RETINOPATHY AS A SYSTEMIC COMPLICATION OF ACUTE PANCREATITIS

We describe three cases of sudden severe retinopathy in patients with acute pancreatitis. The relative times of the organ manifestations and comparisions with other published cases strongly suggest that pancreatitis was the cause of the retinal changes. This systemic complication is unknown to most physicians, but approximately 35 cases have been published. The pathogenesis is not well known. We briefly discuss the significance of this complication and several possible pathogenetic mechanisms.     

Urinary cholesterol. VII. The significance of the excretion of nonesterified cholesterol in patients with uterine carcinomas.

The urinary excretion of nonesterified cholesterol (NEC) in 170 women with cervical and endometrial carcinomas has been investigated. Control patients (236) included: 1) women with other types of (benign and/or malignant diseases of the pelvic organs; 2) patients with non-steroid-related neoplasms; 3) patients with benign and/or malignant breast diseases other than carcinoma; and 4) patients with a variety of non-neoplastic diseases. NEC was determined by a gas-liquid chromatographic procedure. The range of NEC excretion for clinically healthy normal women (64) was previously established by this method. NEC hyperexcretion was defined as any NEC value over 1.5 mg/24 hours. The results showed NEC hyperexcretion in 65 of 68 women with active carcinoma of the cervix, including 13 patients with carcinoma in situ, and in 42 of 45 women with active carcinoma of the endometrium. In contrast, a normal excretion of NEC occurred in all the patients (77) of the first and second control groups, in 39 (80%) of the 48 patients of the third control group (high-risk group), and in 101 of the 111 patients of the fourth control group. Sequential studies performed in patients with uterine carcinomas have demonstrated an almost perfect correlation between the NEC excretion and the clinical status of the patient following surgical and/or radiation therapy. Of 57 patients (31 cervix and 26 endometrium) in which the NEC studies were started after treatment was instituted, 53 have normal NEC excretion in the multiple determination performed to date. Presently these patients have no clinical, chemical, or radiologic evidence of cancer. It is concluded that urinary NEC determination can be used as an additional diagnostic biochemical test to detect active carcinoma of the steroid-producing glands and their main target organs, and that in women with uterine carcinomas, the test can be used as an objective laboratory method to monitor the course of the disease and the response of the patient to therapy.     

Modeling the anxiety-depression continuum hypothesis in domestic fowl chicks

Anxiety and depression are currently classified as separate clinical syndromes despite considerable similarities in their symptoms, pathophysiological substrates and response to treatment interventions. An alternative hypothesis views anxiety and depression along a temporal continuum, a construct that the current research attempts to model in a preclinical setting. In experiment 1, socially raised domestic fowl chicks separated from conspecifics demonstrated a pattern of distress vocalizations that sequentially models anxiety-like and depressive-like states. In addition, administration of the benzodiazepine anxiolytic chlordiazepoxide and the tricyclic antidepressant imipramine provided pharmacological validation for the model in that they were capable of dissociating the anxiety-like and depressive-like states. In experiment 2, corticosterone levels were quantified across the isolation test session to provide convergent validity to the model. These findings fit well with the human clinical literature on the anxiety-depression continuum perspective, and suggest the consideration of a nosology that emphasizes the inter-relatedness of these clinical states rather than their boundaries.     

Urinary steroid profile in threatened abortion

A study of the urinary steroid profile in early pregnancy has been undertaken in order to re-evaluate the usefulness of the urinary determinations of pregnanolone, pregnanediol, pregnanetriol, and total estrogens in cases of threatened abortion. This investigation incorporates an enzymatic hydrolysis with gas-liquid chromatographic analysis for the pregnane metabolites and an automated assay for total estrogens. The results obtained in 62 patients confirm the value of the urinary determinations of pregnanediol and pregnanolone. They also suggest that the prognosis is good in cases which present clinical symptoms of threatened abortion but have normal urinary excretion of pregnanediol and pregnanolone. When the “biochemical progestational activity,” as evaluated by the analysis of pregnanolone and pregnanediol remains normal, abortion does not occur in the first trimester.     

Immunological evaluation of bacterial derived Cochleate and proteoliposome as mucosal adjuvants

We evaluated the potential of two bacterial derived compounds, Cochleate and Proteoliposome (PL), administrated to mice by nasal or oral routes on induction of antibody and cytokine responses. Anti PL IgG and IgA responses were measured by ELISA in saliva, sera or vaginal fluids of immunized mice. Productions of gammaIFN and IL-5 were determined in spleen cells of immunized mice following a recall in vitro with Cochleate or PL. Intranasal administration elicited a higher anti PL IgA response in both saliva and vaginal fluids as compared with oral route. Mice immunized with Cochleate or PL via intranasal or oral route-induced anti PL IgG and IgG2a antibody responses in their sera and vaginal fluids. Spleen cells from these immunized mice produced gammaIFN, but not IL-5, after a recall in vitro with Cochleate or PL. These results show that Cochleate and PL are capable of inducing both systemic and mucosal antibody responses as well as a Th1 type of immunity as evidenced by high gammaIFN and IgG2a antibody responses.     

Plasma-cell granuloma of the gingiva.

A case of plasma-cell granuloma of the attached gingiva has been presented. The lesion was pedunculated and, clinically, resembled a traumatic fibroma. The microscopic picture was that of plasma-cell granuloma. Serum electrophoresis and radiographs were normal. A diagnosis of plasma-cell granuloma confirms a benign lesion of the oral cavity which must not be confused with the plasmacytoma, a possible precursor to multiple myeloma. This case emphasized the need for biopsy of lesions in order to establish a diagnosis. Only by biopsy and histologic study can rare lesions be diagnosed and their incidence studied.