Assessment of VEGF, CD-31 and Ki-67 immunohistochemical markers in oral pyogenic granuloma: a comparison with hemangioma and inflammatory gingivitis

The aim of this study was to evaluate the expression of two angiogenic immune-makers [CD-31 and VEGF], and one proliferative immune-marker [Ki-67] in oral pyogenic gramulomas [PG], hemangiomas [Hem] and inflammatoey gingivitis [IG]. Sixty cases of PG, Hem and IG [twenty cases each] were examined. Immunohistochemical [IHC] staining was performed based on routine techniques. The microvessel density [MVD] index was also evaluated. The male to female ratio was 1:2. The mean age was 33.3 years old [ +/- 20.52]. The reactivity percentages for all three markers [CD-31, VEGF and Ki-67] were significantly higher in PG compared to Hem [56.8%, 13.8% and 23.0% vs. 28.3%, 7.0% and 5.4%, respectively]. The mean MVD in PG was also significantly higher than in Hem [26.1 +/- 0.11 vs. 13.6 +/- 0.08]. There was no statistically significant difference between PG and IG. The current study supports the common nature of pyogenic granulomas and inflammatory gingivits

[Diagnostic accuracy of helicobacter stool antigen in dyspeptic patients before eradication therapy]

The aim of this study was to assess and compare the diagnostic accuracy of Helicobacter pylori stool antigen [HpSA] test with three other invasive and non-invasive diagnostic methods. A total of Fifty-two dyspeptic patients were included. None of the patients had previous eradication therapy for Helicobacter pylori. Endoscopic biopsy samples were obtained for histology examination and Rapid Urease Test [RUT]. Urea Breath Test [UBT] and HpSA were also performed. Patients were considered Helicobacter pylori positive when 2 of 3 tests [histology examination, RUT and UBT] were positive [gold standard]. Diagnostic accuracy of HpSA was assessed performing a Receiver Operating Curve [ROC] analysis. Twenty-three Were men and 29 Were women, with a mean age of 42.3 years of the Patients. The prevalence of Helicobacter pylori infection was 67.3%. ROC curve analysis was showed a significant area under curve of 94.6% [p=0.0001]. Cut-off value was estimated to be 0.1. The sensitivity, specificity, positive and negative predictive values of HpSA wa 91.4%, 94.1%, 97% and 84%, respectively. HpSA level significantly increased with increasing in bacterial load. HpSA was proved to be a highly accurate, simple and non-invasive test for the diagnosis of Helicobater pylori infection before treatment in dyspeptic patients

Primary glomus tumor of the liver

Primary glomus tumors are extremely rare in the liver. To this date, only two cases of primary glomus tumors of the liver have been reported in the literature. This report is the third case of this specified tumor. The patient was a 50 year-old Iranian woman who presented with a history of epigastric pain and nausea. Abdominal computed tomography [CT] scan showed a huge hepatic mass that replaced the entire left lobe. Surgical biopsy showed that the specimen consisted of a vascular network confined by the proliferation of epithelioid cells with round-to-oval nuclei and eosinophilic cytoplasms. The cells expressed diffuse reactivity for vimentin, smooth muscle actin and CD34, whereas no reactivity was observed with carcinoembryonic antigen, synaptophysin, chromogranin, cytokeratin, and human melanoma black 45. We conclude that glomus tumors must be considered in the differential diagnosis of hepatic masses, with immunohistochemical staining for smooth muscle actin being a useful method to prove the diagnosis

[Molecular analysis of mutation MEFV gene involved inpatient's with familial of Mediterranean fever referred to Taleghani hospital Tehran between 2006-2008]

Familial Mediterranean fever [FMF] is an autosomal recessive disorder characterized by recurrent attacks of fever and inflammation in the peritoneum, synovium, or pleura, accompanied by pain. In this study, we examined all 10 exons to determine the most common mutations in MEFV gene as a single gene associated with FMF. In this basic study, 51 clinically diagnosed Iranian FMF patients referred to Taleghani hospital were studied. Peripheral blood was gained from them and genomic DNA was extracted according to phenol chloroform standard protocol. They were screened for the MEFV mutation using bidirectional sequencing and finally, the sequences were analyzed by related soft wares. Of 51 patients suspected to FMF, 24 [47.05%] were positive for mutation and 27 [52.95%] had no mutations. 14 patients had M694V mutation in exon10 including 4 homozygote mutation, 8 heterozygote and 4 compound heterozygote. Moreover, we could find 6 patients with M680I mutation and 2 individual [8.3%] with V721I mutation in exon 10. Only one person carried E148Q heterozygote mutation in exon 2. Our finding were compatible with others investigation that M694V mutation is the most common mutation in different populations