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Biomedical subjects

G Goddard

Publications and source records attributed to G Goddard.

7 recordsLinked to original sources

Multiple autoantibodies in patients with silicone breast implants.

Diverse immunologic abnormalities have been described in women who received silicone breast implants. However, most studies have focused on either a limited number of patients or a small panel of autoantibodies. We report the analysis of 20 autoantibodies in 116 women with implants and 134 controls. The patients ranged from 26- to 66-years-old, with a mean of 45.7 +/- 8.3 years; breast prostheses were in place for a mean of 15 +/- 5.6 years, with a range of 4 to 30, the chief complaints of the 116 patients included polyarthralgias, fatigue, myalgias, morning stiffness, and decreased memory. All 250 sera were tested blindly using a panel of 20 autoantigens including SS-A, SS-B, RNP, cardiolipin (CL), collagen types I, II and IV, phosphatidylserine (PS), myeloperoxidase (MPO), sulfatides (sulf), thyroglobulin (TG), gangliosides (GDIa;GM2), proteinase-3 (PR3), Jo-1, Sm, HPRPP-ribosomal phosphate, histones (H2AH2B), Scl-70 and glomerular basement membrane (NC-1). Values from individual patients were considered positive only when greater than 3 SD above the control mean. There was a statistically significant greater frequency of autoantibodies in women with implants for 15 of the 20 autoantigens; these were particularly striking for anti-H2AH2B, HPRPP, SS-A, SS-B, Scl-70, CL, PS, GM2, and NC-1. Many patients harbored several autoantibodies; 20% had four autoantibodies; 8% had six autoantibodies. The association of autoantibodies and implants suggests an adjuvant action of silicon/silicone byproducts.

Adjuvants, Immunologic

Managing TMD.

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Humans

Articular disk displacement of TMJ due to trauma.

One hundred and thirty native American Indian patients undergoing orthodontic treatment for malocclusions were screened for temporomandibular joint (TMJ) abnormalities. These patients were followed over the course of orthodontic treatment and six of these patients suffered a traumatic injury to the TMJ. These six patients who had been previously screened and found to be asymptomatic, developed symptoms. Three were diagnosed with articular disk displacement of the TMJ confirmed by magnetic resonance imaging (MRI).

Adolescent

Absorbed aluminium is found with two cytosolic protein fractions, other than ferritin, in the rat duodenum.

After in vivo perfusion of the upper intestine of the rat with a range of concentrations of aluminium chloride, entry of the metal into the portal system was only detected when the perfusate exceeded 400 mumol/l, suggesting a mucosal block. Using gel filtration of a mucosal cytosol extract, two consistently appearing aluminium peaks were identified which may represent aluminium binding proteins. Both were heat stable at 60 degrees C and had molecular sizes of about 700 (kilo daltons) (kD) and 17 kD respectively. The larger molecule was distinct from ferritin. Neither molecule associated with 59Fe nor 45Ca. It is suggested that the aluminium peaks are relatively specific aluminium binding proteins that have a scavenging role, reducing entry of the metal from the intestinal contents into the portal blood.

Aluminum

Case report of trigeminal neuralgia presenting as odontalgia.

A case of trigeminal neuralgia presenting as odontalgia in a 47-year-old female is described. This case shows the difficulty of making a correct diagnosis and how patients can be subjected to unnecessary treatment and continued suffering when a correct diagnosis is not made.

Diagnosis, Differential

Aluminum absorption by rat duodenum: further evidence of energy-dependent uptake.

Duodenums of intact anaesthetised rats have been perfused with saline-bicarbonate buffer (pH 8.5), containing AlCl3, across a range of concentrations 0-300 microM. A linear relation between rate of uptake and perfusate Al concentration was found. The clearance of Al from the lumen was also studied with the mean perfusate concentration of 60 microM, in the presence of certain inhibitors. The clearance was significantly reduced by NaCN(1 mM) or dinitrophenol (0.1 mM) in the perfusate, and by prior perfusion with vanadate (10 microM) in saline. No effect was observed after colchicine (25 micrograms) was administered i.v. 3 h before perfusion, but vincristine (10 micrograms) given similarly reduced clearance significantly. Verapamil (25 micrograms/ml) in the perfusate caused a small, just significant, reduction in clearance. These data further characterise duodenal absorption of Al under physiological conditions and suggest that energy-dependent transport plays an important role in its uptake. Calcium channels may provide an additional entry site.

Aluminum