[CLINICAL AND ENZYMATIC CHANGES IN ACUTE ISONICOTINIC ACID HYDRAZIDE POISONING].
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In blood serum of patients with lymphogranulomatose, as compared with healthy persons, a decrease in activity of one of the arylesterase fractions was observed. In lymphogranulomatous process content of this fraction and content of cholinesterase were decreased in liver tissue more distinctly than in the blood. At the same time the arylesterase activity was increased; the enzyme was found only in trace amount in normal liver tissue. The impairments in content of lactate dehydrogenase isozymes were less distinct. In lymphogranulomatose the activity of alkaline phosphatase was increased, especially in cases accompanied by impairment of liver tissue.
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Activity of alkaline phosphatase was studied in blood and lymph of 52 dogs with experimental peritonitis and in 26 patients with the drained thoracic duct and in 26 patients without lymphodrainage. Pronounced enzyme intoxication was revealed. Under physiological conditions alkaline phosphatase is transported by both blood and lymphatic bed. In peritonitis the lymphatic route of the enzyme transport gets considerably greater. Drainage of the thoracic duct gives good detoxicating effect (decreased alkaline phosphatase activity).
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