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  • Blitzlampengepumpter gepulster Farbstofflaser  (1)
  • CD69  (1)
  • 1
    ISSN: 1432-1076
    Keywords: Key words HIV-1 ; T-cells ; CD69 ; Activation ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We evaluated the use of a whole-blood assay that measures spontaneous and activation-induced CD69 expression on peripheral blood T-cells in vitro for assessment of T-cell function in HIV-1-infected paediatric patients. Heparinized venous blood from 28 HIV-1 positive children and adolescents and 23 healthy controls was incubated for 4 h with or without 5 μg/ml phytohaemagglutinin (PHA). Thereafter, analysis of CD69 expression on CD4+ and CD8+ T-cells was done by flow cytometry; simultaneously we determined CD4+ T-cell counts and plasma HIV-1 viral load. Neither spontaneous nor PHA-induced CD69 expression differed significantly between HIV-1 positive patients and healthy controls. However, T-cells from HIV-1 positive patients with plasma HIV-1 viral load levels above 70 × 103 copies/ml showed a higher spontaneous CD69 expression than T-cells from patients with lower plasma viral load levels in different stages of the disease. Antiretroviral treatment in four patients reduced spontaneous CD69 expression in CD4+ T-cells and PHA-induced CD69 expression in CD4+ and CD8+ T-cells significantly after 8 weeks of therapy. Conclusion Spontaneous and activation-induced expression of the early (activation) antigen CD69 on peripheral blood T-cells does not distinguish HIV-1 positive patients from HIV-1 negative healthy controls and is not correlated with peripheral blood CD4+ T-cell counts. This test may not be a reliable marker for functional T-cell deficiency during early stages of HIV disease. Increased spontaneous as well as PHA-induced CD69 expression on T-cells from HIV-1-infected children and adolescents in vitro may rather reflect HIV-induced pre-activation of T-cells in vivo.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Besenreiser ; Sklerotherapie ; Blitzlampengepumpter gepulster Farbstofflaser ; Selektive Photothermolyse ; Key words Ectatic leg veins ; Sclerotherapy ; Flashlamp-pumped pulsed dye laser ; Selective photothermolysis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary A new flashlamp-pumped pulsed dye laser with 1,5 ms pulse length and tunable wavelengths between 585 and 600 nm (Candela ScleroPLUS) is now available for the treatment of ectatic leg veins. We evaluated 232 single test treatments using 595 and 600 nm wavelength in 75 test persons. For smaller vessels up to a diameter of 0,5 mm, treatments at 16 and 18 J/cm2 showed good results in 60 and 82% respectively; for vessels up to 1 mm in 27 and 33%. Treatment at 595 nm was a little more effective than at 600 nm. Larger vessels could not be treated effectively. The main side effects consisted in hyper- (34%) or hypopigmentation (30%). Thus, in addition to the usual sclerotherapy, this laser is a useful device for the treatment of leg vein ectasia.
    Notes: Zusammenfassung Zur Behandlung kosmetisch störender Besenreiser steht ein neuer blitzlampengepumpter gepulster Farstofflaser mit 1,5 ms Impulsdauer und verschiedenen Wellenlängen zwischen 585 und 600 nm zur Verfügung (Candela ScleroPLUS). Wir evaluierten 232 einmalige Probebehandlungen mit 595 und 600 nm Wellenlänge bei 75 Probanden. Bei kleineren Gefäßen bis 0,5 mm Durchmesser konnte bei Behandlung mit 16 bzw. 18 J/cm2 unter Zusammenfassung beider Wellenlängen in 60 bzw. 82% der Fälle ein zufriedenstellendes Ergebnis erzielt werden, bei Gefäßen bis 1 mm noch in knapp 27 bzw. 33%, wobei bei 595 nm tendenziell bessere Ergebnisse als bei 600 nm beobachtet werden konnten. Bei größeren Gefäßen zeigte sich kein deutlicher Erfolg. Die Nebenwirkungen beschränkten sich im wesentlichen auf Hyper- (34%) und Hypopigmentierungen (30%). Dieser Laser stellt somit eine sinnvolle Ergänzung zur herkömmlichen Sklerosierungstherapie dar.
    Type of Medium: Electronic Resource
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