Biomedical subjects
Publications and source records attributed to E Proksch.
A 66-year old woman presented all the features of primary biliary cirrhosis and the blue rubber bleb naevus syndrome. This case represents a new association of primary biliary cirrhosis with an inherited disease.
Chilblain lupus erythematosus is a chronic form of lupus erythematosus that is seen predominantly in women and first manifests itself during cold weather as painful purplish acral swellings. These symptoms and possible progression to systemic lupus erythematosus are discussed with regard to two cases. Patients with recurrent or persistent "chilblains" should be investigated histologically and serologically as well as by immunofluorescence.
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Three cases of acute intoxication after inhalation of solvents are reported. The clinical picture was that of a severe sensory-motor polyneuropathy, in one case with root involvement leading to complete Landry's paralysis with respiratory paralysis. All three patients required intensive care. The healing process was extraordinarily slow in two and was still unsatisfactory over a 1 1/2-year period of observation. The responsible agents were probably toluene and xylene.
Zinc deficiency syndrome with acrodermatitis enteropathica-like skin changes developed in a 66-year-old patient during treatment of manganese poisoning with the chelating agents CaNa2-EDTA and Ca-trisodium-pentetate, which had reduced the serum-zinc level. The skin changes cleared up after oral administration of zinc aspartate.
The gamma-radiation degradation of trace amounts (70-440 ppb) of trichloroethylene and tetrachloroethylene in drinking water has been investigated. The doses necessary to reduce the pollutant concentration to 1 ppb are in the order of 1 kGy.
Butchers seldom file for workman's compensation for the occupational disease pyoderma. In the case presented here there is a clear temporal correspondence between the practice of the trade and the onset of the disease. It is suggested that the disease, contracted by humans from animals, be recognized under number 3107 of the BKVO (list of occupational diseases recognized by West German law). No factors were found outside the butcher's trade which could have contributed to the pyodermia.
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