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Biomedical subjects

R K Winkelmann

Publications and source records attributed to R K Winkelmann.

At least 505 records · Page 28Linked to original sources
PubMed1965

Ultraviolet-induced acantholysis in pemphigus.

Ultraviolet irradiation produced an acantholytic phenomenon in normal skin of seven patients with pemphigus foliaceus. In six of the seven patients, this reaction was manifested by a positive Nikolsky sign and was confirmed by biopsy in four. Friction alone, infrared irradiation, occlusive dressing, and a rubefacient failed to produce a similar reaction. The thermal burn in the skin of patients having pemphigus was of subepidermal type. Ultraviolet-induced acantholysis was inhibited by chloroquine phosphate, taken orally, in the two patients tested. Prednisone had no such effect. It is concluded that ultraviolet light is a major aggravating stimulus for pemphigus foliaceus.

Acantholysis↗
PubMed1965

Fine structure of the nevus cell.

The purpose of this investigation was to characterize the fine structure of the nevus cell and to demonstrate, if possible, a unique premelanin granule. The presence of this granule in the nevus cell would substantiate the relationship between the nevus cell and the melanocyte. Biopsy specimens of dermal nevi with and without ultraviolet light stimulation were studied with an electron microscope and the following conclusions were reached: (1) The fine structure of the nevus cell is comparable to that of the melanocyte. (2) The premelanin granule or melanosome is present in the nevus cell, particularly after prolonged ultraviolet light stimulation. (3) The nevus cell is probably an embryonal cell that can differentiate with appropriate stimuli.

Adult↗
PubMedDate not supplied

Cutaneous thrombosis, cerebrovascular thrombosis, and lupus anticoagulant--the Sneddon syndrome. Report of 10 cases.

Ten patients with circulating lupus anticoagulant who presented with cutaneous vascular disease and cerebrovascular disease are presented. Cutaneous manifestations were gangrene, thrombophlebitis, ulcers, and livedo reticularis. All 10 patients had cerebral infarction. The relationship between the cerebral and cutaneous vascular changes and the presence of lupus anticoagulant is supported by a common noninflammatory vascular thrombosis histologically in these patients and by the presence of similar pathologic and clinical findings in patients with the lupus anticoagulant syndrome.

Adult↗
PubMedDate not supplied

Malignant pyoderma.

Malignant pyoderma is a rare inflammatory pyoderma of unknown cause with characteristic destructive and necrotizing ulcers limited to the face, neck, and upper trunk. The typical lesions are small, purulent, periauricular ulcers. Enlargement and coalescence result in extensive lesions that may ultimately destroy portions of the external ear. The histopathologic findings are acute and chronic inflammation with necrosis. Treatment consists of long-term systemic corticosteroids. We present two new cases and alert otolaryngologists to the seriousness of this disease.

Adolescent↗