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Biomedical subjects

W Westerhof

Publications and source records attributed to W Westerhof.

122 records · Page 7Linked to original sources
PubMed1982

Blue-red macules and pseudoatrophic macules: additional cutaneous signs in neurofibromatosis.

Blue-red macules and pseudoatrophic macules are characteristic skin lesions of neurofibromatosis that have been infrequently mentioned in the recent literature. The histologic characteristics of the blue-red macules show thick-walled blood vessels located mainly in the papillary dermis and often overlying subcutaneous neurofibromatous tissue. The histologic characteristics of the pseudoatrophic macules show a reduction in collagen in the reticular dermis, with diffuse replacement by neuroid tissue. These clinical signs can be detected early in the course of the disease and are useful in establishing an early diagnosis.

Adult↗
PubMed1981

Serum and urine concentrations of 5-methoxypsoralen after oral administration.

Serum and urine concentrations were measured after oral administration of 5-methoxypsoralen (0.6 mg/kg or I.2 mg/kg) to psoriasis patients. A dose of 0.6 mg/kg resulted in low serum concentrations, but after I.2 mg/kg, much higher serum concentrations were reached. There was much individual variation in the time required for reaching peak serum levels. Minute amounts of unchanged 5-methoxypsoralen were excreted in urine. Much larger amounts were excreted as conjugates.

5-Methoxypsoralen↗
PubMed1981

The protective role of epidermal melanin in a patient with porphyria variegata and vitiligo.

To assess the role of epidermal melanin in a patient with porphyria variegata and vitiligo, the MED was determined in pigmented and vitiliginous skin for wavelengths of 310, 405 and 500 nm. The energy required to elicit erythema by irradiating vitiliginous skin at 310 nm was half that for pigmented skin. For 405 nm the differences was 4-fold and at 500 nm 2-fold. A possible explanation for the different protection by melanin against light of 310, 405 and 500 nm is given. UV-B irradiation, as a potent stimulus for melanization of the skin, is proposed as an additive measure in the protection against photosensitivity reactions in porphyria patients.

Female↗
PubMed1979

Linear dermo-epidermal IgA deposition in bullous pemphigoid.

A case is reported of a patient with a bullous eruption with in vivo linear deposition of IgA and complement (C3) along the basement membrane zone of perilesional skin (DIF method). Some data presented here are in favour of the concept that cases of linear in vivo deposition of IgA alone, or in combination with other IF findings, might be classified as bullous pemphigoid (BP). Clearing of the lesions due to oral prednisone therapy was accompanied by disappearance of complement deposition, while IgA deposition remained unchanged. Some aspects of tissue injury in this case are briefly discussed.

Basement Membrane↗
PubMed1978

Hereditary congenital hypopigmented and hyperpigmented macules.

Congenital hypomelanotic and hypermelanotic macules traced in three generations of a family suggested autosomal dominant inheritance. Some affected membbers also showed retarded growth and mental deficiency. Light microscopic findings of "splitdopa" preparations of lesional and normal skin were comparable, except that background staining of keratinocytes in dark macules was higher than in control skin. In light macules it was lower. Ultrastructurally, hypomelanotic skin showed small melanosomes (0.3 mu) that occurred in keratinocytes in melanosome complexes. Hypermelanotic skin revealed large melanosomes (0.6 mu) that were singly distributed in keratinocytes. Melanosome size in normal skin averaged 0.4 mu; distribution pattern was mixed. Melanin granules inside keratinocytes were fully melanized. Hyperpigmented, normal and hypopigmented skin of one person had histological features of black oriental and white skin. This clinical picture could well represent a new neurocutaneous syndrome different from tuberous sclerosis.

Adolescent↗
PubMed1977

A possible dysfunction of melanosome transfer in leprosy: an electron-microscopic study.

An E.M. study was carried out to investigate whether Mycobacterium leprae occur intracellularly in epidermal melanocytes. As this could not be confirmed, the selective killing of melanocytes by cytotoxic lymphocytes could not explain the hypopigmentation in types of leprosy with a relative good immune response. There were indications that these hypopigmented lesions resulted from a disturbed transfer of melanosomes from melanocytes to keratinocytes. Further research is in progress.

Cytoplasmic Granules↗
PubMedDate not supplied

Image processing in the study of wound healing.

All wound care products that are said to be suitable for wound cleaning should preferably be evaluated with an observer-blind, quantitative system, as described above.

Diagnostic Imaging↗
PubMedDate not supplied

Efficient debridement of necrotic wounds using proteolytic enzymes derived from Antarctic krill: a double-blind, placebo-controlled study in a standardized animal wound model.

Wound healing can be accelerated by removing necrotic tissue. Various methods of wound debridement have been developed, including enzymatic debridement. Recently potent proteolytic enzymes were isolated from the intestine of Euphausia superba (Antarctic krill) that might be useful for degrading necrotic tissue. The purpose of this study was to evaluate the debriding properties of krill enzymes, using a specially designed animal model and a computerized analysis system. In 10 female domestic pigs, each weighing 20 kg, 6 artificial ulcers were made on each animal's back using electrokeratome, followed by application of trichloracetic acid. Ulcers were treated twice daily for 7 days with either krill enzymes at different concentrations or with saline. Reduction of necrotic tissue was measured daily using computerized wound analysis. Histological examination included the determination of bromodeoxyuridine incorporation in order to detect cell proliferation as well as routine stains. The debriding effect of krill enzymes at a concentration of >/= 3.0 casein units per ml was significantly better than saline control treatment (p < 0.05). The effect was dose dependent, and granulation tissue formation was enhanced. In conclusion, krill enzymes are effective in wound debridement, as measured in this animal model.

Analysis of Variance↗