[Forensic-medical evaluation of toxic hepatitis associated with surrogate alcohol poisoning].

Medical cards of 1,116 inpatient victims of surrogate alcohol poisoning and 242 cases of its fatal outcome associated with jaundice were available for analysis form Irkutsk Region and other regions of the Russian Federation in the second half of 2006 and early 2007. The study revealed differences in hepatic lesions depending on the chemical nature of toxicants. Mixtures containing guanidine derivatives caused highly specific irreversible disturbance of bile transport in hepatocytes and biliary capillaries in the absence of cholestasis at the level of biliary ducts. Changes in hepatocytes of different type and genesis appear to be due to other toxic components and may be of use for the establishment of causal relation between hepatic lesions and concrete toxic mixtures.

[Clinico-morphological parameters of heroin abuse and pathology connected with it]. / Kliniko-morfologicheskie parametry geroinovoi narkomanii i sviazannoi s nei patologii.

Morphological manifestations of narcomania in heroin users are described. Diseases associated with heroin narcomania and causes of death of heroin users are presented. Morphological manifestations at the site of injections and inflammatory reactions in parenchymatous organs are characterized. The authors pay special attention to the productive inflammation which can serve as one of the signs that confirm narcomania in cases with parenteral injections of crude heroin. The authors refer the granulomas to toxic allergic form of granulomatous hypersensitive inflammation.

[The characteristics of the morphological changes to the parenchymatous organs in persons who used street narcotics]. / Osobennosti morfologicheskikh izmenenii parenkhimatoznykh organov u lits, upotrebliavshikh kustarno prigotovlennye narkotiki.

Morphologic signs of narcomania in subjects using primitively prepared narcotics from opium-containing raw material are described. Sites of injections and inflammatory reactions in the parenchymatous organs are described. Special attention is paid to productive hypersensitive inflammation, which can serve as a sign confirming narcomania in subjects using poorly purified narcotic mixture. The authors classify the granulomas in such patients as toxic allergic granulomatosis.