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Biomedical subjects

B Elsner

Publications and source records attributed to B Elsner.

At least 55 records · Page 3Linked to original sources

Pulmonary rhabdomyosarcoma with isolated small bowel metastasis. A report of a case with immunohistochemical and ultrastructural studies.

A unique case of pulmonary rhabdomyosarcoma with an isolated, symptomatic small bowel metastasis is presented. The tumor affected the middle lobe, and was treated with a right pneumonectomy. Eleven months after the operation, an isolated small bowel metastasis, which produced intestinal obstruction, was resected. The patient is currently alive, 11 months after operation. The myogenous nature of the tumor was confirmed by the immunohistochemical demonstration of myoglobin in the pulmonary and enteric lesion by the ultrastructural findings of poorly developed sarcomeres.

Adult↗

Fatal post-partum pulmonary vasculitis in systemic lupus erythematosus.

A patient with fatal acute pulmonary vasculitis complicating systemic lupus erythematosus (SLE) of ten years duration is described. The patient died seven days after an uneventful pregnancy and delivery. Pathologic examination demonstrated acute necrotizing changes as well as organized lesions in pulmonary arteries. Acute pulmonary arteritis is rare in SLE and may develop as one of the major complications of the disease in the potentially dangerous post-partum period.

Adult↗

Studies on the regulation of RNA labeling and on the biochemical constituents of normal and abnormal human thyroid.

The present studies were performed in order to analyze the incorporation of 3H-uridine into RNA and its hormonal regulation as well as the content of total iodine, T3, T4, RNA, DNA and protein in normal and abnormal human thyroid obtained at surgery. The content of protein, RNA and DNA is not significantly changed in follicular adenoma and in adenomatous goiter, RNA labeling from 3H-uridine showed similar values in slices from normal and abnormal glands. TSH and cyclic AMP increased the labeling of RNA in normal tissue but had no effect in the follicular adenoma and adenomatous goiter. A significant decrease in total iodine, T3 and T4 concentration was found in the pathological samples when compared to normals. The present results would suggest that in these patients the biochemical abnormalities lie at a step distal to the TSH receptor and the adenylate cyclase.

Adenoma↗

Subacute pneumopathy during amiodarone therapy.

A patient with types A and B of Wolff-Parkinson-White syndrome developed subacute pneumonitis during long-term treatment with amiodarone. The pneumopathy occurred only when the maintenance dose was increased to 800 mg/day. Lung specimens obtained by transbronchial biopsy showed chronic pneumonitis with C3 deposition by immunofluorescence. Pulmonary signs spontaneously disappeared two months after the drug was discontinued.

Amiodarone↗

[Quantification of gastrin-producing cells (G cells) in chronic gastritis].

The gastrin-producing G-cells of the antropyloric mucosa are affected by a variety of disorders. By immunoperoxidase methods, employing a specific anti-gastrin I and II antibody, we demonstrated G cells in antropyloric biopsies of 15 patients with chronic gastritis, 6 of them with gastric ulcer and 1 with duodenal ulcer disease. As controls we studied 5 biopsies of histologically normal antropyloric mucosa. We correlated the numbers of G cells per gland with the histological, clinical and endoscopic findings. Normal antropyloric mucosa contained a mean of 2.11 G cells per gland. Patients with chronic gastritis had decreased numbers of G cells (mean 0.75) The difference was statistically significant. The cases with chronic gastritis and intestinal metaplasia had lower numbers of G cells (mean 0.38). The case with duodenal ulcer had a number of G-cells similar of normal cases (1.57). This finding give a morphologic basis for the low gastrin serum levels usually present in these entities.

Adult↗

Cell-mediated immunity and lymphocyte populations in experimental Argentine hemorrhagic fever (Junín Virus).

Guinea pigs infected with the XJ prototype strain of Junín virus reproduce the main features of Argentine hemorrhagic fever, showing hemorrhages, leukothrombocytopenia, and focal lymphoid tissue necrosis. Viral lymphotropism is shown by the presence of viral antigens, severe cytopathic effect, and high virus titers in lymphoid organs. A pronounced depression of humoral immune response to sheep erythrocytes as well as to the virus is described. This study was carried out to determine whether cellular immune response was also modified and which cell populations were affected. Delayed hypersensitivity skin reaction to purified protein derivative was found to be markedly depressed after infection. A noticeable decrease in both percentages and absolute T lymphocyte numbers, detected by E rosettes, in spleen and lymph nodes, together with a low absolute T cell number in peripheral blood, were observed. Total cell counts in spleen, lymph nodes, and peripheral blood were also reduced. On the contrary, no modification in percentages of B lymphocytes, as measured by EAC rosettes, was found. These results indicate that cell-mediated immunity is markedly impaired in guinea pigs infected with the XJ strain of Junín virus. Its relationship with the pathogenesis of the disease is discussed.

Animals↗

Histological Studies in Hodgkin's disease.

200 cases of Hodgkin's disease were found in a revision of the lymph node biopsies studied between 1940 and 1973 at the Institute of Pathology of the Buenos Aires Medical School. Using Rye's nomenclature, 37 (18%) were classified as lymphocytic predominance, 60 (30%) as nodular sclerosis, 81 (41%) as mixed cellularity and 22 (11%) as lymphocyte depletion type of Hodgkin's disease. Preservation of various lymph node structures was observed in 54% of the 200 cases and was more common in the less aggressive varieties of Hodgkin's disease such as lymphocyte predominance and nodular sclerosis. The differences were statistically significant (P less than 001) for the preservation of the medullary sinus and capsule of the lymph node. The presence of sarcoid-like granulomas was more frequent in the lymphocyte predominance type and foam cell areas with Touton giant cells were seen only in cases of nodular sclerosing Hodgkin's disease. Vein invasion was present only in mixed cellularity and lymphocyte depletion hodgkin's disease.

Adult↗

Histology of polypoid lesions found in specimens resected for adenocarcinoma of the colon.

In a revision of 298 colectomy specimens resected for adenocarcinoma of the large bowell, 35 cases (13%) were found to have associated polypoid lesions. Twenty-nine of the polypoid lesions were adenomatous polyps, one a villous adenoma and other a retention polyp. Eight of the adenomatous polyps had a variable degree of benign atypical changes and malignant transformation occurred in four adenomatous polyps with the development of an adenocarcinoma. Four other lesions were small polypoid adenocarcinomas arising in normal colonic mucosa. Four double primary carcinomas were found among the 35 colectomy specimens with polyps. In this paper a significative incidence of malignant polypoid lesions associated with adenocarcinomas of the large bowell were found. The importance of well defined histological criteria in the diagnosis of malignancy and atypical changesin adenomatous polyps in stressed out.

Adenocarcinoma↗