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[Diagnosis of disturbances in pre-ocular tear film].

Presented are the actual possibilities of diagnosis of the disturbances of stability of the tear fluid. In spite of the existence of quite numerous clinical and laboratory diagnostic tests it is necessary to elaborate new, simple and safe methods of examination which may be applied in the clinical practice.

Humans↗

[Experimental investigations on the influence of bromhexine hydrochloride on the excretion of lacrimal fluid].

The influence of bromhexine hydrochloride on the excretion of the lacrimal fluid in rabbits was investigated by means of lysozyme test. The investigations showed that the application of the compound is leading to a considerable increase of excretion of tears. It reaches its maximum after ca. 2 hours from the moment of application when the production of tears is ca. 80 p.c. larger than before it. This suggests the possibility of application of bromhexine hydrochloride in the therapy of keratoconjunctivitis sicca.

Animals↗

[Treatment of disturbances in the stability of pre-ocular tear film].

Discussed are the methods of treatment of the disturbances of stability of the pre-ocular tear film and the compounds which are used. In spite of introduction of a considerable amount of new pharmaceutics in the last period the treatment of disturbances of this kind needs a large amount of patience as well from the side of the patient as from the ophthalmic specialist.

Humans↗

[Paget's disease and metastatic epithelioma on the same bone. 11 new cases and review of the literature].

The authors collected observations concerning 11 newly histologically proved cases of a combination of Paget's disease and carcinoma metastatic to bone on the same bone from members of the French Rheumatology Society. The most frequent locations can be specified from their analysis and an analysis of 26 detailed cases from the literature, i.e. pelvis, femur, rachis, tibia, humerus, and the cancers most frequently involved--prostate, bronchi, kidney, breast and intestine. The most usual histological appearance is osteolytic, except in the case of prostatic carcinoma. The metastasis reveals the presence of cancer in 2 cases out of 3, whereas Paget's disease is most often already diagnosed. A histological examination is necessary because of the risk of non recognition of such metastases or of confusion with sarcomatous degeneration. It does not appear to be exceptional to find Paget's disease in combination with a metastasis on the same bone. Although six of the cases concern metastases only located at sites of Paget's disease, an analysis of all the cases does not seem to indicate that Paget bone is more exposed to metastases than normal bone, since both diseases in fact locate preferentially at the same sites on the skeleton.

Aged↗

Increased monocyte procoagulant activity in patients with systemic lupus erythematosus.

Monocytes can play a role in the activation of coagulation via increased procoagulant activity (PCA). We investigated the level of monocyte PCA in 19 patients with systemic lupus erythematosus (SLE), given the high rate of thrombotic events in this condition. 9 of these subjects also presented the lupus anticoagulant (LA). The PCA generated by patient monocytes was significantly higher than control values and was identified as tissue factor-like. Serum from both groups of patients (i.e. SLE and SLE + LA) stimulated the generation of PCA by control monocytes. By contrast, purified IgG from both patient groups had the same effect as control IgG on PCA generation by control monocytes. The nature of the stimulating agent in the serum was not identified. In conclusion, increased monocyte PCA may account for the increased incidence of thrombosis in SLE patients, although other, superimposed, factors would appear to exist in SLE + LA patients, given the higher incidence of thrombosis in this subgroup.

Adult↗

Increased monocyte procoagulant activity independent of the lupus anticoagulant in patients with systemic lupus erythematosus.

Monocytes can play a role in the activation of coagulation via increased procoagulant activity (PCA). We investigated the level of monocyte PCA in 19 patients with systemic lupus erythematosus (SLE), given the high rate of thrombotic events in this condition. Nine of these subjects also presented the lupus anticoagulant (LA). The PCA generated by patient monocytes was significantly higher than control values and was identified as tissue factor-like. Moreover, the number of monocytes with membrane-associated D dimer, a parameter which we have shown to be correlated with the PCA expressed in vitro by endotoxin-activated monocytes, was also significantly increased. Serum from both groups of patients (i.e. SLE and SLE + LA) stimulated the generation of PCA by control monocytes. By contrast, purified IgG from both patient groups had the same effect as control IgG on PCA generation by control monocytes. The nature of the stimulating agent in the serum was not identified. In conclusion, increased monocyte PCA may account for the increased incidence of thrombosis in SLE patients, although other, superimposed, factors would appear to exist in SLE + LA patients, given the higher incidence of thrombosis in this subgroup.

Adult↗