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Biomedical subjects

P Stoebner

Publications and source records attributed to P Stoebner.

At least 55 records · Page 3Linked to original sources

[Kanamycin-induced lesions of the stria vascularis: preliminary results of an electrophysiological and ultrastructural study (author's transl)].

Ten guinea-pigs were treated with kanamycin 400 mg/kg for a 10-day period. Electrophysiological investigations were carried out, and the animals were killed one month after the end of the treatment for electron microscope study of the second turn of the cochlear spiral. The microphonic potential was considerably reduced, and the stria vascularis was the seat of lysosomal inclusions in the marginal and intermediate cells associated with myeloid bodies in the vascular endothelium. There was a gradient of lysosomal catabolic residues, probably lipoproteins, from the vascular sector to the cochlear canal; some of these products passed into the cochlear canal. Alterations of the hair cells in the second spire appeared to be minimal. It is hypothesized that damage to the stria vascularis precedes damage to the hair cells.

Animals↗

[Lymphomatoid granulomatosis: anatomo-clinical and ultrastructural study of two observations (author's transl)].

Two anatomoclinical observations of lymphomatoid granulomatosis are reported. The first case concerns a patient presenting a cutaneous localisation and a severe pulmonary infection with acute febrile dyspnea and macronodular opacities seen in pulmonary radiographs. The treatment associating cortisone and chlorambucil led to a complete remission. Five years later a pulmonary recurrence was treated successfully with the same association. The second patient presents dyspnea upon progressive effort, a radiologic and functional syndrome of interstitial involvement. In the absence of precise diagnosis after pulmonary biopsy, the patient was treated with corticosteroids. Four months later, encephalitic damage led to death. In the 2 observations, the biopsies or autopsic samples from the lungs or brain showed necrotic nodular lesions. Bordering on the necrosis, the small arteries and veins are strictured or obstructured by an infiltrate of lymphocytes, plasmocytes, histiocytes, and large cells with atypical nucleus. The ultrastructural examination of the 2 pulmonary biopsies shows the reactional polymorphic nature of the lymphoid infiltrate, the generally imprecise nature of atypical large cells and the modifications of vascular elastic limitations. The blades of elastine are surrounded by microfibrillar material. These different data are compared with those in the literature.

Adult↗

[Cutaneous argyria: an electron microscopic study of four eases with microanalysis X study of one case (author's transl)].

This study was done in order to follow the fate of silver in the dermis of chronic argyria. Silver was easily recognizable in the tissue as irregular aggregates of elementary granules round or ovoid in shape, ranging from 30 to 40 mm in size. The microanalysis X showed that the metal was bound with sulfur. In the cases of recent intoxication, the main location of silver was intracellular: the granules were found in the lysosomes as elementary particle or as dense heterogen bodies. In the cases where intoxication had been stopped a long time ago, silver was found either on fibrillar component of the connective tissue or in the basal material of sweat glands. The results show that silver is at first phagocytized by macrophages but this cell is unable to perform complete degradation of the silver salt or metal. Then silver is found on connective fibers where it remains on sulfated glycoproteins.

Aged↗

Ultrastructural study of human IgG and IgG-IgM crystalcryoglobulins.

Thirty human cryoglobulin precipitates obtained from 21 patients were fixed and examined by electron microscopy; following biochemical isolation and identification. This study showed that the fine structure of cryoprecipitates depends on the involved immunoglobulins and on their respective quantities. Monoclonal IgG kappa 1 or 3 cryoglobulins with antibody activity form crystalling precipitates of 22-nm diameter rods and annuli. When polyclonal, they form 6-nm-wide filaments. Mixed IgG and IgM cryoprecipitates appear as cylindric and annular bodies with an internal diameter of 12 nm and a total diameter of 62 nm. When IgM predominates over IgG, globular condensations with a diameter of 30 nm are seen. Mixtures in which the IgG is more abundant than the IgM include fingerprint-like periodic condensations.

Antibodies↗

[Acquired nevoid telangiectasia (author's transl)].

Clinical and ultrastructural study of three cases of acquired nevoid telangioectasia: (1) angioma serpiginosum, (2) angiokeratoma neviformis, and (3) unilateral nevoid telangiectasia. Despite the clinical similarities, the ultrastructural aspects of these lesions are different, showing: (1) ectasia of arteriolar type, (2) budding of capillaries, and (3) ectasia of venular type. The physiopathological mechanism of these lesions seems to be different.

Adolescent↗

A human immunoglobulin in myeloma protein with anti-gastric parietal cell autoantigen activity.

A previously characterised IgA Kappa myeloma protein was isolated and purified. The (Fab) alpha fragments of this immunoglobulin were obtained. The IgA and Fab fragments reacted in vitro with gastric parietal cells (GPC) using animal gastric sections and with smooth cytoplasmic membranes obtained from rabbit fundus (gastric) mucosa. This was seen macroscopically and by light and electron microscopy. Evidence is thus provided which supports the concept that this homogeneous immunoglobulin is a typical monoclonal autoantibody.

Autoantibodies↗

[Association of progressive external ophthalmoplegia and myocardiopathy with complete atrioventricular block. Apropos of a new case].

The authors report the case of a 31 year old man with an occulomotor palsy, who was admitted to hospital with complete atrio-ventricular block and syncopal attacks. The possible pathogenic significance of this association has given rise to differing hypotheses. A review of the literature shows that the occulomotor palsy has been interpreted either as an ophtalmoplegia (of neurogenic origin) because of the associated neurological findings and the histological changes in the occulomotor nuclei, or as an occular myopathy because of the associated muscular disorders and the changes on electromyography and on histology. The relationships between the occulomotor palsy and the cardiac condition are also discussed.

Adult↗