- Email: [email protected]
Lymphography and elephantiasis
914
-4MERICAN
Ehnquist, Baljet
A,, and Reaction.
Liljestrand, Acta
A.: physio!.
HEART
On the Scandinav.
JOURNAL
Chemical Evaluation 12:53 (No. I), 1946
of Digitalis
With
the
The Baljet reaction, a red-orange color formed when active cardiac glycosides are mixed with an alkaline picrate solution, has been modified in various ways since its discovery in 1918. The authors investigated the reliability of an electrophotometric technique devised by Bell and Krantz in 1939, which is claimed to possess accuracy comparable to that of cat biological assay’. ‘They report that the color was as strong in old solutions of Digitalis pur~urea and Digitalis lznatn as in fresh solutions, whereas the biologic potency, as assayed in guinea pigs, declined significantly. Warming the solutions further decreased biological assay activity, but the Baljet reaction was as intense as at room temperature. Digitonin (active) could be added to solutions without increasing the color reaction. It is concluded that the Baljet reaction is unreliable for clinical purposes. SAYEN. Trocme, P. Micronodular Broncho Pulmonary coeur 39:453 (Nov.-Dec.),
and Reticulated Appearance Infection in a Patient With 1946.
of Mitral
the Lungs Disease.
During Acute Arch. d. ma!. du
A case is reported in which the lung fields presented the peculiar granular appearance described a year ago by Leblanc as occurring in the course of mitral disease. In the present case, an x-ray film made during an attack of acute bronchitis in a patient who had mitral stenosis showed, in addition to reticulation, small shadows having the appearance of nodules scattered throughout the lung fields. As in Lebanc’s case, the picture was strongly suggestive of tuberculosis, from which the condition may be difficult to differentiate. The peculiar lung shadows are evanescent. hPLACE.
Servelle, M. Lymphography Dec.), 1946.
and
Elephantiasis.
Arch.
d. ma!.
du
coeur
39:409
(Nov.-
Lymphography is described as a new procedure of great value for physiopathologic study and for the diagnosis of elephantiasis, lymphedema, and related conditions. This report is concerned primarily with elephantiasis which is not an unusual condition in France. Twelve cases of elephantiasis are reported, in eleven of which the lower extremity was inCommenting volved. Extensive radiologic studies, including lymphography, were carried out. on these cases, the author states that he has found no evidence of deep venous thrombosis in an!’ cases of elephantiasis, but that venography is essential to differentiate elephantiasis from postphlebitic edema which it resembles. There is risk of serious complications if the surgical treatment of elephantiasis is applied to postphlebitic edema. Lymphography is cases of elephantiasis demonstrates dilatation and elongation of the lymphatics predominately on the internal aspect of the calf. The existence of marked Iymphostasis is clearly demonstrated by making successive films during drainage of the contrast medium from the leg. It is uncertain whether the stasis is due to dilatation of the Iymphatics or vice versa, but it is quite apparent that they coexist. sometimes due The pathogenesis of lymphedema is, in the majority of cases, an infection, to insect bites involving the inguinal and retrocrural lymph nodes. He emphasizes the necessity for any specific infection is involved. The relative of inguinal adenitis in order to prevent elephantiasis. Of operations designed to establish lymphatic drainage is discussed. ficial lymphangiectomy, although a relatively shocking procedure, far, the best results.
The author does not believe special care in the treatment effectiveness of the various these, two stage total superhas given excellent and, by LAPLACE.
Lian,
were
C., and Mantoux, 39:438 (Nov.-Dec.), Fourteen of four
G.: 1946.
Syncope
and
Bundle
cases of syncope with associated bundle types. (1) Persistent bundle branch block
Branch
Block.
.4rch.
d. mal.
du corur
These cases branch block are reported. (2) Tranand complete A-V heart block.
-4MERICAN
Ehnquist, Baljet
A,, and Reaction.
Liljestrand, Acta
A.: physio!.
HEART
On the Scandinav.
JOURNAL
Chemical Evaluation 12:53 (No. I), 1946
of Digitalis
With
the
The Baljet reaction, a red-orange color formed when active cardiac glycosides are mixed with an alkaline picrate solution, has been modified in various ways since its discovery in 1918. The authors investigated the reliability of an electrophotometric technique devised by Bell and Krantz in 1939, which is claimed to possess accuracy comparable to that of cat biological assay’. ‘They report that the color was as strong in old solutions of Digitalis pur~urea and Digitalis lznatn as in fresh solutions, whereas the biologic potency, as assayed in guinea pigs, declined significantly. Warming the solutions further decreased biological assay activity, but the Baljet reaction was as intense as at room temperature. Digitonin (active) could be added to solutions without increasing the color reaction. It is concluded that the Baljet reaction is unreliable for clinical purposes. SAYEN. Trocme, P. Micronodular Broncho Pulmonary coeur 39:453 (Nov.-Dec.),
and Reticulated Appearance Infection in a Patient With 1946.
of Mitral
the Lungs Disease.
During Acute Arch. d. ma!. du
A case is reported in which the lung fields presented the peculiar granular appearance described a year ago by Leblanc as occurring in the course of mitral disease. In the present case, an x-ray film made during an attack of acute bronchitis in a patient who had mitral stenosis showed, in addition to reticulation, small shadows having the appearance of nodules scattered throughout the lung fields. As in Lebanc’s case, the picture was strongly suggestive of tuberculosis, from which the condition may be difficult to differentiate. The peculiar lung shadows are evanescent. hPLACE.
Servelle, M. Lymphography Dec.), 1946.
and
Elephantiasis.
Arch.
d. ma!.
du
coeur
39:409
(Nov.-
Lymphography is described as a new procedure of great value for physiopathologic study and for the diagnosis of elephantiasis, lymphedema, and related conditions. This report is concerned primarily with elephantiasis which is not an unusual condition in France. Twelve cases of elephantiasis are reported, in eleven of which the lower extremity was inCommenting volved. Extensive radiologic studies, including lymphography, were carried out. on these cases, the author states that he has found no evidence of deep venous thrombosis in an!’ cases of elephantiasis, but that venography is essential to differentiate elephantiasis from postphlebitic edema which it resembles. There is risk of serious complications if the surgical treatment of elephantiasis is applied to postphlebitic edema. Lymphography is cases of elephantiasis demonstrates dilatation and elongation of the lymphatics predominately on the internal aspect of the calf. The existence of marked Iymphostasis is clearly demonstrated by making successive films during drainage of the contrast medium from the leg. It is uncertain whether the stasis is due to dilatation of the Iymphatics or vice versa, but it is quite apparent that they coexist. sometimes due The pathogenesis of lymphedema is, in the majority of cases, an infection, to insect bites involving the inguinal and retrocrural lymph nodes. He emphasizes the necessity for any specific infection is involved. The relative of inguinal adenitis in order to prevent elephantiasis. Of operations designed to establish lymphatic drainage is discussed. ficial lymphangiectomy, although a relatively shocking procedure, far, the best results.
The author does not believe special care in the treatment effectiveness of the various these, two stage total superhas given excellent and, by LAPLACE.
Lian,
were
C., and Mantoux, 39:438 (Nov.-Dec.), Fourteen of four
G.: 1946.
Syncope
and
Bundle
cases of syncope with associated bundle types. (1) Persistent bundle branch block
Branch
Block.
.4rch.
d. mal.
du corur
These cases branch block are reported. (2) Tranand complete A-V heart block.