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T Mathew

Publications and source records attributed to T Mathew.

36 records · Page 2Linked to original sources

Hepatotoxicity of dimethylformamide and dimethylsulfoxide at and above the levels used in some aflatoxin studies.

Albino rats were each treated with a single intraperitoneal injection of dimethylformamide (DMF) or dimethysulfoxide (DMSO). The doses of DMF administered were 0.6, 0.9, and 1.2 ml. per kg. and those of DMSO were 1.2, 2.4, 3.6, and 4.8 ml. per kg. The animals were sacrificed at 24, 48, 72, and 120 hours following administration of each dose. The liver was investigated in all cases. Treatment with DMF at 0.6 ml. per kg. indicated some histologic lesions of the liver which became well defined at 0.9 and 1.2 ml. per kg. causing severe central phlebitis with centrilobular coagulative necrosis of the cells associated with a heavy inflammatory infiltrate. Maximal liver lesions occurred at 48 hours and started to regress after 72 hours. However, cellular atypism became a consistent finding after this inflammatory phase. DMSO-treated animals showed minimal histologic lesions of the liver at 1.2 and 2.4 ml. per kg. Higher doses caused fatty infiltration with a predominatly periportal distribution. It tended to produce its maximal effect in 12 hours which then regressed rapidly after 24 hours. The development of histologic lesions in the liver even at 0.6 ml. per kg. suggests that DMF is not a suitable solvent for aflatoxin studies, and hence the results obtained from such studies need cautious interpretation. DMSO appears to be an ideal alternative for toxicologic studies at a much higher dose level compared to DMF.

Aflatoxins

Hepatitis B surface antigen and antibody status in biopsy proven chronic hepatitis in Singapore.

During the period between January 1975 and August 1976, 203 liver biopsies were received at the Singapore General Hospital from patients with a variety of liver diseases. A histological diagnosis of chronic hepatitis was made in 29 patients: 13 cases of Chronic Aggressive Hepatitis (C.A.H.). 10 cases Chronic Persistent Hepatitis (C.P.H.) and 6 of Chronic Lobular Hepatitis (C.L.H.). C.P.H. and C.L.H. were found mainly in the third and fourth decades. C.A.H. was more common in the fifth to seventh decades and occurred principally in females. Hepatitis B antigenaemia was detected in 48.3% of these cases using the immunoelectroosmophoresis (EOP) technique and showed an even scatter in all histological sub-types. Using the reverse passive haemagglutination (rPHA) method for detection by HBs antigen and the radioelectrocomplexing (REC) method for anti-HBs, an immune sub-group (HBs Ag+/anti-HBs+) was identified in greater proportions in C.A.H. and C.P.H. compared to normal controls. This was interpreted to mean that these patients suffered from a primary immunodeficiency characterized by failure of production of high avidity anti-HBs with resulting failure to clear HBsAg leading to perpetuation of liver damage due to circulating immune complexes. It is also suggested that patients with C.P.H. belonging to this immune sub-group may progress to C.A.H. with its more ominous prognosis.

Adolescent

Fine needle aspiration biopsy of a hepatic mass. An example of a near error.

Material obtained by fine needle aspiration (FNA) from a hepatic mass showed conflicting features in Papanicolaou-stained smears and hematoxylin-and-eosin-stained cell block sections. A sarcomatous lesion (metastatic pleomorphic liposarcoma) was suggested by the smears while the cell block sections revealed the lesion to be a lipid-rich hepatocellular carcinoma. The nature of this apparent discrepancy is discussed.

Biopsy, Needle