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Biomedical subjects

A S Mukhin

Publications and source records attributed to A S Mukhin.

At least 37 records · Page 2Linked to original sources
PubMed1978

[Diagnosis of alcoholic liver cirrhosis during autopsy].

Approaches for the diagnosis of alcoholic cirrhosis of the liver at the dissecting table are given on the basis of the analysis of autopsy materials and liver biopsies. The etiological verification of cirrhosis is based on the peculiar morphological lesions of the liver and other organs. The liver is enlarged, its surface micronodal; histologically, an attack of acute alcoholic hepatitis is found not infrequently: necroses of hepatocytes, predominantly neutrophilic infiltration of the stroma and necrotic zones, alcoholic hyalin. Due to autolysis, alcoholic hyalin in the autopsy material changes somehow and is hardly detectable. A combination of alcoholic cirrhosis of the liver with alcoholic cardiopathy and/or chronic calcifying pancreatitis is typical.

Autopsy↗
PubMed1978

[Morphological variants of alcoholic hyalin and possible ways of its evolution].

Possible ways of alcohol hyalin evolution were studied by repeated electron microscopic examinations of the livers of 2 patients with acute alcoholic hepatitis Four types of ultrastructure of alcoholic hyalin were found: parallely oriented fibrillae, randomly oriented fibrillae, fine granular and large granular (spotlike) substance. Examinations of the material from repeated biopsies showed fibrillar hyalin to be "young" and to turn into "old" hyalin of granular structure. The evolution of alcoholic hyalin from fibrillar to granular is accompanied by hepatocyte necrosis and leukotaxic effect.

Adult↗
PubMed1977

[Alcoholic heart disease (alcoholic cardiomyopathy)].

With no intention of belittling the importance of chronic ischemic heart disease (CIHD) in modern cardiology, the article focuses the attention on primary alcoholic heart disease--alcoholic cardiomyopathy (ACMP)--which arouses a far from causal interest due to the prevalence of alcoholism. It is suggested to distinguish three main clinical forms of ACMP: valence of alcoholism. It is suggested to distinguish three main clinical forms of ACMP: (1) "classical", manifested by dilatation of the heart and signs of its failure; (2) "quasi-ischemic" manifested by cardialgia and changes in the ECG, resembling those in CIHD; (3) "arrythmic", characterized by variants of disorders of myocardial excitability and conduction. The ACMP diagnostic criteria, methods for its identification and differential diagnosis from CIHD, modern conceptions of ACMP pathogenesis, and the main principles of treatment are discussed.

Adult↗
PubMed1976

[The morphology and morphogenesis of alcoholic cirrhosis of the liver].

A total of 42 biopsy specimens of the liver (blind and spot) in 32 patients with alcoholic cirrhosis of the liver were investigated. Morphological, portal, postnecrotic, and mixed types of cirrhosis were established. The portal type of cirrhosis is most common. On the basis of repeated analyses of biopsy materials of the liver it may be assumed that the development of cirrhosis of the liver of alcoholic etiology is connected with multiple attacks of acute alcoholic hepatitis. Abstention from alcohol consumption resulted in stifestations of exacerbation of cirrhosis. On the other hand, continuation of alcohol consumption contributed to progressing of cirrhosis, which following several attacks of alcoholic hepatitis, may change its morphological type: portal cirrhosis "transforms" into the postnecrotic or mixed type. The data obtained clarified the role of ethanol in progressing alcoholic cirrhosis of the liver, which according to the initial mecranisms of its development in postnecrotic, since every attack of acute alcoholic hepatitis is accompanied by coagulative (fields of alcoholic hyaline, or Mallory's bodies), or by colliquative (balloon dystrophy) necrosis of hepacytes.

Acute Disease↗
PubMed1975

[Alcoholic lesions of the liver (morphology and several questions concerning pathogenesis)].

On the basis of morphological studies of 130 puncture material of the liver in 100 patients with chronic alcoholism the three morphological forms of its lesion were identified: dystrophic changes in hepacytes; alcoholic hepatitis (acute and chronic); cirrhosis of the liver. It is suggested that the morphological forms mentioned above represent the stages of one process--developing alcoholic hepatopathy. Progressing of the process in the liver in chronic alcoholism is connected with necroses of hepacytes as a result of toxic effect of alcohol with a subsequent reaction of the cells of the portal stroma and sinusoids. Gravity of lesions of the liver depends largerly on individual sensitivity to alcohol, one of the main factor of which may be the capacity of the liver to reproduce ADG.

Acute Disease↗