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Biomedical subjects

M Szalay

Publications and source records attributed to M Szalay.

17 recordsLinked to original sources

Clear cell sarcoma of the pre-parotid region: an initial case report.

An unusual case of clear cell sarcoma (CCS) found in the parotid region of a 75-year-old man with a long history of chronic lymphoid leukemia is reported. Treatment of the patient included a total parotidectomy with preservation of the facial nerve. The tumor was pathologically consistent with a clear cell sarcoma. Since CCS originates from the neural crest and is melanin producing, we suggest that this particular tumor originated from the superficial musculo-aponeurotic system (SMAS). To our knowledge, this is the first case of CCS that has been reported in the parotid region.

Aged↗

In vivo administration of monoclonal antibodies to the CD3 T cell receptor complex induces cell death (apoptosis) in immature thymocytes.

Some thymocytes, upon activation via the TCR complex in vitro, undergo apoptotic cell death. In this report, we examine the cell death induced in the thymus after administration of anti-CD3 or anti-TCR antibodies. We found that shortly after antibody injection, cortical thymocytes undergo apoptosis as characterized by morphologic changes and DNA fragmentation. Anti-CD3 administration led to depletion of nearly all CD4+CD8+ thymocytes, and approximately 50% of CD4+CD8- thymocytes. This depletion predominantly affected cells bearing low levels of CD3, although some depletion also occurred among cells expressing intermediate and high levels. Administration of an anti-TCR antibody also induced apoptosis, but affected significantly fewer thymocytes than anti-CD3. This effect was probably not due to different binding affinities for the two antibodies, because both antibodies show similar dose response effects in an in vitro model of activation-induced apoptosis. This work demonstrates that findings on activation-induced apoptosis in vitro can be extended to the in vivo situation, and further, that the activation of cortical thymocytes, in situ, results in apoptosis and removal of the activated cells. The possible relationships between this activation-induced cell death in immature thymocytes and the process of negative selection of autoreactive T cells is discussed.

Animals↗

[Endocranial complications of chronic otitis in adults].

47 patients with intracranial abscess were admitted in the neurosurgical department of Professor Fohanno Pitié-Salpêtrière Hospital, between 1973 and 1989. Most often central abscesses were found. In 9 cases, the ear was the primary septic focus: 3 chronic otitis with cholesteatoma, 6 chronic otitis without cholesteatoma. In most cases, treatment included: Immediate drainage, Delayed surgery for the primary focus.

Adult↗

[Anatomic considerations on the pyramid and nasal septum. Quantitative data apropos of 33 dissections on fresh corpses].

The authors have dissected a series of nasal pyramids and septum. The various a anatomical structures have been measured and their relations with surgical landmarks have been recorded. Histograms show their findings. Surgical interest was emphasized for each stage of dissection. Some important points have been noticed during this study. They could bring some explanations to certain failures encountered after a septorhinoplasty.

Adult↗

[A myasthenic episode following intake of large amounts of a beta blocker].

A transient myasthenic syndrome confirmed by EMG after taking large doses of beta blocking agent is reported. Data on similar complications have not been found in the literature. Theories trying to explain the myasthenic, myopathic effect of the beta-blocking agents are reviewed. In the opinion of the authors the quinidine-like membrane stabilising effect played a role in their case, although the possibility of the direct effect of the drug on the neurotransmitters cannot be excluded either.

Adult↗

Trigonal catalase crystals: a new molecular packing assignment obtained from sections preserved with tannic acid.

The molecular packing of a trigonal crystal form of catalase initially studied by Longley [1] has been re-evaluated. Sections of crystals fixed and preserved with tannic acid were obtained parallel to the (001) and (100) planes. Specimens prepared by either conventional or low temperature embedding maintained 20 A resolution after sectioning. The space group of the crystals is either P3(1)21 or P3(2)21 and the observed unit cell parameters for (001) and (100) are a = b = 174 A, gamma = 119 degrees and b = 189 A, c = 248 A with alpha = 89.5 degrees. Computer-based reconstructions of two principal projections coupled with crystal density measurements allowed the deduction that there is one catalase tetramer per asymmetric unit. The crystal structure consists of 6 molecules packed closely about a common triad screw axis. This interpretation differs from that proposed by Longley [J. Mol. Biol. 30 (1967) 323], because thin sections of embedded crystals were assumed a priori to be positively stained in the early work; in actuality the sections were negatively stained. We also demonstrate that tannic acid fixation can lead to well preserved, positively stained crystal sections under certain conditions.

Animals↗

Acute retention of urine due to isolated sacral myeloradiculitis.

Two cases of isolated sacral myeloradiculitis are described with retention of urine, sensory disorders in sacral segments and pleocytosis in the CSF. The patients were treated with steroids and recovered after 30 days of treatment. The differential diagnosis and literature are reviewed.

Diagnosis, Differential↗

Sickle cell hemoglobin fiber structure altered by alpha-chain mutation.

Hybrid hemoglobin molecules prepared with beta chains from hemoglobin S (beta 6 Glu leads to Val) and alpha chains from hemoglobin Sealy (alpha 47 Asp leads to His) form fibers with a novel structure. In contrast to the typical fibers of hemoglobin S with an average diameter of 22 nm and a solid cross section composed of 10 outer filaments surrounding a 4-filament core, the fibers of the alpha Sealy2 beta S2 hybrid are much larger, with a mean diameter of 32 nm and a unique double-hollow arrangement of filaments. Sealy--S fibers can be described by a model in which the two pairs of filaments most readily lost from fibers of hemoglobin S are missing to form the hollow regions, with an additional sheath of filaments added to form the overall larger structure.

Computers↗

Growth control of prostatic carcinoma cells in serum-free media: interrelationship of hormone response, cell density, and nutrient media.

Two established prostatic carcinoma cell lines have been grown in long-term culture in a defined medium (PFMR-4) free of serum, hormones, or growth factors. Growth of both lines in serum-free medium was population dependent. This cell-density requirement could be replaced by mitomycin C-inactivated feeder cells, homologous conditioned medium, or fetal bovine serum, but not by hormones or growth factors. The cells responded to these factors only at high density. The nature of this hormonal response was dependent on the kind of basal nutrient medium used. Growth in PFMR-4 with added insulin was more rapid than that in DME/F12 medium with any combination of hormones or growth factors and was substantially greater than growth in DME/F12 medium with insulin alone. The results demonstrate that whereas these two prostatic carcinoma lines (PC-3 and DU 145) do not require hormones for survival or growth, they do respond to certain hormones under appropriate conditions. These conditions include both the type of basal nutrient medium used and the population density.

Animals↗

[A disease pattern simulating a cubitocarpal "double-tunnel" syndrome due to anastomosis after Martin-Gruber (author's transl)].

The article reports on a case which appeared as though two tunnel syndromes were present simultaneously, namely, the cubital and the carpal tunnel syndromes. Thorough electrophysiological examination revealed, however, that this simulated pattern was due to the presence of an anastomosis after Martin-Gruber. Three months after surgery the patient was free from symptoms. Intraoperative neurography had established the compression and its resolution. Anastomosis of Riche-Canieu was an additional, secondary finding.

Adult↗