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Biomedical subjects

E Mayayo

Publications and source records attributed to E Mayayo.

At least 55 records · Page 3Linked to original sources

[Granulomatous hepatitis and fever of unknown origin].

In this paper, we review the etiological, clinical and evolutive aspects of patients with fever of unknown origin (FUO) whose hepatic biopsy showed the presence of granulomas (GH). This is retrospective study covering a period of 10 years (1982-1991). The clinical records of all the patients hospitalized due to FUO (n = 71) and of all those in whose hepatic biopsy the presence of GH (n = 70) was documentated, were reviewed. Thirty patients fulfilled both criteria: FUO + GH. In our environment, Q Fever is the most frequent cause of FUO and GH in patients without infection by the HIV. On the contrary, in patients infected by HIV, the most frequent etiology is tuberculosis.

Adult↗

[Mikulicz disease as the beginning of AIDS].

Major salivary lymphoepithelial lesions accounted for less than 3 percent of all benign parotid tumors, prior to AIDS acquaintance. Defined as the presence of enlargement of one or more salivary glands and, in some cases, with diminished salivary function. The paper present the case of an acquired immunodeficiency syndrome starting as a Mikulicz's disease. Reviewed the medical literature and treatment options.

Acquired Immunodeficiency Syndrome↗

Minimal-change glomerulopathy and carcinoma. Report of two cases and review of the literature.

We describe 2 patients with minimal-change glomerulopathy (MCG) associated with an undifferentiated carcinoma of unknown origin and urothelial carcinoma. Oliguric acute renal failure and histopathological changes consistent with acute tubular necrosis were also observed. Fourteen other cases of MCG complicating solid tumors reported in the literature are reviewed. MCG should be included in the nephropathies which cause nephrotic syndrome in adult patients with carcinoma.

Acute Kidney Injury↗

Squamous cell carcinoma in situ of the endometrium as superficial extension of cervical carcinoma.

Squamous cell carcinomas of the endometrium, either primary or secondary extending from the cervix, are rare. We report a 52-year-old woman with squamous cell carcinoma in situ of the cervix associated with squamous cell carcinoma in situ of the endometrium. The patient had received pelvic cobalt therapy 10 years earlier. She presented to the hospital with discomfort in the lower abdomen. Examination revealed vaginal stenosis and pyometra. After cervical cytology and a biopsy showing squamous cell carcinoma in situ, a wide abdominal hysterectomy with bilateral salpingo-oophorectomy (Wertheim modification) was performed. The unusual presentation of cervical carcinoma with a history of previous radiation treatment suggests the need for performing more cytologic and histologic studies on these patients, because of the risk of developing a secondary malignancy.

Carcinoma in Situ↗

Pattern of arborization of the motor nerve terminals in the fast and slow mammalian muscles.

A silver impregnation method and a morphometric approach were used to define differences existing in the motor nerve terminal branching pattern between a fast-twitch muscle (extensor digitorum longus) and a slow-twitch one (soleus) of the normal adult rat. Because no single measure can describe precisely all geometrical properties (ie both topology and metrics) of the nerve terminals, we evaluated morphologic parameters defining length and angular characteristics in the different terminal segments classified according to their centrifugal order. The main results indicate that the distal free-end segments in the extensor digitorum longus muscle are shorter and less divergent than in the soleus nerve terminals. The endings in the two muscles have different fractal dimensions. Findings are discussed in the context of the hypothetical mechanisms governing motor nerve terminal size and complexity.

Animals↗

Experimental infection with Scedosporium inflatum.

The experimental pathogenicity of Scedosporium inflatum (three isolates) and Scedosporium apiospermum (one strain) was determined following intraperitoneal and intravenous injection into immunosuppressed and normal mice. Immunosuppressed animals were treated with cortisone acetate. The results show that the strains studied displayed positive tropism to kidney and brain. In the histopathological study of the first organ, we initially observed abscesses at the glomerular level and later in the renal pelvis. In the brain, we detected large areas with necrosis, which produced important neurological disorders resulting in convulsive movements and a stiff neck. The isolates of S. inflatum were more virulent (45% mortality) than S. apiospermum (16% mortality). The inoculation method did not significantly affect the mortality rate of the mice by either fungus. In infections caused by S. inflatum the percentage of immunosuppressed mice which died was higher in comparison to that of the untreated group. On the other hand no differences were observed in the mortality of either group animals inoculated with S. apiospermum.

Animals↗

Angiolymphoid hyperplasia with eosinophilia of the tongue: report of a case and review of the literature.

Angiolymphoid hyperplasia with eosinophilia has been described mainly in the dermis and subcutaneous tissues of the head and neck, and only occasionally in the oral cavity. A case of angiolymphoid hyperplasia with eosinophilia of the tongue in an 82-year-old man with typical morphologic features is presented. The diagnosis criteria and treatment of this lesion reported in the English literature are also reviewed.

Aged↗

Experimental pathogenicity of Aphanoascus spp.

Immunodepressed mice were inoculated intraperitonealy with a suspension of conidia and micelia macerate of four species of Aphanoascus (A. keratinophilus, A. fulvescens, A. reticulisporus and A. verrucosus). All produced nodular lesions in the peritoneal cavity, especially in the liver, spleen, diaphragm and peritoneum. The recovery rate of the fungi on phytone-yeast extract agar after one month varied approximately from 20 to 80% depending on the organs. Sections of these revealed the presence of ascospores and hyphal fragments though only in the centre of the nodules. Fungal elements were not detected in organs which were apparently not affected, nor intravascularly.

Animals↗

Branching pattern of the motor nerve endings in a skeletal muscle of the adult rat.

We have performed a morphometric analysis of the branching pattern of the rat sternomastoid motor nerve terminals in normal and regenerated singly-innervated synaptic areas, in junctions with an accessory ending and also in dually-innervated synaptic areas. We tried to seek measurable differences related to the terminal complexity and size in these different situations. The number of sole-plate nuclei is always significantly correlated with the nerve terminal parameters and unrelated to the muscle cell diameter. A significant correlation between the terminal complexity and the postsynaptic size is found only in the smallest endings whereas correlation is lost with the increase in nerve terminal complexity. In normal singly-innervated areas, the mean length of the distal free-end segments of the terminal arborisation becomes reduced with the increase in complexity of the terminals, whereas the mean length of the segments between branching points and the mean angle of branch emergence is, on average, constant. Whereas the accessory endings show the same branching pattern as the endings during the initial days of regeneration, the parent ending can be considered as a miniature version of the endings in normal singly-innervated junctions. In dually-innervated areas, the smallest endings show a similar branching pattern to the accessory endings and the endings during the initial process of reinnervation, whereas the larger endings show a significant reduction in the length of the distally placed segments compared to the normal endings in singly-innervated areas. Results indicate that the terminal branching pattern is not haphazard but, on the contrary, general rules and tendencies can be measured.

Animals↗

Motor nerve terminal morphologic plasticity induced by small changes in the locomotor activity of the adult rat.

The possible existence of plastic changes in the branching pattern and the complexity of silver-impregnated motor nerve terminals was studied in the extensor digitorum longus muscle of adult rats housed in metabolic cages or trained to walk. Results indicate a precise inverse relation between the amount of locomotor activity and the complexity finally attained by the motor nerve terminals.

Animals↗

Effect of recombinant human growth hormone therapy on bone and clinical parameters in girls with Turner's syndrome. The Spanish Collaborative Group.

Forty-eight girls with Turner's syndrome were assigned to one of three treatments; recombinant human growth hormone (rhGH) alone, rhGH plus oxandrolone, and rhGH plus ethinyloestradiol. Treatment with rhGH alone or in combination with oxandrolone induced catch-up growth. Older girls treated with rhGH plus ethinyloestradiol showed less marked improvement. The gain in height was associated with a gain in bone diameter and cortical thickness (reflecting increased bone mass). There was a rapid loss of subcutaneous fat. These effects of growth hormone are similar to those observed in patients with growth hormone deficiency.

Adolescent↗

Changes in motor nerve terminals during bupivacaine-induced postsynaptic deprivation.

The local anaesthetic agent bupivacaine induces a rapid degeneration of muscle cells when injected in the sternocleidomastoid muscle of the adult rat with no damage to intramuscular nerves. Nevertheless, silver impregnation and electron microscopy reveal a sequence of retraction and sprouting of the motor nerve endings during the period of the bupivacaine-induced muscle cell deprivation by necrosis. These morphological changes seem to be qualitatively similar to the retraction and growth phenomena described as forming part of the remodelling process affecting normal untreated neuromuscular junctions of the adult amphibia and mammals. The results are discussed in the context of the regulatory mechanisms governing the maintenance of motor nerve terminals.

Animals↗