[Exacerbation of lupus erythematodes visceralis due to UV irradiation. Results and hypothetical aspects].
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Biomedical subjects
Publications and source records attributed to W Günther.
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The sera of patients suffering from acute phase Lupus erythematosus visceralis contains factors inducing an increased blastoid transformation of lymphocytes: 1. one or some factors having a molecular weight ranging from 7.8 X 10(5) to 1.5 X 10(6) daltons. This active principle was shown to increase specifically the transformation of only the autologous lymphocytes. These high-molecular weights components are supposed to be antigen-antibody-complexes. 2. Beside those high-molecular weight components also low-molecular weight factors could be shown to increase the transformation of lymphocytes as well. By contrast these latter factors stimulate the transformation of autologous as well as homologous lymphocytes. The low-molecular weights components are stable after an incubation for 30 min after 56 degrees C and have molecular weights of about 7.5 X 10(4) and 1.6 X 10(5) daltons, respectively. Supposed the low molecular weight factors of the sera of exacerbated Lupus erythematosus visceralis are mitogenic lymphokines the increased activity of those mediators should possess pathogenic significance.
Electron microscopic studies were carried out on cutaneous lesions in one case of prurigo nodularis Hyde. The cells of the basal layer partly showed large paranuclear vacuoles, which were sometimes divided by thin membrane structures. The intercellular space of the stratum basale and stratum spinosum was usually dilated, exhibiting acantholytic phenomen. Furthermore, numerous cells of these layers contain vacuolic-like mitochondria and polymorphous granular structures. Melanocytes and Langerhans-cells have not been observed, however, Merkel-cells were found in the basal layer, containing characteristic electrondense granules measuring 80 to 100 nm in diameter. The stratum granulosum frequently showed large intercellular complexes of numerous desmosomes, which sometimes were forming desmosomal bridges crossing the intercellular space. The capillaries in the dermis were usually widened and frequently surrounded by edematous alterations. The cytoplasm of the endothelial cells appeared very electrondens. Numerous unmyelinated axons were observed within the subepidermal zone containing mitochondria and single granules, measuring 80 to 100 nm in diameter.
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