Human immunodeficiency virus-associated squamous cell carcinomas of the head and neck presenting as oral and primary intraosseous squamous cell carcinomas.

Six cases of squamous cell carcinoma arising in the head and neck of patients infected with the human immunodeficiency virus are described. This article reports the first two cases of primary intraosseous squamous cell carcinoma associated with infection with human immunodeficiency virus. Clinical presentation, results of imaging studies, histologic characteristics, therapies applied, and the clinical follow-up are described in detail for each of the six cases. These data are evaluated through a review of the current literature.

[The incidence of endemic sprue/celiac disease in Berlin (West). A prospective study with short discussion of a case]. / Inzidenz der einheimischen Sprue/Zöliakie in Berlin (West). Eine prospektive Untersuchung mit kurzer Falldiskussion.

This study was carried out between June 1986 and May 1988 in Berlin (West). In cooperation with 5 Pathological Departments, we prospectively recorded every bioptical diagnosis of total/subtotal villus atrophy (group S) or of partial villus atrophy (group SV). In addition, we registered anamnestic, clinical and laboratory findings from these patients. The diagnosis of coeliac disease was considered verified if the patient showed an unequivocal improvement of his clinical conditions and laboratory findings within three months on a gluten-free diet. In total, 42 patients were registered, among them were 29 with mucosal alterations typical for coeliac disease and 13 whose biopsies showed partial villus atrophy. The diagnosis of coeliac disease could be verified in 28 patients, among them one woman with intestinal lymphoma after longstanding untreated coeliac disease. A second patient with complete villus atrophy had intestinal lymphoma but without preceeding coeliac disease. Our findings show that the incidence of coeliac disease in Berlin is 1 out of 2113 newborn children. This figure is similar to the data reported from France, yet being clearly lower than those from Western Ireland, Switzerland and Sweden. Women are affected twice as often as men. 20 out of 28 patients were children under five years of age. The most common symptoms were meteorism/flatulence, recurrent diarrhea, loss of body weight, or inappropriate growth. 70% of the patients suffered from anaemia, the D-Xylose-test was pathological in 92% of the patients.

[Incidence of endemic sprue in Berlin (West). A retrospective study based on biopsy findings]. / Inzidenz der einheimischen Sprue in Berlin (West). Eine retrospektive Untersuchung anhand bioptischer Befunde.

The incidence of celiac disease in Berlin (West) during the years 1979-1984 has been studied retrospectively by investigating the records of the local Pathological Institutes, which examine small intestinal biopsies, for the occurrence of abnormal specimens typical of celiac disease (group 1) or consistent with the diagnosis of celiac disease (group 2). Group 1 exhibited a constant average incidence of 0.74 per 100,000 inhabitants per year, while group 2 showed a small increase between 1979 and 1984, averaging 1.03 per 100,000 inhabitants per year. Classified according to age the highest incidence was seen in the 0-5 year-olds, namely 8.04 in group 1 and 10.00 in group 2. For those children born and examined during the period of investigation the values ranged between 15.8 and 64.7 per 100,000 births. Girls, with an average frequency of 1:1919 births were more often affected than boys, who averaged 1:4219 births. These figures obtained in Berlin (West) indicate only the lower ranges of incidences and will have to be further supplemented by a prospective study.

[Lead deposits in bone--the roentgen picture as a demonstration method?]. / Bleieinlagerung im Knochen--Röntgenaufnahme als Nachweismethode?

Current concepts concerning the deposition, distribution and radiological demonstration of lead in the skeleton were investigated in five series of rats; some of these were young and others more than a year old. 10 mg of lead acetate/kg body weight were administered over a period of five to 41 days, giving a minimum of 8.4 mg and maximum of 40.4 mg of lead. A comparable control group was given similar amounts of sodium acetate. The distribution and concentration of lead in the femur was determined by the use of 210Pb. Contact autoradiographs showed band-shaped lead accumulation in the endosteal and periosteal growth regions. The degree of darkening depended on the amount of lead administered and permitted a rather coarse quantitative relationship to be drawn. Measurements of radioactivity produced similar distribution patterns. The relationship of lead concentration of epi- and metaphysis to the diaphysis averaged 2:1. The factor mainly responsible for lead deposition depended on the metabolic potential of the tissue, which itself depends largely on the growth regions. Radiologically, there was definite evidence of demineralization in the areas of lead deposition; this could be confirmed histologically by lack of trabeculae, thinning of the cortex and destruction of bone matrix. Despite its much greater absorption co-efficient, the tiny quantities of lead, compared with the bone mass (even in the highest concentrations in our experiments) cannot be detected radiologically. Biophysical calculations have been made which indicate that similar conditions occur in man. Radiological examination of the skeleton, which is used as a screening method for chronic lead poisoning, is not suitable for this purpose.

[Lyophilized pig bladder as a partial bladder wall substitute (author's transl)]. / Lyophilisierte Schweineblase als partieller Blasenwandersatz

Lyophilized pig bladder was used as partial replacement of the urinary bladder wall on 22 rabbits. This material is not suitable for this purpose. Lyophilized pig bladder shows no advantages compared to human dura as a bladder wall substitute.