High-density culture of Vero cells in novel perfusion bioreactor system

Viruses are the obligatory intracellular parasites infecting microbes, plants, animals, and humans. They aredead outside host cell but can take-over the host’s cell machinery as soon as they are into it. Several studies oninhibitor compounds have been done for animal viruses including those that are affecting humans, but thereis inadequacy in terms of research and literature for plant viruses that are responsible for losses in crop yieldand quality loss all across the globe. This could be focal point to study plant viruses, their transmission andpathogenicity, and to establish widely used, effective, and advanced approaches for their control. The purposeof this review is to discuss various approaches to control plant viruses that have been developed and applied tocombat plant viral infections. We have divided these approaches into two categories conventional (meristemtip culture, cryotherapy, thermotherapy, and chemotherapy) and advanced (nucleic acid-based approacheslike RNA Silencing, cross-protection, transgenic plants, gene pyramiding, and protein-protein interaction).Moreover, we have discussed and compared the principles, methodologies, advantages, and disadvantages ofeach technique. The approaches have been explored to promote their application in best suited way on variousplants to control viral diseases and to improve food crops quality with increase in production.

The Inhibitory Mechanism on Acetylcholine-Induced Contraction of Bladder Smooth Muscle in the Streptozotocin-Induced Diabetic Rat

Most diabetic patients experience diabetic mellitus (DM) urinary bladder dysfunction. A number of studies evaluate bladder smooth muscle contraction in DM. In this study, we evaluated the change of bladder smooth muscle contraction between normal rats and DM rats. Furthermore, we used pharmacological inhibitors to determine the differences in the signaling pathways between normal and DM rats. Rats in the DM group received an intraperitoneal injection of 65 mg/kg streptozotocin and measured blood glucose level after 14 days to confirm DM. Bladder smooth muscle contraction was induced using acetylcholine (ACh, 10⁻⁴ M). The materials such as, atropine (a muscarinic receptor antagonist), U73122 (a phospholipase C inhibitor), DPCPX (an adenosine A1 receptor antagonist), udenafil (a PDE5 inhibitor), prazosin (an α₁-receptor antagonist), papaverine (a smooth muscle relaxant), verapamil (a calcium channel blocker), and chelerythrine (a protein kinase C inhibitor) were pre-treated in bladder smooth muscle. We found that the DM rats had lower bladder smooth muscle contractility than normal rats. When prazosin, udenafil, verapamil, and U73122 were pre-treated, there were significant differences between normal and DM rats. Taken together, it was concluded that the change of intracellular Ca²⁺ release mediated by PLC/IP3 and PDE5 activity were responsible for decreased bladder smooth muscle contractility in DM rats.

Risk factors for cervical nodal metastasis in patients with papillary thyroid carcinoma / 中国肿瘤临床

Objective: To investigate the risk factors for central lymph node metastasis (CLNM) and lateral cervical lymph node metasta-sis in papillary thyroid carcinoma (PTC) patients. Methods: We retrospectively reviewed 1,835 PTC patients who underwent central lymph node dissection or thyroidectomy with lateral cervical lymph node dissection between January and November 2016 at Tianjin Medical University Cancer Institute and Hospital. Univariate and multivariate logistic regression models were used to analyze related factors that may affect lymph node metastasis in PTC patients. Results: Of the 1,835 patients included in this study, 1,007 (54.88%) pa-tients had CLNM and 371 (20.22%) patients had lateral cervical lymph node metastasis. In the univariate analysis, the following were identified as risk factors for CLNM and lateral cervical lymph node metastasis (P<0.05): male sex, age<45 years, primary tumor size>10 mm, multifocality,anti-thyroglobulin (anti-Tg) levels >100.00 IU/mL and ,Tg>130.70 μg/L. Anti-thyroid peroxidase antibody (anti-TPO) level>100.00 IU/mL is a protective factor that reduces the risk of CLNM. However, CLNM is a risk factor for lateral cervical lymph node metastasis in PTC patients. Multivariate analysis revealed that male sex, age<45 years, primary tumor size>10 mm, multifocality, and anti-TG levels>100.00 IU/mL were associated with an increased risk of CLNM in PTC patients. Anti-TPO levels>100.00 IU/mL are protective factors for CLNM. The male sex, age<45 years, tumor size>10 mm, multifocality, Tg levels>130.70 ug/L, anti-TG levels>100.00 IU/mL, and CLNM are risk factors for lateral lymph node metastasis. Conclusions: Thus, men aged<45 years with a multifocal primary tumor>10 mm in size and with anti-Tg levels>100.00 IU/mL are more likely to develop CLNM and lateral cervical lymph node metastasis; patients with CLNM are more likely to develop lateral cervical lymph node metastasis. However, patients with anti-TPO lev-el>100 IU/mL are less likely to develop CLNM.

SVEP1, PKHD1, and P53 expression in primary liver cancer and its clinical significance / 中国肿瘤临床

Objective: To detect the expression of SVEP1, PKHD1 and P53 in primary liver cancer tissues by immunohistochemistry for predicting the recurrence of liver cancer. Methods: The clinical data of 103 patients with primary liver cancer who underwent surgical resection at Tianjin Medical University Cancer Institute and Hospital were gathered from January 2013 to January 2014 and analyzed retrospectively. Expression values of three different proteins were used to develop separate immunohistochemical scores for the prog-nosis of recurrence in patients. The patients were classified into either a high-risk or a low-risk group based on their immunohisto-chemical scores through ROC curve analysis. The difference in recurrence ratio between the two groups was then compared using the common research index of disease-free survival (DFS). Results: The median age of the total patients was 55 years (range 21-88 years), the median AFP level was 70.6 (range 1.03-718840.0) μg/L, the median CA19-9 level was 22.89 (range 0.6-1000.0) kU/L, and the medi-an tumor size was 4.5 (1.0-27.0) cm. The expression levels of SVEP1, PKHD1, and P53 in primary liver tumors were detected by immu-nohistochemistry and assigned separate immunohistochemical scores. The areas under the ROC curves of the immunohistochemical scores of SVEP1, PKHD1, and P53 were 0.861, 0.829, and 0.716, respectively. The critical values of SVEP1, PKHD1, and P53 were 4, 4, and 1 point, respectively (P<0.001). The three-year DFS rates among the SVEP1 high-risk (expression≤4 points) and low-risk groups (expression>4 points) were 4.1% and 51.7%, respectively. Similarly, the three-year survival rates among the PKHD1 high-risk (expres-sion≤4 points) and low-risk groups (expression>4 points) were 5.3% and 51.9%, respectively. The three-year DFS rates among the P53 high-risk (expression>1 point) and the low-risk group (expression≤1 point) were 6.3% and 27.3%, respectively. The survival differenc-es between all the pairs were statistically significant (P<0.001,<0.001, and 0.003 respectively). When PKHD1 was used in combination with SVEP1, the ROC curve had an area of 0.897 (P<0.001) with a sensitivity of 76.5% and a specificity of 94.4%. Conclusions: The accu-racy of P53 data for predicting primary liver cancer recurrence is insufficient and therefore it is not recommended for use. SVEP1 and PKHD1 data achieve sufficient accuracy for predicting the recurrence of primary liver cancer. Since SVEP1 data impart a higher specifici-ty and PKHD1 data impart a higher sensitivity to the prognosis scores, the combined use of the two markers is better than being used individually.

Development of the Extraction Reference Point Beam Diagnostic System for Proton Medical Accelerator / 中国医疗器械杂志

er to detect the beam quality of the SC200 superconducting cyclotron,measure the beam at the extraction reference and the acceptance of the accelerator is realized.This article mainly introduces the design that use the scintillation screen at the extraction reference to measure the beam profile,position and use the Faraday cup to measure the current intensity with 2.5 level accuracy.The remoted controlling of probes and the acquisition and processing of signal based on LabVIEW and PLC.

Effects of Preserving Posterior Ligament Complex on Biomechanical Properties of the Adjacent Segments after Lumbar Decompression and Fusion / 医用生物力学

Objective To compare the effects of preserving the posterior ligament complex (PLC) with torque loading and displacement loading on the biomechanical properties of the adjacent segments after lumbar decompression and fusion. Methods Six fresh male cadaver lumbar specimens of T12-S2 were tested in the sequence of intact, L4-5 laminotomy (preserving the PLC) with fixation and L4-5 laminectomy (destructing the PLC) with fixation, by applying both displacement loading and torque loading, respectively. Ranges-of-motions (ROMs) of the adjacent segments were measured under a noncontact photographic recording system. Results In displacement-loading mode, the flexion ROM in laminectomy group was significantly higher than that in laminotomy group, and no obvious ROM differences were found in the laminectomy and laminotomy groups under extension, lateral bending, and rotation movement. Conclusions Torque loading and displacement loading have different biomechanical effects on the adjacent segments after lumbar decompression and fusion. Compared with the laminotomy method, in which the PLC is preserved, the laminectomy method in which PLC structures are damaged can obviously lead to an increment of flexion ROMs at the adjacent segments, and also increase the ROMs of the adjacent segments under extension, lateral bending, and rotation movements, which might increase the risk of further instability of the fused adjacent segments.

Development of airtightness test instrument for biosafety laboratory / 医疗卫生装备

Objective To develop an instrument for automatic testing of airtightness of the equipment and facilities in biosafety laboratory using pressure decay method with an aim at improving testing efficiency.Methods On the basis of the characteristics of the pressure decay method and the equipment performance in the biosafety laboratory,the PLC and touch screen and etc,industrial control instrument was employed for designing the structure and components.By programming PLC and touch screen the intended functions were achieved.Results This developed instrument could be used for automatic and multi-channel air tightness testing in parallel,as well as for monitoring and recording the pressure and temperature data of the equipment in real time.Conclusion By using the developed instrument,the testing cycle,and the manpower and material resources input can greatly be reduced.It is presumed that the instrument can be used for testing the airtightness of facilities and equipment in biosafety laboratory.

Development of airtightness test instrument for biosafety laboratory / 医疗卫生装备

Objective To develop an instrument for automatic testing of airtightness of the equipment and facilities in biosafety laboratory using pressure decay method with an aim at improving testing efficiency.Methods On the basis of the characteristics of the pressure decay method and the equipment performance in the biosafety laboratory,the PLC and touch screen and etc,industrial control instrument was employed for designing the structure and components.By programming PLC and touch screen the intended functions were achieved.Results This developed instrument could be used for automatic and multi-channel air tightness testing in parallel,as well as for monitoring and recording the pressure and temperature data of the equipment in real time.Conclusion By using the developed instrument,the testing cycle,and the manpower and material resources input can greatly be reduced.It is presumed that the instrument can be used for testing the airtightness of facilities and equipment in biosafety laboratory.

Differences in clinical features between hepatitis B virus positive and negative patients with primary liver cancer / 中华肝胆外科杂志

Objective To investigate the differences in clinical features between primary liver cancer (PLC) patients with positive and negative hepatitis B virus (HBV) and discuss the correlation of positive HBV and TNM staging.Methods Clinicopathological data of 430 patients with primary liver cancer who underwent partial hepatectomy in Henan Cancer Hospital from November 2012 to December 2015 were retrospectively reviewed.The cases were divided into HBV-positive PLC group (n =362) and HBV-negative PLC group (n =68) in according to the HBV infection status.x2 test was performed to analyze the clinical feature differences of the two groups.Spearman rank correlation was used to assess the differential clinical features and TNM staging of HBV-positive PLC.Results There were statistic differences in gender,age,AFP level,tumor numbers,tumor size,histopathological types and TNM staging between two groups (P ＜0.05).Furthermore,AFP level,tumor numbers,tumor size and histopathological types showed positive correlation with TNM staging (all P ＜ 0.05).Conclusions A number of remarked differences in clinical feature of gender,age,AFP level,tumor numbers,tumor size,histopathological types and TNM staging could be observed in HBV-positive PLC patients compared with HBV-negative patients.HBV-positive PLC patients may have positive correlations of AFP level,tumor numbers,tumor size,histopathological types and TNM staging.

The effects of cervical spinous process fracture with posterior ligamentous complex injury on stability of the goat cervical spine / 医用生物力学

Objective To investigate the effect of cervical spinous process fracture with posterior ligamentous complex (PLC) injury on biomechanical stability of the goat cervical spine specimen in vitro, and evaluate the role of posterior structure in maintaining the stability of cervical spine. Methods Twenty-four fresh goat cervical spine C3-6 specimens were randomly and evenly divided into 3 groups: control group (group A), simple cervical spinous process fracture group (group B) and cervical spinous process fracture with PLC injury group (group C). Under loading of 1.5 N·m torque, the range of motion (ROM) in each group was respectively measured under 6 working conditions: flexion, extension, lateral bending and axial rotation, and the ROM differences among 3 groups were compared by using one-way ANOVA analysis. Results Simple cervical spinous process fracture had little effect on the stability of cervical spine and there was no significant difference in ROM between group B and control group (P>0.05) under all working conditions. Compared with control group, the ROM in flexion, extension and axial rotation significantly increased in group C (P0.05). Conclusions Simple cervical spinous process fracture does not affect the overall stability of cervical spine. Cervical spinous process fracture with PLC injury is more likely to cause cervical instability than simple cervical spinous process fracture, and surgical intervention is required in cervical spinous process fracture with PLC injury.

The effects of cervical spinous process fracture with posterior ligamentous complex injury on stability of the goat cervical spine / 医用生物力学

Objective To investigate the effect of cervical spinous process fracture with posterior ligamentous complex (PLC) injury on biomechanical stability of the goat cervical spine specimen in vitro,and evaluate the role of posterior structure in maintaining the stability of cervical spine.Methods Twenty-four fresh goat cervical spine C3-6 specimens were randomly and evenly divided into 3 groups:control group (group A),simple cervical spinous process fracture group (group B) and cervical spinous process fracture with PLC injury group (group C).Under loading of 1.5 N · m torque,the range of motion (ROM) in each group was respectively measured under 6 working conditions:flexion,extension,lateral bending and axial rotation,and the ROM differences among 3 groups were compared by using one-way ANOVA analysis.Results Simple cervical spinous process fracture had little effect on the stability of cervical spine and there was no significant difference in ROM between group B and control group (P ＞ 0.05) under all working conditions.Compared with control group,the ROM in flexion,extension and axial rotation significantly increased in group C (P ＜ 0.05),and no significant ROM difference was found in lateral bending between control group and group C (P ＞ 0.05).Conclusions Simple cervical spinous process fracture does not affect the overall stability of cervical spine.Cervical spinous process fracture with PLC injury is more likely to cause cervical instability than simple cervical spinous process fracture,and surgical intervention is required in cervical spinous process fracture with PLC injury.

Isolation and gene expression analysis of Phospholipase C in response to abiotic stresses from Vigna radiata (L.) Wilczek.

Phosphatidylinositol (PtdIns) is a major phospholipid in eukaryotic cells. Many studies have revealed that the phosphoinositide (PI) signaling pathway plays an important role in plant growth and development. Phospholipase C (PLC) is reported to have a crucial role in the PI pathway. This work focuses on the isolation and investigation of PLC in response to abiotic stress factors in green gram. The PLC cDNA, designated VrPLC, encoding a protein of 591 amino acids was cloned and expressed in E. coli.The predicted isoelectric point (pI) and molecular weight were 5.96 and 67.3 kDa, respectively. The tertiary structure of the PLC was also predicted and found to be mainly composed of random coils. In addition, VrPLC expression analysis was performed under environmental stress and the results showed that the expression of VrPLC was rapidly induced in an abscisic acid independent manner in response to drought and salt stress. PLC expression was found to be up-regulated by SA and down-regulated by wound in leaf tissues; however, there was no significant difference in the expression of PLC in plants subjected to high temperature and H2O2. Our results suggest that a close link/relationship between PLC expression and stress responses in green gram.

Purification, Characterization and Vaccine Potential of Trypanosoma brucei brucei Glycosyl Phosphatidyl Inositol Specific Phospholipase C.

Aims: To investigate possible use of Glycosylphosphatidylinositol-specific phospholipase C (GPIPLC) as a target protein for the development of vaccine against Trypanosoma brucei brucei infection was investigated. Study Design: GPI-PLC from T. brucei brucei was purified, characterized and the protein was used as antigen in raising antibody against the parasite Place and Duration: Department of Biochemistry, Ahmadu Bello University Zaria-Nigeria, between September 2011 and October 2012 Methodology: GPI-PLC was isolated from T. brucei brucei and purified by ammonium sulphate precipitation, gel filtration and sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDSPAGE). The GPI-PLC was further used to raise antisera in rabbits, which was subsequently used to immunize rats for 14 and 21 days pre-infection to investigate the possible use of T. b. brucei GPI-PLC as target protein in vaccine production against T. b. brucei infection. Results: An overall yield of 48.76% and purification fold of 10.86 were recorded after gel filtration. The result from SDS-PAGE showed the enzyme to be a 39.585 kDa protein with optimum temperature, optimum pH and activation energy to be 35°C, 8.1 and 19.494 kJ/ mol respectively. The Vmax and Km values were 6.67 × 10-3 μmol/hr and 2.67 × 10-3 μM respectively when 212.5 μg of enzyme was used in the reaction mixture. Immunization with anti GPI-PLC for 14 and 21 days pre-infection significantly lowered the Packed Cell Volume (PCV). Result for the time course of parasitemia following infection with 7.9 x 105 Cells/ml showed a decrease in parasitemia level, thus leading to lowering of mortality rates in Groups immunized with GPI-PLC for 14 and 21 days pre-infection by 20% and 40% respectively relative to Group infected but not treated. Conclusion: These results suggest that GPI-PLC as a target protein significantly reduced the progression of the T. b. brucei infection.

Effects from sequential removal of posterior ligamentous complex on stability of injured thoracolumbar spine / 医用生物力学

Objective To investigate the effect from sequential removal of posterior ligamentous complex (PLC) on stability of injured thoracolumbar spine, and verify the role of supraspinous ligaments in maintaining stability of injured thoracolumbar spine complex. Methods Eight fresh human thoracolumbar specimens (T11-L3) were selected, and 1/3 of the L1 vertebral body was resected for "V" shape. The specimens were then mounted on the universal testing machine and subjected flexion and compression to make a fracture in L1. PLC in T12-L1 segment was then resected in a sequential manner from facet capsular ligament (FCL), interspinous ligament (ISL), supraspinous ligament (SSL) to ligamentum flavum (LF). The range of motion (ROM) and neutral zone (NZ) of the T12-L1 segment under flexion, extension, lateral bending and rotation movement were measured at each ligament removal step. Results Under flexion and extension, ROM and NZ presented a significant increase after fracture and removal of SSL. Under right lateral bending, ROM increased sharply after reduction of vertebrae and FCL, while the NZ showed a slight increase. Under left axial rotation, removal of vertebrae and FCL resulted in a significant increase in ROM, while the NZ showed no significant increase. Conclusions After removal of SSL, the stability of the T12-L1 segment decreases sharply, especially under flexion motion, and SSL is the pivotal ligament for PLC to maintain the stability of thoracolumbar spine.

Design and implementation of auto-control system for high-throughput and multi-channel DNA synthesis / 军事医学

Objective To establish an auto-control system for high-throughput and multi-channel DNA synthesis which can simultaneously and quickly synthesize up to 96 different oligonucleotides in a 96-well microtiter format.Methods The PLC and its extended modules is used as the main-control unit, which executes the DNA automatic synthesis process according to the synthesis sequences and steps set by the user,and the manual injecting reagent etc.And the configuration software and VC6.0 were used for programming the man-machine interface sofeware to set synthesis parameters, position calibration,flux calibration data etc, and communicated with PLC.Results The synthesis application of about 150 000 DNA chains has proved that the synthesis cycle time for 96 couplings was 4 min,the average coupling efficiency was 99%across the entire 96-well plate,the monomer reagent usage was reduced by 50 percent,and the synthesis configuration was more flexible.Conclusion A reliable and simple auto-control system is provided for parallel synthesis of 96-channel oligonucleotide chains,which can meet the demands of high-throughput and multi-channel DNA synthesis.

Design of microenvironment temperature control system of plateau surgical shelters / 军事医学

Plateau environment has a wide range of diurnal temperatures and thin air. The surgical shelter needs to resist the huge temperature shock and work in harsh environments, placing higher noise immunity requirements on the microenvironment temperature control system. The traditional microenvironment control of surgical treatment shelters mostly use instrument display and switch control, with a high failure rate and functional dispersion. We have designed a plateau microenvironment temperature control system with PLC as the control center and the touch screen as the Human Machine Interface so that real-time monitoring and control of temperature is achieved and the plateau temperature shock is resisted while the heater fuel ratio can be adjusted properly to adapt to plateau environment. This paper describes the control system hardware, software and algorithm design in detail.

Effects of C18 Fatty Acids on Intracellular Ca2+ Mobilization and Histamine Release in RBL-2H3 Cells

To investigate the underlying mechanisms of C18 fatty acids (stearic acid, oleic acid, linoleic acid and alpha-linolenic acid) on mast cells, we measured the effect of C18 fatty acids on intracellular Ca2+ mobilization and histamine release in RBL-2H3 mast cells. Stearic acid rapidly increased initial peak of intracellular Ca2+ mobilization, whereas linoleic acid and alpha-linolenic acid gradually increased this mobilization. In the absence of extracellular Ca2+, stearic acid (100 microM) did not cause any increase of intracellular Ca2+ mobilization. Both linoleic acid and alpha-linolenic acid increased intracellular Ca2+ mobilization, but the increase was smaller than that in the presence of extracellular Ca2+. These results suggest that C18 fatty acid-induced intracellular Ca2+ mobilization is mainly dependent on extracellular Ca2+ influx. Verapamil dose-dependently inhibited stearic acid-induced intracellular Ca2+ mobilization, but did not affect both linoleic acid and alpha-linolenic acid-induced intracellular Ca2+ mobilization. These data suggest that the underlying mechanism of stearic acid, linoleic acid and alpha-linolenic acid on intracellular Ca2+ mobilization may differ. Linoleic acid and alpha-linolenic acid significantly increased histamine release. Linoleic acid (C18:2: omega-6)-induced intracellular Ca2+ mobilization and histamine release were more prominent than alpha-linolenic acid (C18:3: omega-3). These data support the view that the intake of more alpha-linolenic acid than linoleic acid is useful in preventing inflammation.

Content of L-carnitine and its acylates in plasma of patients with diabetes and diabetes complications / 中国药理学通报

Aim To investigate the changes of content of L-carnitine (LC ), acetyl-L-carnitine (ALC ) and propionyl-L-carnitine (PLC )in patients with diabetes and its complications.Methods By replicating meth-od of pre-column derivatization HPLC,the contents of plasma LC,ALC,PLC were detercted in normal sub-jects and in patients of diabetes mellitus,diabetic reti-nopathy, diabetic nephropathy, diabetic peripheral neuropathy,diabetic hypertension,diabetic coronary heart disease.Results The concentration of LC in normal subjects and in patients of diabetes mellitus, diabetic retinopathy, diabetic nephropathy, diabetic peripheral neuropathy,diabetic hypertension,diabetic coronary heart disease were (41.01 ±8.05 )μmol · L-1 ,(36.72 ±8.23 )μmol · L-1 ,(33.3 1 ±6.26 )μmol·L-1 ,(33.81 ±5.61 )μmol·L-1 ,(33.57 ± 6.67 )μmol · L-1 , (33.67 ±5.36 )μmol · L-1 , (32.87 ±6.05 )μmol · L-1 respectively.The plasma LC concentration in diabetic group was significantly lower than that of normal control group (P<0.05 ). Moreover,the LC concentration in other groups of dia-betic complications was lower than that in diabetic group, and LC concentration showed no significant difference in various groups of diabetic complications. There was no significant difference in the plasma con-centrations of ALC and PLC of diabetes group and the diabetic complication groups too.Conclusion In Chi-nese normal subjects,patients with diabetes and dia-betic complications,the plasma concentrations of LC in diabetic patients are lower than normal,and plasma concentration of LC in diabetic complications are lower than that in patients with diabetes mellitus.

Integration of Project-Product Lifecycle in Pharmaceutical Industry.

One meaningful and holistic approach to today’s current challenges within the pharmaceutical industry is to focus on Product Lifecycle Management (PLM). PLM has provided many pharmaceutical organizations with the ability to get products to market quicker, ensure greater regulatory compliance and efficiencies while reducing development costs. A product life cycle is a conceptual map of - where a product's sales are and where they may be headed. However, it has no comment on what to do with the product. If a company believes its product is entering the decline phase, it will probably create a plan to either rejuvenate the product or cease production, but that is not inherent in the product life cycle. Thus, comes the concept of project life cycle (PLC), which is all about action. A project life cycle maps out the steps needed to complete a project with specific targeted results. Although these two lifecycles are talked about separately but if integrated can be of greater use to an organization.

Pitiriasis liquenoide: estudio retrospectivo clínico epidemiológico de 49 pacientes pediátricos / Pityriasis lichenoides: a retrospective clinical and epidemiological study of 49 pediatric patients

La pitiriasis liquenoide (PL), entidad pápulo-escamosa, afecta principalmente a niños. Presenta una forma aguda, "pitiriasis liquenoide y varioliforme aguda" (PLEVA) y otra crónica, la pitiriasis liquenoide crónica (PLC). Objetivo: describir las características de pacientes con diagnóstico clínico e histopatológico de PL. Comparar nuestros resultados con los hallados en la bibliografía. Materiales y Métodos: historias clínicas e informes anátomo-patológicos de 49 pacientes que consultaron entre marzo de 2000 a marzo de 2011. Se analizaron los datos obtenidos mediante el programa SPSS 11.5. Resultados: de 49 pacientes con PL, 17 presentaron PLEVA y 32 PLC. El promedio de edad de inicio de PLEVA fue de 6 años y de 10 años para PLC. Predominó el sexo masculino en PLEVA. Las formas generalizadas parecieran ser las predominantes. Las lesiones más frecuentemente halladas fueron: pápulas y pápulas eritematosas en PLEVA, escamas en PLC y las máculas hipocrómicas como discromía residual. 14 de 49 pacientes mostraron asociaciones mórbidas. Conclusiones: la PL puede ser dividida en aguda y crónica, a pesar de existir ambas clases de lesiones en un mismo paciente. PLEVA se presentó a edades más tempranas, predominando en varones. De los pacientes que presentaron co-morbilidades, la mayoría comprometía la inmunidad.

Background: the pityriasis lichenoides (PL), a papulosquamous disease, affects mostly children. Present an acute form, pytiriasis lichenoides et varioliformis acute (PLEVA) and other chronic, chronic lichenoid pytiriasis (PLC). Objetive: to describe the caracheristics of patients with clinic and histopathological diagnosis of PL. Compare our results with those found in the literature. Materials and Methods: clinical records and pathology reports of 49 patients who consulted between March 2000 and March 2011. Data were analyzed using SPSS 11.5. Results: of 49 patients with PL, 17 presented PLEVA and 32 PLC. The average age of onset of PLEVA was 6 years and 10 years for PLC. Males predominate in PLEVA. The lesions most frequently found were: papules and erythematous papules in PLEVA, scales in PLC and hypocromic macules as residual dyschromia. 14 of 49 patients showed morbid associations. Conclusions: the PL can be divided into acute and chronic forms, despite the existence of both types of lesions in the same patient. PLEVA was presented at younger age, predominantly in males. From the patients who had co-morbidities, the most of them, compromised immunity.