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Biomedical subjects

K Guzowski

Publications and source records attributed to K Guzowski.

At least 19 recordsLinked to original sources

T lymphocytes modifying factors in sera of patients with Myasthenia gravis.

The examination of patients with Myasthenia gravis revealed that before thymectomy the number of T and B cells in the peripheral blood did not deviate from the norm. It was also observed that their sera contained factor stimulating T lymphocytes to the spontaneous rosette formation, theta antigen generation in xynogeneic system and hydrocortisone-resistant thymocytes. No factor inhibiting the spontaneous rosette formation by T lymphocytes or causing the transmission from Thy-1.2+ cells to Thy-1.2-cells was detected in these sera. Thymectomy resulted in the immediate fall of T lymphocytes number in the peripheral blood of the patients examined. Besides, serum of most patients almost totally lost the stimulating factor. The fall of T cells number did not involve the appearance of the inhibitory factor in the patients' serum. Different than in others results gave blood and serum analysis in the patient tymectomized 10 years earlier. Her blood contained the normal number of T and B lymphocytes and the stimulatory factor of a "limited" activity. It displayed only the ability of generating hydrocortisone-resistant cells, it appeared nonactive in generating theta antigen or restoring the ability of rosette formation by T cells.

Adolescent↗

[Risk factors in stroke].

Risk factors were compared in 300 patients with brain stroke and 120 patients with neurosis or sciatic pains. It was found that arterial hypertension (p = 0.001) and diabetes (p = 0.01) were significantly more frequent in cases of brain stroke. Disturbances of lipid metabolism, tobacco smoking and obesity showed no significant difference. Extracerebral atherosclerosis (p = 0.001) increased the risk of stroke. Coronary arterial disease was most frequent (48.8%), myocardial infarction (8.3%) and calcifications in the aorta (32%) were second and third in frequency. Presence of at least two risk factors may be an indication to prophylactic treatment.

Aortic Diseases↗

[Case of acute thyreotoxic Waldenstrom's encephalopathy].

In a 48-year-old female patient with hyperthyroid nodular goitre the syndrome of acute thyreotoxic encephalopathy of Waldenström was observed. The syndrome comprised quantitative disturbances of consciousness, psychosis, pyramidal and bulbar sings as well as presence of generalized myopathy. The EEG was pathological, corresponding to the state of consciousness disturbances. Treatment of hyperthyroidism led to complete remission of CNS disturbances and considerable decrease in the intensity of myopathy.

Acute Disease↗

[Cathemnesis of patients with myasthenia].

Fifty patients with myasthenia were followed up, including 26 surgically treated cases (thymectomy) and 24 conservatively treated ones. Improvement was obtained after thymectomy in 10 cases (73%) and in 12 (50%) conservatively treated cases. Sixteen patients died, including 6 (23%) treated surgically and 10 (41.6%) treated conservatively. Good results of surgical and conservative treatment were observed in cases with mild or moderately severe course. In severe cases of myasthenia (with respiratory disturbances) surgical and conservative treatment was ineffective. Thymectomy should be carried out early before appearance of respratory failure.

Adolescent↗

[Thyroid activity in patients with myasthenia].

In 27 patients with myasthenia thyroid function tests were done using radioassay methods. The levels of thyroxine (T4), triiodothyronine (T3), thyroxine-binding protein (BT4) and thyrotrophic hormone (TSH) were determined simultaneously in the serum. In 4 myasthenics the levels of T3 and T4 were determined after administration of exogenous TSH (Ambinon). The control group comprised 13 subjects without thyroid function disturbances. The investigations demonstrated a statistically significant decrease of T4 (at p less than 0.05) and T3 (at p less than 0.01) in myasthenia as compared with the control group. Administration of TSH raised the T3 level by 40% and that of T4 by 6%. The results obtained by the authors indicate presence of secondary hypothyroidism in myasthenia possibly due, to failure of the hypophyseo-hypothalamic system.

Adolescent↗