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  • 1
    ISSN: 1520-4995
    Source: ACS Legacy Archives
    Topics: Biology , Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 61 (1983), S. 903-909 
    ISSN: 1432-1440
    Keywords: Non-Hodgkin's-Lymphoma ; Central nervous system
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In a group of 241 patients with non-Hodgkin lymphoma investigated retrospectively, CNS manifestations occurred in 8%, mainly as meningeosis lymphoblastomatosa. Lymphoblastic and immunoblastic NHL showed the highest risk of CNS infiltration (40.7% and 12.5% respectively). Further risk factors were disseminated stage of the disease, prior involvement of the bone marrow and juvenile age. Characteristic symptoms were eye muscle paresis, paresthesias and pareses of peripheral muscles. The most fruitful diagnostic measure was lumbar puncture. More than 80% of the patients observed with CNS manifestations died within one year. The factor limiting life was less the CNS infiltration itself than the systemic progression. CNS prophylaxis should be incorporated in the treatment plan in patients with lymphoblastic and immunoblastic non-Hodgkin lymphoma at an early stage. In contrast CNS prophylaxis is not justified in uncontrollable systemic non-Hodgkin lymphoma spread.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1440
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 11 Patienten mit einer Haarzell-leukämie wurden zwei bis sechs Monate lang mit Beta-Inferferon (IFN-β; 3 × 4 Mio. I.E./Woche i.v.) behandelt. Von 8 auswertbaren Patienten erreichten 3 eine partielle Remission, 2 eine minor response, während 3 Patienten keine Verbesserung ihrer hämatologischen Werte zeigten. Als Nebenwirkungen traten die für die IFN-Therapie typischen grippeähnlichen Symptome bei 9 der 11 behandelten Patienten auf. Bei einem Patienten wurde ein Rückgang der Knochenmarksinfiltration unter IFN-β beobachtet. Diese Daten zeigen, daß IFN-β bei der Haarzelleukämie wirksam ist.
    Notes: Summary Eleven patients with histologically proven hairy-cell leukemia were treated for 2 to 6 months with a natural beta-interferon (β-IFN) preparation (3 × 4 million units week i.v.). Three of the eight evaluable patients experienced a partial response, two a minor response, and three no improvement. A reduction of the hairy-cell infiltration of the bone marrow was observed in one patient. Typical IFN side-effects with flu-like symptoms were noted. These results demonstrate that IFN-β has some clinical efficacy in hairy-cell leukemia.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 65 (1987), S. 681-684 
    ISSN: 1432-1440
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung 15 Patienten (36–71 Jahre) mit histologisch gesicherter Haarzelleukämie wurden mit einer niedrigdosierten IFN-α-Therapie behandelt. Die Patienten erhielten im ersten Behandlungsmonat täglich subcutan 1 Mio. I.E. IFN-α-2b, danach nur noch sucutan 3 × 1 Mio. I.E. pro Woche. Zwei der 15 Patienten waren bereits vor der IFN-Therapie chemotherapiert, 5 splenektomiert. Sämtliche Patienten wiesen eine behandlungsbedürftige Leukopenie, Thrombozytopenie oder Anämie auf. Die Therapie konnte problemlos durchgeführt werden. Nur 2 Patienten litten unter leichtem Fieber nach der ersten IFN-Gabe, ein Patient entwikkelte nach zwei Monaten Müdigkeit und Apathie geringen Ausmaßes. Von 15 auswertbaren Patienten zeigten zwei nach 9–18 Monaten Therapie eine komplette Remission mit Normalisierung des Knochenmarkes und der peripheren Blutbildparameter. Bei zehn Patienten konnte eine partielle Remission, bei einem Patienten eine minimale Remission nur mit Normalisierung der Thrombozyten erreicht werden. Zwei Patienten verbesserten sich unter einer dreimonatigen IFN-Therapie nicht: sie erhalten gegenwärtig 5 Mio. I.E. IFN-α dreimal pro Woche. Die Ergebnisse zeigen trotz der kleinen Zahl bisher behandelten Patienten, daß die IFN-Therapie auch niedrigdosiert bei der Haarzelleukämie wirksam ist.
    Notes: Summary Fifteen patients (36–71 years old) with histologically proven hairy-cell leukemia were treated with a low dose of IFN-α. The treatment consisted of 1 million I.U. given daily subcutaneously. After 1 month the dose was reduced in all patients 1 million I.U. thrice weekly. Four of the 15 patients have been splenectomized, with two patients receiving chemotherapy prior to the IFN treatment. All patients exhibited at least one cytopenia. The IFN treatment was well tolerated. Only two of the 15 patients experienced mild fever after the first injection, one patient had apathia and mild somnolence after 2 months of therapy. At present 15 patients can be evaluated: 6–18 months after start of therapy two patients showed a complete response with normalization of both peripheral blood and bone marrow, 10 patients experienced a partial response, while one patient showed a slight response with improvement of the thrombocyte count only. Two patients showed no improvement after 3 months of therapy; these patients are presently being treated with 5 million I.U. IFN-α thrice weekly. In spite of the low number of patients these data strongly indicate that IFN-α-2 is effective in hairy-cell leukemia at this low dose.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Human genetics 〈Berlin〉 86 (1990), S. 25-32 
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary The high incidence of the fra (X) syndrome (about 1∶2000 male newborns) requires an explanation in view of the low fitness of mentally retarded hemizygous males and heterozygous females. In the past, it has been proposed that the mutation rate may be unusually high, and that mutations occur exclusively in male germ cells. According to an alternative hypothesis, a moderately high mutation rate might combine with a selective advantage of clinically unaffected heterozygotes. In earlier studies, such a combined hypothesis was shown to lead to plausible implications regarding mutation rate and fitness. Moreover, a mutation rate in male germ cells of the magnitude required by the exclusive mutation hypothesis was excluded by studies on comprehensive pedigree data. In this third study in the series, an increased fitness of heterozygous females is demonstrated directly by a comparison of the reproductive performance of heterozygotes with that of adequate controls (mothers and grandparents of Down's syndrome patients). Since average numbers of children have decreased during recent decades in populations of industrialized countries, heterozygotes (mothers of affected probands and their female relatives in their own generation) were subdivided into those born before and after 1940. Moreover, sibship sizes of probands' mothers and fathers were analyzed separately for family branches in which the fra (X) trait segregated (mostly the maternal branch), or did not segregate (in most instances the paternal branch). In all four categories reproductive performance in heterozygotes was found to be higher than in the controls. This difference was significant statistically for two of the four groups: it was small and nonsignificant only for the parental family branch in which the fra (X) mutant did not segregate and for mothers born after 1940. Fitness estimates ranged between 1.11 and 1.36. A higher incidence of dizygotic twinning suggests a biological component for this increased fertility. On the other hand, fra (X) families have a significantly lower social status than the controls. This suggests a socio-psychological component of their higher fertility. Apparently, both components contribute to their fertility: at present, their relative importance cannot be assessed.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Archives of dermatological research 14 (1887), S. 327-356 
    ISSN: 1432-069X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Archives of dermatological research 14 (1887), S. 793-830 
    ISSN: 1432-069X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Archives of dermatological research 14 (1887), S. 1159-1189 
    ISSN: 1432-069X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1432-1084
    Keywords: Key words: Meningeal sign ; Dural infiltration ; MRI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. In intracranial meningiomas a flat, contrast-enhancing, dural structure adjacent to the tumor can occasionally be observed on gadolinium-DTPA-enhanced MR images. We wished to evaluate whether there is a correlation between MR images and meningeal invasion of intracranial meningiomas. The study included 54 patients with intracranial meningioma and the meningeal sign. MR studies included T2-weighted and gadolinium-DTPA-enhanced T1-weighted images in axial, coronal, and sagittal planes. Histopathologic examinations were done on the meningiomas adjacent to the dura mater. The meningeal sign on MRI was observed from 2 up to 35 mm from the main tumor mass in 31 (57 %) of the 54 patients. In 20 of these 31 the histopathologic examination showed tumor invasion, while 11 patients had no tumor invasion but tissue proliferation, hypervascularity, and vascular dilatation. Seven of the 23 meningiomas without the meningeal sign had histologically proven infiltration of the adjacent dura. MR imaging is not able to determine definitive whether or not there is dural infiltration of the meningiomas. In conclusion, resection of the tumor with a wide margin is necessary to achieve complete excision of meningioma and to avoid recurrence.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1432-1084
    Keywords: Key words: Spinal dysraphism ; Neurenteric cyst ; Lipoma ; Tethered conus ; MR imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. We present the case of a 60-year-old farmer who reported non-specific back pains for the past 30 years. Increasing paralysis of the left leg led to hospitalization. A complex occult spinal dysraphism comprising a fibrolipoma of the conus medullaris, an neurenteric cyst, and a tethered cord syndrome was diagnosed and operated on. The radiological and histological findings are demonstrated.
    Type of Medium: Electronic Resource
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