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  • 1
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Nekrolytisches migratorisches Erythem ; Paraneoplasie ; Plattenepithelkarzinom ; Glukagonom ; Key words Necrolytic migratory erythema ; Paraneoplasia ; Squamous cell carcinoma ; Glucagonoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A 59-year-old Caucasian man suffered from persistent disseminated necrolytic skin lesions for 8 months. They failed to respond to a variety of therapeutic regimens but then cleared spontaneously within a few days. After one week an invasive squamous cell carcinoma of the hypopharynx became clinically apparent. At autopsy, the expected glucagonoma often associated with necrolytic migratory erythema was not found.
    Notes: Zusammenfassung Nach achtmonatiger therapierefraktärer Persistenz disseminierter nekrolytischer Hautveränderungen kam es bei einem 59jährigen Patienten zu einer spontanen Abheilung der Läsionen innerhalb weniger Tage. Eine Woche später manifestierte sich klinisch ein invasiv wachsendes Plattenepithelkarzinom des Hypopharynx. Ein im Rahmen der kutanen Paraneoplasie zu erwartendes Glukagonom konnte autoptisch nicht nachgewiesen werden.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical microbiology & infectious diseases 11 (1992), S. 224-232 
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The specificity of serological tests for Lyme borreliosis is impaired by cross-reacting antibodies. In order to select antigens for more specific tests, specific and cross-reactive proteins ofBorrelia burgdorferi must be identified. Therefore, to analyze cross reactions ofBorrelia burgdorferi with other bacteria, rabbit immune sera against heterologous bacteria (Borrelia hermsii, Treponema pallidum, Treponema phagedenis, Leptospira interrogans (serogroupgrippotyphosa),Neisseria meningitidis, Haemophilus influenzae, Yersinia enterocolitica (serotypes O3 and O9),Campylobacter jejuni, Listeria monocytogenes O1,Pseudomonas aeruginosa, Escherichia coli, Salmonella typhimurium, Shigella flexneri andLegionella micdadei) were examined by Western blot usingBorrelia burgdorferi as antigen. Broad cross reactivity was shown forBorrelia proteins of the 60–75 kDa range. Other broadly cross-reacting proteins were at the level of p40, p33 and two proteins in the range of 20 kDa. Some of the cross reactions were eliminated by absorption of the sera withTreponema phagedenis. The absorbed antibodies were directed mainly against bands at the level of p33 and bands of the 60 to 75 kDa range. Showing the lowest potential for cross reactivity, p100, p41, OspA and pC seem to be the most suitable antigens for serodiagnosis. In contrast to p100 and OspA, however, p41 and pC showed cross reactivity with immune sera against bacteria not belonging to the genusBorrelia.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Infection 25 (1997), S. 372-376 
    ISSN: 1439-0973
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A patient with disseminated Lyme borreliosis is reported. The patient suffered from erythema migrans and radicular pain. Serologic tests routinely performed (IFT, ELISA, Western blots with different strains andBorrelia-LTT) were negative. However,Borrelia burgdorferi (genotypeBorrelia afzelii) was cultivated from a skin biopsy. Western blot with the patient's isolate and sera showed strong reactivity only with the 60 kDa protein. In spite of immediate diagnosis and intravenous antibiotic treatment according to current recommendations he developed pain in the right ankle, which was resistant to further antibiotic and anti-inflammatory therapy. Sudeck's atrophy was diagnosed by X-ray. Treatment with calcitonin brought immediate relief from pain and led to radiographically demonstrable recalcification.
    Type of Medium: Electronic Resource
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