Determination of polycyclic aromatic hydrocarbons and their oxy-, nitro-, and hydroxy-oxidation products.

A sensitive method has been developed for the trace analysis of PAHs and their oxidation products (i.e., nitro-, oxy-, and hydroxy-PAHs) in air particulate matter (PM). Following PM extraction, PAHs, nitro-, oxy-, and hydroxy-PAHs were fractionated using solid phase extraction (SPE) based on their polarities. Gas chromatography-mass spectrometry (GC-MS) conditions were optimized, addressing injection (i.e., splitless time), negative-ion chemical ionization (NICI) parameters, i.e., source temperature and methane flow rate, and MS scanning conditions. Each class of PAH oxidation products was then analyzed using the sample preparation and appropriate ionization conditions (e.g., nitro-PAHs exhibited the greatest sensitivity when analyzed with NICI-MS while hydroxy-PAHs required chemical derivatization prior to GC-MS analysis). The analyses were performed in selected-ion-total-ion (SITI) mode, combining the increased sensitivity of selected-ion monitoring (SIM) with the identification advantages of total-ion current (TIC). The instrumental LODs determined were 6-34 pg for PAHs, 5-36 pg for oxy-PAHs, and 1-21 pg for derivatized hydroxy-PAHs using electron ionization (GC-EI-MS). NICI-MS was found to be a useful tool for confirming the tentative identification of oxy-PAHs. For nitro-PAHs, LODs were 1-10 pg using negative-ion chemical ionization (GC-NICI-MS). The developed method was successfully applied to two types of real-world PM samples, diesel exhaust standard reference material (SRM 2975) and wood smoke PM.

Chronic lymphatic leukemia presenting as atypical rosacea with follicular mucinosis.

A case is described in which the initial clinical and histological features were suggestive of rosacea. Subsequent progress revealed the diagnosis to be chronic lymphatic leukemia. The initial biopsy specimens were reviewed and small but definite quantities of follicular mucinosis were noted after appropriate staining. If this had been noted earlier the diagnosis would have been made more rapidly. This case demonstrates the importance of detecting follicular mucinosis. We are not aware of follicular mucinosis having been described in association with chronic lymphatic leukemia previously. It is also rare for leukemias other than the monocytic type to present with cutaneous lesions, though skin lesions may occur in established cases.

An auto-antibody profile in alopecia totalis and diffuse alopecia.

Thirty-one patients suffering from alopecia totalis and fourteen patients with idiopathic diffuse alopecia were examined for evidence of an endocrinopathy and their sera screened for organ-specific auto-antibodies. The results were compared with matched control groups of dermatological patients and a random group of dermatological patients. There was no statistically significant difference in the groups and the results were similar to those found in the general population.

The psoriasiform eruption induced by practolol.

Three patients who developed a psoriasiform skin eruption following oral practolol administration are described with particular attention to the cutaneous histological changes. Although the clinical picture resembled psoriasis, the histological one did not, resembling rather that seen in a drug eruption. The possibility of an early lymphoma could not be excluded on purely histological grounds.