Qualitative and quantitative changes of bone marrow cells in sensitized rabbits.

Bone marrow of adult rabbits was dynamically investigated during the sensitization of animals with the complete Freund's adjuvant containing 10 per cent human gammaglobulins (five intramuscular injections of 1 ml adjuvant, one per week). Smears, imprints and paraffin sections from tibial and femoral bone marrow were examined in normal, unsensitized animals, and a week after the third, the fourth and the fifth antigenic stimulations. The differential count of about 10,000 elements of 20-25 smears and imprints allowed the establishment of normal and modified myelograms at each sacrificing term. A high increase in the number of monocytes, small lymphocytes and plasma cells was noticed after the third antigenic stimulation, with statistically significant values as compared to controls. The increase in the number of lymphocytes--including both T and B cells--was more marked after the 3rd antigenic stimulation, later on the proportional increase diminished, the proliferation maintaining itself "en plateau". The ratio between myeloblastic-myelocytic and erythroblastic-erythrocytic elements doubled after the third antigenic stimulation and increased up to six times after the fifth one, due to an absolute decrease of the erythroblastic-erythrocytic line.

[Preliminary results of the use of a new derivative of rifamycin SV in the treatment of sarcoidosis]. / Rezultate preliminare privind utilizarea unui nou derivat de rifamicina SV in tratamentul sarcoidozei.

Seven patients with advanced forms of mediastino-pulmonary sarcoidosis (involvement of the pulmonary parenchyma, and restrictive respiratory syndrome), confirmed by histopathologic investigation, have been treated with a new SV-rifamycin derivative, 1246-EH, or "Reprimum" without any other association. Reprimun was given in daily doses of 10 mg/kg of body weight for a period of two weeks, then, for another 4-5 weeks, the drugs was given intermittently in doses of 15 mg/kg of body weight twice weekly. Between two cycles of therapy a period of 14 days was free of drug administration. In all patients the treatment with the new derivative was well tolerated. The treatment was not followed by adrenal deficiencies, neither was noted obesity, bone decalcification, gastric ulcers, etc., which are commonly associated with prolonged corticoid therapy. The treatment with "Reprimun" efficient for all patients. A clear clinical and X-ray improvement was noted after the first three months of treatment with the new drug. Respiratory function, as well as clinical and radiological signs improved, the serum immunologic parameters, and the biochemical ones were also significantly improved (Ig, C3 total serum proteins and gammaglobulins). All parameters which were tested were finally improved and became normal. In only two of the seven patients the radiological aspects of the lung suggested the presence of sequellae at the end of the treatment. In these two patients there was a persistant reduction in the respiratory volume, as well as a discret hypoxemia. However, both these patients had a more advanced form of the disease, with extensive pulmonary fibrosis, and in these cases prolonged corticoid therapy which had previously been applied had failed. Reprimun had an immunological-modulatory effect in all patients, resulting in normal levels of IgG, IgA, and C3 in the first three months of therapy. There was a direct correlation between the normalization of immunological indicators and the good evolution of the diseases, a fact which suggests once again the existence of some immune mechanisms involved in the maintenance of sarcoidosis.