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Biomedical subjects

H W Baenkler

Publications and source records attributed to H W Baenkler.

At least 19 recordsLinked to original sources
PubMed1991

[Allergic enteropathy. Intestinally-mediated fungus allergy].

This article reports on a 53-year-old woman suffering from recurrent diarrhea since 1980 who, in November 1988, was admitted to the Medical Department of the University of Erlangen-Nuremberg with four to eight loose to liquid stools a day. Since January 1988, in addition to abdominal symptoms, including meteorism and recurrent abdominal pain, intermittent bouts of fever of up to 40 degrees C lasting six to eight hours and frequently occurring in the evening, had been noted. The patient's symptoms improved at weekends and during the holidays. Since 1977, she had been employed at a cheese counter, selling cheese. Noteworthy findings were an eosinophilia of 6% and, with the prick skin test, weakly positive reactions induced by two moulds with no increased total IgE and negative IgE RAST for diverse foods and moulds. An in vitro histamine-releasing test performed on colonic mucosal particles obtained at colonoscopy, a sensitization of the mucosa to moulds was demonstrated, and the patient was then given the mast cell stabilizing agent DNCG. This treatment cleared the symptoms, and she put on weight. In vitro tests on colonic biopsy material repeated in 1989 revealed a significant reduction in the release of histamine in response to the anti-allergic treatment.

Cladosporium↗
PubMed1990

ASA-induced release of histamine from nasal mucous membranes in analgesic intolerance and polyposis nasi.

Tissue samples from the polypous mucous membrane and the inferior nasal concha were taken from 13 patients with polyposis nasi and from 12 other patients with an additional intolerance to analgesics. The tissue of the inferior nasal concha from patients without polyposis nasi served as a control. The relative histamine content of the samples (in ng/mg dry weight) and the relative histamine release (in %) after addition of acetylsalicylic acid (ASA) were determined. A significantly higher relative histamine content in the tissue samples of polyp patients without an intolerance to analgesics was seen in comparison to the other two groups. The relative histamine release of both patient groups with nasal polyposis was comparable. The control group exhibited both an increased spontaneous release of histamine as well as a higher relative histamine release from the tissue of the inferior nasal concha.

Adult↗
PubMed1989

[Functional classification of allergic diseases].

Allergology is the oldest branch of clinical immunology. Allergic reactions are subject to the laws of all immune reactions from the antigen presentation to the effector mechanisms. Coombs' and Gell's classical four types of allergy should and could therefore now be expanded by a functional classification oriented towards the T- or B-lymphocytes and the immunoglobulins involved in the pathogenesis.

Allergens↗
PubMed1989

Kinetics of histamine released from rectal mucosa.

This kinetic study was performed to investigate the different tissue-influencing histamine amounts in Crohn's Disease (CD), Ulcerative Colitis (UC), patients with polyps and cancers (P.a.C.Gr) and in a Control Group (CG). For this purpose the endoscopically obtained specimens from rectal mucosa were immediately placed into 1000 microliters of Hank's incubation medium in order to determine the spontaneously released histamine amounts at the time points of 5, 10, 15, 20 and 30 minutes. Each time a volume of 100 microliters was removed from the incubation medium and the kinetic value (KV) was detected by using the single isotope radioenzymatic method. Influencing of natural histamine catabolism and the comparison of the tissue histamine release with or without air oxygen in the incubation medium using four kinetic programmes (KP1-4) provides clearly different KVs, not only between the KPs but also within the same KP. The P.a.C.Gr. shows higher kinetic values (KVs) compared with the CG. In KP1-3 the kinetic courses (KCs) of the Inflammatory Bowel Diseases (IBDs), CD and UC-both not yet divided in active (a.) or not active (n.a.) disease stages-cross the KCs of the CG several times. Only the differentiation of the IBDs in active and not active disease stages in KP4 reveals that CDa. and UCa. stand out from the CG by higher KVs, and in contrast, CDn.a. and UCn.a. have lower KVs than the CG. The released amounts of histamine in CDa. and UCa. are significantly higher than in CDn.a. and UCn.a.

Adult↗
PubMed1989

Histamine release from human colonic mucosa in response to anti-IgE.

Testing of tissue particles for mediator release may be very useful for the diagnosis of localized immunological abnormalities or allergies. The aim of this study was to set up a general procedure to test the reaction of large bowel mucosa to stimuli via the IgE-mediated pathway. Therefore, tissue particles from normal subjects and from patients suffering from different diseases (Crohn's disease, ulcerative colitis, intestinal polyps) obtained at routine coloscopy were exposed to either Hanks or anti-IgE solution to determine the spontaneous or the anti-IgE-induced histamine release, expressed as the percentage of the total histamine content of the biopsy. Histamine was measured using the single isotope radioenzymatic assay. In general, whereas anti-IgE interestingly reduced the histamine release compared to the spontaneous in most of the patients within the polyps group, there was a stimulating effect of anti-IgE throughout all other groups. Thus, the study confirms the possibility of performing functional tests using biopsy particles from the colon.

Antibodies, Anti-Idiotypic↗
PubMed1989

Antigen-induced histamine-release from duodenal biopsy in gastrointestinal food allergy.

Twenty-four patients allergic to food, which was demonstrated by oral provocation, were investigated. Six particles from duodenal mucosa were obtained during endoscopic examination and incubated with different foods. Specimens challenged by anti-human-IgE or without any stimulus served as control values. Also, skin tests and assays of specific IgE were performed. The spontaneous histamine release varied from 19% to 36%. Anti-IgE caused an increase up to 26% until 65%. Incubation with allergenic food induced a histamine release from 41% to 81%, demonstrating positive results in 27 out of 30 separate experiments. Antigen-induced histamine release from biopsy specimens turned out superior to skin tests and specific IgE. It is the most reliable tool for diagnosis of gastrointestinal food allergy besides oral provocation.

Adult↗
PubMed1985

[In-vitro induced histamine liberation from mucous membrane of the stomach and duodenum before and following vagotomy].

In 13 patients suffering from duodenal ulcer and undergoing vagotomy biopsies were taken from mucosa of the gastric fundus and of the duodenum. Histamine release from the samples upon challenge to different food was assayed before and after vagotomy. Generally, more histamine was set free from gastric mucosa than from the duodenal one. However, in 11 of 13 subjects there was an alternative shift in the fundus and in the duodenum after vagotomy.

Adult↗
PubMed1979

Effect of gammaglobulin injection on circulating immune complexes in various diseases.

Immune complexes (ICs) participate in the pathogenesis of various diseases and can be shown in 18% of all hospitalized patients (excluding those with infectious diseases) by means of a sensitive method such as the Raji-cell radioimmune assay. However, before this test can be applied to quantify disease activity in renal, connective tissue and neoplastic diseases, it must be recognized that febrile infections of the upper respiratory tract also induce ICs in 86% of all patients. The immune complexes containing microbial antigens can be reduced or removed by a single injection of human immunoglobulin. This is a simple method to distinguish between the immune complexes of different specifities. The resulting removal of some immune complexes may be the explanation for the claimed therapeutic effect of gammaglobulin injection in normogammaglobulinemic patients.

Adolescent↗
PubMed1978

[Hepatology and immunology].

Immunologic diseases of the liver are exogenous mostly initiated by virus or endogenous initiated by autoaggression. All virus-induced kinds of hepatitis are due to an immune response against inocculated hepatocytes. Therefore the hepatitis is limited to the period of complete elimination of virus-infected cells. A strong immune response therefore corresponds with an acute and short hepatitis whilest a weak immune response develops a chronic hepatitis. In contrast, autoimmune hepatitis based on a disorder of the immune system with some genetic background is always unlimited. Each cirrhosis developing from immunologic hepatitis is also an immunologic disease; a special variant is the autoimmune primary biliary cirrhosis. All in all, the number of immunologic liver diseases surmounts the remaining liver diseases due to intoxication of metabolic disorders.

Antibodies, Viral↗