[Carbon dioxide laser treatment of genital intraepithelial neoplasia: A retrospective study]. / Traitement des néoplasies intraépithéliales génitales par laser CO2 : étude rétrospective.

INTRODUCTION: Genital intraepithelial neoplasias (IEN) are precursors of squamous cell carcinoma. The ideal treatment must be efficacious, conservative and well-tolerated. CO2 laser is one of the recommended therapies, but its efficacy and safety have not been extensively studied. PATIENTS AND METHODS: This was a retrospective single-center study. Sixteen patients (8 women and 8 men) treated with CO2 laser for genital IEN, whether high-grade or differentiated, were included. Surgical lateral margins of 3 to 5mm were taken macroscopically during treatment. The CO2 laser session, assessment of therapeutic response and follow-up were undertaken by a dermatologist at the University Hospital of Caen. RESULTS: The mean patient age was 68.1 years and mean follow-up was 52.7 months (5-130). Lesions were isolated in 87.5% of patients. The recurrence rates of genital intraepithelial neoplasia after CO2 laser treatment were 58% for women and 40% for men. No impact on quality of life or on sexual activity was reported in over 90% of patients. CONCLUSION: Whatever the treatment recommended for intraepithelial neoplasia, recurrence is frequent. CO2 laser is an effective and well-tolerated conservative therapeutic option. It enables rapid clinical remission, but as with all currently available treatments, long-term dermatologic follow-up remains necessary.

[Contiguous cutaneous inflammation secondary to an aspergillus sinusitis]. / Inflammation cutanée de contiguïté secondaire à une sinusite aspergillaire.

BACKGROUND: Contiguous skin inflammation is a poorly described entity. It constitutes a cutaneous manifestation of an underlying ongoing process (infectious, inflammatory or neoplastic). Sinusitis is a known cause. PATIENTS AND METHODS: We report the case of a 70-year-old patient consulting for an ongoing centrofacial inflammatory plaque. Cutaneous biopsy revealed a polymorphic inflammatory infiltrate, and cutaneous microbiological specimens were negative. A facial CT-scan showed left maxillary sinusitis. Intra-sinus samples obtained at surgery showed aspergillus. Voriconazole combined with maxillary sinus surgery resulted in healing of the facial plaque. DISCUSSION: There have been only two published cases of contiguous skin inflammation related to sinusitis but no reported cases caused by aspergillus sinusitis. Herein we report the third case of contiguous skin inflammation associated with sinusitis, which is also the first related to aspergillus sinusitis.

Lead poisoning in wild birds from southern Spain: a comparative study of wetland areas and species affected, and trends over time.

We studied lead (Pb) shot contamination in sediments from the Guadalquivir marshes and six other closed-basin lagoons in Southern Spain that are of major importance for threatened species of waterbirds. Shot densities were relatively low in Doñana, ranging from 0 to 25 shot/m(2) in the top 10 cm of sediments. The density at Medina lagoon (Ramsar site) was 148 shot/m(2), making it the most contaminated wetland known in Europe. Densities in the other five lagoons ranged from 9 to 59 shot/m(2). We studied the prevalence of ingested Pb shot in waterbirds from Doñana and found a lower prevalence in ducks than previously recorded in other Spanish wetlands. Lead shot were also found embedded in tissues of some waterbirds, proving that protected species such as the greater flamingo (Phoenicopterus ruber) and the glossy ibis (Plegadis falcinellus) are subjected to illegal hunting. The prevalence of embedded shot for geese was especially high (44% for trapped birds). Lead shot were detected in 2.8% of the pellets of the Spanish imperial eagle (Aquila adalberti) which usually preys on geese. We found that the prevalence of ingested Pb shot in geese and in Spanish imperial eagles has significantly decreased in recent years, possibly due to restrictions on hunting activity, efforts to remove shot from a sand dune used by geese to obtain grit, and to the high rainfall in Doñana during the last years that permitted waterfowl to stay more within the protected areas.

Characterization and postnatal development of 5'-deiodinase activity in goat perirenal fat.

The capacity to generate the active thyroid hormone 3,3',5-triiodothyronine (T3) from thyroxine (T4) has been assessed in the major adipose tissue depot (perirenal) of newborn goats through measurements of iodothyronine 5'-deiodinase activity. High activity of the enzyme was found in the perirenal adipose tissue. Developmental studies demonstrated that there was a rise, then a fall, in iodothyronine 5'-deiodinase activity (per milligram of protein) over the first week of postnatal life, with a further decline between the second and third weeks. At 3 wk of age, the activity per gram of tissue was only 2% of that of the newborn; however, because of age-related increases in the lipid content of the perirenal adipose tissue, the activity per cell (per microgram of DNA) at 3 wk of age was approximately 10% of the activity in the newborn. Kinetic studies and inhibition characteristics with propylthiouracil, gold thioglucose, and T4 indicated that the iodothyronine 5'-deiodinase in goat perirenal adipose tissue is of the type I form; there was no evidence for the type II enzyme. Affinity labeling of the iodothyronine 5'-deiodinase with bromoacetyl-rT3 or bromoacetyl-T4 was consistent with this view. In contrast to goats, only the type II enzyme is evident in rats and mice. It is concluded that the perirenal (brown) adipose tissue is likely to be a significant source of T3 for other tissues in newborn goats and that there are major species variations in the form of iodothyronine 5'-deiodinase present in brown fat, with the goat exclusively exhibiting type I.