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J Rainer

Publications and source records attributed to J Rainer.

2 recordsLinked to original sources

Corneal edema induced by cold.

We report on a patient, who regularly developed reversible corneal edema of the right eye after cold stress. Cycling tours in cold weather and windy conditions seemed to precipitate the edema. After a provocation test, we also observed transient, corneal edema. A few reports in the literature suggested that Raynaud's disease or trigeminal neuropathy might be responsible for cold-induced corneal opacification. None of these conditions was present in our patient, as proved by laboratory tests and magnetic resonance imaging. We found that contact lenses were an effective prophylaxis against corneal edema.

Adult

Myotonic myopathy with painful muscle contractions and decrease of symptoms by cold.

Myotonic reaction and paresis accompanied by painful muscle contractions limited to the upper limbs, which decrease remarkably in the cold, were observed in a 29 year old man. The histological investigation revealed minimal non-specific signs of myopathy. The biochemical studies of muscular tissue contained a normal amount of myophosphorylase, acid maltase and glycogen. Ischemic work induced normal elevation of venous lactate. The activities of CPK, LDH and SGOT in the blood serum were occasionally increased. The EMG showed typical myotonic bursts and electrical silence during painful muscle contractions. Repetitive high frequency stimulation demonstrated a clear initial increase of the amplitude of action potentials followed by a decrease in the contracted muscle. The father of the patient suffered from dystrophia myotonica. This coincidnece suggests that this myotonic myopathy is a variant of dystrophia myotonica.

Cold Temperature