Maternal placental vascular compliance in rabbits. We studied compliance on the maternal side of the placenta of 20 New Zealand white rabbits, using 51Cr and 125I labels to determine erythrocyte, plasma, and whole-blood volumes per gram of placental tissue under varying maternal pressure conditions. At normal maternal arterial (Pa) and venous (Pv) pressures of 71.8 and 5.5 mmHg, placental blood volume (mean +/- SE) was 0.447 +/- 0.051 ml/g placental tissue. When venous pressure was raised (Pa = 45.5, Pv = 12.2) by occluding the inferior vena cava, blood volume increased to 0.729 +/- 0.068 ml/g, a significant 63% rise. However, when arterial pressure was lowered by occluding the aorta in two steps, dropping to Pa = 33.8, Pv = 7.0, and Pa = 13.5, Pv = 5.4, volume did not decrease significantly. We estimated intervillous space pressure (Pivs) from arterial and venous pressures assuming a ratio of venous to total resistance of 0.02. Compliance calculated from the slope of Pivs vs. volume was 0.0471 ml/mmHg per g. Maternal placental hematocrit averaged 27%, appreciably less than the circulating hematocrit of 38%. Overall, the results suggest that placental volume would be maintained during hypotension and would increase when venous pressure is elevated.


Measurement of Vmax of the cardiac action potential with a sample/hold peak detector. A simple device for measuring the maximum upstroke velocity (Vmax) of the cardiac action potential is described. It consists of a differentiator, filter, and sample/hold peak detector. The sample/hold cycles are automatically set by the stimulus. The circuit can drive a standard pen recorder and digital voltmeter, resulting in rapid and  accurate measurements. An example of the effect of quinidine on the upstroke of the cardiac action potential is shown. The circuit can easily be adapted to other applications.


Overall characteristics of arterial pressure control system studied by mild hemorrhage. The overall, static, open-loop gain of the negative-feedback arterial pressure control system was determined repeatedly in anesthetized cats under normal and hypovolumic states. The gain, H, was assessed as (deltaAPI/deltaAPS)-1, where deltaAPI is the immediate fall and deltaAPS the steady-state fall in arterial pressure following a stepwise reduction in blood volume. When the step size was increased from 1.25 to 25% of the total blood volume, H decreased from 30 to less than unity. Considering this amplitude dependence of H, a small amount (1.25%) of quick (in less than 0.3 s) hemorrhage was used to determine H throughout the rest of the experiments. Time-dependent variation of H was evident after a large amount (6.25%) of blood loss. During the initial 10 min, H increased to 126% of the control value, decreased to 43% over the subsequent 20--70 min, and showed a trend toward recovery. The small signal analysis permits a quantitative characterization of the time and input size dependent nature of the arterial pressure control system after various degrees of hemorrhage.


Circadian rhythms in blinded rats: correlation between pineal and activity cycles. The rat pineal gland exhibits diurnal rhythms in levels of N-acetyltransferase activity and its substrate serotonin. We attempted to demonstrate the endogenous nature of these changes by measuring the pineal enzyme and its substrate in rats blinded for 37 and 60 days. In order to determine the proper sampling times for these one-time, terminal measurements, the running activity rhythm of each rat was monitored continuously and the animals were killed at either midrest or midrun. Circadian changes of pineal N-acetyltransferase and serotonin were demonstrated, with enzyme levels high and substrate content low during midrun. Absolute values during each activity phase were similar to those of control rats entrained to a light cycle (LD 12:12). Levels of the pineal constituents were unrelated to local time. These results suggest that rats blinded for up to 60 days maintain their free-running pineal rhythms with undamped amplitudes and in synchronization with the activity rhythm.


Periventricular preoptic-hypothalamus is vital for thirst and normal water economy. A midline stereotaxic lesion in rats destroying the periventricular tissue (lamina terminalis and preoptic-anterior hypothalamic periventricular stratum) surrounding the anteroventral third ventricle (AV3V) produces adipsia without other marked behavioral changes. Although food consumption is reduced in animals rendered adipsic by the lesion, feeding continued and intake is comparable to that of water-deprived-sham-lesioned animals. About half the rats recover drinking after a period of adipsia, but the others never resume water intake and become moribund. An analysis of urinary output indicates that adipsic animals fail to reduce urine volume and continue to elaborate an inappropriately dilute urine. The periventricular lesion-induced adipsia without compensating antidiuresis produces a significant rise in plasma protein, sodium, osmolality, and urea nitrogen which if untreated often results in acute encephalopathy leading to death. These data suggest that preoptic-anterior hypothalamic periventricular tissue houses vital neural elements which function in the modulation of water ingestive and conservation mechanisms directed at the maintenance of body fluid homeostasis.


Blood flow distribution in the duck lung and its control by respiratory gases. Blood flow to subunits of the lung was studied in the duck by use of radioactive microspheres. In spontaneously breathing, unanesthetized animals (series I) neopulmo was slightly better perfused than the average lung and along the paleopulmonic parabronchi, blood flow was found to decrease in the direction of ventilatory gas flow and thus of decreasing PO2 and increasing PCO2 in lung gas. The effects of respiratory gases on regional lung perfusion were investigated in unidirectionally ventilated animals (series II) in which gas mixtures offered to both lungs could be controlled independently. Local hypoxia resulted in reduction of local blood flow, whereas effects from hyperoxia or CO2 could not be substantiated. Reversal of the direction of unidirectional ventilatory flow (series III), and thus reversal of the profiles of respired gas concentrations along the parabronchi, suggest that the inhomogeneity in blood flow observed in spontaneously breathing animals of series I can only in part be explained as an acute adjustment to the local hypoxia. Calculations show that this inhomogeneity of blood flow constitutes an only minor impairment of the overall gas exchange efficacy of the parabronchial lung.


Myocardial inotrophy of CO2 in water- and air-breathing vertebrates. A negative-inotropic effect of CO2 on myocardial contractility presumably occurs because increasing H+ concentration competes with Ca2+ at cellular membranes and proteins. Since air-breathing vertebrates have higher blood and tissue CO2 concentration than water breathers the question was raised whether the cardiac cell has a modified sensitivity to CO2 correlated with the evolutionary transition of vertebrates from water breathers to air breathers. The water-breathing fish, Salmo gairdneri, and the air-breathing turtle, Pseudemys scripta, were selected as experimental animals, since their total CO2 concentration differs markedly (3.0 and 16.0 mmol.kg-1). Electrically paced isometric ventricular strips from both species were subjected to a stepwise increase in PCO2 from 25 to 114 Torr (pH0 7.80 to 7.0; HCO3- 30 mM). Trout were additionally exposed to the same pH0 changes at 5 mM HCO3- by a stepwise increase in PCO2 (4.5-12 Torr). At each increase in PCO2 the turtle heart showed a lesser negative inotropic effect than trout. The present findings offer direct evidence that the negative inotropic effect of CO2 on heart muscle is inversely proportional to the in vivo levels of tissue CO2 concentration. The results obtained are discussed in relation to phylogenetical and ecological aspects of acid-base balance.


Arterial pressure-urinary output relationship in hypertensive rats. The steady-state relationship between mean arterial pressure (AP) and output of sodium and water was determined for one-kidney control (1KC), one-kidney Goldblatt (1KG), normotensive Wistar-Kyoto (WKY), and Okamoto spontaneously hypertensive rats (SHR). Control fluid intake (given by intravenous infusion) was set at approximately 30 ml/day Ringer solution. The infusion rate was then increased progressively to 2, 4, and 8 times control for 24- to 48-h periods each. Control AP averaged 115 Torr in 1KC, 152 Torr in 1KG, 120 Torr in WKY, and 158 Torr in SHR. The eightfold increase in salt and water intake was accompanied by almost equal increase in salt and water output and increases in AP to 157 Torr in 1KC, 190 Torr in 1KG, 126 Torr in WKY, and 166 Torr in SHR. The arterial pressure-urinary output relationship in 1KG is parallel to that of 1KC but shifted to higher AP levels. Similarly, this relationship in SHR is parallel to that of WKY but shifted to higher AP levels. This parallel shift is indicative of uniform renal vasoconstriction but normal functional renal mass in the SHR.


A histological study of the development of the avian middle ear and tympanum. The development of the middle ear and tympanum of Gallus gallus has been studied in embryos Hamilton-Hamburger stages 20-46. Particular attention was paid to the pattern of expansion of the pharyngeal pouch forming the tympanic cavity, and the histogenesis of the tissues of the region of the vestibular window. It is concluded that pouch expansion is brought about by simple epithelial growth into regions devoid of mesenchyme. The mesenchyme does not show significant cell death, but differentiates as connective tissue, macrophages, and sinus vascular spaces. The epithelium of the mature cavity is of endodermal origin, and there is no indication of celomic contributions. We provide a detailed morphological analysis of the development of the footplate from cells of both the second visceral arch and the otic capsule. These detailed observations on the patterns of chondrification of columella and capsular tissues permit the presentation of a model for cellular interactions leading to the differentiation of the annular ligament.


The histogenesis of lymph nodes in rat and rabbit. The histogenesis of the popliteal lymph node in the rat and the popliteal and inguinal lymph nodes in the rabbit was examined by light microscopy. Special emphasis has been laid on the initial lymphocyte population in the lymph node anlage. In the rat on the seventeenth day of gestation lymphoid cells populate a limited mesenchymal area along the vein wall. The next day the mesenchyme shows a bulb-shaped outgrowth causing an indentation in the wall of a lymph vessel, running parallel to the vein and having a saccular widening at this place. The bulb-shaped lymphoid outgrowth fills up the widened lymph vessel; the subcapsular sinus originates from the remaining parts of the lymph vessel. At birth the lymph node can be divided into a primitive cortex consisting of an area with evenly scattered lymphocytes among the basic network of reticular cells and a medulla. About three days after birth an ovoid area containing a dense concentration of lymphocytes is observed in the inner cortex. In the next days it expands in both lateral and medullary direction but not into the outer cortex. Primary follicles appear in the outer cortex 18 days after birth. The development of the inguinal and popliteal lymph nodes in the rabbit shows the same characteristics as the histogenesis of the popliteal lymph node in the rat. The morphogenesis of the lymph node is summarized in a schematic diagram.


Action of the pterygoideus muscle during feeding in the lizard Uromastix aegyptius (Agamidae). The actions of the deep and superficial portions of the pterygoideus muscle and the depressor mandibulae were studied in the agamid lizard, Uromastix aegyptius, using fine wire electrodes. The EMG signals were recorded, while simultaneously recording the jaw positions during feeding on movie film at 32 fps. Muscle activity varies with different types of food. The deep and superficial portions of the pterygoideus performed different functions. The deep pterygoideus functioned during opening of the jaws, presumably to protract the jaw. The superficial pterygoideus was strictly a jaw elevator. The depressor mandibulae is not the initiator of jaw opening. When biting on tough food items, the deep pterygoideus and depressor mandibular were active.


Experimental studies on the acetylcholinesterase-positive nerves in the ovary of the rat. Adrenergic and acetylcholinesterase (AChE)-positive nerves were studied in the rat ovary four days after various experimental denervation procedures. Ablation of pelvic parasympathetic nerves (pelvic neurectomy [PN]) or abdominal vagotomy (AV) had no obvious affect on the adrenergic of AChE-positive nerves in the ovary. Section of the mesovarium resulted in the loss of all histochemically demonstrable adrenergic and AChE-positive nerves. Chemical sympathectomy with 6-hydroxydopamine (6-HD) resulted in the loss of all histochemically demonstrable adrenergic nerves. A few AChE-positive nerves remained in the hilar and medullary regions following chemical sympathectomy. When the presumptive parasympathectomy procedures (AV and PN) were combined with chemical sympathectomy, again no adrenergic nerves remained, however a few hilar and medullary AChE-positive fibers persisted after sympathectomy plus PN, but no AChD-positive fibers were demonstrable in the AV plus 6-HD group. These findings show that most of the AChE- in ovarian nerves is localized in adrenergic nerves. It is suggested that the few AChE-positive fibers remaining in the ovarian hilar area after 6-HD treatment of 6-HD plus PN are derived from the vagus. These few AChE-positive nerves may be postganglionic vagal parasympathetic or they may be sensory fibers.


Use of the L-proline analog, L-azetidine-2-carboxylic acid (LACA) to analyse embryonic growth and determination and expression of the chondrogenic phenotype in vivo and in vitro. The L-proline analog, L-azetidine-2-carboxylic acid, (LACA) was injected into embryonated eggs of the common fowl, Gallus domesticus at daily doses of 350 microgram/egg on one or several days betweeh 8 and 12 days of incubation. Treatment at nine-days of incubation preferentially retarded embryonic growth to the twelfth day but recovery of growth rate occurred by 15 days of incubation. Relationships between growth and LACA-inhibited aspects of collagenogenesis are discussed. The earliest aged embryos from which isolated stem cells from membrane bones will form secondary cartilage is ten days of incubation. Secondary chondrogenesis on the quadratojugal, a membrane bone of the skull, was inhibited by treatment of whole embryos with LACA at nine days of incubation but not by treatment at eight days. We concluded that an event involving collagen began at nine days of incubation, was blocked by LACA and was part of the process of chondrogenic determination of these stem cells. Addition of LACA to the medium in which already determined stem cells from the quadratojugal were cultured prevented expression of the chondrogenic phenotype. This proline analog is then a useful probe for events relating both to determination and to expression of the differentiated state, and allows conclusions to be drawn regarding the role of collagenogenesis in these events.


Serous cysts of the aging guinea pig ovary. II. Scanning and transmission electron microscopy. Ovarian cysts which developed spontaneously from the rete ovarii in the ovaries of guinea pigs have been examined in 1- and 2-year-old animals by scanning and transmission electron microscopy. Two cell types have been described, a tufted cell with numerous motile cilia and a non-tufted cell with a solitary cilium. While the non-tufted cell exhibited numerous smooth coated vesicles in its lateral and basal regions, no signs of secretion to the lumen of the cyst have been seen and occluding junctions have not been observed.


Changes in the satellite cells of growing muscle following denervation. Satellite cells exhibit a number of distinct morphological changes after denervation which appear to be a direct response to nerve section or altered functional state of the muscle fibers. These changes appear generally related to increased movement and overall activation of the cells. After longer periods of denervation many satellite cells appear to separate from their fibers and become free cells in the interstitial space. It is proposed that this mechanism provides a cellular source for the small-diameter, immature fibers dispersed throughout the muscle after two to three weeks. Although neo-formation of myofibers appears to be a feature of denervated growing muscle, an increase in total fiber population was not observed. It is suggested that in the absence of a viable nerve supply the new fibers degenerate.


Human testicular development and the role of the mesonephros in the origin of a dual Sertoli cell system. Some aspects of the development of the human testis (and overy) are discussed and the main theories regarding gonadal differentiation summarized. The major part of this review deals with the origin and differentiation of the three groups of somatic cellular content: Sertoli cells, Leydig cells and peritubular cells. The most important role of the mesonephros in gonadal development is described. Under the influence of the mesonephros, a second type of meiosis-inducing Sertoli cell differentiates and becomes the opponent of a meiosis-preventing type of Sertoli cell which derives from the coelomic epithelium. All somatic cells are pooled in the central gonadal blastema which is part of the medulla. They migrate via the rete blastema to the sites of their final differentiation. Included are the precursors of the Leydig cells and the peritubular cells.


First spermiation and spermatozoa concentration in hemicastrated rats. Male rats ten days of age were divided in three groups: a) hemicastrated, b) sham operated and c) control. They were daily sacrificed between 30 and 50 days of age. Wet weight and dry weight were determined in testis, seminal vesicles and epididymis. The concentration of spermatozoa was measured in testis and caput epididymis. The results show a significant increase in both wet and dry weight of testis of hemicastrated animals (40.5% at 30 days of age). The total population of psermatozoa per testis is higher in hemicastrated after 48 days of age. The first arrival of spermatozoa to the caput epididymis (first spermiation) which occurs in control at 45 days of age is delayed 48 hours in the hemicastrated group, however at 50 days of age the concentration of spermatozoa in the caput is higher than in control. We related our results to the rise in plasma FSH which occurs immediately after hemicastration and involved a larger and higher exposure of the testis to FSH.


Stereology: a new quantitative morphological method to study epididymal function. Stereology is a method to obtain quantitative information of structural changes at the light and electron microscopic level. The basic principles of stereology are outlined below. This paper shows how stereologic techniques can be used to obtain structural data from histologic and electron micrographs of intact tissue and cells. A stereologic model, which provides information on the structure of the epididymis has been developed for the rat epididymal head. The model consists of morphologically defined space and membrane compartments of the rat epididymal head and the principal cells. The alterations, induced in the principal cell of the epididymal head after long term hypophysectomy were studied by electron microscopy. The results presented are relative to a cubic centimeter of epididymal tissue, a cubic centimeter of principal cells and principal cell cytoplasm. An attempt to relate stereologic and biochemical data is shown.


On the development of different morphologic abnormalities of human spermatozoa. morphologic comparisons of the live and dead sperm population gives information concerning non-lethal and lethal abnormalities. Many of the abnormalities of the sperm heads and midpieces and in particular enlarged heads belong to the latter group. On the other hand, tapering of the head, cytoplasmic droplets and abnormal tails have littel lethal significance. Depletion of the extra-gonadal sperm reserve does not affect the morphology of neither the living nor the dead spermatozoa. This indicates that no significant abnormalities develop after sperm maturation within the epididymis. Cyproterone acetate was shown to affect midpieces and fails of the living spermatozoa within two weeks of treatment indicating an effect on the epididymal level, whereas abnormal heads increase after four weeks indicating an effect on the germinative epithelium, not before the spermatid stage.


Clinical experience with the expanded polytetrafluoroethylene vascular prosthesis. Expanded polytetrafluoroethylene grafts were used in 44 patients in the last 18 months. In 13 patients the graft was used for various types of peripheral vascular reconstructive procedures, as a substitute of the autogenous saphenous veins. In 31 patients the prosthesis was used for the construction of vascular access for hemodialysis. Results of the use of this new vascular prosthesis are comparable to those achieved with the autogenous saphenous vein when used for the same purposes. A much longer period of observation is necessary before a definitive verdict can be reached on the safety and clinical applicability of any new vascular prosthetic material. But preliminary clinical results with the PTFE vascular prosthesis are encouraging and seem to justify continued cautious application of this vascular substitute.


Variations in sperm count in oligozoospermic or asthenozoospermic patients. Using a Coulter Counter, sperm density and total sperm population per ejaculate has been measured repeatedly in a series of oligozoospermic and asthenozoospermic patients. Marked variations in these parameters were found with repeated sampling from the same patient. The implications of such findings are discussed.


Arteriographic evaluation of vascular changes in leprosy. Two hundred and eighty-four arteriograms were performed in the hands and feet 178 leprosy patients. Narrowing and tortuosity of the digital vessels, especially in the presence of bone absorption, were constant features. Digital tufts revealed signs of ischemia. However, in the presence of infection, hyperemia was a definite observation. Diminution in the caliber of the digital arteries and thinning or absence of the vascular end loops prove that ischemia plays a vital role in the production of various lesions in leprosy.


Aneurysm of the ductus arteriosus.

Aneurysm of the ductus arteriosus. A 59-year-old man with an aneurysm of the ductus arteriosus is described. Macroscopically and histologically it was ascertained that the aneurysm had originated from the ductus arteriosus itself. We suggest the following pathogenesis: after obliteration of the pulmonary end, the aneurysm was formed, and as a result of a gradual increase in pressure in the lumen, the obliterated pulmonary end, the aneurysm was formed, and as a result of a gradual increase in pressure in the lumen, the obliterated pulmonary end recanalized.


Monosaccharide transport across membranes of human spermatozoa. I. Development of a radiochemical method of measuring monosaccharide uptake by spermatozoa. A method for determination of the monosaccharide uptake into human spermatozoa is described. Intracellular monosaccharide concentrations were calculated on the basis of determination of intracellular radioactivity after incubation of the cells with labelled monosaccharide and using a mathematical procedure to approximate the intracellular space of spermatozoa. The D-fructose uptake depends on the extracellular D-fructose concentration in a hyperbolic manner. Half maximal saturation is present at 4,1 mM. This corresponds closely with the lowest limit of D-fructose concentration in human fertile semen.


Some factors affecting erythrocyte deformability and rupture. Human erythrocytes suspended in a viscous isotonic saline medium may be ruptured in vitro by the application of uniform hydrodynamic shear stresses. For any given combination of exposure parameters, cellular fragility is a measure of cellular deformability; i.e., it is related to the cellular dimensions that result from the competition between those forces that tend to extend the cell and those forces--particularly those associated with the resistance to bending of the membrane--that tend to restore the cell to its original biconcave shape. The pharmacologically active agent nicotinic acid increases cellular fragility in our experimental system and so has presumably increased the deformability of the human erythrocyte.


L-dopa and oligozoospermia.

L-dopa and oligozoospermia. A clinical investigation of L-Dopa on idiopathic oligozoospermia is carried out. Thirty nine male oligozoospermic patients with primary sterility were divided in two groups. The first group of 25 patients was treated with 500 mg a day during two months. The second group of 14 patients received 750 mg a day for the same time. In the first group we find 14 improvements, 9 at the first month and 5 at the second month. In the second group 8 improvements were observed, 5 in the first month and 3 in the second months. It would seem that L-Dopa has a stimulatory effect on spermatogenesis possibly through hypophysis when it is administered at these dosis and for these periods of time, and it was also observed similar results for longer terms of treatment.


Isovolumic relaxation time in normal subjects and patients with cardiac disease: comparison of determinations made with echocardiographic techniques and apex cardiography. Isovolumic relaxation time (IVRT) was determined in 17 controls and 41 patients. Nine patients had ischemic heart disease (IHD), 7 mitral prolapse (MVPS), 13 hypertension (HPB), 7 pregnancy (P), and 5 cardiomyopathy (CM). Echocardiographic measurements of IVRT were made from the aortic second sound to the rapid opening of the mitral valve (A2D1). Determinations by apexcardiography were made from the aortic second sound to the 0 point (A2O). The IVRT was distinctly shorter when assessed by A2D1 than by conventional apexdardiography in conventional apexcardiography in controls (69.2 +/- 16.4 msec vs 118.7 +/- 16.5 msec) and in patients with cardiac disease. The IVRT in 9 older normal controls (mean age 47.7 years) was longer than in 8 younger ones (age 26.3 +/- 4.9 years). Patients with myocardial disease (IHD, HBP, and CM) had prolonged IVRTs when compared to normal subjects. Pregnant subjects had shortened intervals. IVRT may be a sensitive indicator of disturbances in myocardial contractility and may be shortened and enhanced contractility.


Dermatophagoides pteronyssinus and house dust allergy in west Malaysia. Three groups of people with different clinical histories and manifestations to house dust were skin tested with Dermatophagoides pteronyssinus extracts. The results showed close correlation between positive skin tests and clinical sensitivity to dust. The correlation was not, however, perfect and, although D. pteronyssinus is a major factor in house dust allergy, it does not appear to be the sole antigen involved.


Studies on atmospheric pollens in the Philippines. The predominant pollen in the Philippines is the grass pollen, followed by Mimosa, Moraceae, Cyperaceae, lower vascular plants spores, Amaranth, Coconut, Tiliaceae, Pinus, Compositae and Alnus (in decreasing order of significance). The atmospheric pollen pollution in Quezon City is heavy in November, December and January; in Los Banos during January, February, March, April, June and November; and in Baguio City during February, March, April and May. Compared to the density of pollution in these areas, the incidence of pollen pollution in Bacolod City, Davao City and Naga City is very light.


Correlation between the antigen-binding activity and the relative concentration of IgE antibodies to mite. Antigen-binding activity of IgE antibodies to mite was determined by the triple antibody assay. Relative concentration of IgE antibodies in mite was determined by RAST. The antigen-binding activity of IgE antibodies correlated with the relative concentration of the antibodies (r equal to 902). This suggests that the absolute concentration of IgE antibodies may be determined by RAST using a reference serum of known absolute concentration of IgE antibodies.


The use of chromium-51 sodium chromate for the detection of food and chemical sensitivities. Both antibody mediated lysis of human RBC's and toxic hemolysis were found to occur with chemicals used as coloring agents for foods, drugs and cosmetics. Because of the strong chromaticity of these dyes, chromium-51 sodium chromate was bound to the hemoglobin of target human RBC's and its efflux was used as an indicator of lysis instead of spectrophotometry, which had been used with food antigens. The major antibody effect was noted when treatment of the target RBC's with antiIgG resulted in a marked inhibition of lysis, indicating that IgG is a lysis-promoting factor (LPF) in this system. Weaker effects were noted by treatment of the target RBC's with monospecific antisera for the other four classes of immunoglobulin and for alpha2-macroglobulin. No neutralizing effects were observed by pre-incubation of the dyes with autologous serum prior to the addition of RBC's.


Epizootiologic aspects of viscerotropic velogenic Newcastle disease in six pet bird species. Pet birds of 6 species were exposed to a psittacine isolate to viscerotropic velogenic Newcastle disease (VVND) virus to evaluate the impact of VVND in those species. Species examined were the budgerigar, yellow-headed Amazon parrot, canary, halfmoon conure, lesser hill mynah, and blackheaded nun. Five of the 6 species were highly susceptible to infection with VVND virus. Canaries were relatively refractory to infection with the virus. Contact birds of the same species developed infections almost as rapidly as did the birds directly exposed to nebulized VVND virus. Mortality was most marked for the conures. Less than half of the parrots exposed to nebulized virus died of VVND. Of the directly exposed budgerigars, mynahs, and nuns, 16% to 22% died during an observation period of postexposure days 0 through 28.


Effect of dry versus wet bowl environment on pet turtles. Recently hatched, certified Salmonella-free, red-eared slider turtles (Pseudemys scripta elegans) were obtained from a commercial breeder. Half of the turtles were kept in a traditional wet-bowl environment, whereas the other half lived in individual dry-bowl environments, except for 30 minutes each day when they were immersed in water and were fed. Both groups were fed commercial turtle food. During the 26 weeks of the study, individual weight and general observations were recorded for each turtle. Neither Salmonella nor Arizona bacteria were recovered from the turtles, their food, or their bowen environments. Histologic observations were completed on organs of both groups. Turtles maintained in the dry-bowl environment ate poorly, were considerably less active and less developed histologically, and lost significantly more weight than those turtles living in the wet bowl environment. Neither the environment nor the feeding program were found to be satisfactory for prolonged household maintenance of pet turtles.


Immunization of mice against Fusobacterium necrophorum infection by perenteral or oral administration of vaccine. Immunization of mice against Fusobacterium necrophorum infection was attempted by using 3 vaccination procedures: (1) intraperitoneal (IP) injection of F necrophorum cells in saline solution, (2) IP injection of cells with added aluminum hydroxide adjuvant, and (3) feeding of a powdered mouse diet containing lyophilized cells. One or 2 weekly IP injections of the bacteria cells (in saline solution) for 3, 6, or 12 weeks resulted in protection of 48.7% to 64.5% of the mice against challenge exposure. Of the 2 control groups (given saline solution only), 100% and 97.4% became infected. Weekly IP injections of bacterial cells in an aluminum hydroxide adjuvant for 3, 6, or 12 weeks resulted in protectivity of 54.1% to 77.5%. Of the control mice (given adjuvant only), 97.5% became infected. Bacterial cells fed to mice at a dose level of 1.5 mg (dry weight)/g of powdered diet for 30 days (4 or 5g of diet each day) resulted in only a delay in the mean time of death as compared with the rapid death of the control mice. The feeding dose of 0.15 mg of cells/g of diet did not delay the mean time of death.


Minimal nitrogen requirements of Corynebacterium renal strains. Corynebacterium renale strain 10849 was grown in a chemically defined medium containing glucosamine, ammonium sulfate, and 5 amino acids as possible nitrogen sources. Although glucosamine was slightly stimulatory, its omission from the medium had a minimal effect on growth, and washed cells introduced into glucosamine-free medium grew readily through 10 serial transfers, demonstrating that this compound was not required for growth. Individual omissions of isoleucine, valine, methionine, and glutamine resulted in lengthened lag periods and reduced growth rates in initial transfers, but recovery occurred in subsequent serial transfers so that by the 3rd or 4th transfer, growth rates and cell crops were only slightly less than in control cultures in complete medium. Omission of cystine resulted in a permanently low growth rate and reduced cell crop, but this was remedied by substituting various nonnitrogenous compounds containing reduced sulfur. Strain 10849 and 6 additional strains were then serially cultured in a minimal defined medium in which sodium thioglycolate provided reduced sulfur and ammonium sulfate served as sole nitrogen source. Since only ammonium ion was required as the nitrogen source, it could be concluded that C renale, which rapidly hydrolyzes urea, should find an adequate source of nitrogen for growth in the urinary tract of animals.


Isolation of San Miguel Sea Lion Virus from Samples of an animal food product produced from northern fur seal (Callorhinus ursinus) carcasses. A virus was isolated from California sea lions (Zalophus californianus californianus) and northern fur seals (Callorhinus ursinus) in 1972. It was later named San Miguel sea lion virus (SMSV). State and federal livestock disease control agencies became concerned, because SMSV was found to be indistinguishable from vesicular exanthema of swine virus and to cause (in laboratory trials) clinical signs in swine similar to those produced by vesicular exanthema of swine virus. Ground carcasses of northern fur seals, salvaged after harvesting pelts, are fed to mink on ranches in the United States. Domestic swine are kept on some of these same ranches. Samples withheld from lots of this seal carcass mink food were found to contain SMSV (serotype 5) in titers of 10(6.1) and 10(6.8) tissue culture infective doses.


Stimulation of lymphocytes from a dolphin (Tursiops truncatus) by phytomitogens. Activation of dolphin peripheral blood lymphocytes by the phytomitogens, concanavalin A, phytohemagglutinin, and pokeweed mitogen, was evaluated. Whole blood culture technique was employed, which eliminated the necessity of lymphocyte isolation or purification procedures. Dolphin lymphocytes responded (by increased [14C]thymidine incorporation) to all 3 mitogens, but concanavalin A consistently produced the highest degree of stimulation.


Thymus cell variations in AKR leukemia.

Thymus cell variations in AKR leukemia. The thymus cells from spontaneous and 1st generation AKR leukemic mice were investigated, using electronic cell-volume distributions. The growth pattern of thymus cells in the mice with transplanted leukemic cells varied with the type of donor cells injected. After the transplantation of leukemic cells into 2 month-old recipients, the cortex of thymus decreased in size and medulla of thymus enlarged. The thymus underwent atrophy next, followed by a proliferation of the large-sized cells (greater than channel 40, 136 micrometer3). The electronic cell-volume distributions of the thymus cells from the spontaneous leukemic mice encompass the distributions of thymus cells during the growth of the transplanted leukemia.


Pili-mediated attachment of Corynebacterium renale to mucous membrane of urinary bladder of mice. Corynebacterium renal strain 115 with numerous pili became attached in vivo to the mucous membrane of the urinary bladder of mice 10 to 30 times more frequently than did that of C renale American Type Culture Collection 19412, which showed few pili. Antipili serum-treated C renale strain 115 was not recovered from the membrane in as large amounts as was untreated bacteria. Antisomatic serum-treated strain 115, on the other hand, was recovered from the membrane in amounts similar to untreated bacteria. Untreated organisms became attached to the mucous membrane of the urinary bladder more effectively than did the antipili serum-treated bacteria, as seen on scanning electron micrographs. It may be concluded that C renale strain 115 attaches itself to the mucous membrane of the urinary bladder om mice by the pili.


Effect of thyroid state on magnesium concentration of rat tissues. The effect of alteration of thyroid status by thiouracil (0.1% concentration in drinking water for 60 days) or exogenous thyroxine (25 mg/dg of body weight administered SC from days 30 to 60) on magnesium content of rat tissues following exogenous magnesium was evaluated. Treatment of rats with magnesium solution (25 mg of magnesium sulfate/dg of body weight) resulted in increased magnesium concentration in most tissues of hypothyroid and hyperthyroid rats, with the mesenchymal-derived tissues (aorta, trachea, and ear cartilage) exhibiting the greatest increases (respectively, 154, 130, and 133% of control group values for hypothyroid rats, and 115, 108, and 107% of control group values for the hyperthyroid group). Magnesium concentration in skeletal and cardiac muscle was similar for hyperthyroid and control rats, but magnesium concentration in these same tissues of hypothyroid rats was decreased. Magnesium distribution and retention in rat tissues is altered considerably, depending on the functional status of thyroid gland.


Complement activity, serum protein, and hepatic changes in guinea pigs given sterigmatocystin or aflatoxin, alone or in combination. Effects of either sterigmatocystin or aflatoxin, alone or in combination, given orally to guinea pigs were studied. Sterigmatocystin and aflatoxin B1 given alone and in combination at 4.2 mg/day and 0.01 mg/day, respectively, markedly reduced body weight. Although changes in total serum protein were not marked in any of the guinea pigs in this study, sterigmatocystin given alone and aflatoxin given alone significantly ( less than 0.05) decreased alpha2-globulin. The combination of toxins significantly (P less than 0.01) increased albumin and significantly (P less than 0.01) decreased both alpha2- and beta-globulins. Sterigmatocystin depressed complement activity, although not significantly. However, the combination of sterimatocystin with 0.01 mg of aflatoxin B1/day (an amount that does not affect complement activity alone) significantly (P less than 0.01) reduced complement activity. Increased severity of lesions was not found in guinea pigs given aflatoxin at 0.01 mg of B1 equivalents/day in addition to the sterigmatocystin.


Analysis of lead in animal feed ingredients. Analyses for lead content were done on 124 specific feed ingredients from 5 major pet food companies. The lead content of the different ingredients varied from 0.1 parts per million (ppm) to 3,600 ppm. Of the samples 48 (39%) had greater than 1 ppm lead. In particular, one type of ingredient (mineral mix) was contaminated with large amounts of this element. Feeds that contain a marked amount of lead could add an uncontrolled variable to experiments using laboratory animals and could cause misinterpretation of experimental results.


Serum hydrocortisone (cortisol) values in normal and adrenopathic dogs as determined by radioimmunoassay. Using a specific radioimmunoassay, serum hydrocortisone values were measured in dogs. Between 9:00 AM and 10:00 AM, the base-line hydrocortisone value for 56 clinically normal dogs ranged from 6.0 to 28.5 ng/ml, with a mean value of 17.8 +/- 1.32 ng/ml (mean +/- SEM). Marked differences due to age, sex, body weight, or breed were not observed in the hydrocortisone values. In 11 dogs with definitive hyperadrenocorticism, serum hydrocortisone values were from 32 to 148 ng/ml. In 2 dogs with hyperadrenocorticism, the values were 4.5 and 3.1 ng/ml. The estimation of serum hydrocortisone values by radioimmunoassay is simple and precise, and can be utilized to aid in the diagnosis of adrenopathy in dogs.


Attempts to produce salivary cysts in the dog. Attempts were made to create salivary cysts by ligation of the mandibular salivary duct at the angle of the mandible and near the frenulum of the tongue, by rupture of the mandibular duct at the angle of the mandible and near the frenulum of the tongue, and by direct trauma to the mandibular salivary gland. Cysts were not formed as a result of the experimental procedures, but observations are made on the results obtained.


Isolation of Erysipelothrix rhusiopathiae from tonsils of apparently normal swine by two methods. Erysipelothrix rhusiopathiae was isolated from the tonsils of 62 of 63 (98%) apparently normal pigs, using 2 procedures: (1) enrichment culture at 5 C followed by mouse inoculation, and (2) Wood's technique. There was no significant difference (P less than or equal to 0.01) in the sensitivity of erysipelothrix detection between the 2 procedures. Each of the isolates selected for identification had morphologic and tinctorial properties consistent with E rhusiopathiae and was identified by direct immunofluorescence.


Bending properties of cortical bone of the horse. Bending properties of samples  of cortical bone taken from the cranial, caudal, medial, and lateral quadrants of the midshaft of the radius, femur, and metacarpus of 12 ponies, 18 months old, were determined by 4-point loading at a rate of 10 mm/minute. The elastic modulus for all samples was between 16.2 and 20.2 GN/m2, and the ultimate breaking strength, between 204 and 255 MN/m2. There was greater variation in these properties between bone quadrants than between bones. Samples from the cranial and medial quadrants of both femur and radius were stiffer and had greater ultimate breaking strength than caudal or lateral samples. All samples of radius deformed more and absorbed more energy before reaching the greatest load than did samples of femur. The elastic modulus and the ultimate breaking strength of radius within any quadrant were highly correlated to specific gravity. However, at any specific gravity, caudal and lateral samples were not as strong as cranial and medial samples. Samples taken from exercised ponies, male ponies, or those fed diets containing 0.7% Ca,0.6% P or 2.7% Ca,1.1% P tended to be stiffer and have a greater ultimate breaking strength than samples taken from unexercised ponies, females, or those fed diets containing 0.7% Ca,1.4% P.


Induced staphylococcal infections in the bovine mammary gland. In a study to develop and define a practical model of bovine mastitis caused by Staphylococcus aureus, induced infections were attempted in 203 bovine mammary glands of 41 cows, using 12 strains of S aureus. Approximately 100 colony-forming units of S aureus in saline solution were injected after milking, and milk samples were collected daily from test glands for 14 days to monitor the progress of infections and inflammatory responses. Relationships were examined for cow-related factors and for various characteristics of the strains of S aureus used to the development of a persistent intramammary infection. A dairy cow that was useful in this model was defined as follows: (1) the 2nd to 7th month in the 1st to 5th lactation; (2) producing milk from all mammary glands that contained less than 6 x 10(5) somatic cells/ml; and (3) having mammary glands that were free of any primary mastitis pathogen, as well as micrococci and Corynebacterium bovis. From the present study, it was not possible to define clearly a strain of S aureus which would be useful in the model, but 5 strains of S aureus were identified as being capable of producing persistent subacute infections with a high degree of repeatability.


Ovine coccidiosis: effect of the antibiotic monensin against Eimeria ninakohlyakimovae and other naturally occurring coccidia of sheep. Sixteen female and 16 male lambs were used in 4 groups to determine the effect of monensin on naturally occurring and experimentally induced coccidiosis. Determinations of numbers of oocysts discharged, quantities of feces discharged, feed consumption, and weight gain were made for female and male lambs in each group. The effect of experimentally induced and naturally occurring coccidiosis on the performance of each group was compared. Nonmedicated lambs, experimentally inoculated with Eimeria ninakohlyakimovae, gained the least weight. Lambs naturally infected with coccidia gained next best and inoculated lambs, in 2 groups medicated with 10 or 20 ppm of monensin in the feed, gained best. The average net gain for the 4 groups was 7.8, 9.7, 13.7, and 13.7 kg. The medicated lambs required less feed/kilogram of weight gain than did the nonmedicated lambs. In general, female lambs were more severely affected by the coccidia, consumed more feed, produced more fecal material, and gained less weight than did male lambs.


Effect of canine immune serum on the growth of Ehrlichia canis within nonimmune canine macrophages. The effect of canine immune serum (CIS) on the growth of Ehrlichia canis was studied in macrophage cultures derived from peripheral blood monocytes of normal dogs. Ehrlichiae treated with canine normal serum and then introduced into normal macrophage cultures maintained in canine normal serum multiplied within the macrophages and destroyed them. Immune serum, collected from E canis carrier dogs, suppressed ehrlichial growth in normal macrophages. An inverse relationship existed between the amount of CIS to which ehrlichiae were exposed and the growth of the organism in normal macrophages. The anti-E canis activity was most prevalent in the 7-S fraction of immune serum. Fresh CIS had a greater suppressive effect on the growth of E canis than did heat-inactivated CIS. Antibody cytophilic for canine monocyte-derived macrophages was not detected in CIS.


Effect of canine immune macrophages and canine immune serum on the growth of Ehrlichia canis. The effect of canine immune macrophages and canine immune serum (CIS) on the growth of Ehrlichia canis was studied in vitro. Treatment of E canis organisms with CIS before they were inoculated into immune macrophage cultures, coupled with pre- and postinoculation maintenance of cultures in CIS, suppressed macrophage infection rates to 1% or less. Immune macrophages collected from E canis-carrier dogs and maintained in canine normal serum were more resistant to the intracellular growth of E canis than were normal macrophages maintained in the same serum. Ehrlichiae introduced into normal macrophage cultures maintained in canine normal serum multiplied within the macrophages and destroyed them. Maximal immunity to intracellular growth of E canis, maximal destruction of this organism, or both, required the interaction of E canis with both humoral and cellular factors in proper sequence.


Effects of topical 1-epinephrine and dipivalyl epinephrine on intraocular pressure and pupil size in the normotensive and glaucomatous Beagle. Dipivalyl epinephrine and l-epinephrine were evaluated in various concentrations in normotensive and glaucomatous Beagles. In higher concentrations, both drugs produced significant lowering of intraocular pressure. Mydriasis and some local irritation occurred. The hypotony after drug administration tended to be greater in glaucomatous than in normotensive Beagles. The glaucomatous Beagle may be a valuable biomedical model in the investigation of various pharmacologic substances.


Life cycle of Isospora burrowsi n sp (Protozoa: Eimeriidae) from the dog Canis familiaris. Exogenous and endogenous stages of Isospora burrowsi n sp from the dog are described. Oocysts were spherical or ellipisoidal and 17 to 22 by 16 to 19 micrometer (mean 20.3 by 17.3 micrometer). Micropyle, oocyst residuum, and polar granule were not present. Sporocysts were 12 to 16 by 8 to 11 micrometer (mean 14.4 by 9.7 micrometer). Stieda body was absent, but a sporocyst residuum was present. Endogenous stages were in the caudal three-fifths of the small intestine and in the cecum. Mature 1st-generation schizonts (11 to 18 by 9 to 18 micrometer) were present on the 4th day of infection. One day later, mature 2nd-generation schizonts (18 to 35 by 17 to 22 micrometer) were present. Immature gamonts were found 5 days after infection, and unsporulated oocysts were also present later that day. The prepatent period was 6 days, and the mean patent period was 11 days. The oocysts of I burrowsi differ markedly in size from all other Isospora species from dogs, except Isospora ohioensis; however, the endogenous stages of the 2 species differ.


Evaluation of polytetrafluoroethylene-graphite-coated total hip prostheses in goats. This study was designed to determine if a porous polytetrafluoroethylene-graphite coating could furnish long-term stabilization of total hip prostheses. Prostheses were surgically implanted in 12 mature goats, which were observed postoperatively for as long as 1 year. Effective stabilization occurred in only 4 animals. Poor results in the other animals were attributed to lack of stabilization of the prostheses following initial implantation, which allowed movement at the interface between bone and polytetrafluoroethylene-graphite.


Efficacy of attenuated Anaplasma marginale vaccine under laboratory and field conditions in Colombia. Four-month-old Holstein-Friesian calves were inoculated with 3 different doses (1, 2, and 3 ml) of attenuated Anaplasma marginale vaccine. Vaccinated calves showed mild anaplasma parasitemia, slight decrease in packed cell volume, low serologic conversion, and no clinical illness. An artificial challenge exposure of vaccinated and unvaccinated calves with virulent Colombian A marginale showed that the vaccine provided protection against clinical signs of the disease, including parasitemia and anemia. The volume of the vaccinal dose did not alter the degree of protection provided. A 2nd group of 8- to 9-month-old Holstein-Friesian calves was then inoculated with 3 ml of anaplasma vaccine and premunized with both Babesia bigemina and Babesia argentina while being housed in an area free of these diseases. Calves were moved to an enzootic region heavily infested with various arthropods, including ticks, for natural field challenge exposure. Control calves, which were not given anaplasma vaccine, suffered clinical illness manifested by severe anemia and an average weight loss of 50.6 kg due to anaplasma field challenge exposure. In contrast, vaccinated calves did not show anemia and their weight loss was 3.9 kg.


A relationship between gait and breakdown in the horse. A biomechanical model of running has been presented. A basic premise has been that the swing time is nearly independent of speed. In fact, both the racehorse and the trotter have nearly equal swing times. Consequently, as speed increases and the stance phase becomes shorter, the horse must compensate by increasing his extension or the length of the airborne phase (or both). The safe speed which allows the horse adequate preparation time for contact of a leg with the ground is calculated, using a stride-by-stride analysis of the motion of the horse. This is seen to be a very sensitive function of the overlap time in the gait. The overlap between the legs appears to affect both the ultimate performance potential of the horse and also his prospects for soundness.


Anthelmintic efficacy of thenium closylate-piperazine phosphate combination tablets against Toxocara canis in pups and young dogs. Thenium closylate-piperazine phosphate combination tablets, tablets containing either thenium or piperazine, and control tablets (excipients only) were administered in 2 doses 5 to 7.5 hours apart to weaned pups and young dogs, in critical controlled trials to test efficacy against naturally acquired infections of Toxocara canis. In the 1st trial, the combination tablets produced a mean clearance of 94% from 18 pups. Tablets containing thenium alone showed a mean clearance of 9% from 25 pups, and tablets containing piperazine alone caused a mean clearance of 56% from 16 pups. Clearances, corrected for spontaneous worm losses observed in pups treated with the control tablets, were 90% (combination), 5% (thenium alone), and 52% (piperazine alone). In the 2nd and 3rd trials, efficacy of the combination tablet in 15 pups was 78% when corrected for worm losses in pups which had received placebo (excipient) tablets. Each component in the combination tablet contributed its full single-entity efficacy and, if in combination, synergistic effect between the components.


Interrelationships of erythrocyte glutathione peroxidase system enzymes in the fasted Beagle. Eight adult female Beagles were fasted for 21 days to investigate responses of the erythrocyte glutathione peroxidase system enzymes. Blood samples were collected once a week. Erythrocyte reduced glutathione was maintained within 10% of base-line value. Hexose monophosphate pathway dehydrogenases showed a significant inverse relationship to glutathione reductase (GR) activity. Further, active GR, as a percentage of total GR, increased as hexose monophosphate pathway dehydrogenase activity fell. A similar relationship between these enzymes has been reported in human glucose-6-phosphate dehydrogenase deficiency. Also, glutathione peroxidase showed an inverse linear response to erythrocytic reduced glutathione. Though the responses of this system are complex, they appear interrelated.


Prevalence of vesicular exanthema of swine antibodies among feral mammals associated with the southern California coastal zones. Serum-neutralizing antibodies to both vesicular exanthema of swine virus (VESV) and San Miguel sea lion virus (SMSV) were found in a number of animal species having an association with the southern California coastal zones. California sea lions (Zalophus californianus) had antibodies to 9 VESV types (A48, C52, D53, E54, F54, G55, I55, J56, and K56). Fur seals (Callorhinus ursinus) and elephant seal pups (Mirounga angustirostris) were tested for antibodies to 6 VESV types and all were negative. California gray whales (Eschrichtius robustus) were tested for antibodies to 9 VESV types, and sperm whale (Physeter catodon), finback whale (Balaenoptera physalus), and sei whale (Balaenoptera borealis) were tested for 6 VESV types. Among the last 4 species, antibodies were present for each VESV type except C52, and all species were positive for antibodies to 2 or more VESV types. Feral swine from both Santa Cruz Island and Santa Catalina Island were tested and antibodies were present for 8 of 9 VESV types and all SMSV types except SMSV-4. One donkey from San Miguel Island was positive for VESV I55 and 2 were positive for SMSV-2.


Experimental placental transfer of Akabane virus in the hamster. Transplacental infection of hamster fetuses was produced by inoculation of pregnant hamsters with 10(6.3) plaque-forming units (PFU) of Akabane virus by either the intraperitoneal or the subcutaneous route. Virus with titers as high as 10(7.5) PFU/g of tissue was detected first in the placenta and later in the fetus. Virus could also be readily isolated from blood, lung, spleen, and liver of both pregnant and nonpregnant hamsters, but it reached higher titers and persisted longer in the placenta and fetus. Young dying at birth had Akabane virus titers as high as 10(7.3) PFU/g of brain tissue. Litter size was reduced by inoculation of the pregnant hamster at gestational day 11 or earlier, and survival of the newborn to 1 week of age was decreased by inoculation at gestational day 9 or later.


Rapid turbidimetric determination of serum pancreatic lipase in the dog. A rapid and highly reproducible turbidimetric method for the determination of serum pancreatic lipase activity in the dog is described. Values of 0 to 50 IU/L of serum were obtained in 35 healthy mature dogs, and the maximum values of 325 to 800 IU/L were observed in 8 dogs with induced pancreatitis.


Reference ovine serum chemistry values.

Reference ovine serum chemistry values. Twenty-five serum chemistry values were determined on 18 female sheep. These average values were obtained using current semiautomated analytical techniques, with all enzyme measurements reported in international units. Where possible, these results were compared with those of 4 other investigators. This compilation will provide a set of reference values which can be used for comparison with results obtained from current commercial clinical laboratories.


Elimination of porcine parvovirus from infected cell cultures by inclusion of homologous antiserum in the nutrient medium. Cell cultures of porcine fetal kidney and porcine adult thyroid gland were freed of infection with porcine parvovirus by adding homologous viral antiserum to their nutrient medium. The use of antiserum appeared practical and effective for eliminating the virus from contaminated cell lines.


Immunity to Lancefield's group E. streptococcus: flank inoculation of susceptible and immune swine. Healthy swine flank inoculated with Lancefield's group E Streptococcus sp developed characteristic signs of streptococcal lymphadenitis of swine; however, abscesses were found in prefemoral lymph nodes rather than in cervical lymph nodes. After 6 months, swine (recovered from the cervical form of streptococcal lymphadenitis of swine caused by oral exposure to group E Streptococcus) were flank inoculated with group E Streptococcus sp. Only transitory signs of diseases developed and abscesses did not develop in the prefemoral lymph nodes.


Clinical signs and chemical confirmation of 4-aminopyridine poisoning in horses. 4-Aminopyridine poisoning in horses was diagnosed. Specific methods, utilizing thin-layer and high-performance liquid chromatography, were developed for determining the compound in stomach contents and corn bait. The lethal dose was estimated  at 2 to 3 mg/kg of body weight.


Comparative study of blood coagulation tests in the horse and pony. The clotting times obtained with different assay procedures for routine coagulation tests were examined for horse and pony samples. The whole blood clotting time test and the activated coagulation test seemed to give similar results when both tests were done at 22 C. The results obtained for the activated partial thromboplastin time assay varied, depending on the commercial reagent used for the test. Consistent results were obtained for the one-stage prothrombin time assay with each reagent used.


In vitro stimulation of bovine peripheral blood lymphocytes: effect of short-term storage of blood prior to lymphocyte culture. Storage of peripheral blood from Mycobacterium bovis-sensitized cattle from 1 to 48 hours at 4, 22, and 37 C was shown not to alter markedly the lymphocyte blastogenic response to M bovis-purified protein derivative. Concanavalin A-induced lymphocyte mitogenic responses were unaffected by storage of blood for 1, 24, or 48 hours at 22 C and 37 C; however, storage of blood for 48 hours at 4 C significantly lowered (P less than 0.05) mitogenic responses to concanavalin A, as compared with responses to blood kept at 22 C. Mononuclear cell recovery from stored blood at all temperatures was markedly less than that from freshly drawn blood samples. Cell recoveries were most affected by storage of blood at 4 C and 37 C.


Fluorescein diacetate staining of Anaplasma marginale as a possible measure of viability. Fluorescein diacetate viability-staining technique was applied to Anaplasma marginale. Marginal bodies took up the stain and became fluorescent. When infected red blood cells were incubated at 55 C, the number of fluorescent Anaplasma decreased at a rate similar to the known loss of viability.


Relative efficacy of two oxytetracycline formulations and doxycycline in the treatment of acute anaplasmosis in splenectomized calves. The efficacy of 3 antibiotic formulations was measured in the treatment of artificially induced anaplasmosis in the early stages of an ascending parasitemia (1% to 4%) in 23 splenectomized calves. Group 1, consisting of 5 calves, served as nontreated controls. Four calves (group 2) were treated 1 time with 10 mg of oxytetracycline (T-50)/kg of body weight IM; 5 calves (group 3) were treated 3 times with 10 mg of T-50/kg IM; 5 calves (group 4) were treated 1 time with 20 mg of an experimental oxytetracycline (T-200)/kg IM; and 4 calves (group 5) were treated 1 time with 10 mg of a synthetically derived antibacterial agent, doxycycline (D-100)/kg IM. All control calves died and 1 of 4 calves died that was treated 1 time with T-50. Other deaths did not occur. All treatments were effective in moderating the infective process, but T-50 given 3 times and T-200 given 1 time were markedly more effective than T-50 and D-100 given 1 time. There appeared to be little or no difference in therapeutic efficacy between T-50 and D-100 given 1 time and between T-50 given 3 times and T-200 given 1 time.


Blood volume measurements in gopher snakes, using autologous 51Cr-labeled red blood cells. Blood volume determinations were performed in 5 anesthetized gopher snakes (Pituophis melanoleucus catenifer) by means of a 51Cr-labeled red blood cell (RBC) method. The mean blood volume was 52.8 ml/kg of body weight (+/- 6.21 SE). Previous blood volume measurements have not been reported for this species. The RBC survival rate was estimated to be greater than 660 days. The RBC survival rate is long, but it cannot be determined accurately by this method.


Lung function and respiratory symptoms in silicotic and nonsilicotic gold miners. In a cross-sectional sample of 1,973 white gold miners 45 to 54 years of age, symptoms of chronic bronchitis were equally common in men with radiologically diagnosed silicosis and those without silicosis; however, more silicotic miners complained of missing work during the previous 3 years because of chest illness. Whereas mean forced vital capacity did not differ between the 2 groups, both the 1-sec forced expiratory volume and the mean forced expiratory flow during the middle half of the forced vital capacity were significantly lower in those with silicosis. This difference was almost entirely accounted for by their higher exposure to dust in the mines. Men with silicosis, therefore, have the same or only slightly more airway obstruction than men without silicosis who have had similar total exposure to dust.


Long-term follow-up and bronchial reactivity testing in survivors of the adult respiratory distress syndrome. Long-term follow-up of 9 survivors of the adult respiratory distress syndrome at 39 to 83 months demonstrated 2 patients with continued improvement of their restrictive pattern, 3 patients with stable mild obstructive disease, one patient who had had chronic obstructive pulmonary disease before the adult respiratory distress syndrome with continued pulmonary deterioration, and 4 patients without symptoms and with normal pulmonary function tests. Attention is drawn to bronchial reactivity as defined by a bronchodilator response of more than 60 per cent increase in maximal mid-expiratory flow, positive methacholine challenge, or development of bronchospasm after exercise in 3 patients having clinical symptoms of wheezing on recovery.


Chemical markers of mucous and serum glycoproteins and their relation to viscosity in mucoid and purulent sputum from various hypersecretory diseases. Mucus and serum are always present in sputum. The concentrations of their markers were measured in mucoid and purulent sputum from patients with chronic bronchitis, asthma, cystic fibrosis, or bronchiectasis. Differences in the concentrations of both mucous and serum glycoproteins were greater among different macroscopic types of sputum than among diseases for the same macroscopic type. Comparison between diseases showed that sputum from patients with asthma had the widest variation in concentrations of markers of mucous glycoprotein and dry macromolecular weight. When the asthma group was further analyzed, it became apparent that patients with extrinsic asthma without chronic bronchitis represented a homogeneous group, whereas those with intrinsic asthma, with or without chronic bronchitis, were responsible for the wide variation. The concentrations of markers of mucous and serum glycoproteins in a sputum sample were correlated with the apparent viscosity of the sputum to establish the relative contribution of the glycoproteins to the viscosity of sputum. In mucoid sputum, the mucous glycoprotein was most important in determining the viscosity, whereas when in infected sputum, both mucous and serum components contributed to the viscosity.


H2 receptor mediated inhibition of immediate type hypersensitivity reactions in vivo. The effects of H2-blocking agents and the H2 receptor agonist, 4-methylhistamine, on the severity of anaphylactic reactions were studied in the guinea pig in vivo. The increase in gas volume of the lungs 90 sec after intravenous infusion of ovalbumin in animals immunized previously by intraperitoneal ovalbumin injection was used as an index of the severity of the reaction in vivo. The H2 receptor antagonists burimamide (1.0 and 3.0 mg per kg) and metiamide (3 mg per kg) significantly increased the severity of the reaction but did not significantly alter the effects of subcutaneous histamine. Neither 3 nor 30 mg of cimetidine per kg increased the severity of the reaction, and the higher dose significantly blunted the response to subcutaneous histamine. The H2 receptor agonist, 4-methylhistamine, significantly diminished the severity of the reation. These experiments demonstrate that H2 receptor stimulation may act to limit the severity of the anaphylactic reactions in vivo.


The effects of preferential deposition of histamine in the human airway. Two inhalation techniques were performed to obtain airway and diffuse airway deposition of histamine aerosol. A radiotracer method was used to confirm the patterns of aerosol deposition and to measure the dose of histamine aerosol in the airways. In 5 subjects the effect of cumulative doses of histamine aerosol given either centrally or diffusely to the airways was measured. Histamine aerosol deposited predominantly in the large airways was more effective in increasing airway obstruction that was diffusely deposited histamine aerosol, suggesting that the receptors mediating the action of histamine reside mainly in the large airways.


An examination of the microbiologic flora of normal lung of the dog. We examined the hypothesis that normal lung is sterile. A laboratory animal, the dog, was chosen so that sample size could be maximized. Controls were used to eliminate the possible artifactual presence of bacteria in the lung. Thirty-seven per cent of lung samples contained aerobic bacteria with a mean concentration of 1.3 X 10(3) organisms per g of tissue. Seventy-four per cent of identical bacterial isolates were found in the pharynx of the same animal. We concluded that viable bacteria are aspirated into normal lung where they may survive for at least limited intervals.


Phytohemagglutinin response of lymphocyte fractions isolated by velocity sedimentation and enhanced helper cell activity. Peripheral blood mononuclear cells from patients with histologically confirmed sarcoidosis were examined for the presence of suppressor activity to explain diminished phytohemagglutinin-induced lymphoblastic transformation. Phytohemagglutinin responses of unfractionated cells, cell fractions obtained by velocity sedimentation, and mixtures of various cell fractions were studied by uptake of thymidine labeled with hydrogen-3 in 72-hour cultures. The in vitro impaired response to phytohemagglutinin stimulation of unfractionated sarcoid lymphocytes occurred only in patients with more disseminated disease (group 2). Sarcoid lymphocyte fractions 2 and 4 showed significantly decreased stimulation with phytohemagglutinin, suggesting that the over-all impaired response of unfractionated sarcoid lymphocytes to phytohemagglutinin stimulation could be explained by the sum of impaired phytohemagglutinin responses of lymphocytes in these fractions. No evidence of suppressor cell activity was detected. In contrast, slowly sedimenting sarcoid fraction 4 cells appeared to have helper activity, and this was independent of the extent of disease and results of skin tests.


Delayed hypersensitivity reactions in patients with Mycobacterium chelonei and Mycobacterium fortuitum infections. Delayed hypersensitivity reactions to skin test antigens prepared from rapidly growing mycobacteria were measured in patients with postoperative wound infections due to Mycobacterium chelonei and M. fortuitum. Sixteen of 19 patients with M. chelonei infection had more than 10 mm of induration to the M. chelonei purified protein derivative antigen (PPD-CG) and were significantly more likely to react to PPD-CG than patients or hospital personnel who had no evidence of infection. All but one patient had more induration with PPD-CG than with the antigen prepared from M. fortuitum (PPD-F). Three of 4 patients with M. fortuitum infection had greater than or equal to 9mm of induration with PPD-F and were significantly more likely than noninfected patients to react to PPD-F. Three of the 4 patients also had at least as much induration with PPD-F as with PPD-CG. In an outbreak of infections due to M. chelonei, testing with PPD-CG may be useful epidemiologically. Although the data are less clearly defined for PPD-F, testing with this antigen may be of value in an outbreak caused by M. fortuitum.


Lung and dermal vascular injury produced by preformed immune complexes. Tissue injury was studied in rat lung and in the dermal vasculature after the injection of preformed, heterologous immune complexes. In lung, these complexes induced an acute, hemorrhagic alveolitis with large numbers of neutrophils. There were marked increases in permeability and extensive intrapulmonary hemorrhage. Similar changes of lesser magnitude developed at sites of dermal injection of immune complexes. The lung and skin reactions were complement- and neutrophil-dependent. The tissue damage in lung, as measured by permeability changes and development of hemorrhage, appeared to intensify during the first 24 hours and then began to wane. By the second and third day after the acute insult, permeability changes and hemorrhage had returned toward control values. Inflammatory, tissue-damaging reactions did not develop in lung or dermis if heat-aggregated bovine serum albumin was injected in place of immune complexes. This model permits the direct study of lung and vascular injury induced by preformed immune complexes.


Pleural effusion associated with primary lymphedema: a perspective on the yellow nail syndrome. A 28-year-old woman with bilateral pleural effusions and generalized, primary lymphedema beginning with facial erysipelas at 6 years of age is presented. The pleural effusions were exudates with 250 cells per mm3, 92 per cent of which were lymphocytes. Lymphatic stasis was demonstrated by persistence of the blue dye in the dorsa of her feet 3 months after a lymphangiogram of both lower extremities, pelvis, and abdomen. Her nails were not remarkable. Our patient represents the twentieth recorded case of pleural effusion in association with primary lymphedema. Women have been afflicted more than twice as often as men, and the age of onset has varied from birth to the eighth decade. Yellow dystrophic nails may precede or follow lymphedema or the pleural effusion and have occurred in only 11 of the 20 patients.


Asthma due to African zebrawood (Microberlinia) dust. Inhalation of wood dusts can cause immediate and late onset asthma. The list of woods responsible for such reactions is continually increasing. We report a patient with asthma induced by exposure to the dust of African zebrawood (genus Microberlinia). Sensitivity to this dust was confirmed by immediate skin-test reactivity, a positive bronchial challenge, and a positive radio allergo-sorbent test to an aqueous extract. The bronchial response was inhibited by sodium cromoglycate. Unexposed persons did not exhibit skin or bronchial reactivity.


Long-term therapy with rifampin and the secondary antibody response to killed influenza vaccine. The secondary antibody response was studied in 22 patients with tuberculosis, 11 of whom were taking rifampin as part of their antituberculous regimen. The mean duration of rifampin therapy was 12.7 months. Hemagglutination-inhibiting antibody titers to bivalent influenza vaccine were determined before, and 4 and 8 weeks after, vaccination. There was no significant difference in the number of patients who developed a 4-fold or greater increase in titer, or in the level of titer response between the rifampin and control groups. Long-term therapy with rifampin was not found to suppress the secondary antibody response to influenza vaccination.


Legionnaires' disease in non-Legionnaires. A report of five cases. Seventeen patients with illness resembling Legionnaires' disease were evaluated for antibodies to the Legionnaires' bacillus. Three patients were Legionnaires who developed pneumonia after attending the July 1976 convention. All three were seropositive (titers greater than or equal to 1:128) to the Legionnaires' bacillus. None of the remaining 14 patients were Legionnaires. Five were seropositive and nine, seronegative (titers less than or equal to 1:32). The seropositive patients had illnesses best explained by Legionnaires' disease, whereas the seronegative patients had illnesses better explained by other diagnoses. This correlation between serology and clinical findings supports the specificity of the antibody test for Legionnaires' disease. Of the five non-Legionnaire seropositive cases, two occurred before, and one 3 months after, the convention. The case histories of these five patients are presented. Disease generally involved the lungs, kidneys, and the central nervous system. Although the pathogenesis of this multiple organ involvement is unclear, a possible explanation is the production of a toxin by the Legionnaires' bacillus.


Respiratory dyskinesias: extrapyramidal dysfunction and dyspnea. Four patients had acute dyspnea and chest pain due to primary neurologic disease, not to cardiac or pulmonary disorders. They suffered from severe, involuntary respiratory dyskinesias, which resulted in an irregular respiratory rate, shortness of breath, and chest discomfort. These respiratory dyskinesias occurred as one aspect of more generalized choreiform movement disorders. Three patients had neuroleptic-induced tardive dyskinesias, and one had levodopa-induced dyskinesias. As a result of their ages and the nature of their complaints, some of these patients were originally thought to have cardiac and pulmonary disorders. Respiratory dyskinesias should be considered as a possible cause of respiratory distress in patients with extrapyramidal dysfunction.


Determination of mitral valve area by cross-sectional echocardiography. Cross-sectional echocardiograms of the mitral valve orifice were recorded in 37 patients with mitral stenosis. Twenty-seven had pure mitral stenosis, and 10 had associated mitral regurgitation. Mitral valve area in patients with pure mitral stenosis measured from cross-sectional echocardiography was highly correlated (r = 0.89) with that calculated with the Gorlin formula using the pressure gradient and Fick cardiac output. With mitral regurgitation, mitral valve area by cross-sectional echocardiography correlated well (r = 0.90) with that calculated from the pressure gradient and cineangiographic stroke output. In two cases, direct pathologic measurements of mitral valve area agreed exactly with the cross-sectional echocardiographic measurement. Correlation between the mitral E-F slope and mitral valve area by cross-sectional echocardiography (r = 0.56) and catheterization (r = 0.49) was less reliable. Cross-sectional echocardiographic measurement of the mitral valve area correlates well with catheterization in patients with pure mitral stenosis and those with associated regurgitation.


Predicting risk of ischemic heart disease and cerebrovascular disease from systolic and diastolic blood pressures. The relative importance of systolic versus diastolic blood pressure in predicting risk of ischemic heart disease or cerebrovascular disease is controversial. Since 1948 we have observed in the Manitoba Study 3983 men (most between 25 to 34 years old at entry), in whom risk of both diseases was determined using the multiple logistic model. Systolic and diastolic blood pressures after adjustment for age and body weight were compared at entry and at four other examinations during the follow-up period. When both blood pressures were considered together, a stronger association with cerebrovascular disease was found for systolic compared to diastolic blood pressure at entry and at most of the other examinations. For ischemic heart disease, diastolic pressure showed a stronger association at the earlier examinations, whereas systolic pressure was more important when the majority of the cohort was between 40 to 50 years of age. In middle-aged men the general concept that diastolic is more important than systolic is not justified for cerebrovascular disease or for ischemic heart disease.


Peritoneal dialysis for psoriasis. An uncontrolled study. Remissions of long-standing psoriasis have been reported in patients starting either chronic hemodialysis or peritoneal dialysis for renal failure. To see if dialysis influences the course of psoriasis in the absence of renal failure, we selected three patients with severe, refractory, long-standing psoriasis to undergo weekly peritoneal dialysis treatments. Two began to improve after the first dialysis, with nearly complete resolution after four and nine treatments, respectively. The third patient showed no objective changes after four dialyses. These findings add to increasing anecdotal reports of psoriasis improving with dialysis and extend the observations to patients without renal disease.


Local pulmonary immunity in pigeon breeder's disease. A case study. We studied pulmonary and systemic aspects of the immune response in a patient with pigeon breeder's disease before and after an inhalation challenge with pigeon serum. Macrophage migration inhibition was induced with bronchoalveolar wash cells exposed to both pigeon serum and pigeon dropping extract before but not after challenge. Peripheral blood lymphocytes exposed to these antigens did not induce inhibition of guinea pig peritoneal macrophage migration before challenge. However, after challenge peripheral blood lymphocytes did cause macrophage migration inhibition when exposed to pigeon serum. Both systemic and bronchoalveolar lymphocytes proliferated when exposed to these pigeon antigens in vitro. Our patient represents the first reported case of lymphokine production by pulmonary as well as systemic lymphocytes in hypersensitivity pneumonitis.


The problem patient. Evaluation and care of medical patients with psychosocial disturbances. The physician often finds that certain patients are poorly responsive to usual methods of therapy, especially those with somatic symptoms in whom psychosocial factors are a major, if not the sole, determinant of the illness. To care for such patients one must understand their illness as the product of mutually interacting biologic, psychologic, and sociologic determinants. Guidelines for evaluation and treatment using this more comprehensive approach are presented.


Noncontraceptive estrogens and abnormalities of endometrial proliferation. Use of estrogen preparations among menopausal women has been causally associated with the development of hyperplasia and adenocarcinoma of the endometrium. The magnitude of the association seems to be greater for the hyperplastic and least aggressive malignant lesions, and smaller for tumors of higher stage and grade. This observed inverse relation of estrogen use to degree of malignancy is probably due to relatively early or overly liberal diagnoses of endometrial cancer among estrogen users, but could mean simply that estrogens promote less aggressive tumors. It appears the current increased incidence of endometrial cancer in the United States will not be followed by a corresponding increase in mortality from the disease.


National Study of Internal Medicine Manpower: I. Residency Training 1976-1977. The National Study of Internal Medicine Manpower was undertaken to collect data on the supply of newly trained internists. The questionnaire data returned by 98% of the 418 internal medicine residency training program directors showed that there were more than 15,000 residents in training in internal medicine in 1976-1977. Twenty-five percent of the first-year positions were held by physicians destined for specialties other than internal medicine. Over a third of each medical school graduating class opts for a full year of internal medicine for their first residency year; an additional third of all medical school graduates rotate for a variable number of months on internal medicine teaching services. More than half of the practicing internists participate in the training of residents. Hospital revenue (for example, Medicare and third-party payers) provides the bulk of financial support for residents and teaching staff. Local, state, and federal governments, by direct appropriation, provide 25% of residents' stipends and teaching staff salaries.


A limited protocol for assessment of within-batch performance of multichannel analysers. An experimental protocol is described to evaluate rapidly the performance of biochemical analysers. A trial in which this protocol was applied to 15 multichannel continuous-flow analysers is described and the results are discussed. Some consideration is given to the effects of applying a commonly-used drift correction procedure to the raw data, and values of within-batch standard deviation are proposed which may be useful in assessing performance.


A comparative study of commercial human and bovine albumin preparations. A number of commercial human and bovine albumin preparations were compared using seven assay procedures, to assess their suitability as reference materials for albumin and total protein assays. The results indicate that before a particular commercial albumin preparation can be used for standardisation purposes, its suitability should be checked in several assay systems which measure a different functional aspect of the protein molecule. The measurement of extinction coefficient in the range 278-280 nm does not appear to be a valid measure of protein content if the albumin preparation is to be used for standardisation of immunochemical or dye-binding assays.


[Morphological changes in the digestive organs on the administration of the antineoplastic antibiotics, rubomycin and carminomycin]. The effect of antitumour antibiotics, such as rubomycin and karminomycin on the digestive tract as one of the most vulnerable systems during chemotherapy was studied. Investigation of the tongue, oesophagus, stomach, small and large intestine of mice with the current morphological and some histochemical methods showed that the most pronounced changes in the above organs occurred during the first 10 days after the drug administration. The damages were of the same type, i.e. dystrophic changes in the tegmental and granular epithelium with edema and infiltration of the mucosa and tunica submucosa. The drugs induced a decrease in the levels of the nucleic acids, protein and hydrolytic enzymes and impairement of the distribution pattern of these substances in the cells. Karminomycin had a more pronounced effect and its damaging effect was more stable as compared to rubomycin.


[Acute toxicity of carminomycin administered perorally to laboratory animals]. Rather high species sensitivity to carminomycin was found in the experiment with albino mice, rats, guinea pigs, rabbits and dogs. The highest difference in the antibiotic toxicity for various species of the laboratory animals was shown on oral administration of the drug which was due to the differences in the antibiotic absorption from the gastro-intestinal tract. On single oral administration to the dogs in toxic or lethal doses the antibiotic suppressed the blood formation up to aplasia of the bone marrow. The equitoxic doses of carminomycin on its single oral and intravenous administration differed approximately by 3 times. Carminomycin had no effect on the smooth muscles of the isolated rabbit ear vessels and cat intestine in situ. The antibiotic had an irritating effect on the rabbit eye mucosa. Carminomycin had no skin-irritating effect.


[Actinomyces streptomycini mutants blocked in the biosynthesis of the streptobiosamine portion of the streptomycin molecule]. Four low active mutants of Act. streptomycini were obtained under the effect of nitrozo-methylbiuret. The mutants increased their antibiotic production level, when streptobiosamine was present in the formentation medium. It was shown that in 3 out of the 4 mutants the highest antibiotic yield was in the medium containing streptobiosamine in an amount of 1 mg/ml and in 1 strain the highest yield was in the medium with 0.5 mg/ml of streptobiosamine. When the mutants were grown in a medium containing N-methyl-L-glucosamine no increase in streptomycin production was registered.


[Flocculant interaction with native antibiotic solutions. An examination of the mechanism of the process]. Some characteristics of the fermentation broth filtrates, i.e. concentration of the disperse particles and some of their parameters (projected length, area, distribution of the particles along the maximum chord) were determined and estimated after flocculation. It was shown that the floccules were mainly formed as fine colloid admixtures present not only in "turbid", but also in visually transparant solutions. It was found that the mechanism of flocculation was rather complicated and not always similar for different batches of the fermentation broth filtrate: it was, in particular, affected by the electrostatic interactions, the flocculant interaction with inorganic reagents, bridge-forming processes.


[Dependence of the lethal and mutagenic effect of mitomycin C and UV rays on the Streptoverticillium mucoheptinicum spore germination process]. The lethal and mutagenic effects of the DNA-tropic antibiotic mithomycin C and UV-light on Streptoverticillium mycoheptinicum during the period of the spore replication were studied. The spores were more stable to the effect of the mutagens during DNA replication after 120 minutes of incubation. The mutagenic activity of mithomycin C and UV-light was closely connected with the quantitative changes in the genetic material of the pores. During DNA replication the rate of the morphological mutants was the highest. With respect to production of mycoheptin the spores were most mutable under the effect of mithomycin C during the period of DNA replication, while under the effect of UV-light they were most mutable at the lag-phase.


Heredity of chronic polymorphous light eruptions. The familial occurrence of chronic polymorphous light eruptions (CPLE) was investigated by a thorough interrogation of 91 CPLE patients. Fifty-one of these were aware of the presence of one to five familial cases, a number of which were evaluated and confirmed as CPLE. The secondary cases were usually morphologically similar to the primary case, but notable exceptions were occasionally recorded. The genealogical data pointed toward an autosomal dominant mode of inheritance of the CPLE trait, with a reduced penetrance. In the sibships of 80 persons with presumed or confirmed CPLE, the rate of penetrance was estimated to be 52%. The atopic trait appeared to be a factor promoting the manifestation of the latent CPLE trait.


The cutaneous manifestations of sinus histiocytosis with massive lymphadenopathy. Ten patients with sinus histiocytosis with massive lymphadenopathy (SHML) also had cutaneous involvement. Seven of the ten were children. The skin lesions were solitary in three patients and multiple in seven. They were papular or nodular, up to 4 cm in diameter, and often had a xanthomatous appearance. Microscopically, they were constituted by a dermal infiltrate made up predominantly of histiocytes, plasma cells, and lymphocytes. Some of the histiocytes contained phagocytosed lymphocytes in their cytoplasm. The microscopic differential diagnosis includes dermatofibroma, xanthoma, Tangier disease, histiocytosis X, reticulohistiocytoma, juvenile xanthogranuloma, and leprosy.


Apocrine gland adenoma and adenocarcinoma of the axilla. Apocrine tumors from the axilla of 12 patients were studied clinically and pathologically. Based on histologic features, two tumors were classified as adenomas and ten as adenocarcinomas. All of the neoplasms were characterized by a glandular arrangement of large cells with abundant eosinophillic cytoplasm and evidence of decapitation secretion. The cytoplasm of the tumor cells contained PAS-positive, diastase-resistant granules. Intracytoplasmic particles of iron were demonstrable in three of ten tumors. Follow-up was available for all 12 patients. The two patients with apocrine adenoma are alive and well. Two patients with adenocarcinoma died of unrelated causes shortly after diagnosis. Of the remaining eight patients with adenocarcinoma, three have died of disease, and one is living with skeletal metastasis. A correlation appears to exist between tumor differentiation and prognosis.


Mycetomas caused by Streptomyces pelletieri in Madras, India. Biopsy specimens from 93 patients with mycetoma were examined histologically; Streptomyces pelletieri was found in 12 cases. In addition, two cases of actinomycetoma pedis in which S pelletieri has been isolated in culture are described. In both, the characteristic red granules were seen.


Selective immunological evaluation of mycosis fungoides. Tests of specific aspects of immune function were conducted on 15 patients with clinically and histologically evident mycosis fungoides of various stages. These tests included peripheral blood lymphocyte counts, T and B cell counts, mitogen stimulation tests to phytohemagglutinin (PHA), concanavalin A (con A), and pokeweed mitogen, as well as determinations of IgE levels and antinuclear factor (ANF). We found that mycosis fungoides patients, as a group, had normal peripheral blood lymphocyte, T cell, and B cell counts, but had decreased stimulation to PHA and con A. When evaluated by stage of disease, the peripheral blood lymphocytes, T and B cell counts did not differ significantly from normal, at least until stage V. Concanavalin A stimulation was decreased by stage II disease, and PHA was decreased by stage III, indicating at least a selective immunological deficit in the plaque stage or in later disease. Values of IgE and ANF were rarely abnormal.


Response of generalized granuloma annulare to alkylating agents. The conditions of three patients who had generalized granuloma annulare responded favorably to treatment with alkylating agents. This mode of therapy in two cases was chosen on the basis of recent evidence that implicates delayed hypersensitivity mechanisms as forming part of the pathogenesis of granuloma annulare. Two patients had rapid clearing of their lesions. The response in one of these patients was observed during therapy for a concomitant plasma cell dyscrasia. The third patient had an unusual form of granuloma annulare that had evolved during a period of 28 years, with hand deformities secondary to fascial and tendon involvement and the production of contractures and lymphedema, which responded partially to therapy. The results lend further support to data implicating cellular immunity to granuloma annulare.


Mutilating basal cell epithelioma.

Mutilating basal cell epithelioma. A 49-year-old man was found to have a rare, mutilating basal cell epithelioma of the face. Conventional early therapy with surgery and radiotherapy did not halt the progress of the disease in a hospital environment. The patient died 12 years later.


Stevens-Johnson syndrome associated with Mycoplasma pneumoniae infections. The Stevens-Johnson syndrome is a multisystem inflammatory disorder associated with a widespread erythematous eruption that can result in death. Although usually considered a pediatric disease, this syndrome frequently affects adults. There are many etiologic associations including drugs and infections; however, the pathophysiology of the syndrome remains obscure. Treatment at present is symptomatic and supportive. Although frequently used, the beneficial role of corticosteroids in this syndrome remains to be proved. The case report describes a young woman who after treatment with several drugs developed the Stevens-Johnson syndrome in association with a Mycoplasma pneumoniae infection. We include a brief review of the literature with emphasis on the Stevens-Johnsons syndrome's association with M pneumoniae infections. Those caring for patients with skin disease should be aware of the association between such treatable infections and this syndrome.


Tinea faciei.

Tinea faciei. A 62-year-old man had a long-standing fungal infection of the face. The eruption had been treated as a photosensitivity disorder for 22 years. A literature review revealed only 35 reported cases classified as tinea faciei, most of which also were misdiagnosed originally. Pertinent clinical findings include facila erythema, pruritus, and scaling patches with arcuate or annular borders. The most common organisms isolated with Trichophyton rubrum or T mentagrophytes. To our knowledge, this unique case represents the longest duration of Tinea faciei.


Erythema chronicum migrans in America.

Erythema chronicum migrans in America. Erythema chronicum migrans (ECM) developed in a man after a tick bite; the tick was probably lxodes pacificus. Despite extensive laboratory evaluation, including bacterial culture of involved skin, viral and rickettsial titers, biopsy and special stains, animal inoculation, and electron microscopy, the causal agent could not be identified. Although probably unrelated, an elevated measles titer with a twofold drop on serial determinations was of interest. To our knowledge, this report documents the first reported case of ECM acquired in this country in which the tick that caused the disease has been recovered.


Triad of lichen planus, myasthenia gravis, and thymoma. Myasthenia gravis in a woman was followed by the development of severe erosive lichen planus and thymoma. Lichen planus is not ordinarily associated with other cutaneous or systemic disorders. The reported immunologic findings in some patients with lichen planus and especially the occasional association of lichen planus with certain disorders linked with immunologic disturbances suggest an autoimmune pathogenesis for this disorder.


Pagetoid reticulosis (Woringer-Kolopp disease). Histopathologic and ultrastructural observations. Histopathologic and ultrastructural observations in a case of Pagetoid reticulosis (Woringer and Kolopp disease) are reported. The most important clinical feature of this disease is manifestation as a single very slowly enlarging verrucoid, plaque-type skin lesion without internal organ involvement. Histologically, the epidermis is extremely acanthotic and densely infiltrated with numerous atypical appearing cells that are entirely absent from the dermis, which simply contains a banal dense chronic inflammatory infiltrate. Ultrastructural study showed that there are two major types of unusual cells infiltrating the epidermis. One type is a large lymphoid cell similar to the stimulated lymphocyte. The second type differs from the first in having paler staining of the nucleus and cytoplasm and showing cell membrane damage. These cells probably derive by degeneration from the large lymphoid cells. The presence of transitional forms favors this interpretation. Occasionally, degeneration of these cells proceeds to their complete necrosis.


Trichophytin reactions in children with tinea capitis. Of 52 patients with proved Trichophyton tonsurans infection of the scalp, 16 had an inflammatory reaction to this infection (kerion), while the rest had only slight scaling and broken hairs (black dot ring-worm). Each patient was tested with trichophytin antigen to determine whether cell-mediated immunity (CMI) was responsible for the differences in these different clinical presentations. Fifteen of 16 with kerion had a 48-hour reaction greater than 10 mm, while none of the 36 with noninflammatory (black dot) tinea capitis had a similar response. This suggests that the patient's immune response (CMI) may be responsible for kerion infections of the scalp and that therapy could be directed initially toward suppressing this reaction.


Generalized argyria. Clinicopathologic features and histochemical studies. In three cases of generalized argyria, the degree of slate-gray cutaneous discoloration varied from barely perceptible to pronounced. Deposition of silver-containing granules in and around cutaneous adnexal structures was best seen with darkfield microscopy. Histochemical studies suggested that the granules consisted of silver sulfide. Indiscriminate use of currently available silver-containing medications can result in generalized argyria.