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  • 1
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Papulöse Muzinose ; Lichen myxoedematosus ; Mucopolysaccharide ; Angiome ; Plasmapherese ; Key words Papular Mucinosis ; Lichen myxoedematosus ; Mucopolysaccharides ; Angioma ; Plasmapheresis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A 23 year old female patient presented with a 14 year history of cutaneous mucinosis. Her hands showed indurated edema with acrocyanosis and severe reduction in motility, while her face was red, edematous and revealed numerous small angiomas. In the sacral region, she had a large elevated skin colored plaque. On the basis of clinical findings, histology and further laboratory tests the disease was classified as papular mucinosis (lichen myxoedematosus). In view of the severe suffering of the young patient and an unsuccessful previous therapy with chloroquine, we decided to employ plasmapheresis as a single therapy. After the first treatment course there was an improvement in her skin condition. After a total of four plasmapheresis courses over a period of 18 months (total exchange volume of 38,4 l) there was an objective flattening of the plaques and reduction of the finger swelling. This case demonstrates that monotherapy of plasmapheresis is an effective mode of treatment for cutaneous mucinosis, a disease which is extremely difficult to treat.
    Notes: Zusammenfassung Eine 23jährige Patientin stellte sich mit einer seit dem 9. Lebensjahr bekannten kutanen Muzinose vor. Die Hände zeigten teigige Schwellungen und Akrozyanose und starke Bewegungseinschränkung, das Gesicht wies zahlreiche Angiome und Ödeme auf, in der Sakralregion war ein dicker hautfarbener Plaque vorhanden. Nach Hautbefund, Histologie und weiteren klinischen Befunden wurde die Erkrankung als papulöse Muzinose (Lichen myxoedematosus) eingeordnet. Wegen des starken Leidensdruckes der noch jungen Patientin und eines bereits erfolglos durchgeführten Therapieversuches mit Chloroquin entschieden wir uns für den therapeutischen Einsatz der Plasmapherese ohne Begleittherapie. Bereits nach dem ersten Behandlungszyklus zeigte sich ein gebesserter Haut- und Allgemeinzustand. Nach insgesamt 4 Zyklen über einen Zeitraum von 18 Monaten (Gesamtaustausch ca. 38,4 l) war ein objektiver Rückgang der Plaques und insbesondere der Fingerschwellungen erkennbar. Die Plasmapherese ist eine effektive Behandlung für schwere Formen der kutanen Muzinose, die ansonsten therapeutisch schwer zugänglich ist.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Planta 148 (1980), S. 279-286 
    ISSN: 1432-2048
    Keywords: Carotenoids ; Chlorophylls ; Light control ; Phytochrome ; Plastid development ; Sinapis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract Carotenoid accumulation in the cotyledons of the mustard seedling (Sinapis alba L.) is controlled by light. Besides the stimulatory function of phytochrome in carotenogenesis the experiments reveal the significance of chlorophyll accumulation for the accumulation of larger amounts of acrotenoids. A specific blue light effect was not found. The data suggest that light exerts its control over carotenoid biogenesis through two separate mechanisms: A phytochrome regulation of enzyme levels before a postulated pool of free carotenoids, and a regulation by chlorophyll draining the pool by complex-formation.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-2048
    Keywords: Plastogenesis ; Carboxylase ; Photomorphogenesis ; Sinapis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract We have studied the problem whether the phytochrome-mediated accumulation of ribulosebisphosphate carboxylase (“carboxylase”; EC 4.1.1.39) in the cotyledons of sinapis alba L. is related to size, ultrastructure, or organization of the plastid compartment. We have shown that under different light conditions (e.g. continuous far-red light, continuous white light) which lead to conspicuously different plastids the time course of the enzyme levels remains precisely the same. It is concluded that the onset and the rate of carboxylase accumulation is not related to the organizational state of the plastid compartment as discernible under the electron microscope.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1831
    Keywords: Key wordsNeisseria meningitidis ; Infant rat ; Sialic acid ; Capsule ; Lipooligosaccharide sialylation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We investigated the contribution of the polysialic acid capsule and of terminal lipooligosaccharide (LOS) sialylation to the pathogenicity of Neisseria meningitidis in vivo using a set of defined isogenic mutants of the N. meningitidis strain B 1940 deficient in either capsule synthesis or LOS sialylation. Furthermore a spontaneous capsule-deficient variant was investigated, which was capable of switching on the capsule synthesis at a frequency of 3×10–3 in vitro. Infection of infant rats with the wild-type strain revealed a high potential to cause bacteremia. This potential was attenuated in the capsule-phase variable mutant (LOS sialylation+). However, using a mutant irreversibly deficient in capsule synthesis, but expressing a sialylated LOS, bacteremia could only be achieved using 106 times higher numbers of bacteria when compared to the wild-type. The unencapsulated bacteria were located extracellularly upon examination of blood smears, suggesting that defense mechanisms, i. e. phagocytosis, directed against unencapsulated meningococci were exhausted using very high infecting doses. Interestingly, when infant rats were infected with encapsulated meningococci which were unable to sialylate the LOS, bacteremia could never be achieved, even with an infective dose as high as 108 colony forming units (CFU). Despite the presence of capsular polysaccharide this mutant was phagocytosed by peritoneal phagocytes, as was the unencapsulated, LOS-sialylated mutant, suggesting that the inability to cause bacteremia was due to a higher susceptibility to the action of the complement system, which is virtually unsaturable. We conclude that in the infant rat model of meningococcal infection both forms of sialic acid on the bacterial cell surface are indispensable for systemic survival.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1831
    Keywords: Key words Meningococci ; α-2 ; 3-Sialyltransferase lst gene ; Serum resistance ; Infant rat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The neisserial α-2,3-sialyltransferase, which is encoded by the lst gene, terminally links sialic acid to the lacto-N-neotetraose residue of neisserial lipooligosaccharide (LOS). We used the recently published nucleotide sequence of the neisserial lst gene to construct an isogenic serogroup B meningococcal lst mutant by insertion of a kanamycin resistance gene. The resulting lst mutant expressed the unsialylated lacto-N-neotetraose structure. Using bactericidal assays and an infant rat model of meningococcal infection, we were able to demonstrate that lst mutation, in contrast to galE mutation, which results in a truncated LOS, or to siaD mutation, which results in loss of the capsule, neither had an effect on resistance to normal human serum, nor did it impair the ability of meningococci to spread systemically in the non-immune host. The lst mutant was serum resistant despite of the fact that the central factor of complement activation, C3b, was deposited on the lst mutant as efficiently as it was on the galE mutant. Thus, the terminal sialic acid residue linked to the wild-type LOS inhibited C3b deposition on the meningocuccus. However, in contrast to the galE mutant, where C3b deposition is promoted by IgM binding, the lst mutant's surface is not a target for IgM molecules. Thus, the lacto-N-neotetraose residue of neisserial LOS alone, without the presence of terminal sialic acid, is sufficient to block IgM epitopes either on the LOS itself, or on other surface molecules. Our data provide further insight into the complex interplay of capsular and LOS sialic acids in serogroup B meningococci with host effector mechanisms, and suggest that LOS sialylation in meningococci is of a less central importance as it is in gonococci.
    Type of Medium: Electronic Resource
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