. FH is most certainly associated with premature coronary artery disease (CAD with catasthrophic early age results. [Cukurova Med J 2014; 39(4.000: 872-875

  4. Epithelioid hemangioendothelioma of the temporal artery presenting as temporal arteritis: Case report and literature review

    Directory of Open Access Journals (Sweden)

    Salem Alowami

    2009-07-01

    Full Text Available Hemangioendotheliomas are classified as epithelioid hemangioendothelioma(EHE, retiform hemangioendothelioma, composite hemanioendothelioma, Kaposiform hemangioendothelioma (with or without Kasabach-Merritt syndrome, and Spindle cell hemangioendothelioma. The latter two types of hemangioendotheliomas usually follow a benign course, in contrast to the other types of hemangioendotheliomas, which are considered as a low grade malignant sarcoma with unpredictable prognosis. EHE's are rare tumors, mostly described in organs particularly the lungs and liver. Though endothelial in origin, EHE's reported to originate from small sized arteries are extremely rare. We report a very rare case of EHE arising from the temporal artery showing a peculiar presentation.

  5. Equine verminous arteritis; efficiency and speed of larvicidal acitivty as influenced by dosage of albendazole.

    Science.gov (United States)

    Georgi, J R; Rendano, V T; King, J M; Bianchi, D G; Theodorides, V J

    1980-04-01

    Albendazole was effective in destroying Strongylus vulgaris larvae in verminous lesions of the cranial mesenteric artery when administered as a 20% suspension by stomach tube to ponies. Fifty mg/kg body weight administered twice a day for 2 days caused death and gradual disintegration of larvae over a period of 3 to 6 weeks with mild toxic signs appearing in 3 of 11 ponies. Higher total doses of albendazole (50 mg/kg twice a day for 4 days and 25 mg/kg three times a day for 5 days) lead to more rapid disintegration of the larvae but fatal toxicity was observed in 3 of 6 ponies so treated. In all cases, resolution of verminous arterial lesions was delayed until larva remains had disappeared from the lesions. A non-parametric analysis was applied to combined radiographic, pathologic and parasitologic observations and data for testing their statistical significance PMID:7408495

  6. Ajakiri "Arters" : esteetika ja eetika / Anu Saluäär

    Index Scriptorium Estoniae

    Saluäär, Anu, 1948-

    2008-01-01

    Rootsi Muusikaakadeemia, Kunstiakadeemia ja Rootsi Akadeemia ühisväljaandest "Artes", pikemalt teisest numbrist, mis kajastab Pariisis toimunud kollokviumit "Kirjandus ja filosoofia". - Varem ilmunud: Looming 1989, nr. 11

  7. Increased angiotensin II type 1 receptor expression in temporal arteries from patients with giant cell arteritis

    DEFF Research Database (Denmark)

    Dimitrijevic, Ivan; Malmsjö, Malin; Andersson, Christina; Rissler, Pehr; Edvinsson, Lars

    2009-01-01

    peptide involved in vessel inflammation during atherosclerosis, and angiotensin II receptor inhibitors are effective in preventing atherosclerosis. The present study was performed to elucidate the role of angiotensin type 1 (AT(1)) and type 2 (AT(2)) receptors in GCA. DESIGN: Experimental retrospective...

  8. Educational Needs of Patients With Systemic Vasculitis

    Science.gov (United States)

    2014-07-11

    Behcet's Disease; Churg-Strauss Syndrome; Vasculitis, Central Nervous System; Giant Cell Arteritis; Wegener Granulomatosis; Henoch-Schoenlein Purpura; Microscopic Polyangiitis; Polyarteritis Nodosa; Takayasu's Arteritis

  9. Impact of Vasculitis on Employment and Income

    Science.gov (United States)

    2016-01-26

    Vasculitis; Systemic Vasculitis; Behcet's Disease; CNS Vasculitis; Cryoglobulinemic Vasculitis; Eosinophilic Granulomatosis; Temporal Arteritis; Wegener Granulomatosis; Henoch-Schoenlein Purpura; Microscopic Polyangiitis; Polyarteritis Nodosa (PAN); Takayasu's Arteritis; Urticarial Vasculitis

  10. Vurdering af bevaringsstatus for arter og naturtyper omfattet af EF-Habitatdirektivet (2001-2007) (Notat til By- og Landskabsstyrelsen)

    DEFF Research Database (Denmark)

    Søgaard, Bjarne; Ejrnæs, Rasmus; Nygaard, Bettina;

    2008-01-01

    _on=reportingdate&sort_order=reverse Afrapportering for naturtyper kan findes på denne link:   http://cdr.eionet.europa.eu/resultsxml?xml_schema_location=http%3A%2F%2Fbiodiversity.eionet.europa.eu%2Fschemas%2Fdir9243eec%2Fhabitats.xsd&years%3Aint%3Aignore_empty=&partofyear=&country=http%3A%2F%2Frod.eionet.eu.int%2......Fspatial%2F11&sort_on=reportingdate&sort_order=reverse  ...

  11. Increased tissue endothelin-1 and endothelin-B receptor expression in temporal arteries from patients with giant cell arteritis

    DEFF Research Database (Denmark)

    Dimitrijevic, Ivan; Andersson, Christina; Rissler, Pehr;

    2010-01-01

    temporal arteries using archival formalin-fixed, paraffin-embedded tissue. PARTICIPANTS: The study included 10 patients with GCA and 10 control patients with clinically suspected GCA but diagnosed not to have GCA. METHODS: Immunohistochemistry, with anti ET-1, anti-ET(A), and anti-ET(B) antibodies, was...... performed on formalin-fixed and paraffin-embedded temporal arteries. MAIN OUTCOME MEASURES: Endothelin-1, ET(A), and ET(B) receptor immunostaining intensities were quantified. RESULTS: Temporal arteries from the patients with GCA showed the typical histologic features, including intimal thickening...

  12. Brakial Arter Oklüzyonunda Rekonalizasyon Ve Perkütan Translüminal Anjiyoplasti

    OpenAIRE

    Yazici, B; Akan, H.; SARAÇ, A.

    2010-01-01

    Recanalization and Percutaneous Transluminal Angioplasty in Brachial Artery Occlusion: Case Report Percutaneous transluminal angioplasty is a widely-accepted method for patients with arterial stenosis and occlusion. Technical succes rate of percutaneous transluminal angioplasty is higher than 90 % in atherosclerotic lesions. In this study, the results of percutaneous transluminal angioplasty were evaluated in a 49-year-old women with coldness, numbness and pain in her right hand due to bra...

  13. Diagnostic value of 3D contrast-enhanced magnetic resonance angiography in Takayasu's arteritis - a comparative study with digital subtraction angiography

    Energy Technology Data Exchange (ETDEWEB)

    Garg, Shobhit K.; Kumar, Sunil [Sanjay Gandhi Postgraduate Institute of Medical Sciences, Department of Radiodiagnosis, Lucknow, UP (India); Mohan, Suyash [Sanjay Gandhi Postgraduate Institute of Medical Sciences, Department of Radiodiagnosis, Lucknow, UP (India); University of Pennsylvania Health System, Neuroradiology Division, Department of Radiology, Philadelphia, PA (United States)

    2011-08-15

    To assess the diagnostic value of 3D CEMRA in TA compared with DSA. Twenty-two patients with clinically suspected TA based on 1990 ACR criteria for the classification of TA, were included in this study. There were 16 female and 6 male patients with ages ranging from 11 to 50 years (mean age 25 years). CEMRA and DSA were performed in all patients within 4 weeks of each other, for detection of stenosis, occlusion and aneurysm in the arch vessels, renal arteries and aortic segments. (1) TA was confirmed by CEMRA in all patients. (2) 147 arteries did not reveal any steno-occlusive lesion on CEMRA compared with 158 on DSA. (3) 75 stenoses, (excluding occlusions) were detected on CEMRA compared with DSA, which revealed 65 stenotic lesions, with sensitivity, specificity, PPV, NPV and DA for detection of a significant (>50%) stenotic lesion being 98.33%, 97.25%, 92.18%, 99.43% and 97.52% respectively. (4) Aneurysmal dilatation was detected in 13 arteries on CEMRA compared with 16 on DSA. Diagnostic value of CEMRA is comparable to that of DSA with a very strong and statistically significant correlation between DSA and CEMRA in detection and grading of characteristic steno-occlusive lesions of TA. (orig.)

  14. From arteritis to mycotic aneurysm: visualization of the progression of mycotic aneurysm development following femoral arterial line insertion in an infant

    Energy Technology Data Exchange (ETDEWEB)

    Beck-Razi, Nira [Israel Institute of Technology, Department of Medical Imaging, The Rappaport Faculty of Medicine, Technion, Haifa (Israel); Rambam Medical Center, Department of Medical Imaging, Haifa (Israel); Bar-Joseph, Gad [Israel Institute of Technology, Pediatric Critical Care Unit, The Rappaport Faculty of Medicine, Technion, Haifa (Israel); Ofer, Amos; Gaitini, Diana [Israel Institute of Technology, Department of Medical Imaging, The Rappaport Faculty of Medicine, Technion, Haifa (Israel); Hoffman, Aharon [Israel Institute of Technology, Department of Vascular Surgery, Rambam Health Care Center, The Rappaport Faculty of Medicine, Technion, Haifa (Israel)

    2010-12-15

    Although uncommon, mycotic aneurysms in infants can be lethal because of the high risk of rapid expansion and rupture. Most catheter-associated mycotic aneurysms reported in the first year of life develop following umbilical artery catheterizations. We describe the sonographic detection of an early stage mycotic aneurysm in a 4-month-old following femoral artery catheterization complicated by methicillin-resistant Staphylococcus aureus (MRSA) septicemia. We also describe the sonographic and radiographic progression of this mycotic aneurysm before surgery. (orig.)

  15. Diagnostic value of 3D contrast-enhanced magnetic resonance angiography in Takayasu's arteritis - a comparative study with digital subtraction angiography

    International Nuclear Information System (INIS)

    To assess the diagnostic value of 3D CEMRA in TA compared with DSA. Twenty-two patients with clinically suspected TA based on 1990 ACR criteria for the classification of TA, were included in this study. There were 16 female and 6 male patients with ages ranging from 11 to 50 years (mean age 25 years). CEMRA and DSA were performed in all patients within 4 weeks of each other, for detection of stenosis, occlusion and aneurysm in the arch vessels, renal arteries and aortic segments. (1) TA was confirmed by CEMRA in all patients. (2) 147 arteries did not reveal any steno-occlusive lesion on CEMRA compared with 158 on DSA. (3) 75 stenoses, (excluding occlusions) were detected on CEMRA compared with DSA, which revealed 65 stenotic lesions, with sensitivity, specificity, PPV, NPV and DA for detection of a significant (>50%) stenotic lesion being 98.33%, 97.25%, 92.18%, 99.43% and 97.52% respectively. (4) Aneurysmal dilatation was detected in 13 arteries on CEMRA compared with 16 on DSA. Diagnostic value of CEMRA is comparable to that of DSA with a very strong and statistically significant correlation between DSA and CEMRA in detection and grading of characteristic steno-occlusive lesions of TA. (orig.)

  16. Arterite de Takayasu: tratamento com anti-TNF em uma casuística brasileira Takayasu arteritis: anti-TNF therapy in a Brazilian setting

    OpenAIRE

    Guilherme Nunes; Fabrício Souza Neves; Felipe M Melo; Gláucio Ricardo Werner de Castro; Adriana Fontes Zimmermann; Ivânio Alves Pereira

    2010-01-01

    O objetivo deste estudo é descrever as características clínicas e as respostas às intervenções terapêuticas, incluindo a terapia antifator de necrose tumoral (TNF), em uma série de casos brasileiros de arterite de Takayasu (AT). Foi realizado um estudo observacional, retrospectivo, com base na revisão de prontuários, incluindo todos os pacientes com AT, de acordo com os critérios de classificação do American College of Rheumatology, em acompanhamento no Serviço de Reumatologia do Hospital Uni...

  17. Single Nucleotide Polymorphism rs10919543 in FCGR2A/FCGR3A Region Confers Susceptibility to Takayasu Arteritis in Chinese Population

    Directory of Open Access Journals (Sweden)

    Fang Qin

    2016-01-01

    Conclusions: Our findings revealed unique genetic pattern in Chinese TA patients that may be partly responsible for the higher risk of TA in this population. FCGR2A/FCGR3A-related immune disorder might contribute to the etiology of TA.

  18. 钩端螺旋体性脑动脉炎患者的临床护理%Clinical nursing on leptospirosis cerebral arteritis

    Institute of Scientific and Technical Information of China (English)

    陈吟卿

    2001-01-01

    通过对15例散发性钩端螺旋体性脑动脉炎(简称钩体性脑动脉炎)的护理体会,提出了此病一经确诊,严密观察病情,防止赫氏反应,预防颅内压增高,以及偏瘫病例的早期康复训练等是提高抢救成功率的关键。

  19. Polimiosite associada à arterite linfocítica do sistema nervoso central Polymyositis associated with lymphocytic arteritis of the central nervous system

    OpenAIRE

    Izaias Pereira da Costa; Elisangela Possebon Pradebon; Julia Villegas Campos; Fabrícia Santos Melo; Flávia Midori Arakaki Ayres Tavares

    2010-01-01

    Complicações do Sistema Nervoso Central (SNC) raramente são descritas em miopatias inflamatórias idiopáticas. Os autores relatam o caso de uma paciente de 48 anos com diagnóstico de polimiosite com autoanticorpo anti-Jo-1 positivo que, após cinco anos de evolução, apresentou extensa lesão desmielinizante do SNC associada à arterite linfocítica.Central Nervous System (CNS) complications in idiopathic inflammatory myopathies are seldom reported. The authors describe the case of a 48-year old fe...

  20. Isquemia grave de membros inferiores por arterite por HIV Severe ischemia of lower limbs due to arteritis caused by HIV infection

    Directory of Open Access Journals (Sweden)

    Guilherme Benjamin Brandão Pitta

    2011-12-01

    Full Text Available A isquemia aguda de membros pode se manifestar, embora de forma incomum, como consequência à vasculite associada ao vírus da imunodeficiência humana (HIV. O presente caso descreve a evolução de uma paciente soropositiva para o HIV, que apresentou quadro de isquemia distal bilateral, com diminuição da temperatura de terço distal das pernas e pés, dor intensa, cianose fixa de pododátilos e ausência de pulsos distais. Submetida ao tratamento com terapia trombolítica, apresentou sinais de lesões decorrentes da isquemia e lesão tecidual de reperfusão com perda tecidual em regiões distais dos dedos, porém com melhora dos sinais e sintomas dos membros inferiores. Trata-se de um caso raro na literatura em função da associação da vasculite com o HIV e do acometimento dos vasos distais nos membros inferiores. Entretanto, o conhecimento desta associação é de extrema importância devido à repercussão na vida dos pacientes acometidos.The acute limb ischemia may manifest itself, albeit unusual, as a consequence of vasculitis associated with human immunodeficiency virus (HIV. This case report described a patient seropositive for HIV who developed bilateral distal ischemia with temperature decrease of distal legs and feet, severe pain, cyanosis of fixed toes, and absence of distal pulses. She underwent treatment with thrombolytic therapy, showed signs of injury resulting from ischemia and reperfusion tissue injury with tissue loss in the distal regions of the fingers, but with improvement of the signs and symptoms of lower limbs. It is a rare case in literature due to the association of vasculitis with HIV and to the torment of distal vases of the lower limbs. Despite of that, the knowledge of the pathology is extremely important because of the repercussion in the patients' lives.

  1. From arteritis to mycotic aneurysm: visualization of the progression of mycotic aneurysm development following femoral arterial line insertion in an infant

    International Nuclear Information System (INIS)

    Although uncommon, mycotic aneurysms in infants can be lethal because of the high risk of rapid expansion and rupture. Most catheter-associated mycotic aneurysms reported in the first year of life develop following umbilical artery catheterizations. We describe the sonographic detection of an early stage mycotic aneurysm in a 4-month-old following femoral artery catheterization complicated by methicillin-resistant Staphylococcus aureus (MRSA) septicemia. We also describe the sonographic and radiographic progression of this mycotic aneurysm before surgery. (orig.)

  2. Koroner arter hastalığında aspirin direnci ile koroner arter hastalığı yaygınlığı ve tekrarlayan perkütan koroner girişimler arasındaki ilişki

    OpenAIRE

    Kahraman, Serkan

    2013-01-01

    Giriş: Vasküler yataklardaki akut iskemik sendromların primer nedeni olan aterotromboz tüm dünyadaki ölümlerin %35’inden fazlasını oluşturmakta olup trombotik komplikasyonlarla ilişkili aterotrombotik lezyon rüptürü ile karakterizedir. Aspirin aterotrombotik hastalıklardan ve komplikasyonlarından primer ve sekonder korunmada kullanılan etkili bir antitrombositer ilaçtır. Aspirin trombositlerdeki siklooksijenaz-1 (COX-1) enzimini serin rezidülerini asetilleyerek geridönüşümsüz olarak inhibe ed...

  3. Rapport fra Riskens soppkurs i Eikesdalen 25.-28.09.2008

    DEFF Research Database (Denmark)

    2009-01-01

    Rapporten indeholder en analyse af over 800 fund af storsvampe fra den klimatisk set meget varme hassel-og elmedominerede Eikesdal i Nordvestnorge. Der blev fundet 447 arter på workshoppen (3 dage) på trods af meget tørre forhold, heraf 40 rødlistede arter, 11 nye arter for Norge og to med 2. gan...

  4. Pediatric Vasculitis Initiative

    Science.gov (United States)

    2015-07-16

    Wegeners Granulomatosis (Granulomatosis With Polyangiitis); Microscopic Polyangiitis; Churg Strauss Syndrome (Eosinophilic Granulomatosis With Polyangiitis); Polyarteritis Nodosa; Takayasu Arteritis; Primary CNS Vasculitis; Unclassified Vasculitis

  5. Mitral kapak replasmanı uygulanan hastalarda protez kapak hasta uyumsuzluğunun operasyon sonrası pulmoner arter basıncı üzerine olan etkisinin ekokardiyografi ile değerlendirilmesi

    OpenAIRE

    Köse, Özkan

    2008-01-01

    Giriş: Mitral kapak replasmanı (MKR) sonrası, protez kapak-hasta uyumsuzluğu (PKHU) riski tanımı, yorumu, klinik önemi hakkında ortak bir görüş olmayıp halen daha tartışmalıdır. Mitral konumunda PKHU (MKPKHU)’ nun klinik ve hemodinamik etkisi tam olarak keşfedilememiştir. MKR sonrası gelişen PKHU’nun, persistan PHT’ye yol açtığı ve MKPKHU’nun, MKR sonrası PHT’ nin devam etmesinin önemli bir belirleyicisi olabileceği düşünülmektedir. Amaç: Çalışmamızda esas olarak, MKR geçirmiş sol ventrikül f...

  6. MRI and MR-angiography of persistent trigeminal artery and its variant; La persistance de l`artere trigeminee et savariante. Apport de l`IRM et de l`angio-RM

    Energy Technology Data Exchange (ETDEWEB)

    Boukobza, M.; Houdart, E.; Chapot, R.; Guichard, J.P.; Merland, J.J. [Hopital Lariboisiere, 75 - Paris (France)

    1997-11-01

    We describe the magnetic resonance imaging and magnetic resonance angiography findings in 5 cases of persistent trigeminal artery, and in two cases of variant trigeminal artery. Six patients underwent complete four-vessel angiography, performed to depict other pathology. Magnetic resonance imaging and magnetic resonance angiography allowed in each case to visualize this artery and to precise its latero- or intra-sellar situation. The variant is not defined on conventional magnetic resonance imaging, but may be individualized on magnetic resonance angiography. In each case, identification of these persistent artery is crucial if surgery of sellar or gasserian region is planned. (authors)

  7. Ateşli Silah Yaralanmasina Bağli Geç Dönem Gelişen Subklavian Arter-Ven Fistülü

    OpenAIRE

    Demir, Deniz; Tülay, Cumhur Murat; Tosun, Ali

    2014-01-01

    Traumatic arterio-venous fistula usually results from gunshot wounds. A-V fistula may be diagnosed several years after trauma. Most of the A-V fistulas are seen at lower extremities but Subclavian A-V fistula is less common in general. A 81 year old woman was admitted to hospital with swelling at right anterior portion of neck which happened 30 years ago because of gunshot wound.. Computed tomography and magnetic resonance (MR) angiography showed arteriovenous fistula between distal part of r...

  8. Human parvovirus B19, varicella zoster virus, and human herpes virus 6 in temporal artery biopsy specimens of patients with giant cell arteritis: analysis with quantitative real time polymerase chain reaction

    OpenAIRE

    Alvarez-Lafuente, R.; Fernandez-Gutierr..., B; Jover, J; Judez, E; Loza, E; Clemente, D; Garcia-Asenjo, J; Lamas, J

    2005-01-01

    Methods: Temporal artery biopsy specimens from 57 patients with GCA and 56 controls were investigated. DNA was obtained by biopsy, and quantitative real time polymerase chain reaction assay performed to establish the prevalence and viral load of B19, VZV, and HHV-6. Amplification of the human ß-globin gene was used as internal positive control.

  9. A Heath-Carter Study about the Samototypes of Mongolian College Students%蒙古族大学生体型的 H eath-C arter 法研究

    Institute of Scientific and Technical Information of China (English)

    赵丹平; 王昕

    2013-01-01

      本文运用Heath‐Carter人体测量体型方法研究内蒙古地区大学生的体型,结果表明:蒙古族男生与汉族男生有明显差异;蒙古族男生与蒙古族女生存在显著差异;蒙古族男生与体育系男生具有一定差异。研究结果表明:人体体格发育是由先天遗传性和后天获得性共同作用的结果。%The research makes a study of the samototype of college students in Inner Mongolia by means of Heath‐Carter method .The results show that there are evident differences between Mongolian and Han boy students ;striking differences between Mongolian boys and girls and certain differences be‐tween Mongolian boys and boys major in sports .The conclusion is that the development of human body is the result of both hereditary and acquired factors .

  10. Arterite de Takayasu diagnosticada durante o puerpério em mulher com doença hipertensiva gestacional: relato de caso = Takayasu Arteritis diagnosed during puerperium in a woman with pregnancy-induced hypertension: case report

    OpenAIRE

    Hentschke, Marta Ribeiro

    2014-01-01

    Objetivos: Descrever um caso de Arterite de Takayasu diagnosticada durante o puerpério precoce, demonstrando a importância da aferição adequada da pressão arterial para o diagnóstico da doença hipertensiva gestacional. Descrição do caso: Uma mulher de 40 anos, em sua quarta gestação, com idade gestacional de 36 semanas e três dias, foi hospitalizada por gestação de alto risco devido a hipertensão arterial sistêmica crônica. Durante a internação observou-se diferença nos níveis tensionais e...

  11. Brachycercus harrisella

    DEFF Research Database (Denmark)

    Svensson, Björn; Lingdell, Pär-Erik; Engblom, Eva; Skriver, Jens; Gärdenfors, Ulf

    Bogen beskriver 111 truede nordiske invertebraters økologi, udbredelse og status. Både terrestriske og akvatiske arter er medtaget. Der er foretaget en gennemgang af indsamlingsmetoder, og under de enkelte arter er der givet forslag til hvilke metoder der specielt bør anvendes....

  12. Dansk biodiversitet under luppen

    DEFF Research Database (Denmark)

    Borchsenius, Finn; Enghoff, Henrik; Calabuig, Isabel;

    2011-01-01

    En effektiv indsats for at redde den biologiske mangfoldighed forudsætter en basal viden om, hvilke arter der findes, og hvordan de er udbredt. I Danmark findes 35–40.000 arter, men vores kendskab til deres systematik og udbredelse er meget mangelfuld. DanBIF arbejder på at gøre viden om dansk bi...

  13. Autologous Peripheral Blood Stem Cell Transplantation in Patients With Life Threatening Autoimmune Diseases

    Science.gov (United States)

    2005-06-23

    Purpura, Schoenlein-Henoch; Graft Versus Host Disease; Anemia, Hemolytic, Autoimmune; Rheumatoid Arthritis; Churg-Strauss Syndrome; Hypersensitivity Vasculitis; Wegener's Granulomatosis; Systemic Lupus Erythematosus; Giant Cell Arteritis; Pure Red Cell Aplasia; Juvenile Rheumatoid Arthritis; Polyarteritis Nodosa; Autoimmune Thrombocytopenic Purpura; Takayasu Arteritis

  14. Interpersonaalse tähenduse konstrueerimine : ühe intervjuu analüüs / Reet Kasik

    Index Scriptorium Estoniae

    Kasik, Reet, 1946-

    2004-01-01

    Interpersonaalsest tähendustasandist ja intervjueeritavale küsimuste kaudu konstrueeritavast identiteedist ühe intervjuu põhjal. Lisa: Analüüsitav tekst: Keit Pentus, kunas lapsed tulevad? (Postimees. Arter. 16.10.2004)

  15. Renal artery stenosis due to neurofibromatosis

    OpenAIRE

    Malav Ishwar; Kothari S

    2009-01-01

    A 4-year-old boy with hypertension due to renal artery stenosis and neurofibromatosis type 1 is presented for its rarity. Renal artery stenosis due to neurofibromatosis is underrecognized and may masquerade Takayasu′s arteritis in Asian children.

  16. Spontaneous Perinephric Hemorrhage Associated with Urolithiasis in Pregnancy

    Directory of Open Access Journals (Sweden)

    Leah P. McMann

    2004-01-01

    Full Text Available Spontaneous perinephric hematoma in the absence of anticoagulation, arteritis, or trauma is uncommon. We report the case of a postpartum patient with nephrolithiasis who initially presented to the obstetric service with a spontaneous perinephric hemorrhage.

  17. Biotherapies in large vessel vasculitis.

    Science.gov (United States)

    Ferfar, Y; Mirault, T; Desbois, A C; Comarmond, C; Messas, E; Savey, L; Domont, F; Cacoub, P; Saadoun, D

    2016-06-01

    Giant cell arteritis (GCA) and Takayasu's arteritis (TA) are large vessel vasculitis (LVV) and aortic involvement is not uncommon in Behcet's disease (BD) and relapsing polychondritis (RP). Glucocorticosteroids are the mainstay of therapy in LVV. However, a significant proportion of patients have glucocorticoid dependance, serious side effects or refractory disease to steroids and other immunosuppressive treatments such as cyclophosphamide, azathioprine, mycophenolate mofetil and methotrexate. Recent advances in the understanding of the pathogenesis have resulted in the use of biological agents in patients with LVV. Anti-tumor necrosis factor-α drugs seem effective in patients with refractory Takayasu arteritis and vascular BD but have failed to do so in giant cell arteritis. Preliminary reports on the use of the anti-IL6-receptor antibody (tocilizumab), in LVV have been encouraging. The development of new biologic targeted therapies will probably open a promising future for patients with LVV. PMID:26883459

  18. A percepção do cliente em hemodiálise frente à fístula artério venosa em seu corpo La percepición del cliente en hemodiálisis delante a la fístula arterío venosa en su cuerpo The hemodyalisis client's perception about having an arteriovenous fistula

    Directory of Open Access Journals (Sweden)

    Giselle Barcellos Oliveira Koepe

    2008-01-01

    Full Text Available OBJETIVO: Identificar as percepções sensoriais dos clientes frente à fistula artério-venosa (FAV e descrevê-las a partir dos sentidos sócio comunicantes do corpo. MÉTODOS: Aplicação de técnicas criativas durante sessão de hemodiálise com cinco pacientes. Foi pedido que desenhassem algo que representasse a presença da fístula artério-venosa e em seguida foram expostas seis gravuras, cada uma com um sentido corporal, sendo argüidos sobre sentimentos provocados pela fístula artério-venosa diante de cada sentido. Os depoimentos foram gravados em fita magnética. RESULTADOS: Com a aplicação das técnicas criativas foram apontados sentimentos como tristeza, amargura e dependência, advindos da presença da fístula artério-venosa e das abordagens no convívio social. CONCLUSÃO: Ao valorizar os sentidos do paciente no convívio com a FAV, o enfermeiro redimensiona o cuidado a ele prestado.OBJETIVO: Identificar las percepciones sensoriales de los clientes frente a la fístula arteriovenosa (FAV y describirlas a partir de los sentidos sóciocomunicantes del cuerpo. MÉTODOS: Aplicación de técnicas creativas durante la sesión de hemodiálisis con cinco pacientes. Fue pedido que dibujen algo que represente la presencia de la fístula arteriovenosa y a seguir que expusieran seis grabaciones, cada una con un sentido corporal, siendo examinados sobre los sentimientos provocados por la fístula arteriovenosa frente a cada sentido. Las declaraciones fueron grabadas en cinta magnética. RESULTADOS: Con la aplicación de las técnicas creativas se apuntaron sentimientos como tristeza, amargura y dependencia, generados por la presencia de la fístula arteriovenosa y de los abordajes en la convivencia social. CONCLUSIÓN: Al valorizar los sentidos del paciente en la convivencia con la FAV, el enfermero redimensiona el cuidado que presta.OBJECTIVE: To identify the sensorial perceptions of the patients towards the arteriovenous fistula and describe them from their social-communicating senses. METHODS: Creative techniques were performed during hemodialysis session with five patients. Participants were asked to draw something that represented having an arteriovenous fistula. After drawing, six pictures were displayed, each with a body sense, and patients were questioned about the feelings toward arteriovenous fistula for each of the senses. Their statements were recorded on magnetic tape. RESULTS: The creative techniques allowed for identifying feelings like sadness, bitterness, and dependence, caused by having an arteriovenous fistula and the approaches in social life. CONCLUSION: When valuing the patient's senses whilst living with an arteriovenous fistula, the nurse re-estimates the care that is delivered.

  19. {sup 99m}Tc-SSS lipiodol: development and study of its biodistribution following injection intra-hepatic artery of healthy pigs; {sup 99m}Tc-SSS lipiodol: mise au point du marquage et biodistribution apres injection au niveau de l'artere hepatique du porc

    Energy Technology Data Exchange (ETDEWEB)

    Garin, E.; Dazord, L.; Moisan, A.; Lecloirec, J.; Herry, J.Y.; Bourguet, P. [Centre Eugene-Marquis, UPRES EA 1794, Service de Medecine Nucleaire, 35 - Rennes (France); Noiret, N.; Lepareur, N.; Roucoux, A. [Ecole Nationale Superieure de Chimie, UMR CNRS 6052, 35 - Rennes (France); Malbert, C. [Institut National de Recherches Agronomiques (INRA/UMR VP), 35 - Saint Gilles (France); Caulet-Maugendre, S.; Turlin, B. [Centre Hospitalier Universitaire Pontchaillou, Service d' Anatomopathologie, 35 - Rennes (France); Tribut, O. [Centre Hospitalier Universitaire Pontchaillou, Service de Pharmacologie Clinique, 35 - Rennes (France)

    2003-12-01

    Aims. Intra-arterial metabolic radiotherapy with {sup 131}I-lipiodol is a therapeutic approach witch can be used for hepatocellular carcinoma, but several drawbacks limit its use. We report here the development of lipiodol labelling with {sup 99m}Tc and its biodistribution after infusion in the hepatic artery in healthy pigs. In fact, labelling lipiodol with {sup 99m}Tc is the first step towards the development of labelling Lipiodol with {sup 188}Re and {sup 99m}Tc lipiodol could be used for dosimetric purpose. Method. The {sup 99m}Tc lipiodol is obtained after dissolving in lipiodol a lipophilic chelating agent labelled with {sup 99m}Tc: the {sup 99m}Tc-(PhCS3)2(PhCS2). The radiochemical purity was assessed immediately after the labelling and 24 hours later. {sup 99m}Tc-lipiodol was injected through the hepatic artery in 7 pigs. Scintigraphic acquisitions were performed 1 and 24 hours after injection. Pigs were killed after 1 or 24 hours for removal of organs and in vitro counting. Results. The labelling of lipiodol with {sup 99m}Tc is achieved with a very high yield, 96 {+-} 0,8%. The radiochemical purity is satisfactory: 92 {+-} 2,6% immediately after labelling and at least 88 {+-} 3,5% at 24 hours. Scintigraphic acquisitions showed a predominant liver uptake and a faint lung uptake without other site of uptake at one hour and the apparition of a faint digestive elimination at 24 hours. Those results are confirmed by ex-vivo counting. Conclusion. This preliminary study point out that labelling lipiodol with {sup 99m}Tc can be performed with a good yield and a good radiochemical purity. It's biodistribution in healthy pigs is satisfactory. Labelling lipiodol with {sup 188}Re is now under development with the same chelating agent. (author)

  20. A percepção do cliente em hemodiálise frente à fístula artério venosa em seu corpo La percepición del cliente en hemodiálisis delante a la fístula arterío venosa en su cuerpo The hemodyalisis client's perception about having an arteriovenous fistula

    OpenAIRE

    Giselle Barcellos Oliveira Koepe; Sílvia Teresa Carvalho de Araújo

    2008-01-01

    OBJETIVO: Identificar as percepções sensoriais dos clientes frente à fistula artério-venosa (FAV) e descrevê-las a partir dos sentidos sócio comunicantes do corpo. MÉTODOS: Aplicação de técnicas criativas durante sessão de hemodiálise com cinco pacientes. Foi pedido que desenhassem algo que representasse a presença da fístula artério-venosa e em seguida foram expostas seis gravuras, cada uma com um sentido corporal, sendo argüidos sobre sentimentos provocados pela fístula artério-venosa diant...

  1. Role of magnetic resonance imaging in the early diagnosis of Takayasu arteries

    International Nuclear Information System (INIS)

    Takayasu arteritis is a non-specific inflammatory process of unknown aetiology affecting the aorta and its major branches. It may lead to stenosis or occlusion. We have examined eight patients with clinically diagnosed Takayasu arteritis using contrast-enhanced MRI and also 3-D MR angiography. All patients were female and their ages varied between 22 and 48 years. We were able to show subtle arteritic changes and stenotic lesions in branch vessels in the early phase of the disease by using this imaging modality. Thus, we can state that contrast-enhanced MRI with 3-D MR angiography can be used for the initial diagnosis of Takayasu arteritis. It provides a means to evaluate the vascular tree non-invasively and may replace conventional angiography. Copyright (2005) Blackwell Science Pty Ltd

  2. Regulering af jagt på vandfugle i kystzonen: Forsøg med dato-regulering på Nyord

    DEFF Research Database (Denmark)

    Bregnballe, T.; Hounisen, J. P.; Bøgebjerg, E.

    Et 4-årigt forsøg udført på Nyord Sydeng ved Møn har vist at jagt med 1-3 ugers interval ikke påvirkede antallet af gæs, ænder og vadefugle negativt, bort set fra at enkelte arter (især jagtbare arter) optrådte i lavere antal dagen efter en jagt. Fuglenes adfærdsmæssige reaktion på udøvelse af jagt...

  3. Hvor gammelt er et fossil?

    DEFF Research Database (Denmark)

    Lindow, Bent Erik Kramer

    2013-01-01

    Man kan ikke måle den geologiske alder direkte på en forstening. I stedet må man kombinere viden om geologiske lag og fossile arters indbyrdes rækkefølge med målinger af radioaktive isotoper.......Man kan ikke måle den geologiske alder direkte på en forstening. I stedet må man kombinere viden om geologiske lag og fossile arters indbyrdes rækkefølge med målinger af radioaktive isotoper....

  4. Neuro-oftalmologia: Sistema sensorial - parte I revisão 1997-1999

    OpenAIRE

    Lana-Peixoto Marco Aurélio

    2002-01-01

    Esta é a primeira parte de uma revisão da literatura do sistema visual sensorial. O autor seleciona artigos publicados na literatura entre os anos de 1997 e 1999 relacionados a testes neuro-oftalmológicos, anatomia do nervo óptico, neuropatia óptica isquêmica anterior não arterítica (epidemiologia, etiopatogênese, quadro clínico, tratamento e profilaxia), neuropatia óptica isquêmica anterior arterítica, neuropatia óptica isquêmica posterior, complicações neuro-oftalmológicas das doenças da ca...

  5. Neuro-oftalmologia: Sistema sensorial - parte I revisão 1997-1999 Neuro-ophthalmology: Sensorial system - part I - review 1997-1999

    OpenAIRE

    Marco Aurélio Lana-Peixoto

    2002-01-01

    Esta é a primeira parte de uma revisão da literatura do sistema visual sensorial. O autor seleciona artigos publicados na literatura entre os anos de 1997 e 1999 relacionados a testes neuro-oftalmológicos, anatomia do nervo óptico, neuropatia óptica isquêmica anterior não arterítica (epidemiologia, etiopatogênese, quadro clínico, tratamento e profilaxia), neuropatia óptica isquêmica anterior arterítica, neuropatia óptica isquêmica posterior, complicações neuro-oftalmológicas das doenças da ca...

  6. Primary temporal region squamous cell carcinoma diagnosed by a superficial temporal artery biopsy

    DEFF Research Database (Denmark)

    Andersen, S A W; Kiss, K

    2015-01-01

    BACKGROUND: Superficial temporal artery biopsy is a frequent procedure performed in the diagnosis of giant cell arteritis. METHODS AND RESULTS: An otherwise healthy 69-year-old man presented with 2months complaint of right temporal region pain. Giant cell arteritis was suspected and a temporal...... biopsies and lymphoma is the most common malignancy reported. In this rare case, the patient had right temporal pain explained by perineural invasion of a primary SCC in the right temporal region, which was treated with surgical excision guided by perioperative fresh frozen histology....

  7. Sõnumitoojat ei tohi tappa / Ingrid Tähismaa

    Index Scriptorium Estoniae

    Tähismaa, Ingrid, 1968-

    2009-01-01

    Pressinõukogu taunivast otsusest proua Evelin Ilvese suhtes, kes süüdistas Eesti Televisiooni otsesaates Postimehe ajakirjanikku Priit Pulleritsu korduvas valetamises. Süüdistuse aluseks oli artikkel: Pullerits, Priit. Esileedi Evelin Ilves läheb Kaleviga kommisõtta. Postimees : Arter 26. sept. 2009, lk. 8-9

  8. Transrasv raputas ühiskonda / Ingrid Tähismaa

    Index Scriptorium Estoniae

    Tähismaa, Ingrid, 1968-

    2009-01-01

    Proua Evelin Ilvese kriitika kommivabriku Kalev toodangu aadressil kasvas kiiresti üleriigiliseks poleemikaks presidendi abikaasa käitumise ja usaldusväärsuse ümber. Skandaali aluseks oli artikkel: Pullerits, Priit. Esileedi Evelin Ilves läheb Kaleviga kommisõtta. Postimees : Arter 26. sept. 2009, lk. 8-9.

  9. Anden generation løvtrælæhegn

    DEFF Research Database (Denmark)

    Westergaard, Lars; Norrie, John Emil; Jensen, Jan Svejgaard

    Rapporten beskriver valget af plantemateriale i 20 jyske læhegn, der fra starten var etableret som forsøgshegn. En lang række arter og kloner/frøkilder beskrives og vurderes, også i forhold til voksepladsen. Generelt fungerer hegnene tilfredsstillende, og resultaterne bekræfter, at flerrækkede lø...

  10. First record of a chiton from the Palaeocene of Denmark (Polyplacophora: Leptochitonidae) and its phylogenetic affinities

    DEFF Research Database (Denmark)

    Sigwart, Julia D.; Andersen, Søren Bo; Schnetler, K. Ingemann

    2007-01-01

    Den første rapport om en skallus fra Fakse Kalkbrud, i løs koralkalk fra Mellem Danien. Det er samtidig opstillingen af en ny art, Leptochiton faksensis. En cladistisk analyse udføres med flere end 100 recente og fossile arter af ordenen Lepidopleurida. Palæoøkologisk udsiger denne arts forekomst...

  11. New records of gall midges (Diptera: Cecidomyiidae) from Denmark

    DEFF Research Database (Denmark)

    Bruun, Hans Henrik; Haarder, Simon; Jørgensen, Jørgen;

    2014-01-01

    Første danske fund af femten arter af galmyg dokumenteres, nemlig: Arthrocnodax fraxinellus (Meade), der er prædator på askeblomstgalmider på ask, Contarinia anthophthora (F. Löw), C. nicolayi (Rübsaamen), C. rumicis (Loew), C. umbellatarum Rübsaamen og Dasineura cardaminis (Winnertz), der...

  12. Senescence of the adaptive immune system in health and aging-associated autoimmune disease

    NARCIS (Netherlands)

    van der Geest, Kornelis Stephan Mario

    2015-01-01

    Aging of the immune system may contribute to the development of aging-associated autoimmune diseases, such as giant cell arteritis, polymyalgia rheumatica and rheumatoid arthritis. The aim of this thesis was to identify aging-dependent changes of the adaptive immune system that promote autoimmunity

  13. Biopsia de la arteria temporal: revisión de indicaciones y técnica quirúrgica para cirujanos plásticos Temporal artery biopsy: review of indications and surgical technique for plastic surgeons

    Directory of Open Access Journals (Sweden)

    A. Rodríguez Lorenzo

    2007-06-01

    Full Text Available La arteritis de células gigantes (ACG es una vasculitis que presenta complicaciones graves si no es diagnosticada y tratada precozmente con corticoides a altas dosis. La biopsia de la arteria temporal (BAT es la técnica diagnóstica estandarizada utilizada para confirmar la enfermedad. Se trata de una técnica sencilla y con poca morbilidad. No obstante, en la actualidad existe una controversia sobre su indicación en pacientes con sospecha clínica de arteritis sin síntomas craneales debido a la baja tasa de positividad de la biopsia. Presentamos en este trabajo una serie de 28 pacientes en los que se realizaron 30 BAT con el objetivo de revisar las indicaciones y describir la técnica quirúrgica utilizada.Giant cell arteritis is a vasculitis that presents serious complications if it is not diagnosed and treated prematurely with corticosteroids to high dose. The temporal artery biopsy is the gold estandar technique of diagnosis used to confirm the disease. It is a simple technique with little morbidity. Nevertheless, currently there is a controversy on its indication in patients with clinical suspicion of arteritis without craneal symptoms because of the downward rate of positiveness of the biopsy. We present in this work a serie of 28 patients in which 30 biopsies were carried out with the objective to review the indications and to describe the surgical technique utilized.

  14. In search of sharp fat contours

    NARCIS (Netherlands)

    Van de Graaf, A.

    2005-01-01

    A heart attack is usually caused by a build-up of fatty deposits in the coronary arteries. In many cases the patient will have noticed early warnings signs such as rapid exhaustion and shortness of breath. A cardiologist can now use an ultrasonic sensor to detect fatty deposits in the coronary arter

  15. New species in Old World Boehmeria (Urticaceae)

    DEFF Research Database (Denmark)

    Wilmot-Dear, Christine Melanie; Friis, Ib; Thomas, Zarah

    2010-01-01

    Fire nye arter af slægten Boehmeria (Urticaceae) er nybeskrevet og navngivet: Boehmeria listeri Friis & Wilmot-Dear og B. manipurensis Friis & Wilmot-Dear, begge fra dem østlige del af Himalaya, B. leptostachya Friis & Wilmot-Dear fra Yunan i Kina, Thailan of den nordlige del af Sumatra, og B...

  16. Botanisk genbesøg i Simested sogn 178 år efter Salomon Drejer

    DEFF Research Database (Denmark)

    Bruun, Hans Henrik

    2016-01-01

    Tag med tidsmaskinen tilbage til Himmerland år 1836-37 og bliv klogere på hvordan den lokale flora er forandret. Det er en bestemt slags arter og naturtyper som denne egn - og Danmark som helhed – er blevet fattigere på siden dengang....

  17. Large-Vessel Vasculitis : Interobserver Agreement and Diagnostic Accuracy of (18)F-FDG-PET/CT

    NARCIS (Netherlands)

    Lensen, K. D. F.; Comans, E. F. I.; Voskuyl, A. E.; van der Laken, C. J.; Brouwer, E.; Zwijnenburg, A. T.; Arias-Bouda, L. M. Pereira; Glaudemans, A. W. J. M.; Slart, R. H. J. A.; Smulders, Y. M.

    2015-01-01

    Introduction. F-18-FDG-PET visualises inflammation. Both atherosclerosis and giant cell arteritis cause vascular inflammation, but distinguishing the two may be difficult. The goal of this study was to assess interobserver agreement and diagnostic accuracy of F-18-FDG-PET for the detection of large

  18. Forureningens spor udviskes i Furesøen.

    DEFF Research Database (Denmark)

    Jensen, Kaj Sand; Thorsgaard, Inge; Pedersen, Niels Lagergaard; Moeslund, Bjarne; Borum, Jens

    Furesøs udvikling er historien om et søklenodie, rigt på planter og dyr, som blev voldsomt forurenet med spildevand mellem 1900 og 1970, og som undervejs mistede mange af sine arter. Nu er tilførslerne af fosfor og kvælstof reduceret, vandet er blevet klarere, og planterne har igen bredt sig. Men...

  19. Tuberkulose forårsaget af Mycobacterium africanum

    DEFF Research Database (Denmark)

    Bek, Dorte; Kjeldsen, Marianne Kirstine; Hansen, Nikolaj Friis; Kamper-Jørgensen, Zaza; Rasmussen, Erik Michael

    2010-01-01

    Tuberkulose (TB) forårsages af patogene arter fra Mycobacterium tuberculosis komplekset (MTBC) og har en incidens på cirka 7/100.000 i Danmark. På mistanke om TB hos en akut indlagt 40 årig afrikansk mand initieredes anti-TB behandling. Efter 13 timers indlæggelse afgik patienten ved døden. Fra...

  20. Natur, økosystemtjenester og økonomi

    DEFF Research Database (Denmark)

    Ravensbeck, Lars; Thorsen, Bo Jellesmark; Andersen, Peder;

    2014-01-01

    Økosystemtjenester kan betragtes som økosystemernes og de tilknyttede arters bidrag til menneskers livsgrundlag og velfærd. Forringelser eller tab af økosystemtjenester er miljøforringelser, der potentielt lægger pres på nulevende og kommende generationers velfærd....

  1. Diagnosis performance of the positron computed tomography with 18F-F.D.G. in the Horton disease: meta-analysis

    International Nuclear Information System (INIS)

    The PET with 18F-F.D.G. is a sensitive and specific technique to detect Horton disease. It could be used to invalidate the diagnosis among patients suffering of this disease, especially these ones presenting a negative or non contributive temporal artery biopsy or an atypical symptomatology. Furthermore, it should allow to better evaluate the extension of arteritis injuries. (N.C.)

  2. Habitats Directive classification of Danish wetlands

    DEFF Research Database (Denmark)

    Nygaard, Bettina; Ejrnæs, Rasmus; Baattrup-Pedersen, Annette

    EUs Habitatdirektiv blev vedtaget i 1992 med det overordnede formål at sikre den biologiske mangfoldighed i Europa. Direktivet forpligter medlemsstaterne til at sikre gunstig bevaringsstatus for de naturtyper og arter, der er opført på direktivets bilagslister. NOVANAs naturtypeprogram har til fo...

  3. Nye og ændrede mikroorganismer i vore omgivelser - hvilken betydning har de for tandlægens hverdag?

    DEFF Research Database (Denmark)

    Larsen, Tove; Kjerulf, Anne

    2016-01-01

    Smitsomme mikroorganismer er dynamiske og kan udvikle sig til mere virulente eller resistente arter. I de senere år er der set en stigende forekomst og spredning af multiresistente bakterier i de nordiske lande. Blandt disse har MRSA (methicillin resistent Staphylococcus aureus) mest direkte bety...

  4. Data for forurenende træer i Europa samlet og tilpasset model for luftforurening

    DEFF Research Database (Denmark)

    Voigt, Steen

    2008-01-01

    Træer forurener. Nogle arter mere end andre. De afgiver både pollen og flere kemiske forbindelser, der påvirker menneskers sundhed - ofte efter transport med vinden over store afstande. Nu har forskere fra Danmarks Miljøundersøgelser ved Aarhus Universitet kortlagt forekomst og udbredelse af 39 t...

  5. SNS ønsker DMUs deltagelse i et møde samt vores foreløbige kommentarer til mulighederne for dyrkning af GM-græsser. Forespørgsel fra DLF-Trifolium vedr mulighederne for godkendelse af genmodificerede græsser til dyrkning. Modtaget 26-01-2006, deadline 02-02-2006, svar 02-02-2006

    DEFF Research Database (Denmark)

    Kjellsson, Gøsta; Strandberg, Morten Tune; Damgaard, Christian

    2006-01-01

    sameksistens med ikke-GM-jordbrug Spredning: Pollenspredning og hybridisering: GM-rajgræs kan krydse med alm. rajgræs og danne hybrider med andre Lolium- og Festuca-arter. Genspredningen er ikke i sig selv en risiko (men spredningen af GM-egenskaberne kan have uønskede konsekvenser) GM-contaminering af...

  6. Tabet af biodiversitet fortsætter i den danske natur

    DEFF Research Database (Denmark)

    Pedersen, Jens Christian

    2011-01-01

    Tabet af biodiversitet er ikke standset i nogen af de ni danske økosystemer. Det konkluderer en ny rapport fra Danmarks Miljøundersøgelser (DMU) ved Aarhus Universitet efter at forskerne har undersøgt et stort antal arter, levesteder og processer. Rapporten offentliggøres ved et symposium i Aarhus...

  7. 21 CFR 520.905c - Fenbendazole paste.

    Science.gov (United States)

    2010-04-01

    ... strongyle) larvae including early third-stage (hypobiotic), late third-stage, and fourth-stage larvae: 4.6... body weight, or for foals and weanlings (less than 18 months of age), 4.6 mg/lb of body weight. Retreatment at intervals of 6 to 8 weeks may be required. (B) For control of arteritis caused by the...

  8. The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures

    DEFF Research Database (Denmark)

    Lenzen, Mattie J; Scholte op Reimer, Wilma J M; Pedersen, Susanne S.; Boersma, Eric; Maier, Willibald; Widimsky, Petr; Simoons, Maarten L; Mercado, Nestor F; Wijns, William

    2007-01-01

    Self-perceived health status may be helpful in identifying patients at high risk for adverse outcomes. The Euro Heart Survey on Coronary Revascularization (EHS-CR) provided an opportunity to explore whether impaired health status was a predictor of 1-year mortality in patients with coronary arter...

  9. Influence of coronary calcification on the diagnostic accuracy of 64-slice computed tomography coronary angiography

    DEFF Research Database (Denmark)

    Abdulla, Jawdat; Pedersen, Kasper; Budoff, Matthew;

    2012-01-01

    To determine via meta-analysis the diagnostic accuracy of 64-slice computed tomography coronary angiography (CTA) for assessment of significant obstructive coronary artery stenosis at different coronary artery calcium score (CACS) levels. Data of 12,053 versus 5,890 segments, 906 versus 758 arter...

  10. Ischemic strokes and oral contraception

    International Nuclear Information System (INIS)

    The authors describe the epidemiology and the physiopathological aspects of ischemic strokes in patients with history of oestroprogestogen use. They then study their main radiological correlates: arterial infarcts at CT scan and angiographic non-specific lesions which can be included in the extremely wide framework of arteritis, much more rarely venous thrombophlebitis. (orig.)

  11. Ischemic strokes and oral contraception

    International Nuclear Information System (INIS)

    The authors describe the epidemiology and the physiopathological aspects of ischemic strokes in patients with a history of oestroprogestogen use. They then study their main radiological correlates: arterial infarcts at CT scan and angiographic non-specific lesions which can be included in the extremely wide framework of arteritis and, much more rarely, venous thrombophlebitis

  12. Udbredelsen af den invasive børsteorm, Marenzelleria viridis, langs danske kyster – tegn på økologiske konsekvenser?

    DEFF Research Database (Denmark)

    Banta, Gary Thomas; Christoffersen, Kenn

    andre søskendearter, da sidstnævnte fortrækker enten lavere salinitet eller lavere temperatur end typisk for de danske kyster. Der blev observerede nogle svage negative sammenhæng mellem Marenzelleria viridis og de naturligt forekommende arter, såsom Hediste (Nereis) diversicolor, Corophium spp. og...

  13. Vasculitis Pregnancy Registry

    Science.gov (United States)

    2016-09-08

    Vasculitis; Behcet's Disease; CNS Vasculitis; Cryoglobulinemic Vasculitis; Eosinophilic Granulomatosis With Polyangiitis (EGPA); Churg-Strauss Syndrome (CSS); Granulomatosis With Polyangiitis (GPA); Wegener's Granulomatosis; IgA Vasculitis; Henoch-Schoenlein Purpura (HSP); Microscopic Polyangiitis (MPA); Polyarteritis Nodosa (PAN); Takayasu Arteritis (TAK); Urticarial Vasculitis; Systemic Vasculitis

  14. Panax Kullanımına Bağlı Gelişen İki Akut Koroner Sendrom Olgusu : Gizli ve Büyük Tehlike

    OpenAIRE

    Uğurlu, Yavuz; Ergül, Elif; Karadağ, Zakir; Bostan, Mehmet

    2014-01-01

    Aterosklerotik kardiyovasküler hastalıklar günümüzde epidemik hale gelmiştir. Morbidite ve mortalitenin en sık nedenleridir. Son yıllarda, Tribulus terrestris (TT), Avena sativa (AS) ve Panax Ginseng (PG) içeren bitkisel karışımlar koroner arter hastaları tarafından sık olarak kullanılmaktadır. Bu yazıda, bilinen koroner arter hastalığı olmasına rağmen, ilaçlarını bırakıp bitkisel karışım kullanan ve akut koroner sendrom gelişen iki olgu sunuldu.

  15. Issues in the Treatment of Neurological Conditions Caused by Reactivation of Varicella Zoster Virus (VZV).

    Science.gov (United States)

    Kennedy, Peter G E

    2016-07-01

    Varicella zoster virus (VZV) is a ubiquitous neurotropic human herpesvirus. Primary infection usually causes varicella (chicken pox), after which virus becomes latent in ganglia along the entire neuraxis. Decades later, virus reactivates to produce herpes zoster (shingles), a painful dermatomally distributed vesicular eruption. Zoster may be further complicated by postherpetic neuralgia, VZV vasculopathy, myelitis, and segmental motor weakness. VZV reactivation has also been associated with giant cell arteritis. This overview discusses treatment of various conditions that often require both corticosteroids and antiviral drugs. Treatment for VZV-associated disease is often based on case reports and small studies rather than large-scale clinical trials. Issues that require resolution include the optimal duration of such combined therapy, more effective treatment for postherpetic neuralgia, whether some treatments should be given orally or intravenously, the widening spectrum of zoster sine herpete, and the role of antiviral therapy in giant cell arteritis. PMID:27032406

  16. Phytophthora rotråte i juletrefelt

    DEFF Research Database (Denmark)

    Talgø, Venche; Thomsen, Iben Margrete

    2015-01-01

    Phytophthora rotråte forårsaket av ulike arter av Phytophthora er et stort problem i juletreproduksjonen iUSA. I Norge er det også rapportert om flere tilfeller av skade på grunn av Phytophthora både i juletrær og klippegrønt, men så langt ikke i Danmark. I begge landene er flere arter av...... Phytophthora funnet på treaktige vekster i grøntanlegg. Vi har også sett en urovekkende spredning av Phytophthora til løvtrær i bynære skoger, vassdrag og naturområder det siste tiåret, spesielt i Norge. Både i Norge og Danmark har vi undersøkt vann i eller like ved juletreplantinger og funnet flere...

  17. Cranial Mesenteric Arterial Obstruction Due To Strongylus vulgaris Larvae in a Donkey (Equus asinus.

    Directory of Open Access Journals (Sweden)

    Hassan Borji

    2014-09-01

    Full Text Available Arteritis due to Strongylus vulgaris is a well-known cause of colic in horses and donkeys. The current report describes a fatal incidence of arterial obstruction in cranial mesenteric artery caused by S. vulgaris infection in an adult donkey in which anthelmintic treatment was not regularly administered. Necropsy findings of the abdominal cavity revealed a complete cranial mesenteric arterial obstruction due to larvae of S. vulgaris, causing severe colic. To the authors' knowledge, a complete cranial mesenteric arterial obstruction due to verminous arteritis has rarely been described in horses and donkeys. Based on recent reports of fatal arterial obstruction due to S. vulgaris infection in donkeys, it may be evident to consider acute colic caused by this pathogenic parasite a re-emerging disease in donkeys and horses.

  18. Study of muscle hemodynamics during exercise: physiological and pathological variation in Xe 133 elimination. A new method of interpretation

    International Nuclear Information System (INIS)

    Muscle blood flow measurements are of physiological (and pathological) significance only during effort. For this reason, the authors used Xe 133, to measure regional muscle blood flow after its injection into the muscle, to quantify results during effort (pedalling). Effort is controlled by two measurable parameters: the weight lifted by the pedal and the frequency of movements. Curves showing the reduction in intramuscular Xe 133 levels cannot be mathematically formulated. It is easy, however, to measure their areas and thus define a mean elimination time (Tm). Normal Tm value, measured in 58 normal subjects with variable frequencies and weights lifted is: Tm = 1.70 +- 0.38 min. The values in 70 patients with arteritis were significantly longer and can be greater than 3.5 min. This objective test could be of value in quintifying the effects of so-called vasodilatators, both in patients with arteritis and venous insufficiency

  19. Eetilised dilemmad arvutist kellani

    Index Scriptorium Estoniae

    2010-01-01

    President Toomas Hendrik Ilves viitas Eesti Ajalehtede Liidu meediakonverentsil 22. jaanuaril 2010. a. peetud ettekandes ajakirjanike korruptsioonile seoses Eesti ajakirjandusjuhtidele Moskva meediafoorumil kingitud arvutitega. Postimees meenutab, et 2008. a. võttis proua Evelin Ilves firmalt Balti Kell vastu 52 000 krooni maksva teemantidega kaunistatud kella ja nõustus hakkama firma reklaamnäoks. Vt. ka presidendi abikaasa nõunik-erasekretäri Piret Arukaevu vastulause: Postimees : Arter 6. veebr. 2010, lk. 3

  20. Spontaneous coronary artery dissection in a patient with bacterial meningitis

    OpenAIRE

    Kinoshita, Kensuke; TSUNODA, YOSHIYA; Watanabe, Shigeyuki; Tokuda, Yasuharu

    2013-01-01

    A 40-year-old man was admitted to our hospital because of the acute onset of fever and headache, which were attributed to bacterial meningitis. Antibiotic treatment was initiated and his condition gradually improved. On day 5 after admission, immediately after masturbation, he developed abrupt onset of severe chest pain and cold sweat and the ECG suggested acute anterior myocardial infarction. Immediate coronary angiography revealed spontaneous dissection of the left anterior descending arter...

  1. 8.4.Electrolytes,water,acid-base imbalance

    Institute of Scientific and Technical Information of China (English)

    1992-01-01

    920951 The effects of high dietary potas-sium on blood pressure,glomeruli and arter-ioles of kidney and spleen in two-kidney oneclip hypertensive rats.ZHANG Jianzhong (张中),ZHANG Hongyan (张宏彦).Dept Pathol,Ningxia Med Coll.Yin Chin Cir J 1991; 6 (5):380-382.in two-kidney,one clip (2K,1C) hypertensiveWistar rats,we studied the effects of high dietary

  2. Differential role of vasoactive prostanoids in porcine and human isolated pulmonary arteries in response to endothelium-dependent relaxants

    OpenAIRE

    Lawrence, R N; Clelland, C; Beggs, D.; Salama, F. D.; Dunn, W. R.; Wilson, V G

    1998-01-01

    The pig is increasingly being used in medical research, both as a model of the human cardiovascular system, and as a possible source of organs for xenotransplantation. However, little is known about the comparative functions of the vascular endothelium between porcine and human arteries. We have therefore compared the effects of two endothelium-dependent vasorelaxants, acetylcholine (ACh) and the Ca2+-ATPase inhibitor, cyclopiazonic acid (CPA) on the porcine and human isolated pulmonary arter...

  3. POSSIBLE ENTRAPMENT OF THE ULNAR ARTERY BY THE THIRD HEAD OF PRONATOR TERES MUSCLE. EL POSIBLE ATRAPAMIENTO DE LA ARTERIA ULNAR POR EL TERCER FASCÍCULO DEL MÚSCULO PRONADOR TERES

    OpenAIRE

    Satheesha Nayak B; Ashwini Aithal; Srinivasa Rao Sirasanagandla; Naveen Kumar

    2012-01-01

    Knowledge of variations at and in the surroundings of cubital fossa is useful for the orthopedic surgeons, plastic surgeons and medical practitioners in general. During routine dissection, we observed arterial and muscular variations in and around the cubital fossa. The brachial artery terminated 2 inches above the base of the cubital fossa. The radial and ulnar arteries entered the cubital fossa by passing in front of the tendons of brachialis and biceps brachii respectively. The ulnar arter...

  4. The Geriatric Headache: A Unique Clinical Ailment

    OpenAIRE

    Donald F. Weaver; Purdy, R. Allan

    1986-01-01

    The “geriatric headache” may be a unique clinical ailment. A change in a chronic headache pattern or a new onset headache should raise suspicion immediately in an elderly patient. Temporal arteritis occurs almost exclusively in the elderly population. Because of its grave prognosis and ease of treatment, this condition should always be considered a possibility in the elderly patient with headache. A throbbing non-migranous headache may indicate an impending cerebrovascular event. Other causes...

  5. Carotid artery disease : plaque features and vulnerability

    OpenAIRE

    Jashari, Fisnik

    2015-01-01

    Background: Atherosclerosis is an important cause of stroke. Ultrasound offers the convenience of real-time and detailed assessment of carotid plaque features as well as arterial wall thickening and composition. Evaluation of these features is important for determining patients’ risk of suffering vascular events and also contributes to selecting the best treatment strategy. Methods: Using ultrasound data analysis we have determined plaque features in the bifurcation and internal carotid arter...

  6. Pulmonary Involvement in Rheumatic Diseases: HRCT Findings

    OpenAIRE

    Serhat Avcu; Murat Toprak; Bülent Özbay; Özcan Hız; İbrahim Tekeoğlu

    2011-01-01

    Aim: Systemic rheumatic disease (SRD) may affect all the components of the pulmonary system. This study was designed to investigate the frequency and pattern of pulmonary involvement of systemic collagen tissue diseases. Material and Methods: A total of 128 patients -44 with rheumatoid arthritis (RA), 8 with giant cell arteritis, 14 with systemic lupus erythematosus (SLE), 8 with juvenile chronic arthritis, 24 with ankylosing spondylitis (AS), 6 with scleroderma, 12 with Behcet’s di...

  7. Serosurveillance of infectious agents in equines of the Central Valley of Costa Rica

    OpenAIRE

    Jiménez, D.; J.J. Romero-Zuñiga; Dolz, G.

    2014-01-01

    Blood samples from 181 equines from the Central Valley of Costa Rica were collected in the year 2012 to determine the presence of antibodies against selected infectious agents in horses and to determine the risk factors associated with these agents. The presence of antibodies against Equine Infectious Anemia Virus (EIAV), Equine Herpes Virus 1 and 4 (EHV-1 and EHV-4), West Nile Virus (WNV), Influenza A Virus (IAV), Equine Viral Arteritis Virus (EVAV), Babesia caballi, Theileria equi, Neospora...

  8. Anti-laminin autoantibodies in collagen vascular diseases: the use of adequate controls in studies of autoimmune responses to laminin.

    OpenAIRE

    Cohen, D E; Kaufman, L D; Varma, A A; Seibold, J R; Stiller, M.; Gruber, B L

    1994-01-01

    OBJECTIVES--To determine the significance of anti-laminin antibodies in patients with collagen vascular diseases using a large control population of normal individuals. METHODS--Anti-laminin antibodies of IgG isotypes were determined using an ELISA assay in a population consisting of 73 patients with systemic sclerosis, 10 with urticarial vasculitis, five with leukocytoclastic vasculitis, 13 with giant cell arteritis, and eight with dermatomyositis. Sera from 134 healthy individuals served as...

  9. NOS inhibition blunts and delays the compensatory dilation in hypoperfused contracting human muscles

    OpenAIRE

    Casey, Darren P.; Joyner, Michael J.

    2009-01-01

    We previously demonstrated that skeletal muscle blood flow is restored in the exercising forearm during experimental hypoperfusion via local dilator and/or myogenic mechanisms. This study examined the role of nitric oxide (NO) in the restoration of blood flow to the active muscles during hypoperfusion. Eleven healthy subjects (10 men/1 woman; 25 ± 1 yr of age) performed rhythmic forearm exercise (10% and 20% of maximum) while hypoperfusion was evoked by balloon inflation in the brachial arter...

  10. Risk factors of atherosclerosis and clinical and morphological comparisons in systemic vasculitides

    OpenAIRE

    Leonid Aleksandrovich Strizhakov; S V Moiseyev; E A Kogan; V E Ditterle; E N Semenkova; Kuznetsova, E. I.

    2012-01-01

    Objective: to study the incidence rates of angina, myocardial infarction (MI), stroke, and the frequency of endovascular interventions in patients with systemic vasculitides, and the incidence rate of atherosclerosis according to autopsy data. Subjects and methods. Three hundred and twenty-one patients with systemic vasculitides: Wegener's granulomatosis (n = 138), Takayasu's arteritis (n = 79), polyarteritis nodosum (n = 55), and Churg-Strauss syndrome (n = 49) were examined; 55 autopsies we...

  11. Clinical utility of self-expanding stents in coronary artery disease

    OpenAIRE

    Kamalesh, Masoor

    2015-01-01

    Aditya R Boddu, Abilash R Balmuri, Masoor Kamalesh Department of Cardiology, Krannert Institute of Cardiology, Richard L Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN, USA Abstract: The field of percutaneous coronary intervention (PCI) has evolved considerably since the era of percutaneous transluminal coronary angioplasty. Percutaneous transluminal coronary angioplasty with stenting has now become one of the cornerstones of treatment for coronary arter...

  12. Aspergillus niger: an unusual cause of invasive pulmonary aspergillosis

    OpenAIRE

    Person, A. K.; Chudgar, S. M.; Norton, B. L.; Tong, B. C.; Stout, J E

    2010-01-01

    Infections due to Aspergillus species cause significant morbidity and mortality. Most are attributed to Aspergillus fumigatus, followed by Aspergillus flavus and Aspergillus terreus. Aspergillus niger is a mould that is rarely reported as a cause of pneumonia. A 72-year-old female with chronic obstructive pulmonary disease and temporal arteritis being treated with steroids long term presented with haemoptysis and pleuritic chest pain. Chest radiography revealed areas of heterogeneous consolid...

  13. Nephrotic Sydrome Developing in Severe Ovarian Hyperstimulation Syndrome

    Directory of Open Access Journals (Sweden)

    Funda Gungor Ugurlucan

    2014-01-01

    Full Text Available We report a case that developed nephrotic syndrome during hospitalization for severe ovarian hyperstimulation syndrome without history of acute renal failure. During hospitalization, she developed persistent ascites and respiratory distress. The 24 hours urine protein analysis revealed significant proteinuria and renal biopsy showed global and segmental sclerosis in glomeruli, mesangial arteritis, proliferations in visceral epithelial cells (IgA nephropathy. To the best of our knowledge, such a complication will be presented for the first time in the literature.

  14. Eesti lääneliku tarbimiskultuuri hoovuses : kas tingimusteta omaksvõtt? / Margit Keller, Triin Vihalemm

    Index Scriptorium Estoniae

    Keller, Margit, 1971-

    2001-01-01

    Pilootanalüüs tugineb tudengiesseedele teemal "Lääneliku tarbijakultuuri sissetung Eestisse, mida tähendab see minu jaoks, mida Eesti ühiskonna jaoks", 2000. a. teisel ning 2001. a. esimesel poolel "Postimehe" nädalalõpulisa "Arter" artiklitele ja 2000. a. lõpul AS EMORi poolt läbiviidud, tarbimishoiakuid käsitlevale küsitlusele

  15. Diagnosis performance of the positron computed tomography with {sup 18}F-F.D.G. in the Horton disease: meta-analysis; Performances diagnostiques de la tomographie par emission de positons au 18F-FDG dans la maladie de Horton: meta-analyse

    Energy Technology Data Exchange (ETDEWEB)

    Besson, F.; Costo, S.; Agostini, D. [CHU de Caen, Departement de medecine nucleaire, 14 (France); Dunet, V.; Prior, J. [CHU Vaudois, departement de medecine nucleaire, Lausanne (Switzerland); Hamon, M. [CHU de Caen, Departement de cardiologie, 14 (France); Parienti, J.J. [CHU de Caen, Departement de biostatiques, 14 (France)

    2010-07-01

    The PET with {sup 18}F-F.D.G. is a sensitive and specific technique to detect Horton disease. It could be used to invalidate the diagnosis among patients suffering of this disease, especially these ones presenting a negative or non contributive temporal artery biopsy or an atypical symptomatology. Furthermore, it should allow to better evaluate the extension of arteritis injuries. (N.C.)

  16. Parameters and criteria for repair and strengthening of buildings in the old town core of Dubrovnik based on seismic risk analysis

    OpenAIRE

    M. Vladimir

    1995-01-01

    Definition of the seismicity conditions, the design seismic parameters and the seismic risk level are important and inevitable phases ol the complex process of repair and strengthening of existing structures in certain towns located in seismically active areas. These should be studied in all necessary details in order to provide corresponding bases and define the necessary preventive measures against expected strong earthquakes. Such an approach becomes even nlore necessary arter the experien...

  17. Isolated periostitis as a manifestation of systemic vasculitis in a child: imaging features

    Energy Technology Data Exchange (ETDEWEB)

    Cheon, Jung-Eun; Kim, In-One; Kim, Woo Sun; Yeon, Kyung Mo [Seoul National University College of Medicine and the Institute of Radiation Medicine, Department of Radiology, 101 Daehang-ro Jongro-gu, Seoul (Korea, Republic of)

    2010-12-15

    We report a case of isolated periostitis associated with Takayasu arteritis in a 10-year-old boy presenting with calf pain. Radiographs revealed a localized, thick periosteal reaction with irregular margin in the proximal left fibula. MRI revealed irregular thickening with enhancement of the periosteum in the proximal fibula and heterogeneous enhancement along vascular bundles in the calf. Isolated periostitis is a rare skeletal manifestation of systemic vasculitis that could be misdiagnosed as neoplastic or traumatic periosteal reaction. (orig.)

  18. A Case of Polyarteritis Nodosa Associated with Vertebral Artery Vasculitis Treated Successfully with Tocilizumab and Cyclophosphamide

    OpenAIRE

    Kae Watanabe; Rajderkar, Dhanashree A.; Renee F. Modica

    2016-01-01

    Pediatric polyarteritis nodosa is rare systemic necrotizing arteritis involving small- and medium-sized muscular arteries characterized by aneurysmal dilatations involving the vessel wall. Aneurysms associated with polyarteritis nodosa are common in visceral arteries; however intracranial aneurysms have also been reported and can be associated with central nervous system symptoms, significant morbidity, and mortality. To our knowledge extracranial involvement of the vertebral arteries has not...

  19. Isolated periostitis as a manifestation of systemic vasculitis in a child: imaging features

    International Nuclear Information System (INIS)

    We report a case of isolated periostitis associated with Takayasu arteritis in a 10-year-old boy presenting with calf pain. Radiographs revealed a localized, thick periosteal reaction with irregular margin in the proximal left fibula. MRI revealed irregular thickening with enhancement of the periosteum in the proximal fibula and heterogeneous enhancement along vascular bundles in the calf. Isolated periostitis is a rare skeletal manifestation of systemic vasculitis that could be misdiagnosed as neoplastic or traumatic periosteal reaction. (orig.)

  20. Evaluation of arterial and jugular bulb venous blood gase differences during neurosurgical procedures

    OpenAIRE

    Küçük, Dr. Nergiz; Gökmen, Dr. Gökhan; Uslu, Dr. Sebahattin

    1997-01-01

    Retrograde catheterization of the internal jugular venous bulb is a useful technique which is becoming more widespread as it enables monitoring of cerebral blood flow and cerebral metabolism. In this study, we aimed to determine our neuroanaesthesia as an objective technique. After Ethic Committee approval, 10 patients with head trauma were included in this study. Radial arter and jugular venous cannulation were performed in operating room. Blood gases, Hb, osmolality, BUN, Na, and K were ana...

  1. Autoimmune diseases in pregnancy: maternal and fetal outcomes

    OpenAIRE

    Pavithra M. Vengetesh; Shripad Hebbar; Lavanya Rai

    2015-01-01

    Background: The aim of this study was to assess the impact of autoimmune connective tissue disorders on the outcomes of pregnancy and the influence of treatment on pregnancy. Methods: Thirty-seven antenatal patients with autoimmune connective tissue diseases, comprising of Systemic Lupus Erythematosus (SLE), primary antiphospholipid antibody syndrome (APS), Mixed Connective Tissue Diseases (MCTD), ankylosing spondylitis and Takayasu arteritis were analysed. Results: Multigravidas con...

  2. Cyclophilin Inhibitors Block Arterivirus Replication by Interfering with Viral RNA Synthesis

    OpenAIRE

    de Wilde, A. H.; Li, Y; van der Meer, Y.; Vuagniaux, G; Lysek, R.; Fang, Y; Snijder, E J; van Hemert, M. J.

    2013-01-01

    Virus replication strongly depends on cellular factors, in particular, on host proteins. Here we report that the replication of the arteriviruses equine arteritis virus (EAV) and porcine reproductive and respiratory syndrome virus (PRRSV) is strongly affected by low-micromolar concentrations of cyclosporine A (CsA), an inhibitor of members of the cyclophilin (Cyp) family. In infected cells, the expression of a green fluorescent protein (GFP) reporter gene inserted into the PRRSV genome was in...

  3. Upregulation of Relaxin after Experimental Subarachnoid Hemorrhage in Rabbits

    OpenAIRE

    Yuichiro Kikkawa; Satoshi Matsuo; Ryota Kurogi; Akira Nakamizo; Masahiro Mizoguchi; Tomio Sasaki

    2014-01-01

    Background. Although relaxin causes vasodilatation in systemic arteries, little is known about its role in cerebral arteries. We investigated the expression and role of relaxin in basilar arteries after subarachnoid hemorrhage (SAH) in rabbits. Methods. Microarray analysis with rabbit basilar artery RNA was performed. Messenger RNA expression of relaxin-1 and relaxin/insulin-like family peptide receptor 1 (RXFP1) was investigated with quantitative RT-PCR. RXFP1 expression in the basilar arter...

  4. Punkttællinger af ynglefugle i eng, by og skov 2000

    DEFF Research Database (Denmark)

    Jacobsen, E. M.

    mod at forbedre livsvilkårene for dyr og planter i de naturtyper der fokuseres på i denne rapport: eng, by og skov. Af de 348 ruter der blev optalt i 2000, var de 303 ruter gentagne i forhold til året før. Der er beregnet yngleindeks for 87 arter af danske ynglefugle og 2 arter af pattedyr. Indsatsen...... for at øge antallet af optællingspunkter med eng, strandeng og overdrev fortsatte og resulterede i en stigning fra 370 punkter i disse biotoper i 1999 til 544 punkter i 2000. Årets resultat 1999-2000 præges af tilbagegange for standfugle og kortdistancetrækkere samt fremgange for arter der overvintrer...... resultater for landskabstyperne by, eng og skov. For engfuglenes vedkommende synes den generelle tendens gennem perioden at være tilbagegang eller uændrede ynglebestande. En beregning af samleindeks for ynglende byfugle bekræfter at ynglefuglene har gode kår i byerne, og at der i dag er væsentligt flere...

  5. Elaphostrongylus spp. from Scandinavian cervidae - a scanning electron microscope study (SEM

    Directory of Open Access Journals (Sweden)

    Margareta Stéen

    1990-08-01

    Full Text Available Nematodes of the genus Elaphostrongylus collected from moose (Alces alces L., reindeer (Rangifer tarandus tarandus L., and red deer (Cervus elaphus L., respectively, were studied by means of scanning electron microscopy. Morphological differences in the ribs of the genital bursa were demonstrated. The Elaphostrongylus species from reindeer and red deer differed from each other in four ribs of the genital bursa. These results agree with the morphological characters of E. cervi and E. rangiferi described by Cameron (1931 and Mitskevitch (1960. The genital bursa of Elaphostrongylus sp. from moose, in accordance with the description of E. alces by Steen et al. (1989 showed characteristics differing from those found in Elaphostrongylus spp. from reindeer and red deer respectively. These results support the hypothesis that there are three separate species of Elaphostrongylus present in Scandinavian Cervidae. Svep-elektroniska studier på Elaphostrongylus spp. hos skandinaviska hjortdjur.Abstract in Swedish / Sammandrag: Rundmaskar inom slaktet Elaphostrongylus funna hos alg (Alces alces L., ren (Rangifer tarandus tarandus L. och kronhjort(Cervus elaphus L. studerades med hjalp av svepelelektronmikroskop. De hanliga bursorna med sin a stodjeribbor uppvisade variationer i utseende, langd och placering mellan dessa rundmaskar. De arter av Elaphostrongylus funna hos ren och kronhjort skilde sig åt avseende fyra stodjeribbor på de hanliga bursorna. Dessa resultat stammer val overens med de karaktarer som tidigare ar beskrivna av Cameron(1931 och av Mitskevich (1960. Den hanliga bursan hos arten Elaphostrongylus funnen hos alg, vilken tidigare ar beskriven av Steen et al. (1989, visade upp ett utseende som skilde sig från bursorna hos de Elaphostrongylus-arter funna hos ren och kronhjort. Dessa resultat stoder hypotesen om tre skilda arter av Elaphostrongylus hos skandinaviska hjortdjur.

  6. Aseptic suppurative meningitis in juvenile boxer dogs: retrospective study of 12 cases.

    Science.gov (United States)

    Behr, Sebastien; Cauzinille, Laurent

    2006-01-01

    Immune-mediated central nervous system inflammation is described in a series of 12 juvenile boxer dogs. A diagnosis of steroid-responsive meningitis-arteritis was made based on the clinical presentation and on diagnostic findings. The boxer breed was at a higher risk for this inflammatory condition than other breeds. Long-term follow-up (>2 years) confirmed a better prognosis in this breed than in the beagle and the Bernese mountain dog. Complete resolution of clinical signs without significant deficits or recurrences was obtained in all cases. Early clinical recognition and immunosuppressive treatment resulted in a better response and complete resolution of the disorder. PMID:16822766

  7. Ipilimumab-induced necrotic myelopathy in a patient with metastatic melanoma: A case report and review of literature.

    Science.gov (United States)

    Abdallah, Al-Ola; Herlopian, Aline; Ravilla, Rahul; Bansal, Meghana; Chandra-Reddy, Sowmya; Mahmoud, Fade; Ong, Shirley; Gokden, Murat; Hutchins, Laura

    2016-06-01

    Ipilimumab is a novel humanized monoclonal antibody directed against cytotoxic T lymphocyte antigen 4, a T-cell surface molecule involved in down-regulation and suppression of the T cell response to stimuli. Patients treated with ipilimumab are at risk for immune-related adverse events involving the skin, digestive tract, liver and endocrine organs. Few case reports of immune-related adverse effects involving central or peripheral nervous system due to ipilimumab are published. These include inflammatory myopathy, aseptic meningitis, severe meningo-radiculo-neuritis, temporal arteritis, Guillain-Barre syndrome, and posterior reversible encephalopathy syndrome. We report the first case of ipilimumab-induced progressive necrotic myelopathy. PMID:25712627

  8. Guilt by association: a paradigm for detection of silent aortic disease.

    Science.gov (United States)

    Ziganshin, Bulat A; Elefteriades, John A

    2016-05-01

    Detection of clinically silent thoracic aortic aneurysm (TAA) is challenging due to the lack of symptoms (until aortic rupture or dissection occurs). A large proportion of TAA are identified incidentally while imaging a patient for other reasons. However, recently several clinical "associates" of TAA have been described that can aid in identification of silent TAA. These "associates" include intracranial aneurysm, aortic arch anomalies, abdominal aortic aneurysm (AAA), simple renal cysts (SRC), bicuspid aortic valve, temporal arteritis, a positive family history of aneurysm disease, and a positive thumb-palm sign. In this article we examine these associates of TAA and the data supporting their involvement with asymptomatic TAA. PMID:27386404

  9. Embolização das artérias prostáticas no tratamento da hiperplasia benigna da próstata : estudo anátomo-clínico

    OpenAIRE

    Bilhim, Tiago Campos Andrada de Faria

    2011-01-01

    Resumo: A hiperplasia benigna da próstata (HBP) tem elevada prevalência nos homens entre os 50 e 79 anos de idade, sendo ubiquitária com o envelhecimento. Devido à significativa morbi-mortalidade associada aos tratamentos médicos e cirúrgicos currentemente disponíveis, são necessárias novas tecnologias para melhorar os resultados e minimizar o desconforto dos doentes. Recentemente, estudos preliminares de experimentação animal e em 3 doentes tratados, sugeriram a embolização arter...

  10. İntroventriküler Araknoid Kist ( Bir olgu nedeniyle )

    OpenAIRE

    İYİGÜN,, Ö.; ÇELİK, F.; KANDEMİR, B.; ŞENEL, A.

    2010-01-01

    Familial hypercholesterolemia is an infrequent systemic disease closely associated with coronary artery disease and atherosclerosis. In this report, we reported a case of familial hypercholesterolemia tip Ila with typical systemic symtoms as well as numerous extremital xantomas and the relevant literature reviewed. Ailesel hiperkolesterolemi koroner arter hastalığı ve arterosklerozis ile yakın ilişkisi bulunan sistemik bir hastalıktır. Bu makalede, tipik semptomlarla birlikte çeşitli büy...

  11. Bioakkumulering av miljøgifter fra marine sediment - etablering av et test-system. (Bioaccumulation of sediment-bound contaminants - establishment of a test-system)

    OpenAIRE

    Hylland, K.

    1996-01-01

    Det har blitt etablert et oppsett for testing av biotilgjengeligheten av miljøgifter i marine sedimenter. Test-systemet kan brukes til testing av sediment innhentet fra felt og sediment innblandet en ønsket miljøgift eller blanding av miljøgifter. Test-organismer i oppsettet er børstemarken Nereis diversicolor og nettsnegl Hinia (Nassarius) reticulata. Dette er sentrale arter i økosystemet, de er lette å samle i store antall og det er mulig å holde begge i akvariesystemer over lengre tid. All...

  12. Diversitet av nano- og pikoplanteplankton i den atlantiske delen av Sørishavet, undersøkt med molekylærbiologiske metoder og bruk av numeriske likhets- og artsrikhetsanalyser.

    OpenAIRE

    2011-01-01

    Svepe agellater (Haptophyta) er en utbredt planteplanktongruppe som nnes i alle verdens hav. De este representantene for denne algegruppen er små (vanligvis 2 20 m), encellede, fotosyntetiserende agellater. Det har lenge vært klart at det nnes mange ubeskrevne eller ukjente arter i denne gruppen. Dette har blitt bekreftet av molekylærbiologiske metoder i de siste 10 år. Det samme er tilfelle for protister generelt. Hovedformålet med denne undersøkelsen var å se etter ukjen...

  13. Ocular Lyme borreliosis as a rare presentation of unilateral vision loss.

    Science.gov (United States)

    Patterson-Fortin, Jeffrey; Kohli, Anita; Suarez, Maria J; Miller, P Elliott

    2016-01-01

    Ocular Lyme borreliosis is a rare manifestation of Lyme disease. We describe a case of an 80-year-old woman who presented with a 1-month history of unilateral painless central vision loss. Based on a temporal artery biopsy, she was initially diagnosed with giant cell arteritis and treated with a 3-day course of high-dose intravenous steroids. A more detailed history uncovered multiple previous treatments for Lyme disease and residence in an endemic Lyme area. The patient was subsequently diagnosed with ocular Lyme borreliosis and treated with intravenous antibiotics. After 5 weeks of treatment, unilateral vision loss did not progress and optic disc oedema resolved. PMID:27113793

  14. Enfermedad hipertensiva gestacional, algunos factores de riesgo

    OpenAIRE

    Karen Luz Torres Rojas; Caridad Álvarez Oro; Bertha de la Caridad Hernández Almaguer; Ramón Cruz Pérez; Ramón González Rivero

    2015-01-01

    Se realizó un estudio descriptivo de corte transversal, con el objetivo de describir  algunos factores de riesgo asociados a la Enfermedad Hipertensiva Gestacional (EHG), en la Clínica Comoro, del distrito  Dili,  en el período comprendido del 1 de junio de 2006 al 31 de mayo de 2007.  La muestra quedó constituida por 99 embarazadas  con diagnóstico  de hipertensión gestacional. Las variables estudiadas fueron: edad, paridad, factores de riesgo (antecedentes  familiares de  hipertensión arter...

  15. Kæmpecellearteritis diagnosticeret ved hjælp af PET-CT

    DEFF Research Database (Denmark)

    Larsen, Cæcilie Crawley; Schifter, Søren; Bonnema, Steen Joop

    2014-01-01

    Giant cell arteritis (GCA) is easily diagnosed in case of typical symptoms such as headache and jaw claudication. We present an 82-year-old man who was admitted due to symptoms of pneumonia, weight loss and fever. He did not respond to antibiotic treatment. An 18F-fluordeoxyglucose PET-CT scan...... showed increased uptake of the thoracic branches of aorta, raising the suspicion of GCA. The result from a subsequent temporal artery biopsy supported the diagnosis. Based on the clinical symptoms, the results from the PET-CT scan and the biopsy, and the response to high dose of prednisolone, the patient...

  16. Supplerende basisundersøkelser og rutineovervåking i Iddefjorden 1983. Testing av Iddefjordens termotolerante coliforme bakterieflora for innhold av termotolerante Klebsiella

    OpenAIRE

    Ormerod, K.

    1984-01-01

    Det er gjentatte somrer obsrvert at antallet av termotolerante coliforme bakterier, TCB, i Iddefjorden synker i fellesferien når utslippene fra treforedlingsindustrien er midlertidig opphørt. Denne undersøkelsen viser at hovedmengden av TCB i Iddefjorden før fellesferien tilhørte slekten Klebsiella og Enterobacter, og at Klebsiella forsvant fra fjorden i løpet av fellesferien. Enkelte arter av Klebsiella forårsaker urin- og luftveisinfeksjoner hos mennesker, og utgjør derfor en annen hygienis...

  17. Childhood stroke: assessment with MR angiography and MR imaging

    International Nuclear Information System (INIS)

    The findings on magnetic resonance (MR) angiograms of patients with childhood-onset strokes depend on the time interval between the acute clinical presentation and the magnetic resonance angiography (MRA) study. When performed in the acute setting, MRA may provide additional information concerning the cerebral vasculature over and above the parenchymal MR study. This information may help in arriving at a more conclusive radiological diagnosis, e.g. as in Moya Moya disease, aorto-arteritis or arterial dissection. (author). 16 refs., 3 figs., 2 tabs

  18. Naturområder i byen : påvirkning fra tilgrensende boligområder

    OpenAIRE

    Hageberg, Håvard

    2014-01-01

    Grøntområder i byer og tettsteder er viktige for økosystemtjenester som håndtering av overvann, støyreduksjon, bedring av luftkvalitet og folkehelse. De grønne lungene er i dag under et stort press fra utbygging, men også fra påvirkning fra tilgrensende boligområder. Denne påvirkningen skjer i form av blant annet ulovlig hogst, dumping av søppel og avfall, slitasje og introduksjon av fremmede arter. Denne oppgaven har hatt som mål å undersøke forekomstene av fremmede plantearter, utbredelsen ...

  19. Nye lokaliteter og nye funn av sopp i kulturlandskapet i Sunnhordland og Nord-Rogaland 2011-2012: Oppdatering og status

    OpenAIRE

    Fadnes, Per

    2013-01-01

    Selv etter 10 år med inventering av kulturlandskap i Sunnhordland, dukker det stadig opp nye rike lokaliteter med stort mangfold av beitemarksopp. Årlig inventering av samme kulturlandskap fører og til at nye arter dukker opp hvert år. I denne rapporten beskrives funn for 2011 og 2012 i Sunnhordland og Nord-Rogaland, og den viser at det totalt er gjort ca 100 nye funn av totalt 37 rødlistearter både i tidligere inventerte lokaliteter og i nybeskrevne. Noen av artene er ny...

  20. Placentite chagásica apresentação de um caso com estudo à microscopia óptica e eletrônica Chagasic placentitis. Report of a case with optic and electronic microscopy study

    OpenAIRE

    Washington Luiz Tafuri; Ademir Rocha; Edison Reis Lopes; Juarez Gomes; José Roberto Mineo

    1984-01-01

    Novo caso de placentite chagásica no Triângulo Mineiro, observou-se, à mioroscopia óptica, o parasitismo de miócitos das paredes vasculares, fato não descrito anteriormente na literatura. O estudo à microscopia eletrônica revelou. (1) abundantes amastigotas do Trypanosoma cruzi em células de Hofbauer; (2) proliferação fibroblástica e colágena na parede de pequenas artérias e arteríolas, ocluindo-lhes, por vezes, o lume; (3) parasitas em células musculares degeneradas e fibroblastos da parede ...

  1. Placentite chagásica apresentação de um caso com estudo à microscopia óptica e eletrônica

    OpenAIRE

    Washington Luiz Tafuri; Ademir Rocha; Edison Reis Lopes; Juarez Gomes; José Roberto Mineo

    1984-01-01

    Novo caso de placentite chagásica no Triângulo Mineiro, observou-se, à mioroscopia óptica, o parasitismo de miócitos das paredes vasculares, fato não descrito anteriormente na literatura. O estudo à microscopia eletrônica revelou. (1) abundantes amastigotas do Trypanosoma cruzi em células de Hofbauer; (2) proliferação fibroblástica e colágena na parede de pequenas artérias e arteríolas, ocluindo-lhes, por vezes, o lume; (3) parasitas em células musculares degeneradas e fibroblastos da parede ...

  2. Utslipp av avløpsvann Lista Aluminiumverk. Kontrollundersøkelser 1979 - 1980

    OpenAIRE

    Knutzen, J.

    1981-01-01

    Mulige effekter av utslipp fra Lista Aluminiumverk er belyst ved observasjoner av avløpsvann, resipientvann, strandsonens flora og fauna, samt registrering av polysykliske aromatiske hydrokarboner (PAH) og fluor i tang og albuskjell. På de utslippsnære stasjonene er det registrert tydelige negative effekter på fjærebeltesamfunnet. I avstander over 500 m fra utslippet er det bare usikre indikasjoner på redusert forekomst av enkelte arter. Det sterkt varierende innhold av fluor i tang har ikke ...

  3. Cytochrome P450 2C9 is involved in flow-dependent vasodilation of peripheral conduit arteries in healthy subjects and in patients with chronic heart failure

    OpenAIRE

    Fischer, Dieter; Landmesser, Ulf; Spiekermann, Stephan; Hilfiker-Kleiner, Denise; Hospely, Marian; Müller, Maja; Busse, Rudi; Fleming, Ingrid; Drexler, Helmut

    2007-01-01

    BACKGROUND: Flow-mediated dilation (FMD) of human conduit arteries is, in part, related to shear stress-induced release of endothelium-derived nitric oxide (NO). However, NO synthase inhibitors do not completely abolish this FMD-response. Recently, a cytochrome P450 (CYP) epoxygenase of the 2C family was linked to NO- and prostacyclin-independent relaxation of conduit arteries. We therefore evaluated the contribution of CYP 2C9 to FMD in humans. METHODS AND RESULTS: FMD of the radial arter...

  4. Vasculitis cerebral cisticercosa y neuropatía óptica isquémica en una paciente con amaurosis unilateral y recuperación ad integrum

    OpenAIRE

    Enríquez Coronel,Guillermo; Santos Marcial,Edgar; Cabrera Aldana,Eibar Ernesto

    2004-01-01

    La cisticercosis es una parasitósis bien conocida que puede causar una gran cantidad de síndromes. La neuropatía isquémica-óptica es una enfermedad de adultos cuyas causas principales son hipertensión arterial y la diabetes y la arteritis de células gigantes. Presentamos el caso de una estudiante de medicina de 22 años que presentó súbitamente pérdida de la visión en el ojo derecho y después completa ceguera. Los estudios demostraron múltiples cisticercos en el hemisferio derecho. Fue tratada...

  5. Involvement of placental/umbilical cord blood acid–base status and gas values on the radiosensitivity of human fetal/neonatal hematopoietic stem/progenitor cells

    OpenAIRE

    Yamaguchi, Masaru; EBINA, SATOKO; Kashiwakura, Ikuo

    2012-01-01

    Arterial cord blood (CB) acid–base status and gas values, such as pH, PCO2, PO2, HCO3 −and base excess, provide useful information on the fetal and neonatal condition. However, it remains unknown whether these values affect the radiosensitivity of fetal/neonatal hematopoiesis. The present study evaluated the relationship between arterial CB acid–base status, gas values, and the radiosensitivity of CB hematopoietic stem/progenitor cells (HSPCs). A total of 25 CB units were collected. The arter...

  6. Sol Ventrikül Psödoanevrizması Olarak Algılanan Sol Akciğer Kitlesi

    OpenAIRE

    Göçen, Uğur

    2013-01-01

    Sol ventrikül psödoanevrizması anevrizmektominin nadir bir komplikasyonudur. Çalışmamızda üç yıl önce koroner arter bypass graftı ve sol ventrikül anevrizmektomisi ile teşhisi konulan sonrasında cerrahi olarak sol ventrikül psödoanevrizması tedavi edilen bir vakayı sunuyoruz. Burada ayrıca eşlik eden semptomlar, teşhis değerlendirmesi ve cerrahi tedavi prosedürleri anlatılacaktır. Anahtar Kelimeler:

  7. Biomass degrading enzymes from Penicillium – cloning and characterization

    DEFF Research Database (Denmark)

    Krogh, Kristian Bertel Rømer

    2008-01-01

    . Størstedelen af den forskning, der er foregået indenfor cellulosenedbrydende enzymer er med enzymer produceret af svampen Trichoderma reesei. Under mit Ph.D.studium har jeg undersøgt biomassenedbrydende enzymer fra forskellige Penicillium arter. Hovedvægten af forskningen har været indenfor....... Det mest interessante cellulosenedbrydende system kom fra P. brasilianum, og dette enzymsystem havde en højere specifik cellulosenedbrydende aktivitet sammenlignet med enzymsystemet fra en reference T. reesei stamme. Cellulose i lignocellulose er svær at hydrolysere, hvilket medfører en lang...

  8. Chickenpox Chorioretinitis with Retinal Exudates and Periphlebitis

    Directory of Open Access Journals (Sweden)

    Hirokuni Kitamei

    2012-05-01

    Full Text Available Background: Chickenpox is rarely associated with posterior segment inflammation. We report on a case of unilateral chickenpox chorioretinitis with retinal exudates and periphlebitis. Case Presentation: A 21-year-old healthy man, who suffered from chickenpox 2 weeks prior to symptom development, exhibited mild anterior chamber cells, vitreous opacity, sheathing of retinal veins, and yellow-white exudates in his right eye. Varicella zoster virus DNA was detected by polymerase chain reaction in the aqueous humor. He was treated with intravenous acyclovir followed by oral prednisolone and valaciclovir. Aqueous cells quickly disappeared and retinal exudates diminished within 1 month, leaving faint retinal scarring. Retinal arteritis had never been observed in this patient. Conclusions: Although the ocular findings in this case were similar to acute retinal necrosis (ARN, the clinical features differed from ARN in the following points: (1 mild anterior chamber inflammation, (2 absence of retinal arteritis, and (3 prompt resolution of inflammatory findings. The distinctive clinical features indicated that chorioretinitis associated with chickenpox may not have the same pathological conditions as ARN.

  9. [Pathogenesis of large vessel vasculitis].

    Science.gov (United States)

    Samson, M; Bonnotte, B

    2016-04-01

    Giant cell arteritis (GCA) and Takayasu's arteritis (TA) are two granulomatous vasculitis affecting large arteries that present specific epidemiological and clinical features. Their pathogenesis is not fully understood but major advances have been obtained during the last years, thus allowing the emergence of new therapeutic strategies. GCA and TA develop on a specific genetic background but share some similarities regarding the immunological pathways involved in their pathogenesis. The trigger of these diseases is not clearly identified but it is thought that an infectious agent could activate and lead to the maturation of dendritic cells that are localized in the adventitia of arteries. Then, the cells of the adaptative immune response are recruited and activated: CD4 T cells that polarize into Th1 and Th17 cells, cytotoxic CD8 T cells and Natural Killer cells. Furthermore, the T regulatory cells (Treg) are decreased both in GCA and TA. Humoral immune response seems also to be involved, especially in TA. Then, the cytokines produced by T lymphocytes (especially IL-17 and IFN-γ) trigger the recruitment and activation of monocytes and their differentiation into macrophages and multinuclear giant cells that produce IL-1β and IL-6 that are responsible for general symptoms of GCA and TA, and cytotoxic mediators and growth factors that trigger the remodeling of the arterial wall leading to aneurysms and ischemic manifestations of GCA an TA. PMID:26620872

  10. Current Concept and Epidemiology of Systemic Vasculitides

    Directory of Open Access Journals (Sweden)

    Takayuki Katsuyama

    2014-01-01

    Full Text Available Although a new classification algorithm for systemic vasculitides was proposed by Watts et al. and the Chapel Hill Consensus Conference (CHCC was updated in 2012, there are currently no validated diagnostic criteria for systemic vasculitides. The Diagnostic and Classification Criteria for Vasculitis study (DCVAS is a global study to develop and improve the diagnostic criteria for systemic vasculitides. The epidemiology of systemic vasculitides differs widely among countries. For example, in the case of anti-neutrophil cytoplasmic antibody (ANCA-associated vasculitis, patients with microscopic polyangiitis (MPA and with positivity for MPO-ANCA are predominant in Asian countries, whereas patients with granulomatosis with polyangiitis (GPA and with positivity for PR3-ANCA are predominant in northern Europe and the United States. Interstitial lung disease (ILD occurs more frequently in Asian patients compared with patients in Europe. The incidence and the prevalence of large-vessel vasculitis also differ significantly. Giant cell arteritis (GCA occurs frequently in northern Europe, unlike Takayasu arteritis (TAK. The ethnic and regional differences in the incidence, prevalence and clinical characteristics of patients with vasculitis should be recognized when we diagnose and treat patients with vasculitis using criteria, and should also be considered when interpreting the results from clinical studies.

  11. Epigenomic functional characterization of genetic susceptibility variants in systemic vasculitis.

    Science.gov (United States)

    Sawalha, Amr H; Dozmorov, Mikhail G

    2016-02-01

    Systemic vasculitides are poorly understood inflammatory diseases of the blood vessels that are frequently associated with significant organ damage. Genetic risk variants contribute to the susceptibility of vasculitis, but functional consequences of these genetic variants are largely unknown. Most genetic risk variants in immune-mediated diseases, including systemic vasculitis, are localized to non-coding genetic regions suggesting they might increase disease risk by influencing regulatory elements within the genome. Long range regulatory interactions pose an additional obstacle in localizing functional consequences associated with risk variants to specific genes or cell types. We used cell-type specific enrichment patterns of histone changes that mark poised, primed, and active enhancers, and DNase hypersensitivity to identify specific immune cells mediating genetic risk in vasculitis. Our data suggest that genetic risk variants in ANCA-associated vasculitis are significantly enriched in enhancer elements in Th17 cells, supporting a role for Th17 cells in this disease. Primed and active enhancer elements in B cells can be potentially affected by genetic risk variants associated with Kawasaki disease. Genetic risk in Behçet's disease and Takayasu arteritis might affect enhancer elements in multiple cell types, possibly explained by influencing enhancers in hematopoietic stem cells. Interestingly, our analyses indicate a role for B cells in Kawasaki disease, Behçet's disease, and Takayasu arteritis, and suggest that further work to characterize the involvement of B cells in these diseases is warranted. PMID:26492816

  12. Risk factors of atherosclerosis and clinical and morphological comparisons in systemic vasculitides

    Directory of Open Access Journals (Sweden)

    Leonid Aleksandrovich Strizhakov

    2012-08-01

    Full Text Available Objective: to study the incidence rates of angina, myocardial infarction (MI, stroke, and the frequency of endovascular interventions in patients with systemic vasculitides, and the incidence rate of atherosclerosis according to autopsy data. Subjects and methods. Three hundred and twenty-one patients with systemic vasculitides: Wegener's granulomatosis (n = 138, Takayasu's arteritis (n = 79, polyarteritis nodosum (n = 55, and Churg-Strauss syndrome (n = 49 were examined; 55 autopsies were analyzed in patients with the above diseases. Results. Fifty-one (15.6% of the 321 patients were diagnosed as having cardiovascular diseases (CVD: angina pectoris (7.1% and MI (3.1% and endovascular interventions (0.9%. The risk of cardiovascular events was found to be associated with traditional risk factors, such as male gender and age. Arterial hypertension, hypercholesterolaemia, and increased serum creatinine were more frequently detected in the CVD group that showed no significant differences from the non-CVD group. According to autopsy results, atherosclerosis was identified in the patients with Wegener's granulomatosis (52%, Takayasu's arteritis (50%, polyarteritis nodosum (52.6%, and Churg-Strauss syndrome (57.1%. Conclusion. CVD and atherosclerosis are common in systemic vasculitides, which requires the traditional risk factors of atherosclerosis to be actively corrected.

  13. Research into the transmission of natural gas by gas pipeline

    Energy Technology Data Exchange (ETDEWEB)

    Gadonneix, P.

    1998-12-31

    This paper is the press release of the talk given at the `Gaz de France scientific meeting with the press` by P. Gadonneix, chairman of Gaz de France company, on October 7, 1998. The aim of this talk concerns the new French and European supply link for bringing natural gas from the Norwegian North Sea fields. This new supply link is the first direct link between Norway and France and the NorFra gas pipeline which brings natural gas from the North Sea to France is the longest offshore pipeline in the world. The `Artere des Hauts de France` pipeline (the largest diameter gas pipeline ever laid in France) is devoted to the transfer of natural gas from Dunkerque to the Gournay-sur-Aronde underground storage site. This paper describes successively: the French European gas supply hub, the NorFra project, the Artere des Hauts de France pipeline, the network performance research, the safety and quality guaranties, the reduction of overland natural gas transmission costs (improvement of pipe-laying techniques and optimization of line route and welding operations), the specific techniques used for road and river crossing (micro-tunnel digging, river-crossing ditches) and for anchoring (buoyancy compensation). Finally, the environmental impact of the laying operations is briefly described. (J.S.)

  14. Large-Vessel Vasculitis: Interobserver Agreement and Diagnostic Accuracy of 18F-FDG-PET/CT

    Directory of Open Access Journals (Sweden)

    K. D. F. Lensen

    2015-01-01

    Full Text Available Introduction. 18F-FDG-PET visualises inflammation. Both atherosclerosis and giant cell arteritis cause vascular inflammation, but distinguishing the two may be difficult. The goal of this study was to assess interobserver agreement and diagnostic accuracy of 18F-FDG-PET for the detection of large artery involvement in giant cell arteritis (GCA. Methods. 31 18F-FDG-PET/CT scans were selected from 2 databases. Four observers assessed vascular wall 18F-FDG uptake, initially without and subsequently with predefined observer criteria (i.e., vascular wall 18F-FDG uptake compared to liver or femoral artery 18F-FDG uptake. External validation was performed by two additional observers. Sensitivity and specificity of 18F-FDG-PET were determined by comparing scan results to a consensus diagnosis. Results. The highest interobserver agreement (kappa: 0.96 in initial study and 0.79 in external validation was observed when vascular wall 18F-FDG uptake higher than liver uptake was used as a diagnostic criterion, although agreement was also good without predefined criteria (kappa: 0.68 and 0.85. Sensitivity and specificity were comparable for these methods. The criterion of vascular wall 18F-FDG uptake equal to liver 18F-FDG uptake had low specificity. Conclusion. Standardization of image assessment for vascular wall 18F-FDG uptake promotes observer agreement, enables comparative studies, and does not appear to result in loss of diagnostic accuracy compared to nonstandardized assessment.

  15. Vingeindsamling fra jagtsæsonen 2001/2002 i Danmark

    DEFF Research Database (Denmark)

    Clausager, I.

    , fra vadefugle 1.656 og fra måger 242. Der blev registreret fremgang i antal indsendte vinger for 20 af de 29 undersøgte arter, tilbagegang for otte og for én art var antallet af vinger uændret i forhold til jagtsæsonen 2000/01. De største fremgange blev registreret for gråand hvoraf antallet af vinger...... indkomne gåsevinger gjorde det ikke muligt at beregne udbyttet af de enkelte arter, men udbyttet af grågås udgør størstedelen (formodentlig ca. to tredjedele) af gåseudbyttet. Udbyttet af dobbeltbekkasin steg fra 1999/2000 til 2000/01 med 3.800 til 23.500, mens der af enkeltbekkasin blev nedlagt 3.500. Med...... bekkasiner har været faldende, men har siden midten af 1980erne stabiliseret sig på et niveau på ca. 25.000 fugle af hvilke dobbeltbekkasin udgør de 90%. Udbyttet af skovsneppe har vist en jævn stigning siden 1972. Udbyttet af måger har været faldende fra mere end 200.000 i midten af 1970erne til 35...

  16. Early Posttransplant Isolated v1 Lesion Does Not Need to Be Treated and Does Not Lead to Increased Fibrosis

    Directory of Open Access Journals (Sweden)

    Irfan Moinuddin

    2016-01-01

    Full Text Available Acute vascular rejection (AVR is characterized by intimal arteritis in addition to tubulitis and interstitial inflammation. It is associated with a poorer prognosis compared to tubulointerstitial rejection (AIR and AVR is associated with a higher rate of graft loss than AIR. The prognosis and treatment of arteritis without tubulitis and interstitial inflammation (isolated v1 lesion are still controversial. We report a case of a patient who had a biopsy of the kidney allograft for evaluation of slow graft function. The biopsy revealed an isolated v1 lesion. However, we chose not to augment immunosuppression. The patient’s kidney allograft function improved over time with close monitoring. Repeat biopsy a year later showed no evidence of endothelialitis and relatively unchanged fibrosis and no other abnormalities. Although it is suggested that most cases of isolated v1 lesions will respond to corticosteroids or T cell depleting therapies, some cases will improve with conservative management. Further studies are needed to determine which cases could be managed conservatively.

  17. Inflammatory aortic arch syndrome: contrast-enhanced, three-dimensional MR - angiography in stenotic lesions

    International Nuclear Information System (INIS)

    Purpose: To determine the value of contrast-enhanced, three-dimensional MR angiography for the evaluation of stenotic and occlusive vascular lesions in inflammatory aortic arch syndrome. Materials and Methods: 14 patients with inflammatory aortic arch syndrome (giant cell arteritis: n = 8, Takayasu arteritis: n = 4, ankylosing spondylitis: n = 1 sarcoidosis: n = 1) underwent MR angiography of the aortic arch and the supra-aortic vessels (n = 15,2 patients were examined twice) and of the abdominal aorta (n = 2). MRA was performed using a 3D-FLASH sequence (TR/TE 4.6/1.8 ms, flip angle 30 ) on a 1.5T system. MRA imaging was compared with the findings of DSA, which served as gold standard. Results: In a total of 467 examined vascular territories, DSA revealed 50 stenoses and 35 occlusions. All lesions were detected by MRA. In 23 segments, the degree of stenosis was overestimated by MRA. Sensitivity and specificity of MRA were 100% and 94,3%, positive and negative predictive values were 73.6 and 100%, and the accuracy was 95,1%. Conclusions: Despite a tendency to overestimate stenoses, contrast-enhanced three-dimensional MR angiography is a valid, non-invasive technique in the assessment of inflammatory aortic arch syndrome. (orig.)

  18. Antiviral activity of a Bacillus sp: P34 peptide against pathogenic viruses of domestic animals

    Directory of Open Access Journals (Sweden)

    Débora Scopel e Silva

    2014-09-01

    Full Text Available P34 is an antimicrobial peptide produced by a Bacillus sp. strain isolated from the intestinal contents of a fish in the Brazilian Amazon basin with reported antibacterial activity. The aim of this work was to evaluate the peptide P34 for its in vitro antiviral properties against canine adenovirus type 2 (CAV-2, canine coronavirus (CCoV, canine distemper virus (CDV, canine parvovirus type 2 (CPV-2, equine arteritis virus (EAV, equine influenza virus (EIV, feline calicivirus (FCV and feline herpesvirus type 1 (FHV-1. The results showed that the peptide P34 exhibited antiviral activity against EAV and FHV-1. The peptide P34 inhibited the replication of EAV by 99.9% and FHV-1 by 94.4%. Virucidal activity was detected only against EAV. When P34 and EAV were incubated for 6 h at 37 °C the viral titer reduced from 10(4.5 TCID50 to 10(2.75 TCID50, showing a percent of inhibition of 98.6%. In conclusion, our results demonstrated that P34 inhibited EAV and FHV-1 replication in infected cell cultures and it showed virucidal activity against EAV. Since there is documented resistance to the current drugs used against herpesviruses and there is no treatment for equine viral arteritis, it is advisable to search for new antiviral compounds to overcome these infections.

  19. The value of [18F]FDG-PET in the diagnosis of large-vessel vasculitis and the assessment of activity and extent of disease

    International Nuclear Information System (INIS)

    This study was performed to investigate the value of18F-fluorodeoxyglucose positron emission tomography ([18F]FDG-PET) in the diagnosis of large-vessel vasculitis and the assessment of activity and extent of disease. Twenty-six consecutive patients (21 females, 5 males; median age - years, range 17-86 years) with giant cell arteritis or Takayasu's arteritis were examined with [18F]FDG-PET. Follow-up scans were performed in four patients. Twenty-six age- and gender-matched controls (21 females, 5 males; median age 71 years, range 17-86 years) were included. The severity of large-vessel [18F]FDG uptake was visually graded using a four-point scale. C-reactive protein (CRP) and the erythrocyte sedimentation rate (ESR) were measured and correlated with [18F]FDG-PET results by logistic regression. [18F]FDG-PET revealed pathological findings in 18 of 26 patients. Three scans were categorised as grade I, 12 as grade II and 3 as grade III arteritis. Visual grade was significantly correlated with both CRP and ESR levels (p=0.002 and 0.007 respectively; grade I: CRP 4.0 mg/l, ESR 6 mm/h; grade II: CRP 37 mg/l, ESR 46 mm/h; grade III: CRP 172 mg/l, ESR 90 mm/h). Overall sensitivity was 60% (95% CI 40.6-77.3%), specificity 99.8% (95% CI 89.1-100%), positive predictive value 99.7% (95% CI 77-100%), negative predictive value 67.9% (95% CI 49.8-80.9%) and accuracy 78.6% (95% CI 65.6-88.4%). In patients presenting with a CRP 18F]FDG-PET is highly effective in assessing the activity and the extent of large-vessel vasculitis. Visual grading was validated as representing the severity of inflammation. Its use is simple and provides high specificity, while high sensitivity is achieved by scanning in the state of active inflammation. (orig.)

  20. The epidemiology of equine strongylosis in southern Queensland. 3. Seasonal variation in arterial populations of Strongylus vulgaris, and the prevalence of some helminths.

    Science.gov (United States)

    English, A W

    1979-07-01

    The anterior mesenteric arteries of 138 horses slaughtered in southern Queensland were examined for the presence of S. vulgaris larvae. Seasonal differences were noted in the size of arterial populations of this parasite, with higher mean monthly numbers of worms per horse occurring in winter. There was an equally high incidence of severe verminous arteritis during the winter months of June, July and August, compared to arteries examined during the warmer months, when there were smaller numbers of larvae. It was concluded that more infective larvae were available on pasture during the warmer months, with subsequently large arterial populations some 3 to 4 months later. The parasite was encountered in 121 arteries (88%). The prevalence of adult helminths in the caeca of the same group of horses was S. vulgaris 88%; S. equinus 70%; S. edentatus 18%; Triodontophorus spp. 23%; A. perfoliata 62%. The overall prevalence of S. vulgaris was 93%, when the results of arterial and caecal observations were combined. PMID:518433

  1. Kæmpe-Bjørneklo

    DEFF Research Database (Denmark)

    Nielsen, Charlotte; Ravn, Hans Peter; Nentwig, Wolfgang;

    for kortsigtede løsninger af aktuelle problemer. Med denne håndbog er det vores intention at forhindre Kæmpe-Bjørneklo og andre invasive arter i at fortrænge hjemmehørende plante- og dyrearter og derved bevare og beskytte biodiversiteten. Hæftet er også udkommet på en række andre sprog: Engelsk: The...... Giant Hogweed Best Practice Manual. Læsher Bestil papirudgave her Tysk: Praxisleitfaden Riesenbärenklau. Bestil papirudgave her Fransk: Manuel pratique de la Berce géante. Bestil papirudgave her Nederlandsk: Reuzenberenklauw: een praktiche handleiding. Bestil papirudgave her Lettisk: Invazivie latvani...... - Izplatiba, biologija un ierobezosanas pamatprincipi. Bestil papirudgave her Tjekkisk: Bolsevník velkolepý. Bestil papirudgave her Russisk: The Giant Hogweed Best Practice Manual (russisk udgave). Bestil papirudgave her...

  2. Clinical Feature And Pathogeny Analysis Of Brain Hemorrhage In Young Adult Group

    Institute of Scientific and Technical Information of China (English)

    Wang Jianming; Zeng Xiaoyun

    2000-01-01

    Objection: The trend of brain hemorrhage cases of young adults have increased recently. In this article, We studied brain hemorrhage clinical feature and pathogenic causes of 72 young adults, Whose ages are all beneath 45Y. We found That the major pathogen reasons of young adult brain hemorrhage are blood system diseases、 arteriovenous malformation of cerebral blood vessel、 hypertension arteriosclerosis、 arteritis and rheumatic heart disease et. We also found that the trend can be related to hard work、 tense life、 drinking too much alcohol and eating high lipid food, and cercbral vascular disease family history. So in order to reduce the incidence of young adult brain hemorrhage, Young adults should not drink and smoke heavily, should not eat too much high lipid food. Young adults who have hypertension and brain vessel disease family history should be regularly measured blood pressure and blood lipid. If they had hypertension, should be treated regularly.

  3. Anterior Uveitis as an Initial Manifestation of Polymyalgia Rheumatica

    Directory of Open Access Journals (Sweden)

    Hiromasa Tsuda

    2011-01-01

    Full Text Available A 74-year-old woman without contributory medical history presented with acute iridocyclitis in the right eye. Although the iridocyclitis disappeared within two weeks under topical steroid, she complained of acute progressing bilateral shoulder pain and morning stiffness of upper extremities. She was diagnosed as having polymyalgia rheumatica (PMR, and iridocyclitis was considered as its related manifestation. PMR and giant cell arteritis (GCA are closely related conditions and frequently occur together. GCA with uveitis has been rarely noted. However, ocular symptoms in PMR have not been previously mentioned. This is a first reported case of PMR presented with uveitis, without a complication of GCA. This anterior uveitis might be caused by ischemia of the posterior ciliary arteries and their branches.

  4. [Wound treatment with autogenous epidermal cell expansion culture].

    Science.gov (United States)

    Bonnekoh, B; Müller, R P; Mahrle, G; Steigleder, G K

    1988-11-11

    Sheets of autologous epidermal cells grown by expansion culture were used to cover small skin defects in seven patients with postoperative necroses, necroses due to temporal arteritis, varicose ulcers or after tangential excision of tattoos. Several transplantation techniques were used: backing of the cultured epithelia with vaseline gauze, Surfasoft, Adaptic, Silastic foil, culturing directly from Petriperm-foil. Meshed Silastic-foil proved to give the best support. Optimal take of the in-vitro epithelia (more than 80% of their surface area) was achieved only for fresh dermal wound-beds. The take was only moderate on chronic granulation tissue, but the transplants reduced the formation of fibrinous-necrotic material and favoured the formation of fresh granulation tissue. PMID:3181024

  5. An Infant with Benign Isolated Abducens Palsy After Vaccination

    Directory of Open Access Journals (Sweden)

    Celebi Kocaoglu

    2014-02-01

    Full Text Available Benign isolated abducens palsy is a self-improving clinical entity characterized by esotropia and diplopia led by the deficiency of abduction, and accompanied by no other neurological findings. The entity may occur after experiencing minor fever episodes, viral infection. The pathophysiological mechanism of cellular injury remains unclear. Hypotheses involve damage arising from autoimmune mediation or direct viral invasion causing demyelination, localized arteritis or genetic predisposition, which could increase susceptibility to such nerve palsies. Diagnosed with benign isolated abducens palsy, a 19-month-old girl infant admitted to our outpatient clinic with an acute onset of esotropia in the right eye developing two weeks after the vaccination of diphtheria, acellular pertussis, tetanus, inactivated polio and Haemophilus influenzae type b (DTPa-IP-Hib was presented in this report.

  6. Odlingsvärda vildarter inom släktet Clematis

    OpenAIRE

    Götmark, Hulda

    2012-01-01

    Clematis har länge varit älskade trädgårdsväxter och är även idag mycket populära. Kombinationen av ett vackert växtsätt och en överdådig, ofta långvarig blomning gör att de lämpar sig mycket bra som prydnadsväxer. Clematis-släktet omfattar cirka 300 arter och tillhör familjen Ranunculaceae. Arterna förekommer i alla världsdelar, men återfinns mestadels i tempererade områden. På trädgårdsmarknaden finns idag tusentals sorter och kulturhybrider, men vildarter är ovanligare som prydnadsväxter. ...

  7. Økologisk fiskeopdræt. Rapport fra en vidensyntese om udviklingsmuligheder inden for økologisk fiskeopdræt i Danmark

    OpenAIRE

    Jokumsen, Alfred; Larsen, Villy J.; Dalsgaard, Inger; Nielsen, Henrik Hauch; Jessen, Peter; Kold, John

    2006-01-01

    Dansk Akvakultur's målsætning for udviklingen inden for økologisk fiskeopdræt frem mod år 2015 er, at 1. Mindst 10% (10.000 tons) af produktionen skal være økologisk 2. Eksportandelen heraf skal være på mindst 50% 3. Der opdrættes mindst tre forskellige økologiske arter 4. Den samlede forskningsindsats i økologi er på mindst 3% af primæromsætningen 5. Senest i 2007 er der etableret et fælles europæisk regelsæt 6. Danmark er EU's førende producent af økologisk fiskefoder ...

  8. [A case of allergic granulomatosis and angiitis (Churg-Strauss syndrome) in a 15-year-old girl].

    Science.gov (United States)

    Fujita, Kazue; Yamato, Kenji; Kurihara, Takeyuki; Osaki, Kohichi; Ohba, Hideo; Nakamura, Junichi; Okimoto, Niro

    2004-09-01

    A 15-year-old girl with a 6-month history of bronchial asthma was admitted to our hospital because of fever, dyspnea, weight loss, dysesthesia, muscle weakness, gait disturbance and purpuric rash. In addition, leukocytosis, hypereosinophilia and elevation of CRP were observed. Chest radiograph and computed tomography on admission showed non-segmental patchy air-space consolidation in both lung fields. Skin biopsy was performed and the pathologic diagnosis was necrotizing arteritis with eosinophilic infiltration. Transbronchial lung biopsy revealed eosinophilic pneumonia. From the clinical course, laboratory data and pathologic findings, the diagnosis of allergic granulomatosis and angiitis (Churg-Strauss syndrome) was made. Following the skin and lung biopsies, intravenous pulse corticosteroid and oral prednisolone treatment was started and her clinical findings improved. Angiitis with allergic granulomatosis is a vasculitis that is found in adults. This is an extremely rare and interesting case of angiitis with allergic granulomatosis in childhood. PMID:15500154

  9. Diversitet och tillvÀxtfrÀmjande egenskaper hos Stenotrophomonas-endofyter isolerade från Calliandra calothyrsus Meisn. rotknölar

    OpenAIRE

    Klingenberg, Daniela

    2011-01-01

    BakterieslÀktet Stenotrophomonas består av 12 arter. De existerar överallt i naturen, men speciellt S. maltophilia, S. rhizophila och S. pavanii Àr associerade med vÀxter. Stammar av den mest förekommande arten, S. maltophilia, har konstaterats ha fördelaktiga effekter på vÀxters tillvÀxt och hÀlsa, förmåga att bryta ner svårnerbrytbara föreningar samt producera biomolekyler av bioteknologiskt och ekonomiskt vÀrde. Många S. maltophilia -stammar Àr Àven multiresistenta mot a...

  10. Management of Pregnancy with Ankylosing Spondylitis

    Institute of Scientific and Technical Information of China (English)

    Qian Zhou; Xu-ming Bian; Jun-tao Liu

    2012-01-01

    To discuss the interaction between pregnancy and ankylosing spondylitis,and the management of pregnancy with ankylosing spondylitis.Methods Twelve cases of pregnancy with ankylosing spondylitis in Peking Union Medical College Hospital from September 2004 to July 2011 were analyzed retrospectively,focusing on the arteritis condition,pregnancy complications,and outcomes.Results All the 12 patients had full-term pregnancy.Five cases gave birth naturally,and 7 cases received cesarean section for maternity factors.No adverse pregnancy outcomes were encountered.Waist pain appeared in 2 cases in the second trimester,for both of which medication failed.One of the 2 cases had natural childbirth,while the other maintained pregnancy smoothly to cesarean section.Conclusions Pregnancy monitoring can help obtain favorable pregnancy outcomes.Attention should be paid to postpartum change of the illness.

  11. Primary angiitis of the central nervous system with diffuse cerebral mass effect and giant cells.

    LENUS (Irish Health Repository)

    Kinsella, J A

    2012-02-01

    Primary angiitis of the central nervous system (PACNS), also called primary CNS vasculitis, is an idiopathic inflammatory condition affecting only intracranial and spinal cord vessels, particularly medium-sized and smaller arteries and arterioles. Angiography and histopathology typically do not reveal evidence of systemic vasculitis.(1,2) Histopathology usually reveals granulomatous inflammation affecting arterioles and small arteries of the parenchyma and\\/or leptomeninges, similar to that seen in Takayasu\\'s or giant cell arteritis.(1-3) We report a patient with biopsy-proven PACNS with giant cells and cerebral mass effect on MRI. Magnetic resonance angiography and cerebral angiography appeared normal and there was no evidence of extracranial vasculitis.

  12. Successful repair of a syphilitic aortic arch aneurysm accompanied by serious cerebral infarction.

    Science.gov (United States)

    Sato, Katsutoshi; Chiba, Kiyoshi; Koizumi, Nobusato; Ogino, Hitoshi

    2014-01-01

    We present a 52-year-old male with a syphilitic aortic arch aneurysm accompanied by relevant extensive cerebral infarction. He was admitted to a local hospital for sudden loss of consciousness, where he was diagnosed with serious cerebral infarction. During his treatment, a multilocular aortic arch aneurysm involving the arch vessels was found incidentally. He was transferred to our hospital for surgical treatment. A preoperative routine laboratory test for syphilis was highly positive, which suggested that the aneurysm was likely caused by syphilis and the cerebral infarction was also induced by the involvement of syphilitic aortitis or arteritis. After 2 weeks of antibiotic therapy for syphilis, total arch replacement was performed successfully using meticulous brain protection with antegrade selective cerebral perfusion and deep hypothermia. He recovered without any further cerebral deficits. The pathological examination of the surgical specimen showed some characteristic changes of syphilitic aortitis. PMID:24492165

  13. Blood distribution measurements

    International Nuclear Information System (INIS)

    The necessity of employing a vascular exploration technique, which is non-aggressive and repetitive, and which gives total and quantitative results led to the exploitation of a rheo-graphic method. An apparatus was constructed for making such measurements. Some appropriate statistics were subsequently determined which allowed the law concerning the establishment of a circulatory index to be determined as well as its statistical distribution and pathological threshold. The results of an examination, which are presented graphically, led to the establishment of a technique (known as cartography) giving the state of the circulation in a member. The application of this technique to persons affected with arteritis allowed the validity of the law and the previously established thresholds to be verified. The apparatus was completely automated and thus gives results which are entirely objective. (author)

  14. Neuropatia óptica isquemica secundária ao uso de interferão

    OpenAIRE

    Gonçalves, A; Feijóo, B; Ferreira, M; Vaz, F; Melo, A.

    2011-01-01

    A neuropatia óptica isquémica anterior é uma disfunção visual aguda que pode ser idiopática ou secundária. Os autores descrevem um caso de neuropatia óptica isquémica anterior não arterítica de provável causa iatrogénica devido ao uso de interferão. Descreve-se o modo de acção dos interferões, os seus efeitos secundários oftalmológicas mais frequentes e, através de revisão de literatura analisa-se a eventual necessidade de seguimento destes doentes.

  15. Rembrandt--aging and sickness: a combined look by plastic surgeons, an art researcher and an internal medicine specialist.

    Science.gov (United States)

    Friedman, Tal; Westreich, Melvyn; Lurie, Doron J; Golik, Ahuva

    2007-02-01

    Rembrandt van Rijn (1606-1669) left behind the largest collection of self-portraits in the history of art. These portraits were painted over a period of 41 years, using a realistic technique. To evaluate Rembrandt's aging process we studied 25 uncontested Rembrandt oil self-portraits by means of objective and descriptive techniques. By measuring brow position changes through the years, we demonstrated that brow descent started in the second half of the third decade and began to level out in the fourth decade. Based on Rembrandts' aging physiognomy, from age 22 to 63, we believe that Rembrandt did not suffer from temporal arteritis, hypothyroidism, rosacea, or rhynophima and that no other facial signs of systemic diseases are evident, contrary to the opinions expressed by other medical professionals. We suggest that Rembrandt suffered from melancholia or mild depression, and propose the possibility of chronic lead poisoning as a theoretical illness that he might have had. PMID:17348473

  16. Sol İnferior Vena Kava'ya Eşlik Eden Nutcracker Fenomeni

    OpenAIRE

    Şerife ULUSAN; KOÇ, Zafer

    2007-01-01

    Sol inferior kava, inferior vena kavanın sol renal veni verirken veya daha distal düzeyde sağdan, sol tarafa geçmesiyle karakterize konjenital vasküler bir malformasyondur. Nutcracker Fenomeni ise sol renal venin aorta ile superior mesenterik arter arasında sıkışması olarak tanımlanır. Nutckracker Fenomeni ile sol inferior vena kava birlikteliği daha önce tanımlanmamıştır. Bu yazımızda Nutckracker Fenomeni ile sol inferior vena kavanın klinik ve radyolojik bulgularını sunmayı amaçladık. ©2...

  17. An anomalous case of the hepato-spleno-mesenteric and the gastro-phrenic trunks independently arising from the abdominal aorta.

    Science.gov (United States)

    Hirai, Y; Yamaki, K; Saga, T; Hirata, T; Yoshida, M; Soejima, H; Kanazawa, T; Araki, Y; Yoshizuka, M

    2000-01-01

    This report describes an arterial anomaly case in the celiaco-mesenteric region, which was encountered in a Japanese male cadaver in the dissecting room at Kurume University School of Medicine in 1999. In this case, the usual celiac trunk was not identified, and the hepato-spleno-mesenteric and the gastro-phrenic trunks were independently arising from the abdominal aorta. In addition, the common hepatic artery divided into the left hepatic, the right hepatic, and the gastroduodenal arteries simultaneously, then, the accessory gastric artery arose from the left hepatic artery. This type of arteral anomaly belongs to the Type III of Adachi's classification and the Type II of Morita's classification. PMID:10948660

  18. Progranulin antibodies in autoimmune diseases.

    Science.gov (United States)

    Thurner, Lorenz; Preuss, Klaus-Dieter; Fadle, Natalie; Regitz, Evi; Klemm, Philipp; Zaks, Marina; Kemele, Maria; Hasenfus, Andrea; Csernok, Elena; Gross, Wolfgang L; Pasquali, Jean-Louis; Martin, Thierry; Bohle, Rainer Maria; Pfreundschuh, Michael

    2013-05-01

    Systemic vasculitides constitute a heterogeneous group of diseases. Autoimmunity mediated by B lymphocytes and their humoral effector mechanisms play a major role in ANCA-associated vasculitis (AAV) as well as in non-ANCA associated primary systemic vasculitides and in the different types of autoimmune connective tissue disorders and rheumatoid arthritis. In order to detect autoantibodies in systemic vasculitides, we screened protein macroarrays of human cDNA expression libraries with sera from patients with ANCA-associated and ANCA-negative primary systemic vasculitides. This approach led to the identification of antibodies against progranulin, a 88 kDA secreted glycoprotein with strong anti-inflammatory activity in the course of disease of giant-cell arteritis/polymyalgia rheumatica (14/65), Takayasu's arteritis (4/13), classical panarteritis nodosa (4/10), Behcet's disease (2/6) and in the course of disease in granulomatosis with polyangiitis (31/75), Churg-Strauss syndrome (7/23) and in microscopic polyangiitis (7/19). In extended screenings the progranulin antibodies were also detected in other autoimmune diseases such as systemic lupus erythematosus (39/91) and rheumatoid arthritis (16/44). Progranulin antibodies were detected only in 1 of 97 healthy controls. Anti-progranulin positive patients with systemic vasculitides, systemic lupus erythematosus or rheumatoid arthritis had significant lower progranulin plasma levels, indicating a neutralizing effect. In light of the anti-inflammatory effects of progranulin, progranulin antibodies might exert pro-inflammatory effects thus contributing to the pathogenesis of the respective autoimmune diseases and might serve as a marker for disease activity. This hypothesis is supported by the fact that a positive progranulin antibody status was associated with active disease in granulomatosis with polyangiitis. PMID:23149338

  19. Epigenetics and Vasculitis: a Comprehensive Review.

    Science.gov (United States)

    Renauer, Paul; Coit, Patrick; Sawalha, Amr H

    2016-06-01

    Vasculitides represent a group of relatively rare systemic inflammatory diseases of the blood vessels. Despite recent progress in understanding the genetic basis and the underlying pathogenic mechanisms in vasculitis, the etiology and pathogenesis of vasculitis remain incompletely understood. Epigenetic dysregulation plays an important role in immune-mediated diseases, and the contribution of epigenetic aberrancies in vasculitis is increasingly being recognized. Histone modifications in the PR3 and MPO gene loci might be mechanistically involved in the pathogenesis of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis. Similarly, other studies revealed important epigenetic contribution to other vasculitides, including Kawasaki disease and IgA vasculitis. More recently, genome-wide epigenomic studies have been performed in several vasculitides. A recent genome-wide DNA methylation study uncovered an important role for epigenetic remodeling of cytoskeleton-related genes in the pathogenesis of Behçet's disease and suggested that reversal of some of these DNA methylation changes associates with disease remission. Genome-wide DNA methylation profiling characterized the inflammatory response in temporal artery tissue from patients with giant cell arteritis and showed increased activation of calcineurin/nuclear factor of activated T cells (NFAT) signaling, prompting the suggestion that a specific calcineurin/NFAT inhibitor that is well tolerated and with the added beneficial anti-platelet activity, such as dipyridamole, might be of therapeutic potential in giant cell arteritis. While epigenetic studies in systemic vasculitis are still in their infancy, currently available data clearly indicate that investigating the epigenetic mechanisms underlying these diseases will help to better understand the pathogenesis of vasculitis and provide novel targets for the development of disease biomarkers and new therapies. PMID:26093659

  20. Characterization of vascular lesions in pigs affected by porcine circovirus type 2-systemic disease.

    Science.gov (United States)

    Resendes, A R; Segalés, J

    2015-05-01

    Vascular lesions and their association with porcine circovirus type 2 (PCV2) were evaluated in multiple organs from 10 pigs affected with PCV2-systemic disease (PCV2-SD). Animals had vascular lesions in multiple organs, consisting of lymphohistiocytic lymphangitis and/or phlebitis, mild to severe necrotizing arteritis, and thrombosis within splenic arterioles and choroid plexus capillaries. Variable amounts of PCV2 nucleic acid detected by in situ hybridization were present within endothelial cells, tunica media myocytes, and perivascular and/or intralesional inflammatory cell infiltrates. PCV2 nucleic acid was detected within endothelial cells of both lymphatic and blood vessels without lesions in the associated tissues. Necrotizing arteritis was principally present in lymph nodes and kidney and consisted of degeneration, necrosis, and pyknosis of myocytes, often with intracytoplasmic, brightly eosinophilic inclusion bodies that were strongly positive for PCV2 nucleic acid. Segmental or circumferential fibrinoid necrosis was mainly present in vessels of the lymph node, spleen, and choroid plexus and was variably associated with PCV2 nucleic acid. Severe lymphangitis associated with strong intralesional PCV2 labeling was frequently detected within the mesenteric and mediastinal lymph nodes and the lamina propria of the ileum. In most tissues, medium and large lymphatics and/or veins often had disruption of the intima and mild mononuclear inflammatory cell infiltration that was variably associated with PCV2 nucleic acid. The present study indicates that vasculitis is a frequent finding in natural cases of PCV2-SD and that PCV2 may have a direct cytopathic effect on tunica media myocytes of small- and medium-sized arteries as well as endothelium. PMID:24963088

  1. [Aortic inflammatory lesions in Behçet's disease].

    Science.gov (United States)

    Desbois, A-C; Wechsler, B; Cacoub, P; Saadoun, D

    2016-04-01

    The arterial lesions affect about 10% of patients with Behçet's disease (BD). Aortic inflammatory involvement includes predominantly aortic aneurysmal lesions affecting most often the abdominal aorta. They account for the severity of the disease and are a leading cause of death when they hit the aorta or pulmonary arteries. Within the arterial lesions of BD, aortic involvement is, with femoral lesions, the most common site involved (18-28% of patients with vascular disease). Unlike other large vessels vasculitis (i.e. giant cell arteritis and Takayasu's arteritis) diffuse aortitis is observed in less than 5% of patients with BD. Aortic lesions of BD may be asymptomatic (systematic imaging or occasionally associated with other vascular event) or be revealed by the occurrence of abdominal, thoracic or lumbar pain, or an aortic valve insufficiency. Fever is frequently associated. Increase in acute phase reactants is common in these patients. Histological analysis may show infiltration by lymphocytes, neutrophils and plasma cells in the media and adventitia and a proliferation of the vasa vasorum in the media as well as a fibroblastic proliferation. In the later phase, a fibrous thickening of the media and adventitia is observed as well as a proliferation and thickening of the vasa vasorum. The therapeutic management should always include a medical treatment for the control of inflammation (corticosteroids, immunosuppressive drugs and/or biotherapy) and often an endovascular or surgical treatment if the aneurysm is threatening. The choice between endovascular or surgical treatment is considered case by case, depending on the experience of the team, anatomical conditions and of the clinical presentation. In this review, we provide a detailed and updated review of the literature to describe the aortic inflammatory damage associated with Behçet's disease. PMID:26611428

  2. Análise da remodelação vascular na isquemia pulmonar experimental, nas fases aguda e crônica Analysis of acute and chronic vascular remodeling in an experimental model of pulmonary ischemia

    Directory of Open Access Journals (Sweden)

    Wanderley M. Bernardo

    2005-02-01

    Full Text Available INTRODUÇÃO: Alterações estruturais da circulação pulmonar traduzem processo de remodelação vascular e têm relação provável com variações locais de fluxo e isquemia. OBJETIVO: Definir as alterações histológicas na circulação pulmonar após obstrução experimental da artéria pulmonar. Correlacioná-las com os padrões de redistribuição sangüínea e remodelação vascular. MÉTODO: Foram submetidos à toracotomia esquerda 48 ratos Wistar, alocados aleatoriamente em dois grupos, com ligadura da artéria pulmonar e controle, e sacrificados com 1, 7, 30 e 60 dias. Nos pulmões retirados avaliou-se presença de sinais de injúria no parênquima e mensurou-se diâmetro externo e espessura da parede das arteríolas de bronquíolos terminais, respiratórios e alveolares. Diâmetro interno e porcentagem de espessura da parede foram calculados. RESULTADOS: Só ocorreu infarto, necrose e hemorragia no pulmão isquêmico. No não isquêmico houve aumento mantido dos diâmetros externo e interno das arteríolas, com redução inicial da espessura no 1º dia e valores semelhantes aos do grupo controle no 60º dia. No pulmão isquêmico houve redução transitória nos diâmetros externo e interno das arteríolas de bronquíolos terminais e respiratórios, com aumento, inicial e transitório, na sua espessura. As arteríolas alveolares apresentaram aumento do diâmetro externo e espessura da parede, com redução do diâmetro interno, mantida e progressiva. CONCLUSÃO: Este modelo reproduz arteriopatia distal em pacientes com tromboembolismo pulmonar crônico. A resposta vascular no pulmão não isquêmico é compatível com padrão de remodelação de hiperfluxo; a no pulmão isquêmico com hipofluxo e isquemia. Nas arteríolas de bronquíolos terminais e respiratórios a resposta foi transitória. Nas alveolares foi progressiva e mantida, pela provável ocorrência tardia de hiperfluxo local.BACKGROUND: Structural alterations to the

  3. Digestibility of the lichen Stereocaulon paschale in reindeer

    Directory of Open Access Journals (Sweden)

    Endre Jacobsen

    1981-05-01

    Full Text Available The digestibility of the lichen Stereocaulon paschale is studied in a digestibility trial with two reindeer calves. The lichen is collected near Kautokeino in Northern Norway. Chemical composition of the lichen is shown in Table 1. Compared with Cladonia-species the content of crude protein and ash is higher in Stereocanlon paschale The content of Ca, P and Mg in the two species is of the same magnitude, while the content of Na and CI is ten times higher in Cladonia alpestris. The estimated digestibility is shown in Table 2. The dry matter digestibility is calculated to 46, 4%, which is very low compared to Cladonia-species. The higher crude protein content in Stereocaulon paschale has resulted in a positive apparent digestibility of protein.Tinajåkålån (Stereocanlon paschale sulavuus porolla.Abstract in Finnish / Yhteenveto: Tinajåkålån sulavuutta on tutkittu sulavuuskokeissa kahdella poronvasalla. Kokeessa kåytetty jåkålå on koottu låheltå Kautokemoa. Jåkålån kemiallinen koosturnus on esitetty taulukossa I. Tinajåkålån sisåltåmå raakaproteiini- ja tuhkapitoisuus on korkeampi kuin (Cladonia-lajeilla. Ca-, P- ja Mg-pitoisuudet ovat po. jåkålålajeilla samantasoiset, kun taas Cladonia alpestris sisaltåmåt Na- ja Cl-pitoisuudet ovat kymmenen kertaa korkeampia. Sulavuuslaskelmat esitetåån taulukossa 2. Kuiva-aineen sulavuus on 46,4% mikå on erittåin alhainen verrattuna Cladonia-lajien sulavuuteen. Tinajåkålån korkeampi proteiinisisålto on vaikuttanut myonteisesti valkuaisaineen sulavuuteen.Fordøyelighet av saltlav, (Stereocaulon paschale til reinAbstract in Norwegian / Sammendrag: Fordøyeligheten av saltlav (Stereocaulon paschale er undersøkt i fordøyelsesforsøk med 2 reinkalver. Lav til forsøket er sanket nær Kautokeino. Kjemisk sammensetning av lavet er vist i Tabell 1. Sammenlignet med Cladonia-arter er innholdet av råprotein og aske høyere i saltlavet. Innholdet av Ca. P og Mg er på samme nivå i disse

  4. Granulomatosis sarcoidea necrosante con compromiso sistémico Necrotizing sarcoid granulomatosis with systemic involvement

    Directory of Open Access Journals (Sweden)

    María Elena Ceballos

    2006-09-01

    Full Text Available Mujer mapuche de 70 años quien en el curso de 1 año presentó baja de peso, ojo rojo bilateral y úlcera corneal que evolucionó hacia la perforación con herniación uveal y pérdida de la visión. Posteriormente se agregaron lesiones nodulares, violáceas, sensibles, algunas ulceradas en las zonas distales de ambas extremidades inferiores. La TAC de tórax demostró múltiples nódulos pulmonares. Tras un estudio exhaustivo se descartaron la tuberculosis y otras infecciones. Tanto la biopsia de las lesiones cutáneas como la biopsia pulmonar obtenida mediante toracotomía confirmaron la presencia de granulomas necrotizantes no caseificantes y arteritis granulomatosa. Se trató con esteroides y ciclofosfamida con mejoría de su condición general y regresión de las lesiones cutáneas y pulmonares en menos de 1 mes. Se realizó un trasplante de cornea. A los seis meses de seguimiento continúa en tratamiento, no ha presentado recaídas y tiene recuperación parcial de la visiónA 70-year-old mapuche female presented with a 1 year history of weight loss, bilateral red painful eyes and corneal ulcer that evolved into perforation and uveal herniation with complete visual loss. Reddish and painful nodules appeared on the distal aspect of both lower extremities, that ulcerated after months. A thoracic CT scan showed multiple pulmonary nodules. Infectious diseases were ruled out. An open lung biopsy and a skin biopsy were performed and both showed non-caseating necrotizing granulomas and granulomatous arteritis. Steroids and cyclophosphamide were started with complete regression of skin and pulmonary lesions within a month. Corneal transplantation was done. After 6 months follow-up, the patient is on low-dose of steroids, free of disease with partial vision recovery

  5. The Chernobyl accident: Can lichens be used to characterize a radiocesium contaminated range?

    Directory of Open Access Journals (Sweden)

    Eldar Gaare

    1987-06-01

    sammenligne artsnivåene og for å studere innsamlings-prosedyrer. Vi fant at det fra sted til sted var en svært stor variasjon, til og med innen samme art. På grunn av dette var vi ikke i stand til å vise statistisk sikre forskjeller mellom artene. Men vi fant at arter fra mer eller mindre snøfrie rabbetopper, Cornicularia divergens, Alectoria ochroleuca, Cetraria nivalis og Cladina mitis viste mindre variasjon og derfor må anbefales som de beste arter for overvåkning og sammenligning av områder.

  6. Inflammatory aortic arch syndrome: contrast-enhanced, three-dimensional MR - angiography in stenotic lesions; Entzuendliches Aortenbogensyndrom: Stenosediagnostik mittels kontrastmittelverstaerkter 3D-MR-Angiographie im Vergleich mit der DSA

    Energy Technology Data Exchange (ETDEWEB)

    Both, M.; Mueller-Huelsbeck, S.; Biederer, J.; Heller, M.; Reuter, M. [Universitaetsklinikum Schleswig-Holstein, Kiel (Germany). Klinik fuer Diagnostische Radiologie; Reinhold-Keller, E.; Gross, W.L. [Rheumaklinik Bad Bramstedt GmbH (Germany)

    2004-01-01

    Purpose: To determine the value of contrast-enhanced, three-dimensional MR angiography for the evaluation of stenotic and occlusive vascular lesions in inflammatory aortic arch syndrome. Materials and Methods: 14 patients with inflammatory aortic arch syndrome (giant cell arteritis: n = 8, Takayasu arteritis: n = 4, ankylosing spondylitis: n = 1 sarcoidosis: n = 1) underwent MR angiography of the aortic arch and the supra-aortic vessels (n = 15,2 patients were examined twice) and of the abdominal aorta (n = 2). MRA was performed using a 3D-FLASH sequence (TR/TE 4.6/1.8 ms, flip angle 30 ) on a 1.5T system. MRA imaging was compared with the findings of DSA, which served as gold standard. Results: In a total of 467 examined vascular territories, DSA revealed 50 stenoses and 35 occlusions. All lesions were detected by MRA. In 23 segments, the degree of stenosis was overestimated by MRA. Sensitivity and specificity of MRA were 100% and 94,3%, positive and negative predictive values were 73.6 and 100%, and the accuracy was 95,1%. Conclusions: Despite a tendency to overestimate stenoses, contrast-enhanced three-dimensional MR angiography is a valid, non-invasive technique in the assessment of inflammatory aortic arch syndrome. (orig.) [German] Ziel: Bestimmung der Aussagekraft der kontrastmittelverstaerkten 3D-Magnetresonanzangiographie bei der Bewertung stenosierender und okkludierender Gefaessveraenderungen im Rahmen des entzuendlichen Aortenbogensyndroms. Material und Methoden: Bei 14 Patienten mit entzuendlichem Aortenbogensyndrom (Arteriitis temporalis: n = 8, Takayasu-Arteriitis: n = 4, Morbus Bechterew: n = 1, Sarkoidose: n = 1) erfolgte eine MRA des Aortenbogens und der supraaortalen Aeste (n = 15, darunter zwei Doppeluntersuchungen) sowie der Aorta abdominalis (n = 2). Zur Anwendung kam eine kontrastmittelverstaerkte 3D-FLASH-Sequenz (TR/TE 0,4/1,8 ms, Flipwinkel 30 ) an einem 1,5 Tesla-System. Die Befunde der MRA wurden mit der DSA als Referenzmethode

  7. Prevalence and epidemiology of the major gastrointestinal parasites of horses in Perth, Western Australia.

    Science.gov (United States)

    Dunsmore, J D; Jue Sue, L P

    1985-05-01

    A survey was conducted on the prevalence of the major gastrointestinal parasites in 140 horses necropsied in Perth, Western Australia, during 1979 to 1982. Adult Strongylus vulgaris were found in 22.5 per cent of horses and verminous arteritis in 62.9 per cent. The peak worm prevalence was in November to January (summer). S edentatus had a similar prevalence and seasonality but S equinus was not found in this survey. Draschia megastoma and Habronema muscae were found in 66.2 per cent and 35.3 per cent of horses respectively. Infection is probably acquired in summer when 8 per cent of the Musca domestica in the vicinity of the stables carried third stage spiruroid larvae. Gasterophilus intestinalis and G nasalis occurred in 36.4 per cent and 22.1 per cent of the horses respectively and 52.1 per cent of horses were infected with one or both species. The peak prevalence of G intestinalis larvae occurred in December with a trough in February-April; the peak prevalence of G nasalis was in May with a trough in November-December. Parascaris equorum was found in 9.9 per cent of the horses and in 21.3 per cent of those less than three years old. Anoplocephala perfoliata was found in 4.9 per cent of the horses and most of these were in older horses. PMID:2934246

  8. Art and rheumatology: the artist and the rheumatologist's perspective.

    Science.gov (United States)

    Hinojosa-Azaola, Andrea; Alcocer-Varela, Jorge

    2014-10-01

    The reflection of medicine in the universal arts has motivated several rheumatologists to discover features of rheumatic diseases depicted by the artist's eyes long before they were defined as specific pathologic entities. The result has been the identification of several pieces of art dating from the Middle Ages, the Renaissance, the Baroque and Post-Impressionist periods that depict clear features of several rheumatic diseases such as RA, OA, camptodactyly and temporal arteritis, among others. On the other hand, great artists such as Pierre-Auguste Renoir, Antoni Gaudí, Raoul Dufy, Paul Klee, Frida Kahlo and Niki de Saint Phalle are good examples of how rheumatic diseases such as RA, scleroderma and chronic pain can influence the artist's perspective, the technique used and the content of their work. Art can serve as a powerful resource to understand the natural course of diseases. By learning through the artist's eyes the way illnesses behave and evolve in time, rheumatologists can trace the history of several conditions. PMID:24489013

  9. Arterivirus molecular biology and pathogenesis.

    Science.gov (United States)

    Snijder, Eric J; Kikkert, Marjolein; Fang, Ying

    2013-10-01

    Arteriviruses are positive-stranded RNA viruses that infect mammals. They can cause persistent or asymptomatic infections, but also acute disease associated with a respiratory syndrome, abortion or lethal haemorrhagic fever. During the past two decades, porcine reproductive and respiratory syndrome virus (PRRSV) and, to a lesser extent, equine arteritis virus (EAV) have attracted attention as veterinary pathogens with significant economic impact. Particularly noteworthy were the 'porcine high fever disease' outbreaks in South-East Asia and the emergence of new virulent PRRSV strains in the USA. Recently, the family was expanded with several previously unknown arteriviruses isolated from different African monkey species. At the molecular level, arteriviruses share an intriguing but distant evolutionary relationship with coronaviruses and other members of the order Nidovirales. Nevertheless, several of their characteristics are unique, including virion composition and structure, and the conservation of only a subset of the replicase domains encountered in nidoviruses with larger genomes. During the past 15 years, the advent of reverse genetics systems for EAV and PRRSV has changed and accelerated the structure-function analysis of arterivirus RNA and protein sequences. These systems now also facilitate studies into host immune responses and arterivirus immune evasion and pathogenesis. In this review, we have summarized recent advances in the areas of arterivirus genome expression, RNA and protein functions, virion architecture, virus-host interactions, immunity, and pathogenesis. We have also briefly reviewed the impact of these advances on disease management, the engineering of novel candidate live vaccines and the diagnosis of arterivirus infection. PMID:23939974

  10. Modulation of radiation-induced hepato and pulmonary toxicity by pentoxiphyllin in rats

    International Nuclear Information System (INIS)

    The purpose of this study was to evaluate the role of pentoxiphylline in modulating the deleterious effects of radiation induced liver and lung injuries. Mature female albino rats were categorized in the following groups: Normal control rats, pentoxifylline treated group for eight days, pentoxifylline treated group for 16 days, irradiated group exposed to fractionated 4 Gy at 2 Gy instalments, irradiated group exposed to fractionated 8 Gy at 2 Gy instalments, irradiated at fractionated dose (4 Gy) and treated with peritoxiphylline for 8 days, irradiated at fractionated dose (8 Gy) and treated with pentoxiphylline for 16 days. Examination of the liver showed that pentoxiphylline treatment has significantly improved the radiation-induced inflammation, dilatation and congestion of hepatic portal vein, atrophy and degenerative changes of hepatocytes, fibrosis of wall of bile ductules, decrease in PAS +ve material and increase in fibrous tissue. While, experimental investigations performed on the lung showed that treatment with pentoxiphylline had minimally improved the radiation-induced injury in lung tissue manifested by reduction of alveolar sacs, arteritis, fibrosis around bronchioles, emphysema, plethora, rupture of walls of bronchioles and arteries, thickening of alveolar septae, decrease in PAS +ve material and increase in fibrous tissue. The study showed that pentoxiphylline exerts a beneficial radio-modulative effect in liver but exerts a minimal radio modulator effect in lung following gamma irradiation in rats

  11. A Case of Polyarteritis Nodosa Associated with Vertebral Artery Vasculitis Treated Successfully with Tocilizumab and Cyclophosphamide

    Science.gov (United States)

    Watanabe, Kae; Rajderkar, Dhanashree A.; Modica, Renee F.

    2016-01-01

    Pediatric polyarteritis nodosa is rare systemic necrotizing arteritis involving small- and medium-sized muscular arteries characterized by aneurysmal dilatations involving the vessel wall. Aneurysms associated with polyarteritis nodosa are common in visceral arteries; however intracranial aneurysms have also been reported and can be associated with central nervous system symptoms, significant morbidity, and mortality. To our knowledge extracranial involvement of the vertebral arteries has not been reported but has the potential to be deleterious due to fact that they supply the central nervous system vasculature. We present a case of a 3-year-old Haitian boy with polyarteritis nodosa that presented with extracranial vessel involvement of his vertebral arteries. After thorough diagnostic imaging, including a bone scan, ultrasound, Magnetic Resonance Imaging/Angiography, and Computed Tomography Angiography, he was noted to have vertebral artery vasculitis, periostitis, subacute epididymoorchitis, arthritis, and myositis. He met diagnostic criteria for polyarteritis nodosa and was treated with cyclophosphamide, methylprednisolone, and tocilizumab, which resulted in improvement of his inflammatory markers, radiographic findings, and physical symptoms after treatment. To the authors' knowledge, this is the first report of vertebral artery vasculitis in polyarteritis nodosa as well as successful treatment of the condition using the combination cyclophosphamide and tocilizumab for this condition. PMID:27018080

  12. Study of tuberculous meningitis by CT

    International Nuclear Information System (INIS)

    Computed tomography is a very valuable method by which the pathogenic evolution of tuberculous meningitis may be followed, thereby facilitating its differential diagnosis and controlling the efficiency of therapy. The initial miliary tuberculosis in the brain, very often unaccompanied by neurological symptoms, may offer very evident CT images. CT may also demonstrate the fibrogelatinous exudate which fills the basal cisterns and surrounds the arterial vessels which cross this region. Because of this, secondary arteritis is frequent and may be indirectly detected by CT in the form of foci of ischemic infarcts. Tuberculomas may be multiple, and are found equally in the cerebral and the cerebellar parenchyma. These tuberculomas present different images on CT, depending on the evolution of the disease at that moment. Hydrocephalus is a common complication of TM and is caused by a lack of reabsorption of the cerebrospinal fluid, or by an obstructive lesion in the ventricular drainage pathways due to a tuberculoma. This complication is usually easily identified by CT, which, moreover, permits the control of its evolution. (orig.)

  13. The electronic structure of a liquid Pb film

    Science.gov (United States)

    Osterwalder, Jürg

    2007-03-01

    Our understanding of the electronic structure of condensed matter in the liquid phase is far from complete. We used angle-resolved photoemission spectroscopy (ARPES) in order to study the evolution of the electronic bands, the Fermi surface and the spectral function of a lead monolayer on Cu(111) as the film went through its melting transition at 568 K [1]. The crystalline copper substrate provides the reciprocal lattice vectors, absent in the liquid state, that are needed in ARPES for wave-number conservation in the excitation process, and the well-resolved copper bands serve as an important reference frame for identifying the dramatic changes in the lead states. Electron spectra and momentum distribution maps of the liquid film reveal three important features: the persistence of a Fermi surface, the filling of band gaps, and the localization of the wave functions upon melting. Distinct coherence lengths for different sheets of the Fermi surface are found, indicating a strong dependence of the localization lengths on the character of the constituent atomic wave functions. [1] F. Baumberger, W. Auw"arter, T. Greber, J. Osterwalder, Science 306, 2221 (2004).

  14. Thoracic vasculitis presenting as surgical problems.

    LENUS (Irish Health Repository)

    Jansen, Michael

    2010-01-01

    We present four patients with vasculitis manifesting with unusual clinical or pathological features, generating surgical problems. Two cases presented with pulmonary hypertension, with investigations and radiological evidence prompting clinical suspicion of pulmonary thrombo-embolic disease. First case, with an antecedant history of Wegener\\'s granulomatosis (WG), demonstrated following "embolectomy", WG involving the large pulmonary elastic arteries. The second case of inoperable "pulmonary thrombo-embolic disease" was subsequently found at limited post mortem to have giant cell arteritis, which affected widespread small peripheral pulmonary arterial vessels. The other two cases were of aortitis occurring in the background of immune-mediated disease, which had been treated with aggressive immunosuppression regimens. The first of these was a case of Cogan\\'s syndrome complicated by descending aortitis, a rarely reported phenomenon, with co-existent acute endocarditis of the aortic valve leaflets. Most cases of endocarditis in this context occur secondary to and in continuity with ascending aortitis. That this case, and a case of ascending aortitis occurring in the context of relapsing polychondritis occurred in the face of aggressive immunosuppression with an apparent clinical response, underscores the need to not accept a clinical picture at face value. This has implications for clinical management, particularly in the follow-up of surgical prosthetic devices such as grafts which may be used in these cases. All four cases emphasise the continued importance of histology and the post-mortem examination in elucidating previously undetected or unsuspected disease.

  15. Acute aortic dissection: be aware of misdiagnosis

    Directory of Open Access Journals (Sweden)

    Asteri Theodora

    2009-02-01

    Full Text Available Abstract Background Acute aortic dissection (AAD is a life-threatening condition requiring immediate assessment and therapy. A patient suffering from AAD often presents with an insignificant or irrelevant medical history, giving rise to possible misdiagnosis. The aim of this retrospective study is to address the problem of misdiagnosing AD and the different imaging studies used. Methods From January 2000 to December 2004, 49 patients (41 men and 8 women, aged from 18–75 years old presented to the Emergency Department of our hospital for different reasons and finally diagnosed with AAD. Fifteen of those patients suffered from arterial hypertension, one from giant cell arteritis and another patient from Marfan's syndrome. The diagnosis of AAD was made by chest X-ray, contrast enhanced computed tomography (CT, transthoracic echocardiography (TTE and coronary angiography. Results Initial misdiagnosis occurred in fifteen patients (31% later found to be suffering from AAD. The misdiagnosis was myocardial infarction in 12 patients and cerebral infarction in another three patients. Conclusion Aortic dissection may present with a variety of clinical manifestations, like syncope, chest pain, anuria, pulse deficits, abdominal pain, back pain, or acute congestive heart failure. Nearly a third of the patients found to be suffering from AD, were initially otherwise diagnosed. Key in the management of acute aortic dissection is to maintain a high level of suspicion for this diagnosis.

  16. Developments in Varicella Zoster Virus Vasculopathy.

    Science.gov (United States)

    Nagel, Maria A; Gilden, Don

    2016-02-01

    Varicella zoster virus (VZV) is a highly neurotropic human herpesvirus. Primary infection usually causes varicella (chicken pox), after which virus becomes latent in ganglionic neurons along the entire neuraxis. VZV reactivation results in zoster (shingles) which is frequently complicated by chronic pain (postherpetic neuralgia). VZV reactivation also causes meningoencephalitis, myelitis, ocular disorders, and vasculopathy, all of which can occur in the absence of rash. This review focuses on the association of VZV and stroke, and on the widening spectrum of disorders produced by VZV vasculopathy in immunocompetent and immunocompromised individuals, including recipients of varicella vaccine. Aside from ischemic stroke, VZV infection of cerebral arteries may lead to development of intracerebral aneurysms, with or without hemorrhage. Moreover, recent clinical-virological case reports and retrospective pathological-virological analyses of temporal arteries positive or negative for giant cell arteritis (GCA) indicate that extracranial VZV vasculopathy triggers the immunopathology of GCA. While many patients with GCA improve after corticosteroid treatment, prolonged corticosteroid use may potentiate VZV infection, leading to fatal vasculopathy in the brain and other organs. PMID:26750127

  17. Myelin basic protein determination in cerebro-spinal fluid of children with tuberculous meningitis

    International Nuclear Information System (INIS)

    Myelin basic protein (MBP), an indicator of neural tissue damage in cerebro-spinal fluid, was studied in patients with tuberculous meningitis (TBM). MBP levels were elevated in 62% of the cases of TBM, the levels being 13.3+-18.8 ng/mL, compared with control levels of 1.34+-0.55 ng/mL(p<0.001). MBP level was related to certain clinical features of the disease, such as level of consciousness, neurological characteristics associated with signs of raised intracranial tension and the presence of arteritis associated with hydrocephalus. However, its greatest significance was its correlation with the progress of disease. Persistence of high levels of MBP over a period of a few weeks was associated with little or no improvement in the clinical state of the patient or a higher mortality rate. Return to normal levels of MBP indicated a more favourable outcome of disease. Hence MBP estimation gave not only an indicator of the degree of neurological damage but also an important marker to evaluate patients' progress and response to treatment. (author)

  18. Top Differential Diagnosis Should Be Microscopic Polyangiitis in ANCA-Positive Patient with Diffuse Pulmonary Hemorrhage and Hemosiderosis

    Directory of Open Access Journals (Sweden)

    Nicholas D. Ward

    2014-01-01

    Full Text Available A rat model of antineutrophil cytoplasmic antibody (ANCA associated vasculitides reveals crescentic glomerulonephritis as seen in human renal biopsies and diffuse lung hemorrhage that is not well documented in human lung biopsies. A 64-year-old male, with shortness of breath and mild elevation of serum creatinine, was found to have a positive serum test for ANCA, but negative antiglomerular basement membrane antibody. A renal biopsy showed pauci-immune type of crescentic glomerulonephritis and focal arteritis. The prior lung wedge biopsy was retrospectively reviewed to show diffuse hemorrhage and hemosiderosis with focal giant cells. In addition, small arteries revealed subtle neutrophil aggregation, and margination along vascular endothelium, but no definitive vasculitis. The pathology of ANCA associated vasculitides results from activated neutrophils by ANCA and subsequent activation of the alternative complement cascade with endothelial injury, neutrophil aggregation and margination. Our findings, after the correlation between lung biopsy and renal biopsy, imply that the top differential diagnosis in the lung biopsy should be microscopic polyangiitis when diffuse pulmonary hemorrhage and hemosiderosis are present in this ANCA-positive patient.

  19. Lung vasculitis and alveolar hemorrhage: pathology.

    Science.gov (United States)

    Fishbein, Gregory A; Fishbein, Michael C

    2011-06-01

    Pulmonary vasculitides are a diverse group of limited and systemic disorders associated with inflammation of pulmonary vessels and parenchyma. These diseases often have distinctive clinical, serological, and histopathological features-extrapulmonary sites of involvement, circulating autoantibodies, predispositions for small or large vessels, and others. Some have characteristic inflammatory lesions; others are characterized by the absence of such lesions. Frequently pathological findings overlap, rendering classification, and diagnosis a challenge. The anti-neutrophil cytoplasmic antibody (ANCA)-associated small-vessel diseases constitute the major pulmonary vasculitides. These include Wegener granulomatosis (WG), Churg Strauss syndrome (CSS), and microscopic polyangiitis (MPA). Less frequently, diseases such as polyarteritis nodosa, Takayasu arteritis, Behçet syndrome, and connective tissue diseases may involve pulmonary vessels, but these entities are better associated with extrapulmonary disease. Diffuse alveolar hemorrhage (DAH) is a severe manifestation of pulmonary vasculitis. DAH is most commonly seen in small-vessel vasculitides, specifically MPA and WG. Other syndromes associated with DAH include Goodpasture syndrome, Henoch-Schönlein purpura, and systemic lupus erythematosus. Less commonly, DAH may be secondary to infection or drugs/toxins. Furthermore, in the absence of discernable systemic disease, DAH may be idiopathic-referred to as isolated pulmonary capillaritis (IPC) or idiopathic pulmonary hemosiderosis (IPH), depending on the presence of capillaritis. PMID:21674412

  20. Top Differential Diagnosis Should Be Microscopic Polyangiitis in ANCA-Positive Patient with Diffuse Pulmonary Hemorrhage and Hemosiderosis.

    Science.gov (United States)

    Ward, Nicholas D; Cosner, Diane E; Lamb, Colleen A; Li, Wei; Macknis, Jacqueline K; Rooney, Michele T; Zhang, Ping L

    2014-01-01

    A rat model of antineutrophil cytoplasmic antibody (ANCA) associated vasculitides reveals crescentic glomerulonephritis as seen in human renal biopsies and diffuse lung hemorrhage that is not well documented in human lung biopsies. A 64-year-old male, with shortness of breath and mild elevation of serum creatinine, was found to have a positive serum test for ANCA, but negative antiglomerular basement membrane antibody. A renal biopsy showed pauci-immune type of crescentic glomerulonephritis and focal arteritis. The prior lung wedge biopsy was retrospectively reviewed to show diffuse hemorrhage and hemosiderosis with focal giant cells. In addition, small arteries revealed subtle neutrophil aggregation, and margination along vascular endothelium, but no definitive vasculitis. The pathology of ANCA associated vasculitides results from activated neutrophils by ANCA and subsequent activation of the alternative complement cascade with endothelial injury, neutrophil aggregation and margination. Our findings, after the correlation between lung biopsy and renal biopsy, imply that the top differential diagnosis in the lung biopsy should be microscopic polyangiitis when diffuse pulmonary hemorrhage and hemosiderosis are present in this ANCA-positive patient. PMID:25525543

  1. Granulomatous interstitial nephritis secondary to chronic lymphocytic leukemia/small lymphocytic lymphoma.

    Science.gov (United States)

    Nasr, Samih H; Shanafelt, Tait D; Hanson, Curtis A; Fidler, Mary E; Cornell, Lynn D; Sethi, Sanjeev; Chaffee, Kari G; Morris, Joseph; Leung, Nelson

    2015-06-01

    Granulomatous interstitial nephritis (GIN) is an uncommon pathologic lesion encountered in 0.5% to 5.9% of renal biopsies. Drugs, sarcoidosis, and infections are responsible for most cases of GIN. Malignancy is not an established cause of GIN. Here, we report a series of 5 patients with GIN secondary to chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL). Patients were mostly elderly white males with an established history of CLL/SLL who presented with severe renal impairment (median peak serum creatinine, 7.3 mg/dL), leukocyturia, and mild proteinuria. One had nephromegaly. In 2 patients, the development and relapse of renal insufficiency closely paralleled the level of lymphocytosis. Kidney biopsy in all patients showed GIN concomitant with CLL/SLL leukemic interstitial infiltration. Granulomas were nonnecrotizing and epithelioid and were associated with giant cells. One biopsy showed granulomatous arteritis. One patient had a granulomatous reaction in lymph nodes and skin. Steroids with/without CLL/SLL-directed chemotherapy led to partial improvement of kidney function in all patients except 1 who had advanced cortical scarring on biopsy. In conclusion, we report an association between CLL/SLL and GIN. Patients typically present with severe renal failure due to both GIN and leukemic interstitial infiltration, which tends to respond to steroids with/without CLL/SLL-directed chemotherapy. The pathogenesis of GIN in this clinical setting is unknown but may represent a local hypersensitivity reaction to the CLL/SLL tumor cells. PMID:25795422

  2. [Cerebral ischemia in young adults].

    Science.gov (United States)

    Berlit, P; Endemann, B; Vetter, P

    1991-08-01

    An overview is given over etiology and prognosis of cerebral ischemias until the age of 40. In a time period of 19 years, 168 patients were diagnosed with cerebral ischemia until the age of 40 (91 females, 77 males). The most frequent etiology is premature atherosclerosis in patients with vascular risk factors (up to 50%). Cardiogenic embolism is responsible for 1 to 34% of the cases: cardiac valve diseases and endocarditis being the most frequent sources. In 2 to 19% a vasculitis is diagnosed. While infectious arteritis is especially frequent in countries of the third world, immunovasculitides are common in Europe and the USA. Noninflammatory vasculopathies include spontaneous or traumatic dissection, fibromuscular dysplasia and vascular malformations. A migrainous stroke is especially frequent in female smokers with intake of oral contraceptives. During pregnancy both sinus thrombosis and arterial ischemia occur. Hematologic causes for ischemia are polycythemia, thrombocytosis and genetic diseases (sickle cell anemia, AT3-deficiency). Cerebral ischemia may occur in connection with the ingestion of ergot-derivates. The prognosis of cerebral ischemia in young adults is better than in older stroke-patients. PMID:1937340

  3. Determinants of Vessel Targeting in Vasculitis

    Directory of Open Access Journals (Sweden)

    Gary S. Hoffman

    2004-01-01

    Full Text Available Studies of autoimmune diseases have not yet elucidated why certain organs or vessels become the objects of injury while others are spared. This paper will explore the hypothesis that important differences exist in regions of the aorta that determine vulnerability to diseases, such as atherosclerosis, aortitis, giant cell arteritis and Takayasu's disease. The reader is invited to reassess; (1 whether the aorta is indeed a single homogeneous structure, and (2 whether the initial stage of aortitis (and indeed other diseases considered “autoimmune” may be primarily due to acquired alterations of substrate, that influence unique immune profiles, which by themselves may not be pathogenic. Disease susceptibility and patterns are influenced by many factors that are inborn and acquired. Examples include genetic background, gender, ethnicity, aging, prior and concomitant illnesses, habits, diet, toxin and environmental exposures. Studies of vascular diseases must assess how such variables may affect regional differences in endothelial cells, subendothelial matrix, vascular smooth muscle and the response of each to a variety of stimuli.

  4. Clinical application of EBCT angiography and three-dimensional reconstruction in the diagnosis of aortic disease

    International Nuclear Information System (INIS)

    Purpose: To work out the routine and three dimensional reconstruction (3D) methods of electron beam computed tomography angiography (EBCTA) and evaluate its clinical application. Materials and methods: In this group, 189 cases with aortic diseases (152 male, 37 female) were studied retrospectively. The EBCT scan methods were enhanced single slice mode (SSM) and continuous volume scan (CVS); The 3D reconstruction methods were shaded surface display (SSD), maximum intensity projection (MIP) and multiple/curved planar reconstruction (MPR/CPR). Results: In 189 cases, including 97 cases with aortic dissection, 26 cases with aortic aneurysm and 8 cases with pseudo aneurysm, others including Marfan's syndrome in 37 cases, Takayasu's arteritis in 5 cases and congenital aortic malformations in 14 cases; 68 cases received operation and the EBCT diagnosis coincided well with the operative findings in 97% of cases. Conclusion: EBCT angiographic images have very high temporal resolution and most artifacts are eliminated. The 3D images are in helpful accurate diagnosis and direct surgical operation. In the management of aortic diseases, EBCT angiography and 3D reconstruction may supplant conventional angiography in the near future

  5. Whole-body magnetic resonance angiography with blood-pool agents

    International Nuclear Information System (INIS)

    Although often asymptomatic, peripheral arterial disease (PAD) is associated with significant morbidity in a large proportion of patients. Atherosclerosis is the underlying pathology in many instances, involving the whole arterial tree. Whole-body magnetic resonance angiography (MRA) permits rapid, non-invasive and accurate evaluation of the entire vascular system and can be used for both diagnostic purposes and monitoring of vascular involvement in diseases such as diabetes, Marfan's syndrome and Takayasu arteritis. MRA has been used successfully in the identification of high-grade stenosis in PAD, abnormalities of the ileocaval veins and carotid plaque imaging. Carotid disease is significantly correlated with severe coronary artery disease and renal artery atherosclerosis. Symptomatic lesions in one vascular bed are often related to additional asymptomatic atherosclerotic lesions in other vascular regions. MRA may be advantageous over computed tomographic angiography because it can be performed with contrast media virtually devoid of serious toxicity and without utilization of ionizing radiation. Display of the entire arterial vasculature can be achieved in < 90 s, with excellent sensitivity and specificity. Recent technological advances, such as parallel imaging and the implementation of dedicated matrix coils, have further increased image quality, and in combination with the blood-pool contrast agents, such as gadofosveset trisodium (Vasovist, Bayer Schering Pharma AG, Berlin, Germany), extended imaging time, higher spatial resolution and larger anatomical coverage can be achieved. (orig.)

  6. Whole-body magnetic resonance angiography with blood-pool agents

    Energy Technology Data Exchange (ETDEWEB)

    Kramer, H. [Inst. for Clinical Radiology, Univ. Hospital Munich, Munich (Germany); Morana, G. [Radiological Dept., Hospital Ca' Foncello, Treviso (Italy)

    2007-03-15

    Although often asymptomatic, peripheral arterial disease (PAD) is associated with significant morbidity in a large proportion of patients. Atherosclerosis is the underlying pathology in many instances, involving the whole arterial tree. Whole-body magnetic resonance angiography (MRA) permits rapid, non-invasive and accurate evaluation of the entire vascular system and can be used for both diagnostic purposes and monitoring of vascular involvement in diseases such as diabetes, Marfan's syndrome and Takayasu arteritis. MRA has been used successfully in the identification of high-grade stenosis in PAD, abnormalities of the ileocaval veins and carotid plaque imaging. Carotid disease is significantly correlated with severe coronary artery disease and renal artery atherosclerosis. Symptomatic lesions in one vascular bed are often related to additional asymptomatic atherosclerotic lesions in other vascular regions. MRA may be advantageous over computed tomographic angiography because it can be performed with contrast media virtually devoid of serious toxicity and without utilization of ionizing radiation. Display of the entire arterial vasculature can be achieved in < 90 s, with excellent sensitivity and specificity. Recent technological advances, such as parallel imaging and the implementation of dedicated matrix coils, have further increased image quality, and in combination with the blood-pool contrast agents, such as gadofosveset trisodium (Vasovist, Bayer Schering Pharma AG, Berlin, Germany), extended imaging time, higher spatial resolution and larger anatomical coverage can be achieved. (orig.)

  7. Variation of hepatic artery on arteriogram and its clinical significance in interventional therapy for hepatic cancer

    International Nuclear Information System (INIS)

    Objective: To investigate the variations of hepatic artery and its extrahepatic arteries on hepatic arteriogram and to provide benefit for transhepatic arterical chemoemblization. Methods: The hepatic arteriograms of 200 cases with unresectable hepatic malignant tumor before interventional therapy were analysed. Two interventional radiologists in common reviewed the incidences of various types according to Michels' classification, the absence of proper hepatic artery, and the variations of extrahepatic arteries originating from hepatic artery. Results: The most common hepatic artery variation was Michels type III(n=17,8.5%), followed by type II(n=10,5.0%) and V(n=9,4.5%). Proper hepatic absence was found in 25 cases and appeared as 5 subtypes. 5 kinds of extrahepatic arteries were found. The most common extrahepatic artery was the right gastric artery (n=156,78.0%), followed by cystic artery (n=126,63.0%), accessory left gastric artery (n=19,9.5%), the hepatic falciform artery (n=5,2.5%), and accessory left inferior phrenic artery (n=4,2.0%). Conclusion: There are some other variations of hepatic artery beside Michels' classification,and there are many variations of extrahepatic arteries originating from hepatic artery, it is important to assure interventional therapy effect for hepatic cancer and prevent complication. (authors)

  8. Experimental West Nile virus infection in Eastern Screech Owls (Megascops asio)

    Science.gov (United States)

    Nemeth, N.M.; Hahn, D.C.; Gould, D.H.; Bowen, R.A.

    2006-01-01

    Eastern Screech Owls (EASOs) were experimentally infected with the pathogenic New York 1999 strain of West Nile virus (WNV) by subcutaneous injection or per os. Two of nine subcutaneously inoculated birds died or were euthanatized on 8 or 9 days postinfection (DPI) after <24 hr of lethargy and recumbency. All subcutaneously inoculated birds developed levels of viremia that are likely infectious to mosquitoes, with peak viremia levels ranging from 105.0 to 109.6 plaque-forming units/ml. Despite the viremia, the remaining seven birds did not display signs of illness. All birds alive beyond 5 DPI seroconverted, although the morbid birds demonstrated significantly lower antibody titers than the clinically normal birds. Cagemates of infected birds did not become infected. One of five orally exposed EASOs became viremic and seroconverted, whereas WNV infection in the remaining four birds was not evident. All infected birds shed virus via the oral and cloacal route. Early during infection, WNV targeted skin, spleen, esophagus, and skeletal muscle. The two morbid owls had myocardial and skeletal muscle necrosis and mild encephalitis and nephritis, whereas some of the clinically healthy birds that were sacrificed on 14 DPI had myocardial arteritis and renal phlebitis. WNV is a significant pathogen of EASOs, causing pathologic lesions with varying clinical outcomes.

  9. Behçet's disease

    Directory of Open Access Journals (Sweden)

    Saadoun David

    2012-04-01

    Full Text Available Abstract Definition of the disease Behçet disease (BD is a chronic, relapsing, multisystemic disorder characterized by mucocutaneous, ocular, vascular and central nervous system manifestations. Epidemiology BD seems to cluster along the ancient Silk Road, which extends from eastern Asia to the Mediterranean basin. European cases are often described, not exclusively in the migrant population. Clinical description The clinical spectrum includes oral and genital ulcerations, uveitis, vascular, neurological, articular, renal and gastrointestinal manifestations. Etiology The etiopathogenesis of the disease remains unknown, although genetic predisposition, environmental factors and immunological abnormalities have been implicated. Diagnostic methods Diagnosis is only based on clinical criteria. Differrential diagnosis It depends on the clinical presentation of BD, but sarcoidosis, multiple sclerosis, Crohn’s disease, Takayasu’s arteritis, polychondritis or antiphospholipid syndrome need to be considered. Management Treatment is symptomatic using steroids and immunomodulatory therapy. It is efficient depending on the rapidity of initiation, the compliance, and the duration of therapy. Prognosis The prognosis is severe due to the ocular, neurological and arterial involvement.

  10. Transcatheter coil occluder for closure of ventricular septal defect (a report of 4 cases)

    International Nuclear Information System (INIS)

    Objective: To explore the indication, methodology and complication of transcatheter coil closure of ventricular septal defect (VSD) in children. Methods: Transcatheter closure of perimembranous VSD with coils was performed in 4 cases from 2003 to 2005. The Duct-Occlude (pfm) and detachable coil (Cook) were chosen for embolization depending on the results of the left ventricular angiogram. The coil size was generally about 1-4 mm larger than the diameter of VSD. Follow up was carried out with echocardiography, ultrasound and clinical examination. Results: The defect diameters of the four cases were 2.0 mm, 2.7 mm, 2.5 mm and 1.5 mm respectively. The Duct-Occlude were successfully implanted in 3 cases of perimembranous VSD with the same type coil (OD[mm]7-3-6, windings 5-3-4) for each. One detachable coil (Cook) (5 x 5) was implanted in the remaining case. All cases had trivial residual shunt immediately after implantation which disappeared 24 hours later. Follow-up for 2 months to one year showed no coil displacement and secondary bacterial arteritis. No tricuspid and aortic regurgitation, no emboli, no endocarditis, and no arrhythmia were found. Conclusions: Coil closure of some small VSD with membranate part pseudo-ventricular aneurysm has good efficacy with the advantages of simple operation, less metal content and mini-invasion also applicable for infants. (authors)

  11. Chest X-ray findings in the acute phase of Kawasaki disease

    International Nuclear Information System (INIS)

    We reviewed the chest X-ray (CXR) findings and clinical courses of 129 patients with Kawasaki disease and found abnormal CXR findings in 14.7% of the patients. Reticulogranular pattern was the most frequent abnormality (89.5%), while peribronchial cuffing (21.1%), pleural effusion (15.8%), atelectasis (10.5%) and air trapping (5.3%) were also seen. In each of these patients, CXR abnormalities appeared within 10 days after the onset of illness. In the group with abnormal CXR findings, a statistically significant increase was noted in duration of fever, incidence of adventitious sounds, serum CPR levels and incidence of coronary arterial lesions and pericardial effusion, as compared with the group having normal CXR findings. The pathological basis of these CXR changes is not clear, since no biopsy or autopsy specimen was obtained from these patients. Since none of these patients showed definite heart failure, it is difficult to consider that abnormal CXR findings were due to heart failure. On the other hand, physical signs and previous pathological reports suggested that the causes of abnormal CXR findings were lower respiratory tract inflammation and/or pulmonary arteritis. (orig.)

  12. Clinical, anatomic, and immunopathologic characterization of Babesia gibsoni infection in the domestic dog (Canis familiaris).

    Science.gov (United States)

    Wozniak, E J; Barr, B C; Thomford, J W; Yamane, I; McDonough, S P; Moore, P F; Naydan, D; Robinson, T W; Conrad, P A

    1997-08-01

    The pathology associated with acute, chronic, and recrudescent Babesia gibsoni infections was characterized in a group of 6 naturally or experimentally infected, spleen-intact and splenectomized dogs. All experimentally infected dogs became acutely parasitemic, lethargic, anemic, thrombocytopenic, and hemoglobinuric. Anatomic lesions associated, with the disease included diffuse nonsuppurative periportal and centrilobular hepatitis, multifocal necrotizing arteritis, membranoproliferative glomerulonephritis, reactive lymphadenopathy, diffuse erythrophagocytosis, and extramedullary hematopoiesis. The density of CD3+ lymphocytes within the liver sinusoids was markedly increased. Aggregates of large mononuclear cells with immunohistochemical features of activated macrophages were demonstrated in the central veins of the liver. Kupffer cells throughout the hepatic sinusoids appeared hypertrophic and prominent. The density of sinusoidal T lymphocytes, macrophages in central veins, and the degree of Kupffer cell hypertrophy were greatest in the splenectomized dogs. Multifocal deposits of IgM antibody were immunohistochemically demonstrated within the walls of inflamed arteries and renal glomeruli. The results of this study suggest that intense immunostimulation resulting in activation and expansion of T and B lymphocyte populations, macrophage recruitment and activation, vasculitis, glomerulonephritis and anemia contribute to the pathology associated with B. gibsoni infections. PMID:9267413

  13. CT and MR findings in HIV-negative neurosyphilis

    Energy Technology Data Exchange (ETDEWEB)

    Peng Fuhua [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: pfh93@21cn.com; Hu Xueqiang [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: huxueqiangqm@yahoo.com.cn; Zhong Xiufeng [State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center of Sun Yat-Sen University, 54 Xianlie Road, Guangzhou, 510060 Guangdong Province (China)], E-mail: xiufengzhong@yahoo.com.cn; Wei Qiu [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: qw9406@tom.com; Jiang Ying [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: jiangying722@163.com; Bao Jian [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: baoj92@tom.com; Wu Aimin [Department of Neurology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630 Guangdong Province (China)], E-mail: wuaim@126.com; Pei Zhong [Department of Neurology, First Affiliated Hospital of Sun Yat-Sen University, 89 Zhongshaner Road, Guangzhou, 510080 Guangdong Province (China)], E-mail: peizhong@yahoo.com

    2008-04-15

    Background and purpose: The purpose of this study was to describe and evaluate neuroimaging findings of patients with neurosyphilis. Methods: The neuroimaging studies of 14 patients with documented neurosyphilis were reviewed. Diagnosis was established in 14 patients with cerebrospinal fluid for a Treponema Pallidum Particle Agglutination (TPPA) test. All patients had reactive TPPA and Unheated Serum Regain test (USR) in their sera. Imaging studies included plain, contrast-enhanced CT of the brain, plain and gadolinium-enhanced MR, and MR angiography. Results: In the 14 HIV-negative patients with neurosyphilis, CT and MR showed the presence of cerebral infarction in six cases, arteritis in four cases, nonspecific white matter lesion in three cases, acute syphilitic meningitis in one case and normal neuroimaging finding in one case. In addition, 4 in 14 patients had general paresis, and MRI showed high signal intensity on T2 -weighted images involving frontotemporal lobes, hippocampus and periventricular area. Treatment with penicillin significantly diminished the size of these high signal intensity on T2-weighted images with general paresis. Conclusion: These results suggest that MR and CT images have some characteristic manifestations in patients of neurosyphilis. Because early diagnosis and treatment of neurosyphilis are crucial to avoid persistent brain damage, the neuroimaging findings are valuable adjunct to clinical diagnosis and to provide useful information to follow-up after therapy.

  14. Parameters and criteria for repair and strengthening of buildings in the old town core of Dubrovnik based on seismic risk analysis

    Directory of Open Access Journals (Sweden)

    M. Vladimir

    1995-06-01

    Full Text Available Definition of the seismicity conditions, the design seismic parameters and the seismic risk level are important and inevitable phases ol the complex process of repair and strengthening of existing structures in certain towns located in seismically active areas. These should be studied in all necessary details in order to provide corresponding bases and define the necessary preventive measures against expected strong earthquakes. Such an approach becomes even nlore necessary arter the experience regarding the last catastrophic earthquakes that occurred in Former Yugoslavia (Skopje. Banja Luka, Montenegro coast and Kopaonik and inflicted heavy losses of human lives and material properties. The old town core of Dubrovnik is known for the large concentration of buildings of enorrnous cultural-historic importance. Considering the high seismic activity of this area. all these buildings are very likely to experience heavy damage and failure. Tlie history of the town records many catastrophic earthquakes that inflicted heavy material losses and loss of human lives. Here, we can rnention the great Dubrovnik earthquake of 1667 and the last Montenegro earthquake of April 15, 1979 with an epicenter in the Ulcinj-Bar area. The consequences of the latter are well known. The purpose of this paper is to present some results and experience gained from the investigations performed for the area of Dubro~nikil lustrated by several examples of buildings existing in the old town core of Dubrovnik.

  15. A Case of Polyarteritis Nodosa Associated with Vertebral Artery Vasculitis Treated Successfully with Tocilizumab and Cyclophosphamide

    Directory of Open Access Journals (Sweden)

    Kae Watanabe

    2016-01-01

    Full Text Available Pediatric polyarteritis nodosa is rare systemic necrotizing arteritis involving small- and medium-sized muscular arteries characterized by aneurysmal dilatations involving the vessel wall. Aneurysms associated with polyarteritis nodosa are common in visceral arteries; however intracranial aneurysms have also been reported and can be associated with central nervous system symptoms, significant morbidity, and mortality. To our knowledge extracranial involvement of the vertebral arteries has not been reported but has the potential to be deleterious due to fact that they supply the central nervous system vasculature. We present a case of a 3-year-old Haitian boy with polyarteritis nodosa that presented with extracranial vessel involvement of his vertebral arteries. After thorough diagnostic imaging, including a bone scan, ultrasound, Magnetic Resonance Imaging/Angiography, and Computed Tomography Angiography, he was noted to have vertebral artery vasculitis, periostitis, subacute epididymoorchitis, arthritis, and myositis. He met diagnostic criteria for polyarteritis nodosa and was treated with cyclophosphamide, methylprednisolone, and tocilizumab, which resulted in improvement of his inflammatory markers, radiographic findings, and physical symptoms after treatment. To the authors’ knowledge, this is the first report of vertebral artery vasculitis in polyarteritis nodosa as well as successful treatment of the condition using the combination cyclophosphamide and tocilizumab for this condition.

  16. A Case of Polyarteritis Nodosa Associated with Vertebral Artery Vasculitis Treated Successfully with Tocilizumab and Cyclophosphamide.

    Science.gov (United States)

    Watanabe, Kae; Rajderkar, Dhanashree A; Modica, Renee F

    2016-01-01

    Pediatric polyarteritis nodosa is rare systemic necrotizing arteritis involving small- and medium-sized muscular arteries characterized by aneurysmal dilatations involving the vessel wall. Aneurysms associated with polyarteritis nodosa are common in visceral arteries; however intracranial aneurysms have also been reported and can be associated with central nervous system symptoms, significant morbidity, and mortality. To our knowledge extracranial involvement of the vertebral arteries has not been reported but has the potential to be deleterious due to fact that they supply the central nervous system vasculature. We present a case of a 3-year-old Haitian boy with polyarteritis nodosa that presented with extracranial vessel involvement of his vertebral arteries. After thorough diagnostic imaging, including a bone scan, ultrasound, Magnetic Resonance Imaging/Angiography, and Computed Tomography Angiography, he was noted to have vertebral artery vasculitis, periostitis, subacute epididymoorchitis, arthritis, and myositis. He met diagnostic criteria for polyarteritis nodosa and was treated with cyclophosphamide, methylprednisolone, and tocilizumab, which resulted in improvement of his inflammatory markers, radiographic findings, and physical symptoms after treatment. To the authors' knowledge, this is the first report of vertebral artery vasculitis in polyarteritis nodosa as well as successful treatment of the condition using the combination cyclophosphamide and tocilizumab for this condition. PMID:27018080

  17. Endovascular Treatment of Chronic Mesenteric Ischemia: Results in 14 Patients

    International Nuclear Information System (INIS)

    We evaluated immediate and long-term results of percutaneous transluminal angioplasty (PTA) and stent placement to treat stenotic and occluded arteries in patients with chronic mesenteric ischemia. Fourteen patients were treated by 3 exclusive celiac artery (CA) PTAs (2 stentings), 3 cases with both Superior Mesenteric Artery (SMA) and CA angioplasties, and 8 exclusive SMA angioplasties (3 stentings). Eleven patients had atheromatous stenoses with one case of an early onset atheroma in an HIV patient with antiphospholipid syndrome. The other etiologies of mesenteric arterial lesions were Takayashu arteritis (2 cases) and a postradiation stenoses (1 case). Technical success was achieved in all cases. Two major complications were observed: one hematoma and one false aneurysm occurring at the brachial puncture site (14.3%). An immediate clinical success was obtained in all patients. During a follow-up of 1-83 months (mean: 29 months), 11 patients were symptom free; 3 patients had recurrent pain; in one patient with inflammatory syndrome, pain relief was obtained with medical treatment; in 2 patients abdominal pain was due to restenosis 36 and 6 months after PTA, respectively. Restenosis was treated by PTA (postirradiation stenosis), and by surgical bypass (atheromatous stenosis). Percutaneous endovascular techniques are safe and accurate. They are an alternative to surgery in patients with chronic mesenteric ischemia due to short and proximal occlusive lesions of SMA and CA

  18. Pachymeningeal enhancement-a comprehensive review of literature.

    Science.gov (United States)

    Antony, Joyce; Hacking, Craig; Jeffree, Rosalind L

    2015-10-01

    Pachymeningeal enhancement, synonymous with dural enhancement, is a radiological feature best appreciated on a contrast-enhanced magnetic resonance imaging (MRI). The vasculature of the dura mater is permeable, facilitating avid uptake of contrast agent and subsequent enhancement. Thin, discontinuous enhancement can be normal, seen in half the normal population. In patients complaining of postural headaches worse on sitting, gadolinium-enhanced MRI findings of diffuse pachymeningeal enhancement is highly suggestive of benign intracranial hypotension. In these cases, the process of pachymeningeal enhancement is explained by the Monro-Kellie doctrine as compensatory volume changes by vasocongestion and interstitial oedema of the dura mater due to decreased cerebrospinal fluid (CSF) pressure. Focal and diffuse pachymeningeal enhancement can also be attributed to infectious or inflammatory, neoplastic and iatrogenic aetiologies. Correction of the underlying pathology often results in spontaneous resolution of the pachymeningeal enhancement. There have also been reports of pachymeningeal enhancement associated with cerebral venous sinus thrombosis, temporal arteritis, baroreceptor reflex failure syndrome and arteriovenous fistulae. PMID:26264063

  19. Autoimmune diseases in pregnancy: maternal and fetal outcomes

    Directory of Open Access Journals (Sweden)

    Pavithra M. Vengetesh

    2015-02-01

    Full Text Available Background: The aim of this study was to assess the impact of autoimmune connective tissue disorders on the outcomes of pregnancy and the influence of treatment on pregnancy. Methods: Thirty-seven antenatal patients with autoimmune connective tissue diseases, comprising of Systemic Lupus Erythematosus (SLE, primary antiphospholipid antibody syndrome (APS, Mixed Connective Tissue Diseases (MCTD, ankylosing spondylitis and Takayasu arteritis were analysed. Results: Multigravidas constituted 89.4% and were associated with bad obstetric history. Before diagnosis and treatment, serious maternal complications of eclampsia and thromboembolism were observed in patients with SLE and APS. The live birth rates were 9% and 2.4% respectively in patients with SLE and APS. With appropriate treatment- aspirin, heparin and immunosuppressant, the live birth rates were raised to 70% in SLE and 100% in APS patients. Investigation for autoimmune disease in recurrent pregnancy loss is important. A rare association between MCTD and congenital anomaly - Rhizomelic chondrodysplasia punctata was observed. Preeclampsia, gestational diabetes, fetal growth restriction and preterm labour were the common complications noted. Conclusions: Active disease at onset of pregnancy, presence of Anti-ds DNA antibodies and secondary APS were strong predictors of poor pregnancy outcomes among patients with SLE. Vigilant monitoring during pregnancy is required for favourable outcomes. [Int J Reprod Contracept Obstet Gynecol 2015; 4(1.000: 9-14

  20. A SUCCESSFULLY TREATED CASE OF MOYA MOYA DISEASE

    Directory of Open Access Journals (Sweden)

    Yashodhara

    2015-01-01

    Full Text Available Moyamoya disease is a rare cerebrovascular disease characterized by progressive occlusive cerebral arteritis affecting the distal internal carotid arteries near the circle of Willis. A collateral circulation develops around the blocked vessels which appear as a "pu ff of smoke". Incidence is variable depending on the geographical location. The clinical features of Moyamoya disease are recurrent transient ischemic attacks (TIAs, strokes, sensorimotor paralysis, convulsions and/or migraine - like headaches. Magnetic resonance imaging (MRI and MR Angiogram (MRA should be performed for the diagnosis and follow - up of Moyamoya disease. Neurosurgical proceures like Encephalo myo synangiosis (EMS, multiple burr holes and some direct procedures are useful to reestablish new circulation after a few weeks. The long term outlook for patients with treated Moyamoya seems to be good. Once major stroke or bleeding take place, even with treatment, the patient may be left with permanent loss of function . So it is very important to treat this condition promptly. Herewith, we are reporting a 15 month old child with history of right focal adversive seizures, 3 - 4 events a month followed by post ictal drowsiness. Imaging studies revealed a vascular insult with infarct in the left fronto parietal lobes as well as multiple infarcts in other regions of the brain. MR Angio Brain revealed Moya moya disease. Child was successfully managed by prompt referral to Neurosurgical C entre where he underwent EMS and he is under their follow up.

  1. Multiple Changes of Gene Expression and Function Reveal Genomic and Phenotypic Complexity in SLE-like Disease.

    Science.gov (United States)

    Wilbe, Maria; Kozyrev, Sergey V; Farias, Fabiana H G; Bremer, Hanna D; Hedlund, Anna; Pielberg, Gerli R; Seppälä, Eija H; Gustafson, Ulla; Lohi, Hannes; Carlborg, Örjan; Andersson, Göran; Hansson-Hamlin, Helene; Lindblad-Toh, Kerstin

    2015-06-01

    The complexity of clinical manifestations commonly observed in autoimmune disorders poses a major challenge to genetic studies of such diseases. Systemic lupus erythematosus (SLE) affects humans as well as other mammals, and is characterized by the presence of antinuclear antibodies (ANA) in patients' sera and multiple disparate clinical features. Here we present evidence that particular sub-phenotypes of canine SLE-related disease, based on homogenous (ANA(H)) and speckled ANA (ANA(S)) staining pattern, and also steroid-responsive meningitis-arteritis (SRMA) are associated with different but overlapping sets of genes. In addition to association to certain MHC alleles and haplotypes, we identified 11 genes (WFDC3, HOMER2, VRK1, PTPN3, WHAMM, BANK1, AP3B2, DAPP1, LAMTOR3, DDIT4L and PPP3CA) located on five chromosomes that contain multiple risk haplotypes correlated with gene expression and disease sub-phenotypes in an intricate manner. Intriguingly, the association of BANK1 with both human and canine SLE appears to lead to similar changes in gene expression levels in both species. Our results suggest that molecular definition may help unravel the mechanisms of different clinical features common between and specific to various autoimmune disease phenotypes in dogs and humans. PMID:26057447

  2. Multiple Changes of Gene Expression and Function Reveal Genomic and Phenotypic Complexity in SLE-like Disease.

    Directory of Open Access Journals (Sweden)

    Maria Wilbe

    2015-06-01

    Full Text Available The complexity of clinical manifestations commonly observed in autoimmune disorders poses a major challenge to genetic studies of such diseases. Systemic lupus erythematosus (SLE affects humans as well as other mammals, and is characterized by the presence of antinuclear antibodies (ANA in patients' sera and multiple disparate clinical features. Here we present evidence that particular sub-phenotypes of canine SLE-related disease, based on homogenous (ANA(H and speckled ANA (ANA(S staining pattern, and also steroid-responsive meningitis-arteritis (SRMA are associated with different but overlapping sets of genes. In addition to association to certain MHC alleles and haplotypes, we identified 11 genes (WFDC3, HOMER2, VRK1, PTPN3, WHAMM, BANK1, AP3B2, DAPP1, LAMTOR3, DDIT4L and PPP3CA located on five chromosomes that contain multiple risk haplotypes correlated with gene expression and disease sub-phenotypes in an intricate manner. Intriguingly, the association of BANK1 with both human and canine SLE appears to lead to similar changes in gene expression levels in both species. Our results suggest that molecular definition may help unravel the mechanisms of different clinical features common between and specific to various autoimmune disease phenotypes in dogs and humans.

  3. Google-driven search for big data in autoimmune geoepidemiology: analysis of 394,827 patients with systemic autoimmune diseases.

    Science.gov (United States)

    Ramos-Casals, Manuel; Brito-Zerón, Pilar; Kostov, Belchin; Sisó-Almirall, Antoni; Bosch, Xavier; Buss, David; Trilla, Antoni; Stone, John H; Khamashta, Munther A; Shoenfeld, Yehuda

    2015-08-01

    Systemic autoimmune diseases (SADs) are a significant cause of morbidity and mortality worldwide, although their epidemiological profile varies significantly country by country. We explored the potential of the Google search engine to collect and merge large series (>1000 patients) of SADs reported in the Pubmed library, with the aim of obtaining a high-definition geoepidemiological picture of each disease. We collected data from 394,827 patients with SADs. Analysis showed a predominance of medical vs. administrative databases (74% vs. 26%), public health system vs. health insurance resources (88% vs. 12%) and patient-based vs. population-based designs (82% vs. 18%). The most unbalanced gender ratio was found in primary Sjögren syndrome (pSS), with nearly 10 females affected per 1 male, followed by systemic lupus erythematosus (SLE), systemic sclerosis (SSc) and antiphospholipid syndrome (APS) (ratio of nearly 5:1). Each disease predominantly affects a specific age group: children (Kawasaki disease, primary immunodeficiencies and Schonlein-Henoch disease), young people (SLE Behçet disease and sarcoidosis), middle-aged people (SSc, vasculitis and pSS) and the elderly (amyloidosis, polymyalgia rheumatica, and giant cell arteritis). We found significant differences in the geographical distribution of studies for each disease, and a higher frequency of the three SADs with available data (SLE, inflammatory myopathies and Kawasaki disease) in African-American patients. Using a "big data" approach enabled hitherto unseen connections in SADs to emerge. PMID:25842074

  4. PSEUDOANEURYSM OF INTERNAL ILIAC ARTERY

    Directory of Open Access Journals (Sweden)

    Seema Khanna

    2014-04-01

    Full Text Available An unusual cause of vaginal beeding after total abdominal hysterectomy is being reported. Histopathology revealed adenomyosis uteri and bilateral ovarian cyst. On examination there was a single lump in the hypogastrium and left iliac fossa. Auscultation revealed a faint continuous hum. On digital rectal examination, a bulge was felt, while per vaginum examination revealed mucosal congestion and bulging of mucosa. Ultrasound revealed a mass posterior to the urinary bladder. Duplex study demonstrated the yin-yang sign suggestive of a pseudo-aneurysm .CT Angiography was confirmatory and demonstrated a pseudoaneurysm arising from the left internal iliac artery. Patient underwent surgery.Postoperative period was uneventful . The commonest cause of IIA aneurysm is atherosclerosis. Other causes are arteritis ,collagen vascular disease, infection, trauma. An important subgroup is young females, who have undergone difficult delivery, forceps delivery or caesarian section or abdominal hysterectomy IIA aneurysms are usually discovered incidentally on pelvic imaging for any other indication. Surgery is the mainstay of treatment but endovascular procedures are gaining ground . [Natl J Med Res 2014; 4(2.000: 181-182

  5. A well-balanced finite volume scheme for 1D hemodynamic simulations

    CERN Document Server

    Delestre, Olivier

    2011-01-01

    We are interested in simulating blood flow in arteries with variable elasticity with a one dimensional model. We present a well-balanced finite volume scheme based on the recent developments in shallow water equations context. We thus get a mass conservative scheme which also preserves equilibria of Q=0. This numerical method is tested on analytical tests. Nous nous int\\'eressons \\`a la simulation d'\\'ecoulements sanguins dans des art\\`eres dont les parois sont \\`a \\'elasticit\\'e variable. Ceci est mod\\'elis\\'e \\`a l'aide d'un mod\\`ele unidimensionnel. Nous pr\\'esentons un sch\\'ema "volume fini \\'equilibr\\'e" bas\\'e sur les d\\'eveloppements r\\'ecents effectu\\'es pour la r\\'esolution du syst\\`eme de Saint-Venant. Ainsi, nous obtenons un sch\\'ema qui pr\\'eserve le volume de fluide ainsi que les \\'equilibres au repos: Q=0. Le sch\\'ema introduit est test\\'e sur des solutions analytiques.

  6. Advances in epidemiology, etiology and pathogenesis of Kawasaki disease%川崎病流行病学、病因和发病机制的新进展

    Institute of Scientific and Technical Information of China (English)

    杨波; 朱义杰(综述); 罗军; 张召艳(审校)

    2014-01-01

    川崎病(KD)是一种以急性全身血管炎为主要病理变化的疾病,好发于6个月至4岁的婴幼儿。KD主要累及冠状动脉,导致动脉瘤和血栓形成,引起严重的并发症甚至猝死。目前KD的病因和发病机制尚不完全清楚。文章就KD的流行病学、病因、发病机制及易感因素等新进展作一综述。%Kawasaki disease (KD) is an acute systemic vasculitis that primarily affects young children between 6 months and 4 years old. Coronary arteritis is an important clinical feature of KD because it is associated with aneurysms and thromboembolic events that can lead to severe complications, even sudden death. To date, the etiology and pathogenesis of Kawasaki disease has not been understood completely. In this paper, we will review the recent advances in epidemiology, etiology, pathogenesis and genetic susceptibility of Kawasa-ki disease.

  7. The radiation experiment for Lac insects

    International Nuclear Information System (INIS)

    Two kinds of lac insect (Kerria chinensis, K.lacca) were radiated in this radiation experiment. The different stage of lac insect (larva, adult) are radiated by several dosages of Co 60. Tests showed that lac insects in the second stage are all dead after radiation of 500-2 000 rad, female insect of K.chinensis with pregnancy egg time 2-3 stage radiated by 1000 rad can produce new generation. Female insect of K.lacca with pregnancy egg time 5-6 stage radiated by 11 000 rad occasionally produce new generation. The egg amount and amount of secreting lac are similar to those of the normal, effective production and sex ratio are higher than those of the normal, group density on branch is lower than the normal in the generation of K.lacca after radiation. The sex ratio of the female, group density on branch are higher than those of the normal, egg amount and amount of secreting lac are normal in the generation of K.chinensis arter radiation. (author)

  8. Disease patterns and incidence of immune-mediated disease in insured Swedish Nova Scotia Duck Tolling Retrievers.

    Science.gov (United States)

    Bremer, H D; Vilson, Å; Bonnett, B N; Hansson-Hamlin, H

    2015-07-18

    In this study, morbidity in insured Nova Scotia Duck Tolling Retriever (NSDTR) dogs from Sweden was investigated and compared with all other breeds and other retriever breeds. In addition to describing common morbidities in NSDTRs, the hypotheses that NSDTRs are predisposed to lymphoma, immune-mediated rheumatic disease (IMRD) and steroid-responsive meningitis-arteritis (SRMA) were tested. Included in the study were 445,336 dogs; of which, 2890 were NSDTRs that had been covered by veterinary insurance from the Agria Insurance Company (Stockholm, Sweden) at some point during the years 1995-2006. Incidences of various health problems were calculated using the number of veterinary visits as the numerator and the exact time at risk as the denominator. Overall, morbidity was higher in NSDTRs compared with all other breeds, but similar compared with other retriever breeds. The most common causes of veterinary visits in NSDTRs were injuries, gastrointestinal disease and locomotor disorders, with NSDTRs at increased risk of these compared with all other breeds. The incidences for IMRD, SRMA and lymphoma were significantly higher in NSDTRs than in all other dog breeds and all other retriever breeds. The study describes morbidity in NSDTRs, and identifies several disorders to which the breed is predisposed. PMID:26089352

  9. ENDOTHELIAL DYSFUNCTION IN YOUNG NORMOTENSIVE SUBJECTS WITH A FAMILY HISTORY OF ESSENTIAL HYPERTENSION

    Institute of Scientific and Technical Information of China (English)

    李丽君; 余卓文; 耿淑仁; 王志勇; 李骞; 段学蕴; 乔义超

    2002-01-01

    Objective To investigate whether endothelial dysfunction occurred in genetically vulnerable normotensive patients. Methods Endothelial function was assessed by high-resolution vascular ultrasound. The diameter of brachial arter i es were measured at rest, during reactive hyperemia and after sublingual nitrogl ycerine (GTN) in 70 young subjects with a mean age of 44.7 ( 12.1 years. Among t hem, there were 30 patients with essential hypertension (group 1), 20 normotensi ve patients with a family history of hypertension (group 2) and 20 normotensive patients without a family history of cardiovascular diseases that served as cont rols (group 3). Results Flow-mediated dilatation of brachial arteries was sig nificantly reduced in-group 1 and 2 when compared to group 3 (Group 1: 6.8( 3.9 vs group 2:8.0 (3.6 vs group 3:13.2 (5.9%, P<0.01). Conclusion Endothelium-dependent vasodilatation was impaired in the young normotensive patients with a family history of hypertension.

  10. Bilateral acute retinal necrosis after herpetic meningitis

    Directory of Open Access Journals (Sweden)

    Katsura T

    2012-04-01

    Full Text Available Keisho Hirota1,2, Masayuki Akimoto1,3, Toshiaki Katsura21Department of Ophthalmology, Kyoto Medical Center, National Hospital Organization, 2Internal Medicine, Kyoto Medical Center, 3Clinical Research Center, Kyoto Medical Center, Kyoto, JapanPurpose: The report of a case of bilateral acute retinal necrosis after herpetic meningitis.Case report: A 47-year-old man was admitted with the chief complaint of persistent high fever and transient loss of consciousness. Although his general condition improved after intravenous acyclovir administration, the patient presented with visual loss in both eyes 4 days after admission. Visual acuity in his right eye was 20/200 and his left eye had light perception alone. Both eyes showed panretinal arteritis diagnosed as acute retinal necrosis. Panretinal photocoagulation was performed for both eyes. Progression of retinal detachment was prevented in both eyes; however, visual acuity of the left eye was totally lost because of neovascular glaucoma. Visual acuity of the right eye recovered to 20/20.Conclusion: Although cases of bilateral acute retinal necrosis have been reported after herpetic encephalitis, this condition is rare after herpetic meningitis. Prophylactic acyclovir therapy and early panretinal photocoagulation may prevent retinal detachment and improve the prognosis. Neurologists and ophthalmologists should be aware that not only herpetic encephalitis but also herpetic meningitis can lead to acute retinal necrosis within a very short interval.Keywords: acute retinal necrosis, herpetic meningitis, herpes simplex, varicella zoster virus

  11. The imaging and pathologic diagnosis of Fahr disease

    International Nuclear Information System (INIS)

    Objective: To further improve the recognition to the imaging and histological findings and genetics characteristics of Fahr disease, and to analyze the pathogenesis of cystification. Methods: The epidemiological investigations were performed in 3 (2 females, 1 male) patients. Two patients were confirmed by surgicopathology combining with the clinical representation and laboratorial examination, 1 patient was diagnosed by the clinical and laboratorial examination. Combining with review of related literature, the histological features and pathogenesis of complications (including cystification and hemorrhage) and genetics characters were analysed. Results: The imaging examination demonstrated that Fahr disease mainly presented the symmetrical calcification in bilateral basal nuclei areas and subcortex in 3, furthermore, the bilateral calcification of dentatum in 1 and the unilateral in 1, the cystification in 2 (one in the right frontal lobe, the other in the left parietal lobe). The content of blood calcium and serum inorganic phosphorus was normal in the laboratorial examination. The pathological examinations revealed the siderocytes caused by chronic hemorrhage and some small vessels that most were hyalinosis and a few were fibrinoid necrosis, and that there were sand-like and irregular calcification inner or around vessel wall, thrombosis in vessel cavity and arteritis, and that hemosiderin aggregated in the cystic wall. Conclusion: Most of Fahr disease can be diagnosed according to the imaging features combining with laboratorial examination. The hemorrhage and cystification in the brain should be regarded as the complications of Fahr disease. CT has higher diagnostic value than X-ray plain film and MRI because of higher density resolution. (authors)

  12. Økologisk risikovurdering af genmodificeret insektresistent majs MON89034 i anmeldelse vedr. markedsføring til import for viderebearbejdning og til dyrkning under Forordning 1829/2003/EF

    DEFF Research Database (Denmark)

    Kjellsson, Gøsta; Damgaard, Christian; Sørensen, Jesper Givskov

    2012-01-01

    "Den genmodificerede, dobbelt insektresistente MON89034-majs adskiller sig fra konventionel majs ved at have indsat gener der gør planterne resistente mod angreb af majsmøllet og beslægtede sommerfugle såsom majsboreren, der dog for nærværende ikke er et skadedyr i Danmark. GM-majsen søges godkendt...... nærheden af GMO-markerne. Hvis der skulle ske en utilsigtet spredning af frø fra MON89034-majsen i Danmark, vil de fremspirede GM-majsplanter dog ikke kunne krydse med vilde arter eller etablere vedvarende bestande i naturen. DCE, BIOSCIENCE vurderer samlet, at der kun kan forventes begrænsede eller ingen...... effekter på sommerfuglefaunaen i og nær dyrkningsarealerne. BIOSCIENCE kommentarer til EFSA: DCE, Bioscience’s environmental risk assessment conclude that only limited or no adverse environmental consequences are to be expected on animal- and plant life from import and marketing of the insect-resistant MON...

  13. Analysis of Oxidative Stress Enzymes and Structural and Functional Proteins on Human Aortic Tissue from Different Aortopathies

    Science.gov (United States)

    Soto, María Elena; Soria-Castro, Elizabeth; Guarner Lans, Verónica; Muruato Ontiveros, Eleazar; Iván Hernández Mejía, Benjamín; Jorge Martínez Hernandez, Humberto; Barragán García, Rodolfo; Herrera, Valentín; Pérez-Torres, Israel

    2014-01-01

    The role of oxidative stress in different aortopathies is evaluated. Thirty-two tissue samples from 18 men and 14 women were divided into: 4 control (C) subjects, 11 patients with systemic arterial hypertension (SAH), 4 with variants of Marfan's syndrome (MV), 9 with Marfan's syndrome (M), 2 with Turner's syndrome, and 2 with Takayasu's arteritis (TA). Aorta fragments were homogenized. Lipoperoxidation (LPO), copper-zinc and manganese superoxide dismutase (Mn and Cu-Zn-SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione S-transferase (GST), endothelial nitric oxide synthase (eNOS), nitrates and nitrites (NO3−/NO2−), and type IV collagen, and laminin were evaluated. There was an increase in Mn- and Cu-Zn-SOD activity in SAH, MV, M, and Turner's syndrome. There was also an increase in CAT activity in M and Turner' syndrome. GPx and GST activity decreased and LPO increased in all groups. eNOS was decreased in SAH, MV, and M and NO3−/NO2− were increased in SAH and TA. Type IV collagen was decreased in Turner's syndrome and TA. Laminin γ-1 was decreased in MV and increased in M. In conclusion, similarities and differences in oxidative stress in the different aortopathies studied including pathologies with aneurysms were found with alterations in SOD, CAT, GPx, GST, and eNOS activity that modify subendothelial basement membrane proteins. PMID:25101153

  14. CT and MR findings in HIV-negative neurosyphilis

    International Nuclear Information System (INIS)

    Background and purpose: The purpose of this study was to describe and evaluate neuroimaging findings of patients with neurosyphilis. Methods: The neuroimaging studies of 14 patients with documented neurosyphilis were reviewed. Diagnosis was established in 14 patients with cerebrospinal fluid for a Treponema Pallidum Particle Agglutination (TPPA) test. All patients had reactive TPPA and Unheated Serum Regain test (USR) in their sera. Imaging studies included plain, contrast-enhanced CT of the brain, plain and gadolinium-enhanced MR, and MR angiography. Results: In the 14 HIV-negative patients with neurosyphilis, CT and MR showed the presence of cerebral infarction in six cases, arteritis in four cases, nonspecific white matter lesion in three cases, acute syphilitic meningitis in one case and normal neuroimaging finding in one case. In addition, 4 in 14 patients had general paresis, and MRI showed high signal intensity on T2 -weighted images involving frontotemporal lobes, hippocampus and periventricular area. Treatment with penicillin significantly diminished the size of these high signal intensity on T2-weighted images with general paresis. Conclusion: These results suggest that MR and CT images have some characteristic manifestations in patients of neurosyphilis. Because early diagnosis and treatment of neurosyphilis are crucial to avoid persistent brain damage, the neuroimaging findings are valuable adjunct to clinical diagnosis and to provide useful information to follow-up after therapy

  15. Udviklingen i forekomsten af vandfugle i Skjern Enge i efterårene 2002-2011

    DEFF Research Database (Denmark)

    Bregnballe, Thomas; Amstrup, Ole; Bak, Mogens;

    Naturgenopretningen i Skjern Enge blev afsluttet i 2002, og denne rapport belyser udviklingen i efterårsforekomsten af trækkende vandfugle gennem de 10 efterfølgende år samt områdets betydning for denne gruppe af fugle. Med forekomster på op til 7.000-16.000 individer har svømmeænder været den...... fuglegruppe, der først og fremmest har draget fordel af de nye vådområder. Skjern Enge har dog også været et vigtigt raste- og/eller fødesøgningsområde for hejrer, svaner, gæs, blishøns og enkelte arter af vadefugle. Mange af arterne er fortsat med at optræde i forholdsvise høje antal gennem perioden fra...... samlede udnyttelse af området påvirket af om vandstanden generelt var høj eller lav i de enkelte efterår. Det konkluderes, at naturgenopretningen i væsentlig grad har bidraget til at forbedre levevilkårene for trækkende vandfugle i Ringkøbing Fjord-området, og Skjern Enge bedømmes til at være blevet...

  16. Radiology of ischemic strokes in children

    International Nuclear Information System (INIS)

    Arterial ischemic strokes are a relatively frequent diagnostic occurrence in pediatric neuroradiology. They occur mostly in three main etiologic contexts: 1) congenital heart disease; 2) neonatal distress; 3) infections, focal or general inducing vasculitis, but many cases are considered as idiopathic. The positive diagnosis is made by CT; in neonates, however, ultrasound appears as a promising tool. The CT features are basically similar at that age and in adults, although the site of the infarct may result from pathologies more particular to children (e.g. basal ganglia infarction due to arteritis of the carotid syphon and its branches). Infarcts may be multiple and also more frequently hemorrhagic at that age, the homorrhagic phenomena affecting only the gray matter except in young infants in which the subcortical white matter may be affected also. Anatomical sequels include focal atrophy and asymmetry of the brain. Data regarding the etiology can be gathered from angiography which may show the degree of impairment of the arterial bed, its extent, the collateral blood supply and the morphological type of arterial lesion responsible for the cerebral damage. The most particular picture at that age is that of the often diffuse vasculitis, with its various expressions (segmental narrowing of the lumen, dissecting aneurysm, string-of-beads appearance). (orig.)

  17. Radiology of ischemic strokes in children

    International Nuclear Information System (INIS)

    Arterial ischemic strokes are a relatively frequent diagnostic occurrence in pediatric neuroradiology. They occur mostly in three main etiologic contexts: 1) congenital heart disease; 2) neonatal distress; 3) infections, focal or general inducing vasculitis, but many cases are considered idiopathic. The positive diagnosis is made by CT; in neonates, however, ultrasound appears as a promising tool. The CT features are basically similar at that age and in adults, although the site of the infarct may result from pathologies more particular to children (e.g. basal ganglia infarction due to arteritis of the carotid siphon and its branches). Infarcts may be multiple and also more frequently hemorrhagic at that age, the hemorrhagic phenomena affecting only the gray matter except in young infants in which the subcortical white matter may be affected also. Anatomical sequels include focal atrophy and asymmetry of the brain. Data regarding the etiology can be gathered from angiography which may show the degree of impairment of the arterial bed, its extent, the collateral blood supply and the morphological types of arterial lesion responsible for the cerebral damage. The most particular picture at that age is that of the often diffuse vasculitis, with its various expressions (segmental narrowing of the lumen, dissecting aneurysm, string-of-beads appearance)

  18. Analysis of Oxidative Stress Enzymes and Structural and Functional Proteins on Human Aortic Tissue from Different Aortopathies

    Directory of Open Access Journals (Sweden)

    María Elena Soto

    2014-01-01

    Full Text Available The role of oxidative stress in different aortopathies is evaluated. Thirty-two tissue samples from 18 men and 14 women were divided into: 4 control (C subjects, 11 patients with systemic arterial hypertension (SAH, 4 with variants of Marfan’s syndrome (MV, 9 with Marfan’s syndrome (M, 2 with Turner’s syndrome, and 2 with Takayasu’s arteritis (TA. Aorta fragments were homogenized. Lipoperoxidation (LPO, copper-zinc and manganese superoxide dismutase (Mn and Cu-Zn-SOD, catalase (CAT, glutathione peroxidase (GPx, glutathione S-transferase (GST, endothelial nitric oxide synthase (eNOS, nitrates and nitrites (NO3−/NO2−, and type IV collagen, and laminin were evaluated. There was an increase in Mn- and Cu-Zn-SOD activity in SAH, MV, M, and Turner’s syndrome. There was also an increase in CAT activity in M and Turner’ syndrome. GPx and GST activity decreased and LPO increased in all groups. eNOS was decreased in SAH, MV, and M and NO3−/NO2− were increased in SAH and TA. Type IV collagen was decreased in Turner’s syndrome and TA. Laminin γ-1 was decreased in MV and increased in M. In conclusion, similarities and differences in oxidative stress in the different aortopathies studied including pathologies with aneurysms were found with alterations in SOD, CAT, GPx, GST, and eNOS activity that modify subendothelial basement membrane proteins.

  19. Discovery of an essential nucleotidylating activity associated with a newly delineated conserved domain in the RNA polymerase-containing protein of all nidoviruses.

    Science.gov (United States)

    Lehmann, Kathleen C; Gulyaeva, Anastasia; Zevenhoven-Dobbe, Jessika C; Janssen, George M C; Ruben, Mark; Overkleeft, Hermen S; van Veelen, Peter A; Samborskiy, Dmitry V; Kravchenko, Alexander A; Leontovich, Andrey M; Sidorov, Igor A; Snijder, Eric J; Posthuma, Clara C; Gorbalenya, Alexander E

    2015-09-30

    RNA viruses encode an RNA-dependent RNA polymerase (RdRp) that catalyzes the synthesis of their RNA(s). In the case of positive-stranded RNA viruses belonging to the order Nidovirales, the RdRp resides in a replicase subunit that is unusually large. Bioinformatics analysis of this non-structural protein has now revealed a nidoviral signature domain (genetic marker) that is N-terminally adjacent to the RdRp and has no apparent homologs elsewhere. Based on its conservation profile, this domain is proposed to have nucleotidylation activity. We used recombinant non-structural protein 9 of the arterivirus equine arteritis virus (EAV) and different biochemical assays, including irreversible labeling with a GTP analog followed by a proteomics analysis, to demonstrate the manganese-dependent covalent binding of guanosine and uridine phosphates to a lysine/histidine residue. Most likely this was the invariant lysine of the newly identified domain, named nidovirus RdRp-associated nucleotidyltransferase (NiRAN), whose substitution with alanine severely diminished the described binding. Furthermore, this mutation crippled EAV and prevented the replication of severe acute respiratory syndrome coronavirus (SARS-CoV) in cell culture, indicating that NiRAN is essential for nidoviruses. Potential functions supported by NiRAN may include nucleic acid ligation, mRNA capping and protein-primed RNA synthesis, possibilities that remain to be explored in future studies. PMID:26304538

  20. Evaluation of a microsphere-based immunofluorescence assay for the determination of Immunoglobulin A concentrations in cerebrospinal fluid of dogs.

    Science.gov (United States)

    Roerig, A; Carlson, R; Tipold, A

    2013-02-01

    The simultaneous increase of immunoglobulin A (IgA) in serum and cerebrospinal fluid (CSF) is a characteristic finding in dogs suffering from canine steroid-responsive meningitis-arteritis (SRMA). The study aimed at developing and evaluating a microsphere-based immunofluorescence assay (MIA) for the measurement of IgA, trying to fulfill the need of a quicker method using only small volumes of CSF. Microsphere beads were coated with goat-anti-dog IgA antibodies and bound IgA was detected by a mouse-anti-dog IgA antibody in combination with a PE-labeled goat-anti-mouse IgG. CSF from 44 dogs were tested for IgA and compared with an in-house utilized ELISA. Using clinical relevant reference ranges, the new method showed a good agreement (84.17%) with the ELISA. A method comparison revealed a moderate agreement only. These findings indicate that the MIA will not replace the ELISA, but it opens the possibility for further research with microsphere-based assays. PMID:22858001

  1. The solitary sellar plasmacytoma: a diagnostic challenge

    Directory of Open Access Journals (Sweden)

    Anne Soejbjerg

    2016-06-01

    Full Text Available Solitary sellar plasmacytomas are exceedingly rare and difficult to distinguish from other pituitary tumors. We report a case of a 62-year-old woman presenting with blurred vision of the right eye and tenderness of the right temporal region, which was interpreted as temporal arteritis. MRI revealed a pituitary mass lesion (20mm×14mm×17mm without compression of the optic chiasm and her pituitary function was normal. Pituitary surgery was undertaken due to growth of the lesion, and histopathological examination showed a highly cellular neoplasm composed of mature monoclonal plasma cells. Subsequent examinations revealed no evidence of extrasellar myeloma. The patient received pituitary irradiation and has remained well and free of symptoms apart from iatrogenic central diabetes insipidus. Until now, only eight cases of solitary sellar plasmacytoma have been reported. Most frequent symptoms stem from compression of the cranial nerves in the cavernous sinus (III, IV, V, whereas the anterior pituitary function is mostly intact.

  2. Comparison between Adventitial and Intimal Inflammation of Ruptured and Nonruptured Atherosclerotic Plaques in Human Coronary Arteries

    Directory of Open Access Journals (Sweden)

    Higuchi Maria L.

    2002-01-01

    Full Text Available OBJECTIVE: To verify the possible role of adventitial inflammation in atherosclerotic plaque vulnerability and coronary artery remodelling. METHODS: We compared the mean numbers of lymphocytes in the adventitia and in the plaque of ruptured thrombosed and stable equi-stenotic coronary segments of 34 patients who died due to acute myocardial infarction. We also analysed adventitial microvessels, adventitial fibrosis and the external elastic membrane. RESULTS: In the adventitia, the numbers of lymphocytes and microvessels/mm² were 69.5±88.3 and 60.9± 32.1 in culprit lesions and 16.4 ± 21.1 and 44.3±16.1 in stable lesions (p<0.05; within the plaques, the mean number of lymphocytes was 24±40.8 in culprit lesions and 10.9±13.2 in stable ones (p=0.17. The mean percent area of adventitial fibrosis/cross-sectional area of the vessel was significantly lower in unstable plaques (p<0.001. The confocal images showed holes in the external elastic membrane. CONCLUSION: Unstable plaques exhibit chronic pan-arteritis, accompanied by enlargement, medial thinning, and less fibrosis than in stable lesions, which is compatible with vessel aneurysm. Adventitial inflammation may contribute significantly to atheroma instability.

  3. Inflamed temporal artery: histologic findings in 354 biopsies, with clinical correlations.

    Science.gov (United States)

    Cavazza, Alberto; Muratore, Francesco; Boiardi, Luigi; Restuccia, Giovanna; Pipitone, Nicolò; Pazzola, Giulia; Tagliavini, Elena; Ragazzi, Moira; Rossi, Giulio; Salvarani, Carlo

    2014-10-01

    We reviewed 888 temporal artery biopsies (TAB) performed in 871 patients in a single institution from January 1986 to December 2013. Forty-four biopsies (4.9%) were inadequate, 490 (55.2%) were devoid of inflammation and were considered negative, and 354 (39.9%) showed inflammation and were considered positive. On the basis of the localization of the inflammation, positive TABs were further classified into 4 categories: small vessel vasculitis (SVV), in which inflammation was limited to small periadventitial vessels devoid of muscular coat, with sparing of the temporal artery (32 cases, 9% of the positive biopsies); vasa vasorum vasculitis (VVV), in which inflammation was limited to the adventitial vasa vasorum (23 cases, 6.5% of the positive biopsies); inflammation limited to adventitia (ILA), in which inflammation extended from a strictly perivascular localization to the surrounding adventitia, without medial involvement (25 cases, 7% of the positive biopsies); and transmural inflammation (TMI), in which inflammation crossed the external elastic lamina and extended to the media (274 cases, 77.5% of the positive biopsies). In TMI, inflammation was generally more prominent between media and adventitia and mostly consisted of T lymphocytes and macrophages, with occasionally a significant number of plasma cells. Numerous eosinophils or neutrophils (with or without leucocytoclasia and suppurative necrosis), fibrinoid necrosis (limited to small branches of the temporal artery), and acute thrombosis were unusual, being present in 8%, 1.8%, 0.7%, and 9.5% of our biopsies with TMI, respectively. Giant cells, laminar necrosis, and calcifications prevailed along the internal elastic lamina and were present in 74.8%, 25.2%, and 20% of the biopsies with TMI, respectively. Among the 322 patients with positive TAB on whom we obtained clinical information, 317 had giant cell arteritis and 5 had a different disease: 3 (with SVV at histology) had ANCA-associated vasculitis, 1

  4. Biodiversity and springtime patterns of egg production and development for parasites of the Chisana Caribou herd, Yukon Territory, Canada

    Directory of Open Access Journals (Sweden)

    Bryanne Hoar

    2009-12-01

    ¬søkte artsammensetning, egg/oocysteproduksjon og parasittutvikling i et område sørvest i Yukon, Canada, der Chisana caribou’en holder til. Møkkprøver fra 50 voksne simler, holdt i en midlertidig inngjerding i det naturlige beiteområdet ved Bondary Lake, ble samlet og analysert i løpet av fem prøveperioder. Parasitter fra minst seks slekter ble funnet: materialet omfattet egg av Trichostrongylidae-arter (mest sannsynlig Ostertagia gruehneri og Teledorsagia boreoarcti¬cus, Marshallagia-art, Anaplocephalidae-bendelmark og Skrjabinema-art, oocyster av Eimeria-arter, og ryggpiggete førstestadiums Protostrongylidae-larver, bl.a. av Parelaphostrongylus andersoni. I ferske møkkprøver var prosentvis tilstedeværelse av Trichostrongylidae-egg nesten 100 % gjennom prøveperioden, men median intensitet (parasittmengde økte statistisk signifikant fra 8 til 34 egg per gram under kalvingens mest intense periode og avtok til 12 egg per gram to uker etter kalving. Møkk fra forsøkssimlene ble den 4. mai plassert i tre felt utenfor området der simlene ble holdt inngjerdet, og undersøkt hver tiende dag for å følge parasittutviklingen under naturlige betingelser. Det totale antall av egg + larver Trichostrongylidae i feltene forandret seg ikke; larvemengden økte samtidig som eggmengden avtok. Tilstedeværelsen av andre parasitter i feltene forble også konstant over tid. Vår studie er den første til å dokumentere parasittdiversiteten i Chisanavillreinen og å undersøke utviklingen og overlevelsen av egg og larver gjennom vår og tidlig sommer.

  5. Heterogeneity of Human Research Ethics Committees and Research Governance Offices across Australia: An observational study

    Directory of Open Access Journals (Sweden)

    Elisabeth De Smit

    2016-02-01

    Full Text Available Background Conducting ethically grounded research is a fundamental facet of all investigations. Nevertheless, the administrative burdens of current ethics review are substantial, and calls have been made for a reduction in research waste. Aims To describe the heterogeneity in administration and documentation required by Human Research Ethics Committees (HRECs and Research Governance Offices (RGOs across Australia. Methods In establishing a nationwide study to investigate the molecular aetiology of Giant Cell Arteritis (GCA, for which archived pathological specimens from around Australia are being recruited, we identified variation across separate HREC and RGO requirements. Submission paperwork and correspondence from each collaborating site and its representative office for research were reviewed. This data was interrogated to evaluate differences in current guidelines. Results Twenty-five pathology departments across seven Australian States collaborated in this study. All states, except Victoria, employed a single ethics review model. There was discrepancy amongst HRECs as to which application process applied to our study: seven requested completion of a “National Ethics Application Form” and three a “Low Negligible Risk” form. Noticeable differences in guidelines included whether electronic submission was sufficient. There was variability in the total number of documents submitted (range five to 22 and panel review turnaround time (range nine to 136 days. Conclusion We demonstrate the challenges and illustrate the heavy workload involved in receiving widespread ethics and governance approval across Australia. We highlight the need to simplify, homogenise, and nationalise human ethics for non-clinical trial studies. Reducing unnecessary administration will enable investigators to achieve research aims more efficiently

  6. STUDY OF EXTERNAL DIAMETER OF CRURAL ARTERIES AND THEIR CLINICAL SIGNIFICANCE

    Directory of Open Access Journals (Sweden)

    Deepali D.

    2012-12-01

    Full Text Available ABSTRACT: BACKGROUND: Popliteal artery, continuation of femoral artery situated in popliteal fossa, divides into anterior tibial artery (ATA and posterior ti bial artery (PTA at the lower border of popliteus muscle. The external diameter of these arteries and the peroneal artery (PeA may vary and are inversely proportional to one another. Variations in arterial supply to the leg and foot depends on, hypoplast ic/aplastic conditions of these arteries, resulting in compensatory hypertrophy of other artery. AIMS: The aim of present study is to measure external diameter of crural arteries and correlate these results with the clinical significance. MATERIALS & METHO DS: The study was done by dissection method on 100 lower limbs (50 right, 50 left of embalmed human cadavers, at department of Anatomy, Kempegowda Institute of Medical Sciences, Bangalore and medical colleges in and around Bangalore. In each specimen the external diameter of crural arteries were measured with the help of sliding calipers and findings noted down. Data analyzed by applying statistical method. RESULTS: Diameter of ATA was greater than PeA and PTA in all the specimens studied. The crural arter ies were classified on the basis of their diameters into strong, intermediate & small. The study showed crural arteries with intermediate diameter constituted the major group and 13 different patterns were noticed. CONCLUSION: The results of the present st udy indicate the compensatory mechanism exists with regards to hypoplastic/aplastic conditions of a vessel leading to increase in the diameter of the other artery. This results in variation in the arterial distribution to leg and foot with clinical signifi cance

  7. Asymmetric severity of diabetic retinopathy in Waardenburg syndrome: response to authors

    Directory of Open Access Journals (Sweden)

    Gupta A

    2012-03-01

    Full Text Available Aditi Gupta, Rajiv Raman, Tarun SharmaShri Bhagwan Mahavir Department of Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, IndiaWe read with great interest the recent article by Kashima et al,1 in which the authors report a case of asymmetric severity of diabetic retinopathy in Waardenburg syndrome. We want to highlight some concerns regarding this report. Previous reports have described many systemic and local factors associated with the development of asymmetric diabetic retinopathy.2,3 These include myopia ≥5 D, anisometropia >1 D, amblyopia, unilateral elevated intraocular pressure, complete posterior vitreous detachment, unilateral carotid artery stenosis, ocular ischemic syndrome, and chorioretinal scarring.2,3 In any suspected case of asymmetric diabetic retinopathy, it is prudent to rule out the abovementioned factors first. In the present case, although the authors clearly mention the absence of internal carotid and ophthalmic artery obstruction on magnetic resonance angiography, it would have been more informative if the authors had also provided the refractive error, intraocular pressure, and posterior vitreous detachment status of both the eyes.Likewise, it would have been useful to note the arm-retina time and retinal arteriovenous filling time in both the eyes on fundus fluorescein angiography, which is usually used to diagnose ocular ischemic syndrome by monitoring extension of the retinal circulation time, including time of blood circulation from the arm to the retina and the retinal arteriovenous filling time.4,5 The mere absence of internal carotid obstruction on magnetic resonance angiography cannot rule out the presence of ocular ischemic syndrome because, rarely, ocular ischemic syndrome can also occur secondary to other causes, such as arteritis.6,7 Comparing the arm-retina time and retinal arteriovenous filling time on fundus fluorescein angiography in both the eyes would be more helpful to rule out ocular

  8. Breast Gangrene

    Directory of Open Access Journals (Sweden)

    Husasin Irfan

    2011-08-01

    Full Text Available Abstract Background Breast gangrene is rare in surgical practice. Gangrene of breast can be idiopathic or secondary to some causative factor. Antibiotics and debridement are used for management. Acute inflammatory infiltrate, severe necrosis of breast tissue, necrotizing arteritis, and venous thrombosis is observed on histopathology. The aim of was to study patients who had breast gangrene. Methods A prospective study of 10 patients who had breast gangrene over a period of 6 years were analyzed Results All the patients in the study group were female. Total of 10 patients were encountered who had breast gangrene. Six patients presented with breast gangrene on the right breast whereas four had on left breast. Out of 10 patients, three had breast abscess after teeth bite followed by gangrene, one had iatrogenic trauma by needle aspiration of erythematous area of breast under septic conditions. Four had history of application of belladonna on cutaneous breast abscess and had then gangrene. All were lactating female. Amongst the rest two were elderly, one of which was a diabetic who had gangrene of breast and had no application of belladonna. All except one had debridement under cover of broad spectrum antibiotics. Three patients had grafting to cover the raw area. Conclusion Breast gangrene occurs rarely. Etiology is variable and mutifactorial. Teeth bite while lactation and the iatrogenic trauma by needle aspiration of breast abscess under unsterlised conditions could be causative. Uncontrolled diabetes can be one more causative factor for the breast gangrene. Belladonna application as a topical agent could be inciting factor. Sometimes gangrene of breast can be idiopathic. Treatment is antibiotics and debridement.

  9. Viral Encephalitis Pediatric Patient with Secondary Hypertension:A Case Report and Literature Review%儿童病毒性脑炎合并继发性高血压一例报道及文献复习

    Institute of Scientific and Technical Information of China (English)

    闻卓岩

    2014-01-01

    Viral encephalitis is a kind of common pediatric infectious disease of the central nervous system , the clinical manifestations include headache , convulsion , coma and other symptoms , mortality and morbidity are high.Prevalence of pediat-ric secondary hypertension increased gradually in recent years , which is due to kidney disease.The children in this case has sec-ondary hypertension induced by Takayasu arteritis and renal artery malformation.The case was asymptomatic , secondary hyperten-sion was not found until severe viral encephalitis was diagnosed , which is uncommon in clinical practice.This article provided a brief introduction of the course of this case , in order to provide a reference for the doctors of primary hospital.%病毒性脑炎是小儿常见中枢神经系统感染性疾病,可表现为头痛、惊厥、昏迷等症状,病死率及致残率均较高。儿童继发性高血压近年来也逐年增多,以肾脏疾病多见。本例患儿为多发性大动脉炎及肾动脉畸形所致继发性高血压。既往无症状未发现,在合并重度病毒性脑炎时才发现,在临床中较少见。本文简要介绍此例患儿发病过程,为基层医院医生提供借鉴。

  10. [Headache].

    Science.gov (United States)

    Godin, O

    1976-01-01

    Headache is an alarm symptom, whether there is an organic disease (lesional headache) or a perturbation of one of the various functions of the head (functional headache). Lesional headaches follow a sinusitis or an arthrosis, or accompany a "temporal arteritis of Horton". Functional headaches include several varieties. 1. Trigemellar neuralgia. 2. Vascular algia originating from the basal arteries, the large cerebral venous sinuses or the branches of the external carotid. Among these are: a) headaches due to a dilatation of the internal wall, causing "Horton headache", migrain-like psychosomatic migraine and hormonal migraines (premenstrual, menstrual, menopausal or linked to the use of contraceptive pills); b) headaches caused by an angiospasm of the arteriole, which is the case in exposure to the cold, in traumatic headaches (malfunction of temporomandibular articulation, dry alveolitis), in psychosomatic angiospastic algias and in ethmoidal artery algias previously described by the author in 1949 (Godin's disease). 3. Headaches due to psychic hypertension. 4. Postconcussional psychogenic headaches. 5. Neurotic headaches. The author gives a detailed description of the subjective symptoms in each case, including localisation, form, intensity, duration course and associated phenomenons. This facilitates greatly the differential diagnosis and the choice of complementary examinations. Necessary biological investigations should be performed (e.g. hormonal balance). One should however avoid to increase the number of complementary examinations which would only delay treatment and would expose patients to somatisation. Furthermore, in each case drug treatment, periarterial infiltration technics of the temporal, internal frontal, facial, mastoid and occipital arteries are described. The necessity of questioning the patient at length and to listen to him to enable him to verbalise conscious conflicts is emphasized. A serious medicopsychological examination and a relaxation

  11. CRDC: a Chinese rheumatology research platform.

    Science.gov (United States)

    Li, Mengtao; Tian, Xinping; Zhang, Wen; Leng, Xiaomei; Zeng, Xiaofeng

    2015-08-01

    This review introduces the history of development, organizational structure, funding resources, data collection, and quality control of the Chinese Rheumatism Data Center (CRDC) and summarizes the collection of data. In 2009, Peking Union Medical College Hospital (PUMCH), together with several rheumatism centers, established the Chinese Systemic Lupus Erythematosus (SLE) Treatment and Research Group (CSTAR) to collect data on Chinese patients for the study of SLE disease characteristics. In 2011, CSTAR was extended with the formation of the CRDC at PUMCH with direction from the National Health and Family Planning Commission of the PRC. The CRDC currently includes 300 registration sites and 50 regional sites that have successively begun to collect data on 12 rheumatic diseases, including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), ankylosing spondylitis (AS), systemic sclerosis, dermatomyositis, Takayasu arteritis, IgG4-related diseases, ANCA-associated vasculitis, gout, polyarteritis nodosa, unclassified systemic vasculitis, and Behcet disease. To date, 17,224 patients have been enrolled in the CRDC. Based on the SLE patients registered in the CRDC, papers investigating basic demographic characteristics and first symptom in Chinese SLE patients, risk factors of pulmonary hypertension, correlations between autoantibodies and clinical manifestations, and factors related to fetal loss have been published. The CRDC is a national registry that provides real-life data to improve clinical decision-making. At the same time, without additional work for the clinician, the CRDC is a powerful research database. The CRDC database provides sufficient information for Chinese clinical studies on rheumatology. Moreover, a mobile device application ensures convenient and efficient data collection without compromising data quality, thereby providing strong evidence-based data for the diagnosis and treatment of Chinese rheumatic patients. PMID:26160265

  12. Zn(2+ inhibits coronavirus and arterivirus RNA polymerase activity in vitro and zinc ionophores block the replication of these viruses in cell culture.

    Directory of Open Access Journals (Sweden)

    Aartjan J W te Velthuis

    Full Text Available Increasing the intracellular Zn(2+ concentration with zinc-ionophores like pyrithione (PT can efficiently impair the replication of a variety of RNA viruses, including poliovirus and influenza virus. For some viruses this effect has been attributed to interference with viral polyprotein processing. In this study we demonstrate that the combination of Zn(2+ and PT at low concentrations (2 µM Zn(2+ and 2 µM PT inhibits the replication of SARS-coronavirus (SARS-CoV and equine arteritis virus (EAV in cell culture. The RNA synthesis of these two distantly related nidoviruses is catalyzed by an RNA-dependent RNA polymerase (RdRp, which is the core enzyme of their multiprotein replication and transcription complex (RTC. Using an activity assay for RTCs isolated from cells infected with SARS-CoV or EAV--thus eliminating the need for PT to transport Zn(2+ across the plasma membrane--we show that Zn(2+ efficiently inhibits the RNA-synthesizing activity of the RTCs of both viruses. Enzymatic studies using recombinant RdRps (SARS-CoV nsp12 and EAV nsp9 purified from E. coli subsequently revealed that Zn(2+ directly inhibited the in vitro activity of both nidovirus polymerases. More specifically, Zn(2+ was found to block the initiation step of EAV RNA synthesis, whereas in the case of the SARS-CoV RdRp elongation was inhibited and template binding reduced. By chelating Zn(2+ with MgEDTA, the inhibitory effect of the divalent cation could be reversed, which provides a novel experimental tool for in vitro studies of the molecular details of nidovirus replication and transcription.

  13. Imaging of systemic vasculitis in childhood

    International Nuclear Information System (INIS)

    The term ''systemic vasculitis'' encompasses a diverse set of diseases linked by the presence of blood-vessel inflammation that are often associated with critical complications. These diseases are uncommon in childhood and are frequently subjected to a delayed diagnosis. Although the diagnosis and treatment may be similar for adult and childhood systemic vasculitides, the prevalence and classification vary according to the age group under investigation. For example, Kawasaki disease affects children while it is rarely encountered in adults. In 2006, the European League Against Rheumatism (EULAR) and the Pediatric Rheumatology European Society (PReS) proposed a classification system for childhood vasculitis adopting the system devised in the Chapel Hill Consensus Conference in 1993, which categorizes vasculitides according to the predominant size of the involved blood vessels into small, medium and large vessel diseases. Currently, medical imaging has a pivotal role in the diagnosis of vasculitis given recent developments in the imaging of blood vessels. For example, early diagnosis of coronary artery aneurysms, a serious complication of Kawasaki disease, is now possible by magnetic resonance imaging (MRI) of the heart and multidetector computed tomography (MDCT); positron emission tomography/CT (PET/CT) helps to assess active vascular inflammation in Takayasu arteritis. Our review offers a unique approach using the integration of the proposed classification criteria for common systemic childhood vasculitides with their most frequent imaging findings, along with differential diagnoses and an algorithm for diagnosis based on common findings. It should help radiologists and clinicians reach an early diagnosis, therefore facilitating the ultimate goal of proper management of affected children. (orig.)

  14. Management and Prevention of Herpes Zoster Ocular Disease.

    Science.gov (United States)

    Cohen, Elisabeth J

    2015-10-01

    Herpes zoster (HZ) is caused by reactivation of latent varicella zoster virus (VZV) in people who have had chicken pox, usually resulting in a painful, unilateral, dermatomal, vesicular rash. Herpes zoster ophthalmicus occurs when the first division of cranial nerve V is involved. HZ is common, with approximately 1 million new cases per year in the United States, and occurs in 1 in 3 persons. Although the rate of HZ increases with age, over half of all cases occur under the age of 60 years. Complications of herpes zoster ophthalmicus include eye disease, postherpetic neuralgia (PHN), and strokes. VZV has also been found in temporal arteritis biopsies. There is growing evidence that HZ is followed by chronic active VZV infection contributing to these complications. In view of this, and the efficacy of suppressive antiviral treatment in reducing recurrent herpes simplex keratitis, a randomized controlled trial of suppressive valacyclovir to reduce new or worsening anterior segment disease and/or PHN is needed. The zoster vaccine (ZV) is safe and effective in reducing the burden of illness, severity of PHN, and incidence of HZ. It is Centers for Disease Control and Prevention recommended for persons aged 60 years and above without impaired cellular immunity, and Food and Drug Administration approved for those aged 50 and older. It is most effective in preventing HZ in recipients in their 50s. Because of underusage of the ZV, it has not impacted the epidemiology of the disease. Barriers to its use include cost, variable reimbursement, frozen storage, and lack of a strong recommendation by doctors. PMID:26114827

  15. Pulmonary Involvement in Rheumatic Diseases: HRCT Findings

    Directory of Open Access Journals (Sweden)

    Serhat Avcu

    2011-05-01

    Full Text Available Aim: Systemic rheumatic disease (SRD may affect all the components of the pulmonary system. This study was designed to investigate the frequency and pattern of pulmonary involvement of systemic collagen tissue diseases. Material and Methods: A total of 128 patients -44 with rheumatoid arthritis (RA, 8 with giant cell arteritis, 14 with systemic lupus erythematosus (SLE, 8 with juvenile chronic arthritis, 24 with ankylosing spondylitis (AS, 6 with scleroderma, 12 with Behcet’s disease, 4 with mixed connective tissue disease (MCTD, 4 with polymyositis and 4 with dermatomyositis- who had presented to the Department of Physical Medicine and Rehabilitation/Rheumatology between January 2007 and December 2008 were included in the study. All the ptients were informed about the study in detail and all gave written consent before enrollment. HRCT was performed in all patients. Results: Pulmonary involvement was detected in 21 patients with RA (48%, in 8 patients withcSLE (57%, in 16 patients with AS (67%, in 4 patients with scleroderma (67%, and in 4 patients with MCTD (50%. No pulmonary involvement was observed in patients with Behçet’s disease, polymyositis and dermatomyositis. Conclusions: Our results suggest that patients with SRD may present with pulmonary involvement in varying degrees. Pulmonary symptoms may be underdiagnosed due to limited capacity of exercise secondary to musculoskeletal involvement. Therefore, a routine pulmonary X-ray should be performed in the process of the diagnosis and prior to treatment, even in the lack of complaints suggesting pulmonary involvement. Further investigations including HRCT should be performed if needed. 

  16. Serosurveillance of infectious agents in equines of the Central Valley of Costa Rica.

    Science.gov (United States)

    Jiménez, D; Romero-Zuñiga, J J; Dolz, G

    2014-01-01

    Blood samples from 181 equines from the Central Valley of Costa Rica were collected in the year 2012 to determine the presence of antibodies against selected infectious agents in horses and to determine the risk factors associated with these agents. The presence of antibodies against Equine Infectious Anemia Virus (EIAV), Equine Herpes Virus 1 and 4 (EHV-1 and EHV-4), West Nile Virus (WNV), Influenza A Virus (IAV), Equine Viral Arteritis Virus (EVAV), Babesia caballi, Theileria equi, Neospora caninum and Chlamydia abortus was determined using commercial assays, and risk factors associated with seropositivity to the different infectious agents was established. The most seroprevalent agent detected was EHV-4 (96.7%), followed by WNV (44.2%), and IAV (41.8%). Horses >3 years, used for work or sports, and with access to pastures, had significantly increased probability to be seropositive to WNV, whereas horses used for breeding and recreational purposes, being stabled, and without access to pastures, had significantly greater probability to be seropositive to IAV. Seroprevalence to B. caballi (19.9%) was lower than to T. equi (38.1%). For B. caballi, access to pastures was determined as a risk factor, whereas being older than 3 years was established as a risk factor for T. equi. Low seroprevalences were determined for EHV-1 (5.0%), EVAV (5.0%), C. abortus (4.8%), and N. caninum (4.4%). Mares having history of abortion were more likely to be seropositive to EHV-1, whereas horses >3 years, used for work and sports, and mares having multiple parturitions, were more likely to be seropositive to N. caninum. None of the horses were seropositive to EIAV. Earlier, only diseases caused by EIAV, WNV and piroplasmosis were reported in Costa Rica. The present study however, determined the presence of carriers for EHV-1, EHV-4, and EIAV. PMID:26623349

  17. Serosurveillance of infectious agents in equines of the Central Valley of Costa Rica

    Directory of Open Access Journals (Sweden)

    D. Jiménez

    2014-11-01

    Full Text Available Blood samples from 181 equines from the Central Valley of Costa Rica were collected in the year 2012 to determine the presence of antibodies against selected infectious agents in horses and to determine the risk factors associated with these agents. The presence of antibodies against Equine Infectious Anemia Virus (EIAV, Equine Herpes Virus 1 and 4 (EHV-1 and EHV-4, West Nile Virus (WNV, Influenza A Virus (IAV, Equine Viral Arteritis Virus (EVAV, Babesia caballi, Theileria equi, Neospora caninum and Chlamydia abortus was determined using commercial assays, and risk factors associated with seropositivity to the different infectious agents was established. The most seroprevalent agent detected was EHV-4 (96.7%, followed by WNV (44.2%, and IAV (41.8%. Horses >3 years, used for work or sports, and with access to pastures, had significantly increased probability to be seropositive to WNV, whereas horses used for breeding and recreational purposes, being stabled, and without access to pastures, had significantly greater probability to be seropositive to IAV. Seroprevalence to B. caballi (19.9% was lower than to T. equi (38.1%. For B. caballi, access to pastures was determined as a risk factor, whereas being older than 3 years was established as a risk factor for T. equi. Low seroprevalences were determined for EHV-1 (5.0%, EVAV (5.0%, C. abortus (4.8%, and N. caninum (4.4%. Mares having history of abortion were more likely to be seropositive to EHV-1, whereas horses >3 years, used for work and sports, and mares having multiple parturitions, were more likely to be seropositive to N. caninum. None of the horses were seropositive to EIAV. Earlier, only diseases caused by EIAV, WNV and piroplasmosis were reported in Costa Rica. The present study however, determined the presence of carriers for EHV-1, EHV-4, and EIAV.

  18. Imaging of systemic vasculitis in childhood

    Energy Technology Data Exchange (ETDEWEB)

    Soliman, Magdy [The Hospital for Sick Children, Department of Medical Imaging, Toronto, ON (Canada); Cairo University, Department of Medical Imaging, Cairo (Egypt); Laxer, Ronald; Yeung, Rae [The Hospital for Sick Children, Department of Rheumatology, Toronto, ON (Canada); Manson, David; Doria, Andrea S. [The Hospital for Sick Children, Department of Medical Imaging, Toronto, ON (Canada)

    2015-08-15

    The term ''systemic vasculitis'' encompasses a diverse set of diseases linked by the presence of blood-vessel inflammation that are often associated with critical complications. These diseases are uncommon in childhood and are frequently subjected to a delayed diagnosis. Although the diagnosis and treatment may be similar for adult and childhood systemic vasculitides, the prevalence and classification vary according to the age group under investigation. For example, Kawasaki disease affects children while it is rarely encountered in adults. In 2006, the European League Against Rheumatism (EULAR) and the Pediatric Rheumatology European Society (PReS) proposed a classification system for childhood vasculitis adopting the system devised in the Chapel Hill Consensus Conference in 1993, which categorizes vasculitides according to the predominant size of the involved blood vessels into small, medium and large vessel diseases. Currently, medical imaging has a pivotal role in the diagnosis of vasculitis given recent developments in the imaging of blood vessels. For example, early diagnosis of coronary artery aneurysms, a serious complication of Kawasaki disease, is now possible by magnetic resonance imaging (MRI) of the heart and multidetector computed tomography (MDCT); positron emission tomography/CT (PET/CT) helps to assess active vascular inflammation in Takayasu arteritis. Our review offers a unique approach using the integration of the proposed classification criteria for common systemic childhood vasculitides with their most frequent imaging findings, along with differential diagnoses and an algorithm for diagnosis based on common findings. It should help radiologists and clinicians reach an early diagnosis, therefore facilitating the ultimate goal of proper management of affected children. (orig.)

  19. Radiological findings of dissecting aneurysm -a correlative study of CT with angiography-

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Tae Yeong; Park, Jae Hyung; Kim, Seung Hyup; Han, Man Chung [College of Medicine, Seoul National University, Seoul (Korea, Republic of)

    1987-06-15

    This study comprised 16 patients with aortic dissecting aneurysm who were admitted to Seoul National University Hospital from May 1984 to January 1987. CT findings in 16 cases of aortic dissecting aneurysm were correlated with angiographic findings retrospectively. The results were analysed. 1. Number of male was 11 and that of female was 5. Male patients in fifties were most common and 4 in number. 13 patients had hypertension or history of hypertension among 14 patients. There were one case of Marfan's syndrome, preeclampsia and Takayasu's arteritis respectively. 2. There were 5 cases of DeBakey type I, 1 case of type II and 9 cases of types III dissecting aneurysm. Type III was most common. 3. CT confirmed as superior vena cava which was not identified whether it was superior vena cava or unopacified false lumen by angiography in one case. Regarding distal extent, authors defined A whose extent was proximal to diaphragm and B beyond it for convenience sake. There was one false negative case in CT among 16 cases which was diagnosed as dissecting aneurysm type IIIB by angiography and confirmed as type III surgically. One case was diagnosed as type IB by CT and as type IIIB by angiography and confirmed as type I surgically. Extent was more accurate in CT than angiography. One case was diagnosed as type II by CT but misdiagnosed as right atrial tumor by angiography. 4. Diagnostic sensitivities of CT and angiography in this study were 94% (15/16) respectively. CT was more advantageous in hemothorax, hemopericardium, hemomediastinum, unopacified false lumen, aortic wall calcification and getting information about mediastinum. In angiography aortic regurgitation and tear site and involvement of abdominal vessels could be observed.

  20. Radiological findings of dissecting aneurysm -a correlative study of CT with angiography-

    International Nuclear Information System (INIS)

    This study comprised 16 patients with aortic dissecting aneurysm who were admitted to Seoul National University Hospital from May 1984 to January 1987. CT findings in 16 cases of aortic dissecting aneurysm were correlated with angiographic findings retrospectively. The results were analysed. 1. Number of male was 11 and that of female was 5. Male patients in fifties were most common and 4 in number. 13 patients had hypertension or history of hypertension among 14 patients. There were one case of Marfan's syndrome, preeclampsia and Takayasu's arteritis respectively. 2. There were 5 cases of DeBakey type I, 1 case of type II and 9 cases of types III dissecting aneurysm. Type III was most common. 3. CT confirmed as superior vena cava which was not identified whether it was superior vena cava or unopacified false lumen by angiography in one case. Regarding distal extent, authors defined A whose extent was proximal to diaphragm and B beyond it for convenience sake. There was one false negative case in CT among 16 cases which was diagnosed as dissecting aneurysm type IIIB by angiography and confirmed as type III surgically. One case was diagnosed as type IB by CT and as type IIIB by angiography and confirmed as type I surgically. Extent was more accurate in CT than angiography. One case was diagnosed as type II by CT but misdiagnosed as right atrial tumor by angiography. 4. Diagnostic sensitivities of CT and angiography in this study were 94% (15/16) respectively. CT was more advantageous in hemothorax, hemopericardium, hemomediastinum, unopacified false lumen, aortic wall calcification and getting information about mediastinum. In angiography aortic regurgitation and tear site and involvement of abdominal vessels could be observed

  1. Renal Angioplasty in Non-atheromatous Renal Artery Stenosis: Technical Results and Clinical Outcome in 43 Patients

    International Nuclear Information System (INIS)

    This study retrospectively reviewed the technical and clinical results of percutaneous transluminal renal artery angioplasty (PTRA) for non-atheromatous renal artery stenosis (RAS) in a Tertiary Renal Referral Centre. Forty-three patients (including 9 children) underwent 49 PTRA procedures for stenoses of 63 arteries over the period 1984-2001 (14 patients had bilateral stenosis treated during one procedure. There were 29 females and 14 males (age range 1-72 years, median 37 years). The etiology of the RAS was classical beaded FMD (medial fibroplasia) in 24, atypical or 'variant FMD' with a more focal stenosis (intimal fibroplasia) in 11, neurofibromatosis type 1 (NF) in 7 and Takayasu's Arteritis in 1. Five of the NF patients had angioplasty for stenoses following vascular repair procedures. A technically good result was obtained in 34/34 arteries with 'classical' RAS, 9/13 atypical arteries, 11/15 arteries of NF patients and in the one Takayasu's case. Clinical follow-up for a mean of 16 months revealed a cure rate of hypertension in classical FMD of 35% with improvement in a further 55%. In the atypical FMD cases, follow-up was obtained on 6 patients with 2 cures and the other 4 demonstrating benefit. There was a better chance of cure in younger patients. In native artery PTRA in children with NF, only 1 out of 3 patients was 'cured' post-PTRA, and 2 out of 3 failed. However, in postsurgical stenoses in NF patients 1 out of 4 patients was 'cured' and 3 out of 4 improved. In conclusion, classical FMD responds well to PTRA with better results in younger patients. Atypical FMD, especially in children and when associated with NF, is less predictable. Stenoses consequent to revascularization surgery respond well to PTRA

  2. Sequential bilateral retinal artery occlusion

    Directory of Open Access Journals (Sweden)

    Padrón-Pérez N

    2014-04-01

    Full Text Available Noel Padrón-Pérez,1 Janny Rosario Aronés,2 Silvia Muñoz,1 Luis Arias-Barquet,1 Jorge Arruga1,31Department of Ophthalmology, Hospital Universitari de Bellvitge, 2Hospital de l'Esperança – Parc de Salut Mar, 3Institut Català de Retina, Barcelona, SpainAbstract: An 86 year old woman experienced a sequential bilateral loss of vision over a period of less than 24 hours. Clinical findings and complementary studies suggested a bilateral atherogenic embolic event. Initially, she presented a superior branch retinal artery occlusion in her right eye followed by a central retinal artery occlusion with cilioretinal artery sparing in her left eye. Some conservative maneuvers performed did not improve visual acuity in the left eye. Supra-aortic Doppler ultrasonography revealed mild right internal carotid artery stenosis and moderate left internal carotid artery stenosis with a small, smooth, and homogeneous plaque. The transthoracic echocardiography showed a severe calcification of the mitral valve with a mild-moderate rim of stenosis. Central retinal artery occlusion and branch retinal artery occlusion are characterized by painless monocular loss of vision. Clinical approach and management attempt to treat the acute event, find the source of the vascular occlusion, and prevent further vascular events from occurring. Giant cell arteritis is a potentially treatable cause of central retinal artery occlusion and should be excluded in every single patient over 50 years old.Keywords: loss of vision, branch retinal artery occlusion, central retinal artery occlusion, Hollenhorst plaque

  3. Biogenesis and architecture of arterivirus replication organelles.

    Science.gov (United States)

    van der Hoeven, Barbara; Oudshoorn, Diede; Koster, Abraham J; Snijder, Eric J; Kikkert, Marjolein; Bárcena, Montserrat

    2016-07-15

    All eukaryotic positive-stranded RNA (+RNA) viruses appropriate host cell membranes and transform them into replication organelles, specialized micro-environments that are thought to support viral RNA synthesis. Arteriviruses (order Nidovirales) belong to the subset of +RNA viruses that induce double-membrane vesicles (DMVs), similar to the structures induced by e.g. coronaviruses, picornaviruses and hepatitis C virus. In the last years, electron tomography has revealed substantial differences between the structures induced by these different virus groups. Arterivirus-induced DMVs appear to be closed compartments that are continuous with endoplasmic reticulum membranes, thus forming an extensive reticulovesicular network (RVN) of intriguing complexity. This RVN is remarkably similar to that described for the distantly related coronaviruses (also order Nidovirales) and sets them apart from other DMV-inducing viruses analysed to date. We review here the current knowledge and open questions on arterivirus replication organelles and discuss them in the light of the latest studies on other DMV-inducing viruses, particularly coronaviruses. Using the equine arteritis virus (EAV) model system and electron tomography, we present new data regarding the biogenesis of arterivirus-induced DMVs and uncover numerous putative intermediates in DMV formation. We generated cell lines that can be induced to express specific EAV replicase proteins and showed that DMVs induced by the transmembrane proteins nsp2 and nsp3 form an RVN and are comparable in topology and architecture to those formed during viral infection. Co-expression of the third EAV transmembrane protein (nsp5), expressed as part of a self-cleaving polypeptide that mimics viral polyprotein processing in infected cells, led to the formation of DMVs whose size was more homogenous and closer to what is observed upon EAV infection, suggesting a regulatory role for nsp5 in modulating membrane curvature and DMV formation. PMID

  4. DNA vaccines encoding the envelope protein of West Nile virus lineages 1 or 2 administered intramuscularly, via electroporation and with recombinant virus protein induce partial protection in large falcons (Falco spp.).

    Science.gov (United States)

    Fischer, Dominik; Angenvoort, Joke; Ziegler, Ute; Fast, Christine; Maier, Kristina; Chabierski, Stefan; Eiden, Martin; Ulbert, Sebastian; Groschup, Martin H; Lierz, Michael

    2015-01-01

    As West Nile virus (WNV) can cause lethal diseases in raptors, a vaccination prophylaxis of free-living and captive populations is desirable. In the absence of vaccines approved for birds, equine vaccines have been used in falcons, but full protection against WNV infection was not achieved. Therefore, two DNA vaccines encoding the ectodomain of the envelope protein of WNV lineages 1 and 2, respectively, were evaluated in 28 large falcons. Four different vaccination protocols were used, including electroporation and booster-injections of recombinant WNV domain III protein, before challenge with the live WNV lineage 1 strain NY99. Drug safety, plasmid shedding and antibody production were monitored during the vaccination period. Serological, virological, histological, immunohistochemical and molecular biological investigations were performed during the challenge trials. Antibody response following vaccination was low overall and lasted for a maximum of three weeks. Plasmid shedding was not detected at any time. Viremia, mortality and levels, but not duration, of oral virus shedding were reduced in all of the groups during the challenge trial compared to the non-vaccinated control group. Likewise, clinical scoring, levels of cloacal virus shedding and viral load in organs were significantly reduced in three vaccination groups. Histopathological findings associated with WNV infections (meningo-encephalitis, myocarditis, and arteritis) were present in all groups, but immunohistochemical detection of the viral antigen was reduced. In conclusion, the vaccines can be used safely in falcons to reduce mortality and clinical signs and to lower the risk of virus transmission due to decreased levels of virus shedding and viremia, but full protection was not achieved in all groups. PMID:26282836

  5. Ogräs, åkertistlar och taggiga växter

    Directory of Open Access Journals (Sweden)

    Lars Klintwall

    2012-06-01

    Full Text Available Psykiatriska diagnoser är kontroversiella. Vissa, ofta psykiatriker, menar att psykiska tillstånd går att dela upp i distinkta klasser medan andra, ofta psykologer, menar att all sådan uppdelning gör våld på verkligheten. Dessutom har psykiatrin anklagats för att vara moraliserande: vem kan avgöra vad som är sjukt och friskt? Är autism en sjukdom? Utifrån en pragmatisk begreppsanalys är uppdelningen mellan sjukt och friskt nödvändigtvis godtycklig. Precis som när en trädgårdsmästare avgör vad som är ogräs så beror det på situationen och ens syften. Och precis som växterarter ibland är distinkta arter så kan vissa psykiatriska diagnoser vara distinkta klasser, och andra inte. Kanske är autism en avgränsad diagnos, kanske inte. Men ibland är inte artsuppdelning det mest användbara för en trädgårdsmästare, precis som det inte behöver vara det för psykiatrin. Istället kan man formulera nya kategoriseringar helt baserade på pragmatiska hänsyn. Ibland räcker det med taggiga växter och socialt indifferenta barn.

  6. [Polymyalgia rheumatica update, 2015].

    Science.gov (United States)

    Schmidt, Zsuzsa; Poór, Gyula

    2016-01-01

    Polymyalgia rheumatica is an inflammatory musculoskeletal disorder of people aged 50 years or over, characterised by pain, aching and morning stiffness in the shoulder girdle and often hip girdle and neck. Marked systemic inflammation and rapid response to corticosteroid therapy are characteristic features. Giant cell arteritis is a well-known association of polymyalgia rheumatica. Recent clinical evidence and scientific results in the field have provided new challenges for rheumatologists. Besides the aspecific - although characteristic - proximal syndrome, less well recognizable and more variable distal musculoskeletal manifestations were observed. Magnetic resonance and ultrasound studies showed mild, remitting and non-erosive synovitis, with dominating inflammation of the extraarticular synovial structures. As no pathognostic sign is known, the diagnosis of polymyalgia rheumatica is based on its differential diagnosis, differentiation from the polymyalgia mimics; particularly from elderly onset inflammatory arthritides, such as elderly onset rheumatoid arthritis and late onset seronegative spondylarthritis. In 2012 the international polymyalgia rheumatica work group under the guidance of the American College of Rheumatology and European League Against Rheumatism elaborated new classification criteria, the scoring algorythm of which is based on clinical symptoms, with ultrasonography increasing the specificity. Corticosteroids remain the cornerstone of the therapy of polymyalgia rheumatica. No effective steroid-sparing drug has been found to date. Corticosteroids are generally needed for 1-1.5 years, though some patients have a chronic-relapsing course and require corticosteroids for several years. Well known corticosteroid-related side effects (diabetes, hypertension, hyperlipidaemia and osteoporosis) cause significant morbidity and economic burden on the society. Novel therapeautic approaches are on trial. Early recognition of the disease, early start of

  7. Chronic graft-versus-host disease in the rat radiation chimera: I. clinical features, hematology, histology, and immunopathology in long-term chimeras

    International Nuclear Information System (INIS)

    The clinical features, pathology, and immunopathology of chronic graft-versus-host disease (GVHD) developing in the long-term rat radiation chimera are described. At 6 to 12 months post-transplant, the previously stable ACI/LEW chimeras developed patchy to diffuse severe hair loss and thickened skin folds, and had microscopic features resembling scleroderma, Sjogren's syndrome, and chronic hepatitis. Skin histology showed dermal inflammation and acanthosis with atrophy of the appendages, with progression to dermal sclerosis. The liver revealed chronic hepatitis with bile duct injury and proliferation and periportal piecemeal necrosis. The tongue had considerable submucosal inflammation, muscular necrosis, and atrophy and arteritis. The serous salivary glands, lacrimal glands, and bronchi had lymphocytic inflammation and injury to duct, acinar, and mucosal columnar epithelium. The thymus had lymphocyte depletion of the medulla with prominent epithelium. The spleen and lymph nodes had poorly developed germinal centers but increased numbers of plasma cells. IgM was observed along the basement membrane and around the basal cells of the skin and tongue and along the basement membrane of the bile ducts. IgM was present also in the arteries of the tongue. Immunoglobulins eluted from the skin, cross-reacted with the bile duct epithelium and usually with both ACI and Lewis skin. Increased titers of speckled antinuclear antibodies were present in the serum of rats with chronic (GVHD). Chronic GVHD in the long-term rat radiation chimera is very similar to human chronic GVHD and is a potentially excellent model for autoimmune disorders including scleroderma, Sjorgren's syndrome, and chronic hepatitis

  8. [An infected partially thrombosed giant aneurysm of the azygos anterior cerebral artery].

    Science.gov (United States)

    Mishima, K; Watanabe, T; Sasaki, T; Saito, I; Takakura, K

    1990-05-01

    The authors report a case of partially thrombosed giant aneurysm which was secondarily infected with purulent meningitis. The relationship between the infection of the aneurysm, the rapid growth of the aneurysm and the development of severe cerebral edema was discussed. A 53 year-old man was admitted on September 1, 1986, with a diagnosis of bacterial meningitis. On his admission, his body temperature was 39 degrees C, and he showed mental confusion but no neurological deficits. Laboratory data revealed signs of infection in white blood cell count, CRP, and erythrocyte sedimentation rate. Computerized tomographic (CT) scan and magnetic resonance (MR) imaging showed a massive round mass with perifocal edema measuring 40mm in the maximum diameter in the left paramedian frontal region. T1 weighted MR image also showed the presence of pus accumulation in the left ventricle. Cerebral angiography demonstrated a giant aneurysm at the distal portion of the azygos anterior cerebral artery, and irregular narrowing of both the supraclinoid segment of the carotid artery and its main branches indicating arteritis due to purulent meningitis. The patient was treated with ventricular drainage and administration of antibiotics. Culture of the purulent CSF was negative. The patient's lab data, CSF finding and neurological status improved progressively. However, follow-up CT scan and angiogram a month later showed enlargement of the aneurysm, dilatation of the patent lumen and perifocal edema. On October 8, the patient suddenly became comatose with anisocoria. A CT scan showed massive edema with marked midline shift. Emergency bifrontal craniotomy was carried out, and clipping was completed after removal of the thrombosed portion of the aneurysm, and thromboendarterectomy of the aneurysmal neck.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2385324

  9. Whole-body three-dimensional contrast-enhanced magnetic resonance (MR) angiography with parallel imaging techniques on a multichannel MR system for the detection of various systemic arterial diseases.

    Science.gov (United States)

    Lin, Jiang; Chen, Bin; Wang, Jian-Hua; Zeng, Meng-Su; Wang, Yi-Xiang

    2006-11-01

    Using a 1.5-T magnetic resonance (MR) imager equipped with 32 receiving channels and integrated parallel acquisition techniques, 37 patients underwent whole-body three-dimensional (3D) contrast-enhanced MR angiography (WB 3D CE MRA). The patients included had clinically documented or suspected peripheral arterial occlusive disease (PAOD, n = 19), Takayasu arteritis (n = 8), polyarteritis nodosa (n = 1), type-B dissection (n = 4), thoracic and/or abdominal aneurysm (n = 5). Sixty-eight surface coils were employed to encompass the whole body. Four 3D CE MRA stations were acquired successively through automatic table moving. The spatial resolution was 1.6 x 1.0 mm and slice thickness was 1.5 mm for all stations. A total scan range of 188 cm was acquired. Overall image quality of each arterial segment and venous overlay were assessed. The depiction of various systemic arterial diseases was evaluated and compared, in 20 patients, with other imaging modalities. This WB 3D CE MRA yielded a detailed display of the arterial system with an average MR room time of 17.4 min. The image quality was considered diagnostic in 99.3% of the arterial segments. In 7 of 19 patients with PAOD, WB MRA showed additional vascular narrowing apart from peripheral arterial disease. In nine patients with vasculitis, WB MRA depicted luminal irregularity, narrowing or occlusion, aneurysm, and collateral circulation involving multiple vascular segments. WB MRA also clearly revealed the severity and extent of dissection and aortic aneurysm. In 20 cases where additional imaging investigations have been carried out, the vascular pathologies demonstrated by WB MRA agree with these additional imaging investigations. PMID:17143719

  10. Reorganization and expansion of the nidoviral family Arteriviridae.

    Science.gov (United States)

    Kuhn, Jens H; Lauck, Michael; Bailey, Adam L; Shchetinin, Alexey M; Vishnevskaya, Tatyana V; Bào, Yīmíng; Ng, Terry Fei Fan; LeBreton, Matthew; Schneider, Bradley S; Gillis, Amethyst; Tamoufe, Ubald; Diffo, Joseph Le Doux; Takuo, Jean Michel; Kondov, Nikola O; Coffey, Lark L; Wolfe, Nathan D; Delwart, Eric; Clawson, Anna N; Postnikova, Elena; Bollinger, Laura; Lackemeyer, Matthew G; Radoshitzky, Sheli R; Palacios, Gustavo; Wada, Jiro; Shevtsova, Zinaida V; Jahrling, Peter B; Lapin, Boris A; Deriabin, Petr G; Dunowska, Magdalena; Alkhovsky, Sergey V; Rogers, Jeffrey; Friedrich, Thomas C; O'Connor, David H; Goldberg, Tony L

    2016-03-01

    The family Arteriviridae presently includes a single genus Arterivirus. This genus includes four species as the taxonomic homes for equine arteritis virus (EAV), lactate dehydrogenase-elevating virus (LDV), porcine respiratory and reproductive syndrome virus (PRRSV), and simian hemorrhagic fever virus (SHFV), respectively. A revision of this classification is urgently needed to accommodate the recent description of eleven highly divergent simian arteriviruses in diverse African nonhuman primates, one novel arterivirus in an African forest giant pouched rat, and a novel arterivirus in common brushtails in New Zealand. In addition, the current arterivirus nomenclature is not in accordance with the most recent version of the International Code of Virus Classification and Nomenclature. Here we outline an updated, amended, and improved arterivirus taxonomy based on current data. Taxon-specific sequence cut-offs are established relying on a newly established open reading frame 1b phylogeny and pairwise sequence comparison (PASC) of coding-complete arterivirus genomes. As a result, the current genus Arterivirus is replaced by five genera: Equartevirus (for EAV), Rodartevirus (LDV + PRRSV), Simartevirus (SHFV + simian arteriviruses), Nesartevirus (for the arterivirus from forest giant pouched rats), and Dipartevirus (common brushtail arterivirus). The current species Porcine reproductive and respiratory syndrome virus is divided into two species to accommodate the clear divergence of the European and American "types" of PRRSV, both of which now receive virus status. The current species Simian hemorrhagic fever virus is divided into nine species to accommodate the twelve known simian arteriviruses. Non-Latinized binomial species names are introduced to replace all current species names to clearly differentiate them from virus names, which remain largely unchanged. PMID:26608064

  11. Cyclophilin inhibitors block arterivirus replication by interfering with viral RNA synthesis.

    Science.gov (United States)

    de Wilde, Adriaan H; Li, Yanhua; van der Meer, Yvonne; Vuagniaux, Grégoire; Lysek, Robert; Fang, Ying; Snijder, Eric J; van Hemert, Martijn J

    2013-02-01

    Virus replication strongly depends on cellular factors, in particular, on host proteins. Here we report that the replication of the arteriviruses equine arteritis virus (EAV) and porcine reproductive and respiratory syndrome virus (PRRSV) is strongly affected by low-micromolar concentrations of cyclosporine A (CsA), an inhibitor of members of the cyclophilin (Cyp) family. In infected cells, the expression of a green fluorescent protein (GFP) reporter gene inserted into the PRRSV genome was inhibited with a half-maximal inhibitory concentration (IC(50)) of 5.2 μM, whereas the GFP expression of an EAV-GFP reporter virus was inhibited with an IC(50) of 0.95 μM. Debio-064, a CsA analog that lacks its undesirable immunosuppressive properties, inhibited EAV replication with an IC(50) that was 3-fold lower than that of CsA, whereas PRRSV-GFP replication was inhibited with an IC(50) similar to that of CsA. The addition of 4 μM CsA after infection prevented viral RNA and protein synthesis in EAV-infected cells, and CsA treatment resulted in a 2.5- to 4-log-unit reduction of PRRSV or EAV infectious progeny. A complete block of EAV RNA synthesis was also observed in an in vitro assay using isolated viral replication structures. The small interfering RNA-mediated knockdown of Cyp family members revealed that EAV replication strongly depends on the expression of CypA but not CypB. Furthermore, upon fractionation of intracellular membranes in density gradients, CypA was found to cosediment with membranous EAV replication structures, which could be prevented by CsA treatment. This suggests that CypA is an essential component of the viral RNA-synthesizing machinery. PMID:23152531

  12. Salmonelosis no tifoidea y su transmisión a través de alimentos de origen aviar.

    Directory of Open Access Journals (Sweden)

    Catalina Uribe

    2009-11-01

    Full Text Available La infección de origen alimentario por Salmonella spp., es una de las causas más importantes de gastroenteritis en seres humanos. Los principales reservorios de estos microorganismos son animales portadores asintomáticos y las fuentes de infección más frecuente son los alimentos o los productos derivados de estos. El aumento de la incidencia de Salmonella spp., es de gran impacto tanto en salud pública como en salud animal y se ha relacionado con un incremento de la diseminación de los microorganismos a través de las cadenas productivas animales (bovinos, cerdos, pollos asaderos y en especial gallinas ponedoras. En la presente revisión se busca realizar una compilación sistemática de información referida a la gastroenteritis y otras manifestaciones causadas por serovariedades no tíficas de Salmonella spp., con énfasis en la importancia de los alimentos de origen aviar en su transmisión. Las canales de aves frecuentemente pueden estar infectadas con el microorganismo; los huevos se pueden contaminar por transmisión vertical (transovárica, durante la postura o durante la manipulación o el almacenamiento. La infección en el hombre se adquiere por consumo de pollo, huevo crudo o parcialmente cocido, o alimentos preparados con éstos. El cuadro clínico de la salmonelosis no tífica (gastroenteritis o enterocolitis puede incluir diarrea, cefalalgia, dolor abdominal, náusea, vómito, fiebre y deshidratación especialmente en niños y ancianos. Las serovariedades no tíficas de Salmonella spp., pueden causar septicemia, estado portador o infecciones como meningitis, artritis, osteomielitis, colangitis, neumonía, arteritis, endocarditis o infecciones del aparato urinario.

  13. Salmonelosis no tifoidea y su transmisión a través de alimentos de origen aviar

    Directory of Open Access Journals (Sweden)

    Martha Cecilia Suárez

    2006-06-01

    Full Text Available La infección de origen alimentario por Salmonella spp., es una de las causas más importantes de gastroenteritis en seres humanos. Los principales reservorios de estos microorganismos son animales portadores asintomáticos y las fuentes de infección más frecuente son los alimentos o los productos derivados de estos. El aumento de la incidencia de Salmonella spp., es de gran impacto tanto en salud pública como en salud animal y se ha relacionado con un incremento de la diseminación de los microorganismos a través de las cadenas productivas animales (bovinos, cerdos, pollos asaderos y en especial gallinas ponedoras. En la presente revisión se busca realizar una compilación sistemática de información referida a la gastroenteritis y otras manifestaciones causadas por serovariedades no tíficas de Salmonella spp., con énfasis en la importancia de los alimentos de origen aviar en su transmisión. Las canales de aves frecuentemente pueden estar infectadas con el microorganismo; los huevos se pueden contaminar por transmisión vertical (transovárica, durante la postura o durante la manipulación o el almacenamiento. La infección en el hombre se adquiere por consumo de pollo, huevo crudo o parcialmente cocido, o alimentos preparados con éstos. El cuadro clínico de la salmonelosis no tífica (gastroenteritis o enterocolitis puede incluir diarrea, cefalalgia, dolor abdominal, náusea, vómito, fiebre y deshidratación especialmente en niños y ancianos. Las serovariedades no tíficas de Salmonella spp., pueden causar septicemia, estado portador o infecciones como meningitis, artritis, osteomielitis, colangitis, neumonía, arteritis, endocarditis o infecciones del aparato urinario.

  14. Diffusion MR Imaging of Postoperative Bilateral Acute Ischemic Optic Neuropathy

    Energy Technology Data Exchange (ETDEWEB)

    Kannan, Anusha; Srinivasan, Sivasubramanian [Khoo Teck Puat Hospital, Singapore (Singapore)

    2012-09-15

    We read with great interest, the case report on ischemic optic neuropathy (1). We would like to add a few points concerning the blood supply of the optic nerve and the correlation with the development of post-operative ischemic neuropathy. Actually, the perioperative or post-operative vision loss (postoperative ischemic neuropathy) is most likely due to ischemic optic neuropathy. Ischemic optic neuropathy (2) is classified as an anterior ischemic optic neuropathy (AION) and posterior ischemic optic neuropathy (PION). This classification is based on the fact that blood supply (2) to the anterior segment of the optic nerve (part of the optic nerve in the scleral canal and the optic disc) is supplied by short posterior ciliary vessels or anastamotic ring branches around the optic nerve. The posterior part of the optic canal is relatively less perfused, and is supplied by ophthalmic artery and central fibres are perfused by a central retinal artery. So, in the post-operative period, the posterior part of the optic nerve is more vulnerable for ischemia, especially, after major surgeries (3), one of the theories being hypotension or anaemia (2) and resultant decreased perfusion. The onset of PION is slower than the anterior ischemic optic neuropathy. AION on the other hand, is usually spontaneous (idiopathic) or due to arteritis, and is usually sudden in its onset. The reported case is most likely a case of PION. The role of imaging, especially the diffusion weighted magnetic resonance imaging, is very important because the ophthalmoscopic findings in early stages of PION is normal, and it may delay the diagnosis. On the other hand, edema of the disc is usually seen in the early stages of AION.

  15. Neuroprotection in rabbit retina with N-acetyl-aspartylglutamate and 2-phosphonyl-methyl pentanedioic acid

    Science.gov (United States)

    Hacker, Henry D.; Yourick, Debra L.; Koenig, Michael K.; Slusher, Barbara S.; Meyerhoff, James L.

    1999-06-01

    Retinal tissue is subject to ischemia from diabetic retinopathy and other conditions that affect the retinal vasculature such as lupus erythematosus and temporal arteritis. There is evidence in animal models of reversible ischemia that a therapeutic window exists during early recovery when agents that reduce glutamate activity at its receptor sites can rescue neurons from injury. To model ischemia, we used sodium cyanide (NaCN), to inhibit oxidative metabolism, and 2-deoxyglucose (2-DG) to inhibit glycolysis. Dissociated rabbit retina cells were studied to evaluate the potential neuroprotective effects of N-acetyl-aspartyl-glutamate (MAAG), which competes with glutamate as a low-potency agonist at the NMDA receptor complex. N-acetylated α-linked acidic dipeptidase (NAALADase; the NAAG-hydrolyzing enzyme) is responsible for the hydrolysis of NAAG into glutamate, a neurotransmitter and potent excitotoxin, and N-acetylaspartate. 2-Phosphonyl-methyl pentanedioic acid (PMPA) and β-linked NAAG (β-NAAG), inhibitors of NAALADase, were also tested, since inhibition of NAALADase could reduce synaptic glutamate and increase the concentration of NAAG. We found that metabolic inhibition with NaCN/2-DG for 1 hour caused 50% toxicity as assessed with the MTT assay. Co-treatment with NAAG resulted in dose-dependent protection of up to 55% (p<0.005). When the non-hydrolyzable, NAALADase inhibitor β-NAAG was employed dose-dependent protection of up to 37% was observed (p<0.001). PMPA also showed 48% protection (p<.05-.001) against these insults. These data suggest that NAAG may antagonize the effect of glutamate at the NMDA receptor complex in retina. Inhibition of NAALADase by PMPA and β-NAAG may increase the activity of endogenous NAAG.

  16. Kawasaki disease-specific molecules in the sera are linked to microbe-associated molecular patterns in the biofilms.

    Directory of Open Access Journals (Sweden)

    Takeshi Kusuda

    Full Text Available Kawasaki disease (KD is a systemic vasculitis of unknown etiology. The innate immune system is involved in its pathophysiology at the acute phase. We have recently established a novel murine model of KD coronary arteritis by oral administration of a synthetic microbe-associated molecular pattern (MAMP. On the hypothesis that specific MAMPs exist in KD sera, we have searched them to identify KD-specific molecules and to assess the pathogenesis.We performed liquid chromatography-mass spectrometry (LC-MS analysis of fractionated serum samples from 117 patients with KD and 106 controls. Microbiological and LC-MS evaluation of biofilm samples were also performed.KD samples elicited proinflammatory cytokine responses from human coronary artery endothelial cells (HCAECs. By LC-MS analysis of KD serum samples collected at 3 different periods, we detected a variety of KD-specific molecules in the lipophilic fractions that showed distinct m/z and MS/MS fragmentation patterns in each cluster. Serum KD-specific molecules showed m/z and MS/MS fragmentation patterns almost identical to those of MAMPs obtained from the biofilms formed in vitro (common MAMPs from Bacillus cereus, Yersinia pseudotuberculosis and Staphylococcus aureus at the 1st study period, and from the biofilms formed in vivo (common MAMPs from Bacillus cereus, Bacillus subtilis/Bacillus cereus/Yersinia pseudotuberculosis and Staphylococcus aureus at the 2nd and 3rd periods. The biofilm extracts from Bacillus cereus, Bacillus subtilis, Yersinia pseudotuberculosis and Staphylococcus aureus also induced proinflammatory cytokines by HCAECs. By the experiments with IgG affinity chromatography, some of these serum KD-specific molecules bound to IgG.We herein conclude that serum KD-specific molecules were mostly derived from biofilms and possessed molecular structures common to MAMPs from Bacillus cereus, Bacillus subtilis, Yersinia pseudotuberculosis and Staphylococcus aureus. Discovery of these KD

  17. Functional Mechanism of Lung Mosaic CT Attenuation: Assessment with Deep-Inspiration Breath-Hold Perfusion SPECT-CT Fusion Imaging and Non-Breath-Hold Technegas SPECT

    Energy Technology Data Exchange (ETDEWEB)

    Suga, K.; Yasuhiko, K. (Dept. of Radiology, St. Hill Hospital, Ube, Yamaguchi (Japan)); Iwanaga, H.; Tokuda, O.; Matsunaga, N. (Dept. of Radiology, Yamaguchi Univ. School of Medicine, Ube, Yamaguchi (Japan))

    2009-01-15

    Background: The functional mechanism of lung mosaic computed tomography attenuation (MCA) in pulmonary vascular disease (PVD) and obstructive airway disease (OAD) has not yet been fully clarified. Purpose: To clarify the mechanism of MCA in these diseases by assessing the relationship between regional lung function and CT attenuation change at MCA sites with the use of automated deep-inspiratory breath-hold (DIBrH) perfusion single-photon emission computed tomography (SPECT)-CT fusion images and non-breath-hold Technegas SPECT. Material and Methods: Subjects were 42 PVD patients (31 pulmonary thromboembolism, four primary/two secondary pulmonary hypertension, and five Takayasu arteritis), 12 OAD patients (five acute asthma, four obliterative bronchiolitis, and three bronchiectasis), and 12 normal controls, all of whom had MCA on DIBrH CT. The relationship between regional lung function and CT attenuation change at the lung slices with MCA was assessed using DIBrH perfusion SPECT-CT fusion images and non-breath-hold Technegas SPECT. The severity of perfusion defects with or without MCA was quantified by regions-of-interest analysis. Results: On DIBrH CT and perfusion SPECT, in contrast to no noticeable CT attenuation abnormality and fairly uniform perfusion in controls, 60 MCA and 274 perfusion defects in PVD patients, and 18 MCA and 61 defects in OAD patients were identified, with a total of 77 ventilation defects on Technegas SPECT in all patients. SPECT-CT correlation showed that, throughout the 78 MCA sites of all patients, lung perfusion was persistently decreased at low CT attenuation and preserved at intervening high CT attenuation, while lung ventilation was poorly correlated with CT attenuation change. The radioactivity ratios of reduced perfusion and the intervening preserved perfusion at the 78 perfusion defects with MCA were significantly lower than those at the remaining 257 defects without MCA (P<0.0001). Conclusion: Although further validation is

  18. Septic Arthritis of the Temporomandibular Joint--Unusual Presentations.

    Science.gov (United States)

    Lohiya, Sapna; Dillon, Jasjit

    2016-01-01

    This report describes 2 patients whose septic arthritis of the temporomandibular joint (SATMJ) presented atypically, resulting in treatment delay and complications. A 49-year-old man developed left-side facial allodynia, which was first treated unsuccessfully as trigeminal neuralgia. On day 21, the patient sustained facial trauma from a fall and presented to the emergency department (ED). Maxillofacial contrast-enhanced computed tomographic (CT) scan was suggestive of parotiditis, SATMJ, or hemarthrosis. His condition did not improve with empiric antibiotic treatment. On day 30, contrast-enhanced magnetic resonance imaging (MRI) confirmed SATMJ. Incision and drainage yielded 6 mL of pus and produced clinical improvement. Cultures grew methicillin-resistant Staphylococcus aureus, which was treated with amoxicillin plus clavulanate and sulfamethoxazole plus trimethoprim for 30 days. On day 59, the patient still had slight preauricular pain and CT-proved TMJ osteoarthritic changes. A 56-year-old woman developed right-side facial pain after a crown procedure on her right mandibular second molar. Oral prednisone (and clindamycin) produced partial relief. Her primary physician suspected temporal arteritis, but its biopsy result on day 11 was normal. Gradually, the patient developed trismus and malocclusion refractory to various medicines. On day 49, she presented to the ED. A contrast-enhanced maxillofacial CT scan suggested SATMJ. Incision and drainage yielded 30 mL of pus and produced clinical improvement. During days 50 to 57, the patient received intravenous ampicillin plus sulbactam and metronidazole. However, preauricular tenderness and drainage from the surgical incision persisted. On day 55, CT scan showed a residual abscess. Secondary debridement yielded 5 mL of pus. Culture grew coagulase-negative S aureus. On day 141, the patient still had slight preauricular pain and TMJ osteoarthritic changes on MRI. In these cases, the SATMJ diagnosis was delayed owing

  19. [VASCULITIDES IN CHILDHOOD: A RETROSPECTIVE STUDY IN A PERIOD FROM 2002 TO 2012 AT THE DEPARTMENT OF PAEDIATRICS, UNIVERSITY HOSPITAL CENTRE ZAGREB].

    Science.gov (United States)

    Jelusić, Marija; Kostić, Lucija; Frković, Marijan; Davidović, Masa; Malcić, Ivan

    2015-01-01

    The aim of our study was to analyze clinical features, laboratory findings, treatment, course and outcome of different types of vasculitis in children. All children aged up to 18 years that have been diagnosed with a vasculitis disorder from 2002. to 2012. at the Department of Paediatric, University Hospital Centre Zagreb according to EULAR/PRES/PRINTO criteria were included in the study. Vasculitis was diagnosed in 180 children, 101 girls and 79 boys, mean age 7.19 ± 3.7 years, with an average follow-up of 5.58 ± 3.28 years. Most of the children (155 or 86%) were diagnosed with Henoch-Shönlein purpura (HSP), polyarteritis nodosa (PAN) was diagnosed in 6 children (3.3%), isolated cutaneous leukocytoclastic vasculitis in 5 (2.8%), Takayasu arteritis (TA) and Kawasaki disease in 2 (1.1%) respectively, hypocomplementemic urticarial vasculitis in one patient (0.5%) and other types of vasculitis in 10 (5.5%) patients (vasculitides in systemic connective tissue disorders in 7 and unclassified vasculitides in 3 patients). All patients had elevated inflammatory markers (C-reactive protein and erythrocyte sedimentation rate). Anti-neutrophil cytoplasmatic antibodies (ANCA) were positive only in one patient, suffering from microscopic polyangiitis. Treatment modality in most patients were NSAIDs, while children with kidney or gastrointestinal system affection were treated with glucocorticoids and/or immunosuppresive drugs. Biological therapy (anti-CD20, rituximab) was used in patients with most severe symptoms. One child (0.56%), suffering from microscopic polyangiitis, died due to kidney failure during the follow-up. Forty patients (22.6%) had one disease relapse, while 6 (3.4%) had two relapses. In conclusion, we found some differences in laboratory parameters (e.g. lower incidence of elevated antistreptolysin O titer in HSP) and epidemiological data (e.g. higher prevalence of PAN in female children) in comparison to data from available studies, while other clinical

  20. PET/CT in infectious and inflammatory pathology

    International Nuclear Information System (INIS)

    Objective: To demonstrate the utility of PET/CT in infectious and inflammatory diseases. Materials and Methods: We evaluated retrospectively five patients with infectious and inflammatory pathology, by PET/CT scan (hybrid SIEMENS-BIOGRAPH 16, Siemens, Erlangen, Germany) in the period between january 2009 and may 2011. Results: Case 1: a 68-year-old woman presented with a 6-months duration fever, fatigue, and weight loss. The rheumatologic examination showed a decrease in both radial pulses with no other associated symptoms. She underwent a temporal artery biopsy, which confirmed temporal arteritis. A PET/CT scan showed significant uptake in the thoracic aorta and major branches. Case 2: An 85-year-old patient with fever of unknown origin (FUO) was studied suspecting osteomyelitis of the hip, but on the contrary, PET/CT demonstrated an avid enhancement indicative of gluteal cellulitis and pneumonia, ruling out bone infection. Case 3: a 35-year-old woman with evening fever. PET/CT scan showed enlarged multiple FDG-avid mediastinal, axillary and retroperitoneal lymph nodes, as well as diffuse involvement of the spleen with multiple calcifications. Diagnosis of cytomegalovirus infection was confirmed by positive immunoglobulin G and M. Case 4: a 39-year-old patient with HIV-infection presented with hypercalcaemia. PET/CT scan showed buttocks silicone implants with associated avid inflammatory process, confirmed by biopsy. Case 5: a 45-year-old female with previous history of breast cancer under follow-up presented in recent CT scans enlarged mediastinal and supraclavicular lymph nodes, as well as diffuse multifocal splenic involvement, all of them avid on PET / CT examination. Sarcoidosis was confirmed by a supraclavicular node excision biopsy. Conclusions: PET/CT is a noninvasive diagnostic tool useful for the diagnosis and follow-up of patients with FUO. Especially in patients with vasculitis, it may change decisions without needing a diagnostic biopsy, as it is

  1. Functional Mechanism of Lung Mosaic CT Attenuation: Assessment with Deep-Inspiration Breath-Hold Perfusion SPECT-CT Fusion Imaging and Non-Breath-Hold Technegas SPECT

    International Nuclear Information System (INIS)

    Background: The functional mechanism of lung mosaic computed tomography attenuation (MCA) in pulmonary vascular disease (PVD) and obstructive airway disease (OAD) has not yet been fully clarified. Purpose: To clarify the mechanism of MCA in these diseases by assessing the relationship between regional lung function and CT attenuation change at MCA sites with the use of automated deep-inspiratory breath-hold (DIBrH) perfusion single-photon emission computed tomography (SPECT)-CT fusion images and non-breath-hold Technegas SPECT. Material and Methods: Subjects were 42 PVD patients (31 pulmonary thromboembolism, four primary/two secondary pulmonary hypertension, and five Takayasu arteritis), 12 OAD patients (five acute asthma, four obliterative bronchiolitis, and three bronchiectasis), and 12 normal controls, all of whom had MCA on DIBrH CT. The relationship between regional lung function and CT attenuation change at the lung slices with MCA was assessed using DIBrH perfusion SPECT-CT fusion images and non-breath-hold Technegas SPECT. The severity of perfusion defects with or without MCA was quantified by regions-of-interest analysis. Results: On DIBrH CT and perfusion SPECT, in contrast to no noticeable CT attenuation abnormality and fairly uniform perfusion in controls, 60 MCA and 274 perfusion defects in PVD patients, and 18 MCA and 61 defects in OAD patients were identified, with a total of 77 ventilation defects on Technegas SPECT in all patients. SPECT-CT correlation showed that, throughout the 78 MCA sites of all patients, lung perfusion was persistently decreased at low CT attenuation and preserved at intervening high CT attenuation, while lung ventilation was poorly correlated with CT attenuation change. The radioactivity ratios of reduced perfusion and the intervening preserved perfusion at the 78 perfusion defects with MCA were significantly lower than those at the remaining 257 defects without MCA (P<0.0001). Conclusion: Although further validation is

  2. Study on the delay aversion in children with attention deficit hyperactivity disorder%注意缺陷多动障碍儿童持续注意反应任务研究

    Institute of Scientific and Technical Information of China (English)

    李颖; 杨斌让; 陈楚侨; 李建英; 彭刚; 杨思渊

    2011-01-01

    [目的]探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童持续注意及反应抑制特征,为临床诊治提供参考依据.[方法]运用持续注意反应任务(SART)对100名ADHD儿童及对照组儿童进行测试,采用多变量方差分析/协方差分析对持续注意及反应抑制能力进行统计.[结果] 总的来说,两组儿童在持续注意及反应抑制功能上差异有统计学意义(P<0.001),单因素方差分析显示ADHD组儿童在SART中的漏按错误数(P=0.004)、误按数(P<0.001)上明显地多于对照组儿童,所需反应时(P<0.001)也更长,反应时变异(P=0.001)也更大.控制FIQ协方差分析结果显示差异仍有统计学意义.[结论] ADHD儿童存在持续注意及反应抑制功能缺陷.%[Objective]To determine the characteristics in cognitive domain of sustained attention and response inhibitionl domain children with attention deficit hyperactivity disorder (ADHD).[Methods]One hundred children with ADHD and 100 healthy controls matched in age, gender, grade, handedness were measured with sustained attention response to task(SART) involing ability of suatained attention and response inhition.The performance was compared using multivariate analysis of variance(MANOVA) and MACOVA with FIQ controlled for between two groups.[Results]The omnibus MANOVA of the primary neuropsychological variables revealed a large group effect with P<0.001.The ANOVAs of each index showed that children with ADHD made more omission errors(P=0.004) and commission errors(P<0.001) than did healthy controls.Furthermore, the reaction times(RT) of correct response(P<0.001) in children with ADHD were much longer than that in healthy controls, and the variability of RT much more than the latter(P = 0.001 ).The results remainded unchanged arter controlling for FIQ.[Conclusion]There are significant deficits of sustained attention and response inhibition in children with ADHD.

  3. Pattern of coronary artery disease with no risk factors under age 35 years

    International Nuclear Information System (INIS)

    Coronary artery disease (CAD) is no more deemed to be an ailment of the 4 or 5 decade; rather an earlier age incidence is not infrequently encountered in our population. However, there are a few data regarding CAD in young adults, and much about its underlying pathology still remains undetermined. The objective of this study was to delineate the coronary arterial disease pattern in adults under the age of 35 years, but having no known coronary risk factors. Methods: This prospective study was conducted at the Cardiology Departments of all 3 public sector tertiary care hospitals in Peshawar from Jun 2008 to Dec 2009. After having excluded the traditional risk factors for CAD, patients under the age of 35 years with objective evidence of CAD were subjected to percutaneous coronary angiography. Results: Out of a total of 104 patients, 85 (81.73%) patients were men, and 19 (18.27%) were women. The mean age of the whole group was 32.66 +- 3.237 (22-35) years. Significant CAD (>50% diameter narrowing of at least one major coronary artery) was found in 87 (83.7%) patients while 17 (16.3%) patients had non-atherosclerotic coronary artery disease, including 12 (11.53%) patients having normal coronary arteries, 1 (1%) patient had anomalous origin of right coronary artery (RCA), 1 (1%) patient had coronary arteritis, 2 (1.92%) patients had coronary artery ectasia, and 1 (1%) patient had a myocardial bridge over left anterior descending artery (LAD). Among the patients with significant CAD, the prevalence rate of one, two and three vessel disease was 54 (51.9%), 22 (21.2%) and 11 (10.6%) respectively. Almost 50% of the lesions occurred in LAD followed by 25% in RCA and 20% in circumflex, while only one patient (1%) had isolated significant CAD of left main coronary artery. Osteal segments were involved in 10%, proximal in 61%, mid in 21% and distal segments in 7% of the lesions. Conclusion: In the younger age group, CAD is mostly a disease of men, single vessel CAD

  4. Diagnosis of systemic arterial diseases with whole-body 3D contrast-enhanced magnetic resonance angiography

    Institute of Scientific and Technical Information of China (English)

    LIN Jiang; CHEN Bin; WANG Jian-hua

    2006-01-01

    Background With the development of magnetic resonance (MR) technologies, whole-body 3D contrast-enhanced MR angiography (3D CE MRA) has become possible. The purpose of this study was to introduce and evaluate this technique in demonstration of various systemic arterial diseases.Methods Thirty-seven patients underwent whole-body 3D CE MRA using a 1.5T MR imager. The patients included were with clinically documented or suspected peripheral arterial occlusive disease (PAOD, n=19),Takayasu arteritis (n=8), polyarteritis nodosa (n=1), Type B dissection (n=4) and thoracic and/or abdominal aneurysm (n=5). Sixty-eight surface coil elements were employed to encompass the whole body. Four 3D CE MRA stations were acquired successively through automatic table moving. A total scan range of 188 cm,covering the arterial tree from carotid artery to trifurcation vessels, was acquired. Overall image quality of each arterial segment and venous overlay were assessed and rated. The depiction of various systemic arterial diseases was evaluated and compared with other imaging modalities if available, including digital subtraction angiography (DSA), CT angiography, dedicated mono-station MRA.Results Whole-body 3D CE MRA was well tolerated by all patients. It yielded a detailed display of the arterial system with a short examination time. The image quality was considered diagnostic in 99.3% of the arterial segments. The remaining 0.7% of the arterial segments were considered non-diagnostic. In 7 of 19 patients with PAOD, whole-body MRA showed additional vascular narrowing apart from peripheral arterial disease. In 9 patients with vasculitis, whole-body MRA depicted luminal irregularity, narrowing or occlusion, aneurysm and collateral circulation involving multiple vascular segments. Whole-body MRA also clearly revealed the severity and extent of dissection and aortic aneurysm. In 20 cases the vascular pathologies demonstrated on whole body MRA were confirmed by other imaging investigations

  5. Clinicopathological Analysis of 155 Patients with Persistent Isolated Hematuria

    Institute of Scientific and Technical Information of China (English)

    Rong-rong Li; Hang Li; Yu-bin Wen; Qing-yuan Huang; Lin Duan; Yan Li

    2014-01-01

    Objectives To reveal etiologies of persistent isolated hematuria (PIH) through ultrastructural pathological examination, to disclose clinicopathological correlation in cases with PIH, and to summarize appropriate management of patients with PIH. Methods we retrospectively studied 155 PIH patients receiving renal biopsy between January, 2003 and December, 2008 in Peking Union Medical College Hospital. All the clinical data and follow-up result were analyzed. Results All subjects included 38 children and 117 adults, with mean age of 11.38±3.25 years for children and 35.17±8.44 years for adults. Thin basement membrane nephropathy (TBMN) was the most common pathology (55.3% of children and 49.6% of adults), followed by IgA nephropathy (18.4% of children and 32.5% of adults, mainly grade 2-3) and mesangial proliferative glomerulonephritis (MsPGN) without IgA deposition (13.2%of children and 12.8%of adults). Besides, Alport syndrome (2.6%of children) and membrane nephropathy (2.6%of children and 0.9%of adults) were demonstrated as other causes of PIH. Elevated mean arteral pressure or protein excretion rate, as well as episodic macrohematuria, indicated higher risk for MsPGN rather than TBMN. On the other hand, severity of microhematuria was irrelevant to pathological types of PIH. Totally, 86 patients were followed up and 37 cases therein stayed on track for long term (mean duration 41.11±28.92 months, range 8-113 months). Most cases had benign clinical course except 3 cases with TBMN, 5 cases with IgA nephropathy, 1 case with MsPGN (without IgA deposition), and 1 case with Alport syndrome, who developed hypertension or proteinuria. All of them were administered timely intervention. Conclusions Close follow-up should be required as the primary management for PIH. Equally important is careful monitoring for early identification of undesirable predictors;while renal biopsy and other timely intervention are warranted if there is hypertension, significant proteinuria or

  6. Hyper-IgG4 disease: report and characterisation of a new disease

    Directory of Open Access Journals (Sweden)

    Rodriguez-Justo Manuel

    2006-10-01

    Full Text Available Abstract Background We highlight a chronic inflammatory disease we call 'hyper-IgG4 disease', which has many synonyms depending on the organ involved, the country of origin and the year of the report. It is characterized histologically by a lymphoplasmacytic inflammation with IgG4-positive cells and exuberant fibrosis, which leaves dense fibrosis on resolution. A typical example is idiopathic retroperitoneal fibrosis, but the initial report in 2001 was of sclerosing pancreatitis. Methods We report an index case with fever and severe systemic disease. We have also reviewed the histology of 11 further patients with idiopathic retroperitoneal fibrosis for evidence of IgG4-expressing plasma cells, and examined a wide range of other inflammatory conditions and fibrotic diseases as organ-specific controls. We have reviewed the published literature for disease associations with idiopathic, systemic fibrosing conditions and the synonyms: pseudotumour, myofibroblastic tumour, plasma cell granuloma, systemic fibrosis, xanthofibrogranulomatosis, and multifocal fibrosclerosis. Results Histology from all 12 patients showed, to varying degrees, fibrosis, intense inflammatory cell infiltration with lymphocytes, plasma cells, scattered neutrophils, and sometimes eosinophilic aggregates, with venulitis and obliterative arteritis. The majority of lymphocytes were T cells that expressed CD8 and CD4, with scattered B-cell-rich small lymphoid follicles. In all cases, there was a significant increase in IgG4-positive plasma cells compared with controls. In two cases, biopsies before and after steroid treatment were available, and only scattered plasma cells were seen after treatment, none of them expressing IgG4. Review of the literature shows that although pathology commonly appears confined to one organ, patients can have systemic symptoms and fever. In the active period, there is an acute phase response with a high serum concentration of IgG, and during this phase

  7. Reindeer (Rangifer tarandus tarandus feeding on lichens and mushrooms: traditional ecological knowledge among reindeer-herding Sami in northern Sweden

    Directory of Open Access Journals (Sweden)

    Berit Inga

    2009-01-01

    äriserar ett bra vinterbetesland. Informanterna hävdade att lavar företrädesvis betas under vintern, men även kan betas under sommaren då vädret är kallt och fuktigt. Svampar betas under höstmånaderna augusti och september, men enligt några informanter kan svamp även betas senare på hösten (från oktober när den är frusen och under snön. Renskötarna har namn på lavar som i generella termer beskriver deras utseende och växtplats. För svampar använder de enbart ett samiskt namn, guoppar. Av de marklevande lavarna ansåg informanterna att renarna föredrar Cladonia-arter (renlavar, medan kväve-fixerade arter som Nephroma arcticum (norrlandslav och Stereocaulon pascale (påskrislav inte ansågs föredras av renarna. Snöförhållandena är mycket viktiga, och ju mindre snö (och ju lösare den är desto bättre. Växtplatser där renskötarna vet av erfarenhet att snöförhållandena kan bli problematisk, t.ex. i fuktiga och öppna områden med små träd, används till bete tidigt under vintern (oktober-januari innan för mycket snö har fallit. Ett bra vinterbetesområde ska ha gott om lavar. Det bästa är en torr tallhed (Pinus sylvestris med stora och gamla träd med vida kronor som fångar upp snön som upplega och på det viset skyddar marken från snö, vilket gör det lättare för renarna att gräva.

  8. Estudio PET/TC en patología inflamatoria-infecciosa PET/CT in infectious and inflammatory pathology

    Directory of Open Access Journals (Sweden)

    Cecilia Carrera

    2012-06-01

    Full Text Available Objetivo. Demostrar la utilidad del examen PET/TC en patología inflamatoria-infecciosa. Materiales y Métodos. Evaluación retrospectiva (enero de 2009 - mayo de 2011 de los exámenes de tomografía por Emisión de Positrones/ Tomografía Computada (PET/TC, realizados en nuestra institución con un equipo híbrido SIEMENS-BIOGRAPH 16 (Siemens, Erlangen, Alemania. Se seleccionaron 5 pacientes. Resultados. Caso 1: paciente de 68 años de edad con fiebre de 6 meses de duración, fatiga y pérdida de peso. El examen reumatológico demostró disminución en pulsos radiales sin otros síntomas asociados. La paciente fue sometida a biopsia de arteria temporal. Ésta confirmó una arteritis de la arteria temporal y el estudio PET/TC demostró hipermetabolismo en la aorta torácica y ramas principales. Caso 2: paciente de 85 años con fiebre de origen desconocido (FOD y sospecha de osteomielitis de cadera. En contraposición, el PET/TC demostró un foco ávido de celulitis glútea y neumopatía. Caso 3: paciente de 35 años con fiebre vespertina. El PET/TC mostró múltiples adenomegalias ávidas por fluorodexosiglucosa (FDG en mediastino, axilas y retroperitoneo, y compromiso difuso esplénico asociado a calcificaciones. Se confirmó infección por citomegalovirus por inmuno-globulina G y M. Caso 4: paciente de 39 años con infección por HIV que consultó por hipercalcemia. El PET/TC mostró implantes de silicona en glúteos con proceso inflamatorio ávido asociado. Se confirmó por la biopsia de uno de ellos. Caso 5: paciente de 45 años con historia de cáncer de mama en control presentó en los últimos estudios tomográficos aumento del tamaño de los ganglios supraclaviculares y mediastínicos, y compromiso esplénico multifocal difuso. Estos resultaron ávidos en el examen PET/TC. Se confirmó el diagnóstico de sarcoidosis por el estudio anatomopatológico de un ganglio supraclavicular. Conclusiones. El PET/TC es un método no invasivo de

  9. Biogenesis of non-structural protein 1 (nsp1) and nsp1-mediated type I interferon modulation in arteriviruses

    International Nuclear Information System (INIS)

    Type I interferons (IFNs-α/β) play a key role for the antiviral state of host, and the porcine arterivirus; porcine reproductive and respiratory syndrome virus (PRRSV), has been shown to down-regulate the production of IFNs during infection. Non-structural protein (nsp) 1 of PRRSV has been identified as a viral IFN antagonist, and the nsp1α subunit of nsp1 has been shown to degrade the CREB-binding protein (CBP) and to inhibit the formation of enhanceosome thus resulting in the suppression of IFN production. The study was expanded to other member viruses in the family Arteriviridae: equine arteritis virus (EAV), murine lactate dehydrogenase-elevating virus (LDV), and simian hemorrhagic fever virus (SHFV). While PRRSV–nsp1 and LDV–nsp1 were auto-cleaved to produce the nsp1α and nsp1β subunits, EAV–nsp1 remained uncleaved. SHFV–nsp1 was initially predicted to be cleaved to generate three subunits (nsp1α, nsp1β, and nsp1γ), but only two subunits were generated as SHFV–nsp1αβ and SHFV–nsp1γ. The papain-like cysteine protease (PLP) 1α motif in nsp1α remained inactive for SHFV, and only the PLP1β motif of nsp1β was functional to generate SHFV–nsp1γ subunit. All subunits of arterivirus nsp1 were localized in the both nucleus and cytoplasm, but PRRSV–nsp1β, LDV–nsp1β, EAV–nsp1, and SHFV–nsp1γ were predominantly found in the nucleus. All subunits of arterivirus nsp1 contained the IFN suppressive activity and inhibited both interferon regulatory factor 3 (IRF3) and NF-κB mediated IFN promoter activities. Similar to PRRSV–nsp1α, CBP degradation was evident in cells expressing LDV–nsp1α and SHFV–nsp1γ, but no such degradation was observed for EAV–nsp1. Regardless of CBP degradation, all subunits of arterivirus nsp1 suppressed the IFN-sensitive response element (ISRE)-promoter activities. Our data show that the nsp1-mediated IFN modulation is a common strategy for all arteriviruses but their mechanism of action may differ

  10. Preparation of Monoclonal Antibodies against Equine Influenza Virus Subtype H7N7%H7N7亚型马流感病毒单克隆抗体的制备

    Institute of Scientific and Technical Information of China (English)

    肖成蕊; 宋战昀; 刘阳; 王伟利; 孟庆峰; 孟日增

    2011-01-01

    目的 制备抗H7N7亚型马流感病毒(Equine influenza virus,EIV)的单克隆抗体,以建立特异、灵敏、简便的H7N7亚型流感病毒金标试纸检测方法.方法 以H7N7亚型EIV为抗原免疫BALB/c小鼠,取其脾细胞与骨髓瘤细胞SP2/0进行融合,通过血凝抑制(HI)试验和间接ELISA筛选能稳定分泌抗H7N7亚型EIV单克隆抗体的杂交瘤细胞,并对其分泌的单抗进行生物学特性鉴定.结果 筛选出3株能稳定分泌抗 H7N7亚型EN单抗的杂交瘤细胞株,分别命名为5B2、1C10和2B7;5B2和100株单抗为IgG2a亚型,2B7单抗为IgGM亚型,轻链均为K链;3株单抗均只与H7N7亚型EIV发生特异性反应,而不与H3N8亚型EIV、马动脉炎病毒(EAV)、马传染性贫血病毒(EIAV)、马乙型脑炎病毒(JEV)发生交叉反应,特异性良好.结论 已制备出3株针对H7N7亚型EIV的单克隆抗体,为H7N7亚型马流感疫情的快速诊断以及流行病学调查提供了良好的材料.%Objective To prepare the monoclonal antibodies(mAbs) against equine influenza virus (EIV) subtype H7N7 and develop a specific, sensitive and simple method for determination of the virus. Methods BALB / c mice were immunized with EIV subtype H7N7, of which splenocytes were fused with myeloma SP2/0 cells. The hybridoma cell strains stably secreting the mAbs against EIV subtype H7N7 were screened by hemagglutination inhibition (HI) test and indirect EL1SA, and the biological characteristics of the secreted mAbs were identified. Results Three hybridoma cell strains stably secreting mAbs against EIV subtype H7N7 were screened, named as 5B2, 1C10 and 2B7 respectively. The mAbs secreted by 5B2 and 1C10 cell strains were IgG2a, while that by 2B7 cell strain was lgG M, of which all the light chains were κ chains. All the mAbs reacted specifically with EIV subtype H7N7, while showed no cross reaction with EIV subtype H3N8, equine arteritis virus(EAV), equine infectious anemia virus (EIAV)or equine encephalitis virus

  11. Esquistossomose pulmonar. II. Forma crônica reativada com hipertensão e Cor pulmonale

    Directory of Open Access Journals (Sweden)

    Jayme Neves

    1980-12-01

    pulmonary arteritis characteristic of chronic pulmonary schistosomiasis and, simultaneously, the presence of schistosomatous granulomata in hyperergic reaction mainly produced by worms, one of the main anatômica! characteristics of the toxemic form. To explain the origin of the clinical toxi- infectious constelation, the hypotheses of an association with a co-existing infectious, or not infectious but fever producing cause, and of the superposition of a toxemic form over a pre-existing chronic one were eliminated. It was concluded, on the basis of clinical data, particularly those furnished by laparoscopy and the anatomical onas, that this a chronic case of schistosomiasis reactivated probably by the host uncommon immunological alteration. Everything points to the possibility that the unusual detour of the eggs, and of the worms to the lungs was due to the portal hypertension syndrome, and that the preferential route of this migration was determined by the shunts involving the portal and systemic circulations.

  12. Insulin-like growth factor-I (IGF-I and thioredoxin are differentially expressed along the reproductive tract of the ewe during the oestrous cycle and after ovariectomy

    Directory of Open Access Journals (Sweden)

    Eriksson Håkan

    2006-06-01

    Full Text Available Abstract Insulin-like growth factor-I (IGF-I and thioredoxin are regulated by gonadal steroids in the female reproductive tract of many species. Oestradiol regulates IGF-I and thioredoxin mRNA levels in the reproductive tract of prepubertal lambs. The physiological status (different endocrine environment may affect the sensitivity of the reproductive tract to oestradiol and progesterone. We studied the effects of different endocrine milieus (late-follicular and luteal phases of the oestrous cycle, and ovariectomy before or after puberty on the expression of IGF-I, thioredoxin, oestrogen receptor α (ERα and progesterone receptor (PR in sheep. The mRNA levels were determined by a solution hybridisation technique. In the uterus the levels of ERα, PR and thioredoxin mRNA were higher in the late-follicular phase group than in the other three groups, and IGF-I mRNA was high during both the late-follicular and the luteal phases. In the cervix only PR mRNA was significantly higher in the ewes in the late-follicular phase than in the other groups. In the oviducts the levels of thioredoxin and ERα mRNA were highest in the ovariectomised adult ewes, and thioredoxin mRNA was higher than the levels found in the ewes in the late-follicular phase. The IGF-I mRNA levels in the oviduct did not differ between any of the groups. The transcripts of IGF-I, thioredoxin, ERα and PR, varied according to the physiological status and also along the female reproductive tract, suggesting that the regulation of the mRNA levels of these factors by the steroid environment is tissue specific. Koncentrationen av insulin-like growth factor-I (IGF-I och thioredoxin regleras hos många arter i honors reproduktionsorgan av könssteroider. Sålunda reglerar östradiol IGF-I och thioredoxin mRNA i reproduktionsorganen hos prepubertala lamm. Djurets fysiologiska status (dvs den endokrina miljön kan påverka känsligheten hos reproduktionsorganen för östradiol och progesteron

  13. Síndrome hemolítico-urêmica relacionada à infecção invasiva pelo Streptococcus pneumoniae Hemolytic-uremic syndrome complicating invasive pneumococcal disease

    Directory of Open Access Journals (Sweden)

    Anna Leticia de O. Cestari

    2008-03-01

    Full Text Available OBJETIVO: A doença pneumocócica é importante problema de saúde pública e raramente há associação desta infecção com a síndrome hemolítico-urêmica (SHU grave. O objetivo deste artigo é relatar o caso de um paciente com esta associação. DESCRIÇÃO DO CASO: Criança do sexo masculino, com 17 meses de idade, admitida no hospital com insuficiência respiratória aguda e necessitando de suporte ventilatório. O exame radiológico mostrava extensa opacidade homogênea em hemitórax direito. A hemocultura foi positiva para Streptococcus pneumoniae. Nos exames de admissão, notaram-se: hemoglobina de 6,5g/dL, 38.000 plaquetas/mm³, uréia de 79mg/dL e creatinina de 1,64mg/dL. No primeiro dia, apresentou oligoanúria e hipervolemia, necessitando de hemodiafiltração. Evoluiu com disfunção de múltiplos órgãos e óbito no sétimo dia. A necrópsia mostrou áreas extensas de necrose cortical e tubular renal, com depósito de fibrina nas arteríolas. COMENTÁRIOS: A SHU associada ao pneumococo apresenta morbidade e mortalidade elevadas. Em crianças com doença pneumocócica invasiva e acometimento hematológico ou renal grave, deve-se estar atento a esta rara complicação. Merecem investigação os seguintes aspectos relacionados à doença: a função da detecção precoce de antígenos T ativados no diagnóstico e terapêutica, o papel do fator H na patogênese, o método ideal de substituição renal e a definição do prognóstico em longo prazo.OBJECTIVE: Pneumococcal diseases are a major public health problem. Severe hemolytic-uremic syndrome is an uncommon complication. The aim of this study is to report a child with this complication. CASE DESCRIPTION: A male child with 17 months old was admitted to the hospital, due to acute respiratory failure, needing ventilatory support. Roentgenogram demonstrated massive condensation of right lung and Streptococcus pneumonia was isolated from blood cultures. Laboratory tests showed

  14. MSCT尿路成像技术在泌尿系统疾病诊断中的价值%The value of multi-slice CT urography in diagnosis of urinary tract diseases

    Institute of Scientific and Technical Information of China (English)

    沈纪芳; 朱玉春; 王建良

    2012-01-01

    目的 探讨多层螺旋CT(MSCT)尿路成像技术在泌尿系统疾病诊断中的价值.方法 对80例泌尿系统疾病患者行CT尿路成像检查,通过常规平扫、动脉期、静脉期、延迟期图像数据进行多平面重组法(MPR)、曲面重组法(CPR)、最大密度投影法(MIP)和容积成像法(VR)进行三维重组,对影像图像进行分析.结果 CT尿路成像技术能够清晰显示泌尿系统的整体结构和输尿管走行和周围组织的关系.80例中,泌尿系统结石46例,输尿管癌4例,肾盂癌1例,先天性发育畸形5例,输尿管炎性狭窄9例,输尿管瘘1例,输尿管息肉1例,盆腔内恶性肿瘤累及或术后侵犯7例,正常6例.MSCT尿路成像诊断特异性为i00%(80/80),诊断准确率为95%(76/80);1例输尿管息肉和3例炎性狭窄误诊为输尿管癌,误诊率为5%(4/80).结论 MSCT尿路成像图像清晰直观,可以作为早期确诊泌尿系统疾病的有效影像检查方法.%Objective To investigate the diagnostic value of multi-slice CT(MSCT) urography in urinary tract diseases. Methods CT urography was performed in 80 cases with urinary tract diseases. The multiplanar reconstruction (MPR), maximum intensity recontruction (MIP), cured planar reformation(CPR) and volume rendering(VR) were reconstructed based on the data extracted by conventional plain scan,arteral phase, venous phase and lag period scaa Results MSCT urography provided clear three dimensional images of the whole kidney, ureter and urinary bladder, the entire and partial structure,shape and relation with the tissues surrounding them. Of 80 cases, the diagnosis of urinary calculus was confermed in 46 cases, ureteral carcinoma in 4 cases, renal pelvic carcinoma in 1 case,urinary congenital malformation in 5 cases, urinary inflammation in 9 cases, ureteral fistula in 1 case,ureteral polyp in 1 case, ureter invaded by palvic magligant mass in 7 cases, and normal in 6 cases. In the diagnosis of urinary tract diseases, the

  15. Peritonite infecciosa felina: 13 casos Feline infectious peritonitis: 13 cases

    Directory of Open Access Journals (Sweden)

    Fabiano Nunes de Oliveira

    2003-10-01

    Full Text Available Numa pesquisa realizada em tecidos de 638 gatos necropsiados, foram encontrados 13 casos (2,03% de peritonite infecciosa felina. Oito desses casos (61,53% eram da forma efusiva ou úmida, e 5 apresentavam a forma seca ou não-efusiva da doença. A idade dos gatos afetados variou de 2 meses a 3 anos. Doze gatos (92,30% eram de raças puras, cinco deles (38,47% eram oriundos de ambientes onde havia mais de um gato e três eram provenientes de um mesmo gatil. A duração da doença clínica foi de 7 a 45 dias e os sinais clínicos incluíram emagrecimento, anorexia, diarréia, icterícia, vômito, linfadenopatia e distúrbios neurológicos. Os achados de necropsia na forma úmida incluíam excesso de líquido viscoso (50ml a 1 litro, translúcido ou levemente opaco na cavidade peritoneal e, em um caso, na cavidade torácica. Exsudato fibrinoso cobria as superfícies serosas dos órgãos abdominais dando-lhes aspecto granular e brancacento. Na forma seca, havia múltiplos focos granulomatosos sob a superfície serosa e para o interior do parênquima de órgãos abdominais; esses achados eram particularmente proeminentes nos rins. Opacidade de córnea foi observada em um gato. Histologicamente, havia graus variáveis de vasculite e perivasculite piogranulomatosa, particularmente em arteríolas. Meningite ou meningoencefalite piogranulomatosa foram observadas em três gatos com a forma seca de peritonite infecciosa felina.In a survey carried out in tissue specimens from 638 necropsied cats, 13 cases (2.03% of feline infectious peritonitis were found. Eight of those (61.53% were of the effusive or wet form and five had the dry non-effusive form of the disease. Ages of affected cats varied from 2-months to 3 yeas. Twelve affected cats (92.30% were purebreds, five of these cats (38.47% came from households with more than one cat and three of them came from the same comercial cat raising facility. The duration of clinical courses were 7-45 days and

  16. Displasia fibromuscular: um diagnóstico diferencial para as vasculites Fibromuscular dysplasia: a differential diagnosis of vasculitis

    Directory of Open Access Journals (Sweden)

    Thaís de Carvalho Pontes

    2012-02-01

    unknown, despite many theories. A genetic component is suspected to exist, because the pathology affects primarily Caucasians. Association between FMD and the HLA-DRw6 histocompatibility antigen has also been described. The major sites affected are renal, cerebral, carotid, visceral, iliac, subclavian, brachial and popliteal arteries. Clinical manifestations correlate with the affected site, arterial hypertension being a frequent symptom, resulting from the involvement of the renal arteries in 60%-75% of the cases. The diagnosis of FMD is made by histopathology and/or angiography. FMD can manifest as a systemic vascular disease, mimicking vasculitis. This understanding is important because vasculitis and FMD can both have a severe clinical course, but require distinct treatments. The differential diagnosis can be difficult in face of an atypical clinical presentation or lack of histopathologic confirmation. Isolated cases of FMD have been reported mimicking the following conditions: polyarteritis nodosa, Ehlers-Danlos's syndrome, Alport's syndrome, pheochromocytoma, Marfan's syndrome, and Takayasu's arteritis. Rheumatologists should be aware of this differential diagnosis. Treatment of FMD is recommended only in symptomatic cases, and consists in revascularization, which may be either surgical or via percutaneous transluminal angioplasty. In FMD, the effects of corticotherapy can directly and rapidly harm the vascular wall, aggravating the lesions

  17. Transplante de células-tronco hematopoéticas em doenças reumáticas. Parte 2: experiência brasileira e perspectivas futuras Hematopoietic stem cell transplantation for rheumatic diseases. Part 2: brazilian experience and future prospectives

    Directory of Open Access Journals (Sweden)

    Júlio C. Voltarelli

    2005-10-01

    death before mobilisation and another after the first dose of the conditioning in an overlapping syndrome of SLE and SSc, and between 2 patients with vasculitis there was 1 sustained remission in Takayasu's arteritis and another in Behçet's disease. One patient with juvenile idiopathic arthritis was included in the protocol very recently. The follow-up of the patients varied from 0 to 48 months with a median of 29 months. We conclude the study with a discussion of future prospectives in developed countries, where randomized trials comparing transplantation with the best pharmacological therapy available have started recently, and in Brazil, where several adaptations of existing protocols are required and the cost of transplantation is much lower than that of new biological therapies.

  18. Vasculites pulmonares: novas visões de uma velha conhecida Pulmonary forms of vasculitis: new perspectives on an old acquaintance

    Directory of Open Access Journals (Sweden)

    Thais Thomaz Queluz

    2005-07-01

    after the discovery of antineutrophil cytoplasmic antibodies in 1982, and current classifications include Goodpasture's syndrome, forms of vasculitis related to antineutrophil cytoplasmic antibodies, forms caused by immune complexes and other forms. The evidence that antineutrophil cytoplasmic antibodies are involved in the pathogenesis of such conditions led to considerable advances in the diagnosis and treatment of vasculitis. Wegener's granulomatosis, Churg-Strauss syndrome and microscopic polyangiitis, all forms of vasculitis that have been associated with antineutrophil cytoplasmic antibodies, are the systemic forms that most affect the lungs. The most common presentation of such forms is characterized by cough, diffuse alveolar hemorrhage or difficult-to-control asthma. In Takayasu's arteritis, Behçet's disease and Henoch-Schönlein purpura, as well as in forms of vasculitis related to collagen diseases, pulmonary involvement is less common. In all forms of vasculitis, there is evidence that immune system processes are involved. It is based on this knowledge that new therapeutic approaches are proposed.

  19. Biogenesis of non-structural protein 1 (nsp1) and nsp1-mediated type I interferon modulation in arteriviruses

    Energy Technology Data Exchange (ETDEWEB)

    Han, Mingyuan; Kim, Chi Yong [Department of Pathobiology, University of Illinois at Urbana-Champaign, 2001 South Lincoln Avenue, Urbana, IL 61802 (United States); Rowland, Raymond R.R.; Fang, Ying [Department of Diagnostic Medicine and Pathobiology, Kansas State University, Manhattan, KS 66506 (United States); Kim, Daewoo [Department of Pathobiology, University of Illinois at Urbana-Champaign, 2001 South Lincoln Avenue, Urbana, IL 61802 (United States); Yoo, Dongwan, E-mail: dyoo@illinois.edu [Department of Pathobiology, University of Illinois at Urbana-Champaign, 2001 South Lincoln Avenue, Urbana, IL 61802 (United States)

    2014-06-15

    Type I interferons (IFNs-α/β) play a key role for the antiviral state of host, and the porcine arterivirus; porcine reproductive and respiratory syndrome virus (PRRSV), has been shown to down-regulate the production of IFNs during infection. Non-structural protein (nsp) 1 of PRRSV has been identified as a viral IFN antagonist, and the nsp1α subunit of nsp1 has been shown to degrade the CREB-binding protein (CBP) and to inhibit the formation of enhanceosome thus resulting in the suppression of IFN production. The study was expanded to other member viruses in the family Arteriviridae: equine arteritis virus (EAV), murine lactate dehydrogenase-elevating virus (LDV), and simian hemorrhagic fever virus (SHFV). While PRRSV–nsp1 and LDV–nsp1 were auto-cleaved to produce the nsp1α and nsp1β subunits, EAV–nsp1 remained uncleaved. SHFV–nsp1 was initially predicted to be cleaved to generate three subunits (nsp1α, nsp1β, and nsp1γ), but only two subunits were generated as SHFV–nsp1αβ and SHFV–nsp1γ. The papain-like cysteine protease (PLP) 1α motif in nsp1α remained inactive for SHFV, and only the PLP1β motif of nsp1β was functional to generate SHFV–nsp1γ subunit. All subunits of arterivirus nsp1 were localized in the both nucleus and cytoplasm, but PRRSV–nsp1β, LDV–nsp1β, EAV–nsp1, and SHFV–nsp1γ were predominantly found in the nucleus. All subunits of arterivirus nsp1 contained the IFN suppressive activity and inhibited both interferon regulatory factor 3 (IRF3) and NF-κB mediated IFN promoter activities. Similar to PRRSV–nsp1α, CBP degradation was evident in cells expressing LDV–nsp1α and SHFV–nsp1γ, but no such degradation was observed for EAV–nsp1. Regardless of CBP degradation, all subunits of arterivirus nsp1 suppressed the IFN-sensitive response element (ISRE)-promoter activities. Our data show that the nsp1-mediated IFN modulation is a common strategy for all arteriviruses but their mechanism of action may differ

  20. Ateroskleroz ile il-1α (interleukin-1α -889 c/t gen polimorfizmi arasındaki ilişkinin araştırılması

    Directory of Open Access Journals (Sweden)

    Hasan Başçil

    2014-06-01

    Full Text Available Amaç. Genetik ve çevresel faktörler arasındaki ilişki sonucu ortaya çıkan kardiyovasküler hastalıkların gelişiminde inflamasyon anahtar rol oynamaktadır. İnterlökin-1α (IL-1α nın proinflamasyon regülasyonunda önemli rolü vardır. Bu çalışmada IL-1α-889 C/T polimorfizmi ile ateroskleroz arasındaki ilişkinin araştırılması amaçlanmıştır. Yöntem. Bu çalışma popülasyonu 117 hasta (Grup I ve 117 sağlıklı (Grup II bireyden oluşmuştur. Grup I ve Grup II deki bireylerin genomik DNA’sı izole edildi. IL-1α genotipleri rastgele seçilen örneklerden direkt dizi analizi yapılarak doğrulandı. Bulgular. Grup I 78 erkek ve 39 kadın bireyden, Grup II ise 49 erkek ve 68 kadın bireyden oluşmaktadır. Grup I bireylerin yaş ortalaması 61,06; Grup II bireylerin yaş ortalaması ise 59,47’dir. Grup I’de 43 bireyde, Grup II’de ise 28 bireyde yüksek kolesterol (total kolesterol>200 mg/dL bulundu. Grup I’de 62 bireyde, Grup II’de 51 bireyde sigara içiciliği bulundu. Grup I’de 81 bireyde yüksek tansiyon ( sistolik kan basıncı>140 mmHg ve/veya diyastolik kan basıncı >90 mmHg, 42 bireyde diyabet, Grup II’de 32 bireyde yüksek tansiyon, 41 bireyde diyabet bulundu. Aterosklerotik Grup I’de CC genotip taşıyan bireyler grubun %54,70’ini, CT genotip taşıyan bireyler %35,04’nü ve TT genotip taşıyan bireyler ise %10,25’ini oluşturmaktadır. Grup II’de ise bu oranlar CC genotip taşıyanlarda %59,82; CT genotip taşıyanlarda %30,76 ve TT genotip taşıyanlarda %9,40 olarak saptanmıştır. IL-1α polimorfizmi için C allel frekansı Grup II’de %75,21 ve Grup I’de %72,22’dir. T allel frekansı dağılımı Grup II’de %24,78 ve Grup I’de ise %27,77’dir. Sonuç. Koroner Arter hastalığı olan Grup I ile, kontrol grubu olan Grup II arasında yaş, cinsiyet dağılımı, hipertansiyon ve hiperkolesterolemi açısından istatistiksel olarak anlamlı bir ilişki saptanm

  1. Microcirculation in obesity: an unexplored domain

    Directory of Open Access Journals (Sweden)

    Nicolas Wiernsperger

    2007-12-01

    urgentemente identificados. Como a obesidade é uma situação cardiometabólica muito complexa, essa identificação deve ser feita em obesos não-complicados e em modelos animais adequados. A recente descoberta da transmissão inter-geração de fatores de risco da obesidade e também do papel fundamental da gestação e de eventos perinatais (fatores epi-genéticos dão origem a conceitos e linhas de pesquisa completamente novos. Considerando a estreita relação potencial entre a microcirculação e o metabolismo tecidual, demonstrações de anormalidades estruturais e/ou funcionais na fisiologia microvascular muito cedo na vida de pessoas com risco para obesidade podem fornecer uma base sólida para investigações futuras dessas ligações. A microcirculação (arteríolas, capilares e vênulas é conceitualmente um compartimento chave na determinação em uma ou várias décadas dos fatores genéticos e epi-genéticos em acúmulo de gordura. Os modelos experimentais disponíveis devem servir para responder essa questão extremamente relevante.

  2. Histomorfologia do gânglio de Gasser, da rete mirabile carotídea e da hipófise de bovinos: estudo de 199 casos Histomorphology of the Gasserian ganglion, carotid rete mirabile and pituitary gland in cattle: a study of 199 cases

    Directory of Open Access Journals (Sweden)

    Raquel R. Rech

    2006-06-01

    do número de células satélites ao redor dos neurônios do gânglio de Gasser e ocasional vacuolização e lipofuscinose neuronal. O exame histológico do complexo GRH é uma ferramenta importante e confiável no diagnóstico das principais encefalites em bovinos no Brasil.The complex of heterogenous tissues formed by the Gasserian ganglia, carotid rete mirabile and pituitary gland (GRH from 199 cattle were grossly and histologically evaluated. Twenty one of the GRH were from comfirmed cases of rabies, 19 were diagnosed as cases of meningoencephalitis caused by bovine herpesvirus-5 (BoHV-5, 11 were confirmed cases of malignant catarrhal fever (MCF, 7 had pituitary abscesses, 17 had lesions of hepatic encephalopathy (status spongiosus attributable to chronic liver failure due to Senecio sp poisoning; and the remaining 124 GRH were from cattle which did not present neurological signs and died or were euthanatized due to various causes. No significant histologic changes were observed in the GRH from the 124 cattle which did not present neurological signs, in the GRH of the 17 cattle that had hepatic encephalopathy neither in the GRH of the 19 cattle diagnosed with BoHV-5 meningoencephalitis. Inflammatory changes were found in the Gasserian ganglia of 20 out of 21 cases of rabies and consisted of proliferation of sattelite cells, glial nodules and lymphoplasmacytic infiltrate; degenerative changes included central chromatolysis, neuronal vacuolation, and neuronal death with neuronophagia. Characteristic eosinophilic intracytoplasmatic inclusion (Negri bodies were found in 19 out of 21 cases of rabies, neuritis of the fifth nerve in 11, and neurohypophysitis in 4 cases. The GRH from nine of the eleven cases of MCF had characteristic necrotizing arteritis affecting the arteries of the carotid rete mirabile. In seven cases pituitary abscesses were found; they were characterized by large aggregates of neutrophils admixed with cellular debris and surrounded by mononuclear

  3. Inhibition of nitric oxide synthesis for four days induces vascular abnormalities and myocardial infarct areas but not significant arterial hypertension Inibição da síntese do óxido nítrico durante quatro dias induz anormalidades vasculares e áreas de infarto miocárdico, porém, não induz hipertensão arterial significativa

    Directory of Open Access Journals (Sweden)

    Ricardo Xavier-Vidal

    2012-06-01

    -nitro-arginina-metil-éster, Sigma Chemical, St. Louis bloqueia a síntese do óxido nítrico necessária para a manutenção da pressão arterial normal. OBJETIVO: Estudar as lesões miocárdicas ocorridas por razão da inibição da síntese do óxido nítrico durante quatro dias (por meio da administração oral de L-NAME em concentração de 75 mgs versus 100 mL-1. MÉTODOS:Quatorze ratos Wistar jovens normotensos adultos foram submetidos durante quatro dias ao L-NAME. Seis foram utilizados como Grupo Controle. Aos quatro dias de experimento, os animais foram anestesiados, pesados, os tórax foram abertos e a cardiomiotomia foi efetuada. Os corações foram pesados, fixados e processados usando métodos de rotina e cortados em 3 µm de espessura e corados. RESULTADOS: As anormalidades foram observadas nas paredes arteriais de vasos de todos os calibres, como, por exemplo, o aumento da parede arterial relacionada principalmente à proliferação das células musculares lisas dos animais submetidos ao bloqueio do óxido nítrico. Também foi identificada proliferação das células da túnica íntima e seu espessamento nos vasos arteriais de pequeno calibre (arteríolas. Áreas de infarto estavam presentes. CONCLUSÕES: Os resultados sugerem que a inibição do óxido nítrico durante quatro dias induz anormalidades vasculares e áreas de infarto do miocárdio, contudo, não induz hipertensão arterial.

  4. Aspectos clínico-patológicos da intoxicação experimental pelas sementes de Crotalaria mucronata (Fabaceae em bovinos Experimental poisoning by Crotalaria mucronata (Fabaceae seeds in cattle

    Directory of Open Access Journals (Sweden)

    Murilo R. Boghossian

    2007-04-01

    Full Text Available Sementes moídas de Crotalaria mucronata Desv. (=Crotalaria striata DC., Crotalaria pallida Ait., Crotalaria saltiana, com nomes populares de "xique-xique" ou "guizo-de-cascavel", foram administradas por via oral a 9 bovinos. As doses diárias de 1g/kg, 2g/kg, 3g/kg cada uma a um bovino, e 5g/kg em dois de três bovinos, dadas durante 61 a 63 dias, não causaram intoxicação. A dose de 5g/kg em um bovino, 7,5g/kg em dois bovinos e 10g/kg em um bovino, dadas durante 47-61 dias, causaram sintomas entre 47 e 80 dias após o início da administração e a morte entre 3 horas e 5 dias após o início dos sintomas. Os principais sintomas foram pulso venoso positivo da veia jugular, respiração abdominal, taquicardia, inapetência, fezes ressequidas, edema sub-mandibular e fraqueza. Os achados de necropsia foram palidez pulmonar, hidropericárdio, hidrotórax, hidroperitôneo, edema de mesentério, aumento da consistência hepática, alterações de cor do fígado, dilatação de ventrículo cardíaco direito e edema da parede ruminal. As principais alterações histológicas concentraram-se nos pulmões, sob forma de espessamento das paredes alveolares e da parede das arteríolas com diminuição da luz e fibrose periarteriolar; havia também lesões hepáticas e cardíacas de menor importância. Pode-se concluir que as principais lesões causadas pela ingestão das sementes de C. mucronata durante períodos prolongados, devem-se à dificuldade de passagem do sangue pelos vasos pulmonares em função da hipertensão arterial decorrente de fibrose e espessamento arteriolar determinada pela ação pneumotóxica da planta.Experiments were performed to define the clinical and pathological picture of prolonged administration of the seeds of Crotalaria mucronata Desv. to cattle, in order to obtain additional information about this toxicosis. The ground seeds were administered orally to 9 bovines. Doses of 1g/kg/day, 2g/kg/day, 3g/kg/day each in one bovine

  5. A SEM study of the reindeer sinus worm (Linguatula arctica

    Directory of Open Access Journals (Sweden)

    Sven Nikander

    2009-01-01

    ärkien tasolla, naaraan vastaavasti vatsapuolella lähellä takapäätä. Sekä koiraalla että naaraalla nähtiin sukuaukon molemmissa reunoissa ulokkeet, jotka koiraalla olivat nystymäiset ja naaraalla lehtimäiset. Tutkitussa materiaalissa todettiin yksi paritteleva kielimatopari. Tutkimuksessa voitiin tunnistaa useita niveljalkaisille ja matoäyriäisille tyypillisiä rakenteita. Koska pyyhkäisyelektronimikroskoopin avulla voidaan tutkia ainoastaan pintarakenteita, erityisesti tuntoelimien rakenteista saatu informaatio jäi pinnalliseksi. Läpivalaisu- eli transmissioelektronimikroskoopin avulla tästä kiehtovasta eliöstä ja sen alkuperästä olisi mahdollista saada lisää tietoa.Abstract in Swedish / Sammandrag:En elektronmikropisk studie av renens bihålemask (Linguatula arctica Pentastomiderna är en grupp egendomliga, parasitiska ledfotingar ofta beskrivna som tungmaskar beroende på att några arter är tunglika. Linguatula arctica är renens (Rangifer tarandus bihålemask, den enda pentastomid som har en direkt livscykel och ett klövdjur som slutvärd. Nedan beskrivs ytstrukturer och inre morfologi av könsmogna L. arctica sedda med skanningelektronmikroskop (SEM. Bihålemaskarna insamlades vintrarna 1991 och 1992 i Finlands Lappland. De paranasala håligheterna på ca 80 slaktade renar undersöktes och 30 bihålemaskar upptäcktes. Bihålemaskarna hade för Linguatula arterna typisk morfologi. De var paddelformade, delvis genomskinliga, svagt gulaktiga, tillplattade och skenbart segmenterade med en lång smal bakkropp. På framkroppens undre sida fanns en munöppning med ett stort tydligt huvudliknande utskott. På båda sidor om denna öppning fanns ett par starka krökta hakar. Framkroppen och bakkroppen hade ett segmenterat utseende, emedan ytan hade tydlig annulation. Det fanns små koppformade känselorgan på sidan av varje annula. Bakkanten av varje annula var försedd med små bakåt riktade taggar. Hela ytan (kutikulan var full av små, runda f

  6. Intoxicação por veneno de cobra: necrose symetrica da cortex renal: uremia

    Directory of Open Access Journals (Sweden)

    A. Penna de Azevedo

    1938-01-01

    Full Text Available Em um caso fatal de ophidismo, em individuo de 15 annos de edade, picado por uma cobra jararaca (Bothrops jararaca na face externa da perna direita e que veio a fallecer 26 dias apoz o accidente, os A.A, descrevem as lesões anatomo-pathologicas encontradas e as modificações do metabolismo, evidenciadas pelos exames chimicos do sangue. As principaes alterações existentes, acham-se localisadas nos rins os quaes apresentam lesões de glomerulonephrite diffusa e o aspecto typico da necrose cortical symmetrica. Como alterações de maior significação observam-se ainda lesões vasculares de grande intensidade e constituidas essencialmente por processo de endoarterite productiva. A necrose symmetrica da cortex renal, a vista das intensas alterações vasculares (endoarterite productiva que acarretaram a obliteração das arterías, é considerada como a consequencia immediata de taes lesões vasculares. Os vasos renaes, séde do processo inflammatorio, são as arterias interlobar, arciforme e interlobular, mas principalmente as arteriolares da camada cortical. O processo de endoarterite assume sempre o carater progressivo, de modo que a luz vascular vae sendo aos poucos, totalmente obstruida. Ao contrario do que se tem observado nos casos de necrose cortical symmetrica, citados na literatura, em que as alterações parenchymatosas são consequentes a thrombose dos vasos reanes, no caso presente esse aspecto não foi verificado mas tão sómente a existencia da endoarterite productiva obliterante. Consideram os A.A. as lesões renaes no caso que estudaram, como a resultante da actuação lenta e prolongada do veneno de cobra sobre as estructuras renaes, baseados nos seguintes factos já conhecidos e admittidos: eliminação do veneno de cobra pelos rins; capacidade do mesmo veneno, determinar a glomerulo-nephrite diffusa e acção do veneno de cobra sobre o endothelio vascular, facilitada essencialmente pela funcção especifica do orgão. As

  7. Saphenous vein graft true aneurysms: Report of nine cases and review of the literature

    Directory of Open Access Journals (Sweden)

    Davidović Lazar B.

    2004-01-01

    . We had two such cases developed three and five years after primary operation. In three of our cases ASVG aneurysm showed an atherosclerotic origin, while in 3 non atherosclerotic. The exact mechanism of aneurysm degeneration of the ASVG in arterial position is unknown. There is likely a combination of factors including: - mechanical trauma during vein harvesting and operation [9,30]; - weakness at branching sites in the vein [2,9]; - potential weakness in the vicinity of the venous valves due to absence of the circular muscle cuff in the media of the vessel wall [5]; - infection [16]; - trauma caused by bony structures near the graft [18,30]; - arteritis [13,14,26, 27, 30]; - atherosclerosis [2,3,5-11,18,19,21,24,25]; - hemodinamic factors from the arterial pressure [23]; - transmural ischemie injury of the vein wall due to disrupting of the vasa vasorum after removing of the vein segments [28,29,33]; Brody cold this fenomen „devascularization of the venous graft" [34]; - diffuse nature of this process in patients with multiple aneurysmal changes [20,32] (our cases 2,3,4,6 and 8; - using of the cephalic [9], or superficial femoral vein [1] (case 7; - changed veins (one of our cases. The use of in situ bypass technique for arterial reconstruction would theoretically, minimize endothelial trauma by reducing operative manipulation, preserving vasa vasorum, and eliminating the pressure induced endothelial desquamation that has been associated with mechanical destination of reversed vein graft during their harvest. However, Sassoust [15] in 1986 reported 5 cases of true aneuryms of the ASVG after in situ F-P bypass. After Sassoust's new cases of ASVG aneurysm following F-P in situ bypass surgery were reported [22-24]. CONCLUSION Early ASVG aneurysm formation occurring six months after surgery has been found to be the result of preexisting unrecognized vein wall weakness or injury at the time of harvest, while aneurysm discovered 5 or more years postoperatively, were

  8. Improvement of valerian-ligusticum extract on cerebral microcirculatory disturbance%复方缬芎提取物改善脑微循环障碍作用

    Institute of Scientific and Technical Information of China (English)

    薛存宽; 何学斌; 屈文; 李颖; 曾伶; 彭仁琇

    2005-01-01

    injected in coccygeal nerve. Fifteen minutes later, radio-immunity counter was used periment of arteral-ovenous bypass method for thrombosis, before the opercal saline successively, continuously for 7 days, once per day. After 24 hours of medication pause, with abdominal anesthesia with pentobarbitol sodium, a catheter (with surgical thread inside) was used in vitro to connect common cervical vein and carotid artery. Thrombus mass was scaled 15 dominal anesthesia of chloral hydrate, intraluminal thread approach (ITA)was used to block unilateral MCA. Except that ITA was not used, the other management in sham-operation group was same as experimental groups.Gastric perfusion was done with VLE(156, 94, 31.3 mg/kg), ligustrazine operation and 3 hours and 12 hours after operation. 24 hours after modeling, the assessment was done for behavioral neurological damage and brain sive cerebral ischemia experiment, the model was prepared by coccygeal injection of collagen + adrenalin (AD). Respectively, 30 minutes before modeling injection and 1 hour after injection, gastric perfusion was done with VLE (200, 40 mg/kg), ligustrazine (10 mg/kg) or solvent enhancer of equal volume successively to observe the numbers of dead mice in 5 minutes after modeling and the numbers of hemiplegia mice in 15 minutes;and to determine brain mass index 8 hours later after sacrificed and lactic acid level of brain tissue homogenate with ultraviolet spectrophotometry.group.RESULTS: In the experiment of acute extensive brain ischemia in mice, in solvent control, during modeling, 3 mice were died and the rest 207 mice brain tissue in mice, the ratios of brain with and blood γ ray pulsating intensity in VLE 85 mg/kg group and VLE 170 mg/kg were higher than model group (0.53±0.09, 0.55±0.08, 0.45±0.08, t=2.234 6, 2.793 3, P method in rats, the thrombus masses in VLE 156 mg/kg group, 94 mg/kg group and 31.3 g/kg group were lower remarkably than the model group [(12.66±4.79), (13.31 ±3.97), (13.49±4