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[Secretion of pepsinogen, amylase and alkaline phosphatase by human sweat glands].

Human sweat contains pepsinogen, amylase, and alkaline phosphatase excretion of which depends on functional state of the digestive and sweat glands and on the topography of latter. Pepsinogen excreted with sweat has the gastric origin. Different food irritants activate amylase and alkaline phosphatase excretion with sweat. A high positive correlation exists between amylase and pepsinogen excretion by kidneys and sweat glands in healthy subjects.

Alkaline Phosphatase

Sweat gland carcinoma of the lips.

Sweat gland carcinomas are extremely rare tumors with a fully malignant potential. Two cases of primary sweat gland carcinoma of the lips are presented. Because of the unique nature of this lesion, the histopathology and biologic behavior are discussed, and the pertinent literature is reviewed.

Adenocarcinoma

Diazepam-induced coma with bullae and eccrine sweat gland necrosis.

Bullous skin lesions that indicate sweat gland necrosis have been known to occur in drug-induced coma resulting from barbiturates and in carbon monoxide poisoning. To our knowledge, this is the first cases in which diazepam is implicated in causing bullous lesions over pressure points, and the first case showing on biopsy specimen eccrine sweat gland and sweat duct necrosis. Penile and oral lesions are being described here for the first time to our knowledge. The following mechanisms could be responsible for the skin lesions: hypoxia, local pressure, hyperthermia with excessive sweating, and a specific toxic effect on the eccrine gland. With the increasing use of the benzodiazepines, such lesions could be seen more frequently in the future.

Adult

The ultrastructure of the sweat glands of the ox, sheep and goat during sweating and recovery.

The ultrastructure of the sweat glands of cattle, sheep and goats was studied before, during, and after, exposure of the animals to controlled warm environments. In cattle, sweating induced little ultrastructural change in the gland, although fluid-filled spaces appeared between the myo- and secretory epithelial layers. The mechanism appears to be one of fluid transport and exocytosis of secretory vesicles, which in this species seem to be derived from the Golgi apparatus and/or mitochondria. The glands of the sheep and goat also displayed signs of vesicle exocytosis and of fluid transport during sweating. The sweating 'fatigue' in these species was apparently due to failure of the secretory cells, some of which ruptured and were extruded into the lumen. The evidence during subsequent recovery indicates that neighbouring cells spread to make contact, encase remnants of atretic cells between them and the underlying myoepithelium, and engulf them. Sweat in these species appears to be formed (a) by secretion and (b) from cells which can no longer meet the demands of stimulation. The role in sweating of cell replacement, and of undifferentiated cells found between the myo- and secretory epithelia, is discussed.

Animals

Effects of baroreceptor activation on spontaneous activity in the sweat glands and nictitating membrane of the cat.

(1) In chloralose-anesthetized cats, elevation of carotid sinus pressure caused blood pressure, sweat gland potentials and nictitating membrane tension to decrease. (2) The onset and recovery of the sweat gland and nictitating membrane responses usually preceded the respective phases of the blood pressure (depressor) response; the latencies of the sweat gland and nictitating membrane responses agreed with the latencies predicted for neural reflex pathways. (3) The sweat gland and nictitating membrane responses were evoked less consistently than the depressor response. (4) In experiments where only the sweat gland potentials and blood pressure were studied: (a) the sinus pressure threshold for inhibition of sweat gland activity was similar to the threshold for the depressor response; (b) cutting the sinus nerves, or blocking the efferent neural activity to the sweat glands, eliminated the effects of sinus pressure elevation on the sweat gland potentials; (c) with carotid sinus pressure held constant, decreases in blood pressure, produced by stimulating the peripheral end of the vagus nerve, did not affect the sweat gland potentials. (5) These results indicate that baroreceptors can reflexly modulate activity in sympathetic neurons whose target organs are not fundamentally involved in blood pressure regulation.

Adrenergic Fibers

Metastatic sweat gland carcinoma.

In summary the diagnosis of malignant non-metastasizing sweat gland carcinoma is difficult. In cases of metastasizing malignant sweat gland carcinomas, one must distinguish this lesion from metastastic breast carcinomas. The regional lymph nodes are the most likely site of metastasis in sweat gland carcinomas. Wide excision of the primary tumor with resection of the involved regional lymph nodes is considered to be the best initial treatment. Cure rates are in general poor, based on the small number of cases and inadequate follow-up.

Adenocarcinoma

Eccrine sweat gland sensitivity to catecholamines in patients with pheochromocytoma and primary aldosteronism.

The sensitivity of the eccrine sweat glands to adrenaline and noradrenaline was examined in 9 patients with pheochromocytoma and 12 patients with primary aldosteronism by Wada's method for determining threshold concentrations of local sweat response to intradermal injection. In pheochromocytoma most of the patients characteristically showed considerably reduced sensitivity to catecholamines in the sweat glands. Sensitivity was rapidly restored after the extirpation of the tumor in all cases. In primary aldosteronism the sweat gland sensitivity varied over a very wide range from subnormal to supernormal levels. These were restored to normal range after extirpation of the adrenocortical adenoma. In both diseases it was found that the sensitivity of the sweat glands to catecholamines and the vascular system to noradrenaline altered almost in parallel.

Adenoma

Secretion of a potassium-rich fluid by the secretory coil of the rat paw eccrine sweat gland.

1. It is already known that the rat paw eccrine sweat contains high K(+) (greater than 150 mM) and low Na(+) concentrations (less than 70 mM). The present study was intended to clarify the site of K(+) secretion within the sweat gland, namely, the duct or the secretory coil. In vivo paw sweat was first induced by systemic pilocarpine injection or nerve stimulation. Both K(+) and Na(+) concentrations were studied in relation to the sweat rate to determine indirectly whether there is ductal secretion or reabsorption.2. Both Na(+) and K(+) concentrations in paw sweat agreed with the previous studies but did not show any saturation-type flow dependence at the high sweat rate range.3. A method has been developed to isolate a single segment of the secretory coil and induce sweat secretion directly from it in an in vitro condition.4. In the presence of fresh serum (30%, preincubated for 30 min at 56 degrees C) in the incubation medium, stable secretory activity due to 10(-6)M-Mecholyl could be maintained for 40 min or longer. The primary sweat thus induced contained low Na(+) (30 mM) and high K(+) (160 mM) concentrations.5. In the secretory coil sweat in vitro, K(+) concentration decreased and Na(+) concentration increased as the secretory rate fell either spontaneously or after addition of atropine or cyanide.6. It remains to be studied whether auxiliary ductal secretion or reabsorption is present at low rates of sweating in the rat sweat gland.7. It was concluded that the secretory coil of the rat paw sweat gland is the major, if not the sole, site of K(+) secretion.

Animals

Changes in sweat glands morphology in cattle before and during heat stimulation.

The morphology of apocrine sweat glands in two breeds of cattle, the White Fulani and Friesian was studied histologically using biopsy midside skin samples obtained from the animal at 6.00 a.m. (period 1), 2.30 p. m. (period 2) and 4.00 p. m. (period 3), respectively. Sweat glands with three morphologic types of epithelium were observed. Type 1 consisted of flattened low cuboidal epithelium. Type 2 had tall cuboidal epithelium with cell apical borders slightly indented and the gland lumen narrower than in type 1. A third group of glands had tall columnar epithelial cells (type 3) with bleb-like protuberances on their luminal surfaces. There were also corresponding changes in the morphology of myoepithelial cells from an elongated form in type 1 to a contracted form in types 2 and 3. The morphology of secretory cell surfaces was found to vary with the sampling period; a greater percentage of type 1 glands was seen in period 1 and a preponderance of types 2 and 3 glands (in varying proportions) in periods 2 and 3. Breed differences in the distribution of type of epithelium at various sampling periods were observed. These results are discussed in relation to the functional activity pattern of the sweat glands on stimulation by heat.

Animals

Alterations during postnatal period in the secretory responsiveness of the sweat glands in rats to mecholyl.

A study was made to know the alterations in the secretory responsiveness of the plantar and palmar sweat glands to local administration of mecholyl in rats during postnatal period. Nonresponsiveness of the plantar and palmar sweat glands to mecholyl was observed in 0- to 16-day-old and 0- to 10-day-old rats, respectively. After the nonresponsive period, a gradual increase in the responsiveness to mecholyl was observed in the plantar sweat glands. In the palmar sweat glands, however, a rapid increase followed by a temporary decrease and a subsequent gradual increase in the secretory responsiveness to mecholyl was found. This temporary decrease in the secretory responsiveness was observed on days soon after weaning.

Animals

[The so-called sweat-gland carcinoma of the human breast. A review (author's transl)].

The term sweat-gland carcinoma of the breast is used in widely different meanings. Nonetheless, two histologically well-characterized types may be recognized: 1. The apocrine (oncocytic) carcinoma is composed of large well-delimited cells with finely granular, oxyphilic cytoplasm similar to that of oncocytes of other organs. They resemble the "pale" oxyphilic cells of the aging normal breast whose cytoplasm in part show the same quality. These carcinoma cells are regarded as mammary cells in a state of transition into oncocytes. Any similarity they have to cells of the apocrine axillary sweat-gland is purely superficial and in no way influences the interpretation of apocrine carcinomas. 2. The secreting carcinoma histologically is reminiscent of the functioning, hormonally stimulated breast of pregnancy. It reveals apocrine extrusion of nuclei and an accumulation of neutral fat in cytoplasm and duct lumina. A case of secreting carcinoma is described in detail to exemplify the association with exogenous hormonal stimulation. Both types of differentiation of carcinomas may arise together or with other types of mammary carcinomas, and share the clinical prognosis with them. The term sweat-gland carcinoma of the human breast should be abolished since there exists no proof that they really occur.

Aged

Sweat gland carcinoma. Current concepts of surgical management.

In three new cases of sweat gland carcinoma that we observed within recent years, the sites were the axilla, back, and arm. Axillary lymph node dissections were performed in two of the patients and the nodes were normal. Preoperative diagnoses were hydroadenitis, squamous cell carcinoma of the skin, and pyogenic granuloma. In one patient who was followed up for four years, there has been no recurrence; the follow-up period for the other two has been short. Sweat gland carcinoma is an uncommon neoplasm that occurs mostly in the older age groups. It may be very slow growing and is extremely difficult to diagnose preoperatively. Lymph node metastases are frequent and overall survival is poor. Prognosis is related to histologic cell type and presence or absence of lymph node metastases. Treatment by wide local excision of the lesion and primary regional node dissection is recommended.

Adenocarcinoma

Sweat gland function in isolated perfused skin.

1. A technique for perfusion of skin has been used to investigate a possible neurochemical basis for the different patterns of sweating in domestic animals. Evaporative water loss was measured from excised trunk skin, ears or tails perfused with a nutrient Krebs solution, to which drugs were added as required. Perfused skin was observed to sweat in response to administration of sudorific drugs, and some features of the patterns of sweating were similar to those which could be induced by heating or by drugs in conscious animals. 2. In sheep and goat skin, injections of adrenaline, and to a lesser extent of noradrenaline, elicited brief sweat discharges but these were not sustained when the drugs were infused during 10-20 min. Injections of isoprenaline, carbachol, 5-HT, bradykinin, oxytocin and histamine were all ineffective. 3. Injections of adrenaline into cattle skin evoked longer-lasting sweat discharges, and infusions of adrenaline elicited continuous discharges. Injections of noradrenaline and sometimes of bradykinin caused only brief sweat discharges; other drugs were ineffective. 4. In horse and donkey skin, injections or infusions of noradrenaline, oxytocin and bradykinin elicited brief discharges of sweat. Infusions of isoprenaline caused a continuous and profuse outflow of sweat. Infusions of adrenaline also caused a continuous discharge which was usually biphasic in its onset. Other drugs were ineffective. 5. Assuming that the brief sweat discharges are due to myoepithelial contractions and the continuous discharges to sustained increases in secretion, equine sweat glands seem to have a alpha-adrenergically controlled myoepithelium and a beta-adrenergically controlled secretory mechanism. Sheep and goats may have a similar alpha-adrenergic control of the sweat gland myoepithelium but only a feeble sweat secretory mechanism. In cattle, an alpha-adrenergic mechanism appears to control sweat secretion, but the control of the myoepithelium is uncertain.

Animals

Nature of the sweat glands in the hairy skin of the beagle.

The local pharmacology, the thermal response and the response to hypothalamic stimulation of sweat glands of the hairy surface of the beagle are described. The results, together with those of electron-microscopic examinations, support the idea that these sweat glands are apocrine and are not directly innervated. No clear relationship with thermoregulation could be found and a pheromonal function is tentatively suggested.

Acetylcholine

The sweat glands and hair follicles of different species of bovidae.

Measurements were made of hairs and sweat glands in the skins of a number of different Bovidae. The principal differences between the Bovinae and the one member of the Cephalophinae (the duiker) studied were in the dimensions of the skin and its component organs and in hair density; secondary hairs were not present, although in the American bison small primary follicles which appeared to provide a woolly undercoat were seen. In contrast, secondary hair follicles were found in the skins of all the Caprinae, Antilopinae and most of the Hippotraginae studied. The sweat glands of the Bovidae varied in shape from simple sacs as seen in the oryx to the coiled tubes of the wildebeest, and different markedly in size, the largest being found in the wisent.

Animals

Sweat gland carcinoma with regional lymph node metastasis.

Description of a 63-year-old man with a sweat gland carcinoma low in the left axilla, and an axillary lymph node metastasis. A five-year survival was obtained. The histological picture of a sweat gland carcinoma may be highly variable. The best treatment seems to be local excision. If the primary tumour is situated close to a regional lymph gland station, regional lymph node extirpation should be seriously considered.

Carcinoma

Inheritance of some sweat gland and hair follicle characteristics in cattle.

Using measurements made in cows in the herds of the Hannah Research Institute (Ayrshire), the West of Scotland Agricultural College (Ayrshire and Friesian) and in the twin herd of the Animal Breeding Research Organisation (Ayrshire), repeatability and heritability estimates were obtained for three hair follicle and four sweat gland traits. Average repeatability was high (50-70%) for all characters except angle of slope of the hair (18%). Heritability estimates were extremely variable among the different herds and methods of measurement but there was evidence of considerable genetic variation, particularly for sweat gland traits. The most consistent heritability estimate (30-45%) was given by the ratio of sweat gland length to diameter. The potential of skin types for the selection of cattle for tropical regions is discussed.

Age Factors