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1.
Conserv Biol ; 28(1): 107-18, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24471781

RESUMO

Conservation of wide-ranging species, such as the African forest elephant (Loxodonta cyclotis), depends on fully protected areas and multiple-use areas (MUA) that provide habitat connectivity. In the Gamba Complex of Protected Areas in Gabon, which includes 2 national parks separated by a MUA containing energy and forestry concessions, we studied forest elephants to evaluate the importance of the MUA to wide-ranging species. We extracted DNA from elephant dung samples and used genetic information to identify over 500 individuals in the MUA and the parks. We then examined patterns of nuclear microsatellites and mitochondrial control-region sequences to infer population structure, movement patterns, and habitat use by age and sex. Population structure was weak but significant, and differentiation was more pronounced during the wet season. Within the MUA, males were more strongly associated with open habitats, such as wetlands and savannas, than females during the dry season. Many of the movements detected within and between seasons involved the wetlands and bordering lagoons. Our results suggest that the MUA provides year-round habitat for some elephants and additional habitat for others whose primary range is in the parks. With the continuing loss of roadless wilderness areas in Central Africa, well-managed MUAs will likely be important to the conservation of wide-ranging species.


Assuntos
Distribuição Animal , Conservação dos Recursos Naturais , Elefantes/fisiologia , Meio Ambiente , Distribuição por Idade , Animais , Elefantes/genética , Fezes/química , Feminino , Gabão , Masculino , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Dinâmica Populacional , Estações do Ano , Análise de Sequência de DNA , Distribuição por Sexo
2.
Conserv Biol ; 27(3): 569-75, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23692020

RESUMO

Biodiversity conservation strategies are increasingly focused on regions outside national protected areas, where animals face numerous anthropogenic threats and must coexist with human settlements, livestock, and agriculture. The effects of these potential threats are not always clear, but they could have profound implications for population viability. We used savannah elephants (Loxodonta africana) as a case study to assess the physiological stress associated with living in a human-livestock-dominated landscape. We collected samples over two 3-month periods in 2007 and 2008. We used fecal DNA to identify 96 individual elephants in a community conservation area (CCA) and measured fecal glucocorticoid metabolite (FGM) concentrations as a proxy for stress. The CCA is community Maasai land managed for livestock and wildlife. We compared the FGM concentrations from the CCA to FGM concentrations of 40 elephants in Amboseli National Park and 32 elephants in the Maasai Mara National Reserve, where human settlements and intense livestock grazing were absent. In the CCA, we found no significant individual differences in FGM concentrations among the elephants in 2007 (p = 0.312) or 2008 (p = 0.412) and no difference between years (p = 0.616). The elephants in the CCA had similar FGM concentrations to the Maasai Mara population, but Amboseli elephants had significantly lower FGM concentrations than those in either Maasai Mara or the CCA (Tukey pairwise test, p < 0.001), due primarily to females excreting significantly lower FGM relative to males (p = 0.025). In the CCA, there was no relation among female group size, average pairwise group relatedness, and average group FGM concentration. We found no clear evidence of chronic stress in elephants living on CCA communal land, which is encouraging for conservation strategies promoting the protection of animals living outside protected areas.


Assuntos
Conservação dos Recursos Naturais , Elefantes/fisiologia , Glucocorticoides/metabolismo , Estresse Fisiológico , Animais , Elefantes/genética , Fezes/química , Feminino , Genótipo , Humanos , Masculino , Fatores Sexuais
3.
Genet Mol Res ; 12(2): 887-91, 2013 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-23613235

RESUMO

Ctenomys pearsoni (Pearson's tuco-tuco) is a subterranean rodent native to Uruguay. We tested the amplification pattern of 12 microsatellite loci, designed for C. sociabilis and C. haigi in a C. pearsoni population. DNA extractions were made from hair samples, and PCR amplification products were run on an ABI 3100 microcapillary gel. Eight loci were selected to form a highly polymorphic panel that could be used to efficiently screen populations of this species. In DNA from 35 tuco-tucos, the mean polymorphic information content value was 0.6536 and the mean expected heterozygosity was 0.7166. Paternity non-exclusion probabilities for seven independent loci were NE-1P = 0.0766 and NE-2P = 0.0108, and combined non-exclusion P(ID) was 6.2 x 10(-7). This panel of microsatellite loci has sufficient power to make inferences regarding group structure, mating strategies and evolutionary relationships among populations.


Assuntos
Repetições de Microssatélites , Polimorfismo Genético , Roedores/genética , Alelos , Animais , Loci Gênicos , Genética Populacional , Técnicas de Amplificação de Ácido Nucleico
4.
J Exp Med ; 137(6): 1459-71, 1973 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-4350835

RESUMO

Elucidation of the functions of the eosinophil might be accomplished by analysis of the granule constituents. We have purified eosinophils (93% or greater) from the peritoneal cavity of the guinea pig and have investigated a variety of methods to disrupt cells and liberate intact granules. Lysis in 0.34 M sucrose gave the best yield of granules and these had the characteristic morphology of eosinophil granules when examined by electron microscopy. Granules were solubilized by a variety of treatments and the solutions analyzed by polyacrylamide electrophoresis at pH 3 in 6 M urea. Comparison of the electrophoretic patterns of solubilized eosinophil and neutrophil granules revealed a difference: a major portion (53+/-3%; x +/-1 SE) of the protein from the eosinophil granule migrated as a single component. This major band protein has a molecular weight between 6,000 and 12,000 daltons and a pI of 10 or greater. Analysis of eosinophil granule constituents on Sephadex G-50 revealed two main peaks; peak 1 possessed peroxidase activity and peak 2 contained the major band protein. These studies indicate that eosinophil granules contain a cationic protein of low molecular weight which lacks peroxidase activity and which accounts for greater than 50% of granule protein.


Assuntos
Proteínas Sanguíneas/análise , Eosinófilos/análise , Animais , Bioensaio , Proteínas Sanguíneas/isolamento & purificação , Eletroforese em Gel de Poliacrilamida , Eosinófilos/enzimologia , Liofilização , Cobaias , Corpos de Inclusão , Microscopia Eletrônica , Peroxidases
5.
Science ; 276(5319): 1687-9, 1997 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-9180076

RESUMO

Mitochondrial DNA control region sequences were analyzed from 162 wolves at 27 localities worldwide and from 140 domestic dogs representing 67 breeds. Sequences from both dogs and wolves showed considerable diversity and supported the hypothesis that wolves were the ancestors of dogs. Most dog sequences belonged to a divergent monophyletic clade sharing no sequences with wolves. The sequence divergence within this clade suggested that dogs originated more than 100,000 years before the present. Associations of dog haplotypes with other wolf lineages indicated episodes of admixture between wolves and dogs. Repeated genetic exchange between dog and wolf populations may have been an important source of variation for artificial selection.


Assuntos
Evolução Biológica , Carnívoros/genética , DNA Mitocondrial/genética , Cães/genética , Animais , Sequência de Bases , Cruzamento , Cruzamentos Genéticos , Cães/classificação , Feminino , Haplótipos , Masculino , Dados de Sequência Molecular , Filogenia , Homologia de Sequência do Ácido Nucleico
6.
J Clin Invest ; 57(3): 633-40, 1976 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-942977

RESUMO

Guinea pig eosinophil granules contain a protein, the major basic protein (MBP), which accounts for more than half of the total granule protein, has a high content of arginine, and displays a remarkable tendency to form disulfide-linked aggregates. In this study we have purified a similar protein from human eosinophil granules and have compared the human MBP to the protein comprising the Charcot-Leyden crystal (CLC). Eosinophils from patients with various diseases were purified and disrupted, and the granule fraction was obtained. Examination of the granule fraction by transmission electron microscopy showed numerous typical eosinophil granules. Analyses of granule lysates by gel filtration and by polyacrylamide gel electrophoresis revealed the presence of peroxidase and MBP with properties similar to that previously found in guinea pig eosinophil granules. The human MBP had a molecular weight of 9,200, contained less than 1% carbohydrate, was rich in arginine, and readily formed disulfide-bonded aggregates. CLC were prepared from eosinophil-rich cell suspensions by homogenization in hypotonic saline. The supernates following centrifugation of cell debris spontaneously formed CLC. Analysis of CLC revealed the presence of a protein with a molecular weight of 13,000 containing 1.2% carbohydrate. The protein displayed a remarkable tendency to aggregate even in the presence of 0.2 M acetic acid. Human MBP and CLC protein differed in their molecular weights, carbohydrate compositions, and amino acid analyses. Mixtures of the MBP and the CLC protein yielded two bands in polyacrylamide gel electrophoresis. Neither eosinophil protein increased vascular permeability in the guinea pig skin or contracted the guinea pig ileum. The results indicate that the human MBP and the CLC are distinct substances with properties such that one cannot be derived from the other.


Assuntos
Proteínas Sanguíneas/isolamento & purificação , Eosinófilos/análise , Animais , Cristalização , Cristalografia , Eletroforese em Gel de Poliacrilamida , Eosinófilos/metabolismo , Eosinófilos/ultraestrutura , Glicoproteínas , Cobaias , Humanos , Lisofosfolipase , Microscopia Eletrônica , Peso Molecular
7.
J Clin Invest ; 51(3): 666-76, 1972 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-5011106

RESUMO

A striking history of familial polycythemia led to a search for an abnormal hemoglobin. None could be demonstrated by routine electrophoretic methods, but the propositus' hemolysate had increased oxygen affinity. Manipulation of the conditions of electrophoresis, and chromatographic methods, permitted identification of hemoglobin Malmö. Studies of hemolysates demonstrated a normal Bohr effect, decreased heme-heme interaction (n=1.58), and a p50 of 1.3 mm Hg at 10 degrees C and pH 7.2. The amino acid substitution occurs in the same position (FG-4) as that of hemoglobin Chesapeake, but in the beta-chain rather than the alpha-chain. The two types of hemolysate have different pathophysiologic properties, and carriers of hemoglobin Malmö exhibit more striking hematologic abnormalities.


Assuntos
Sequência de Aminoácidos , Hemoglobinas Anormais/isolamento & purificação , Policitemia/sangue , Eletroforese das Proteínas Sanguíneas , Cromatografia por Troca Iônica , Cromatografia em Papel , Eletroforese Descontínua , Eletroforese em Gel de Amido , Feminino , Hematócrito , Hemoglobinas Anormais/análise , Humanos , Concentração de Íons de Hidrogênio , Masculino , Oxigênio/sangue , Peptídeos/análise , Policitemia/genética , Fatores Sexuais , Tripsina
8.
Genet Mol Res ; 6(4): 1118-22, 2007 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-18273805

RESUMO

In cross-species amplification tests of 15 ungulate primers in pampas deer, five were retained to form a small panel of highly polymorphic loci that could be used to efficiently screen populations of this endangered species. The polymerase chain reactions were performed incorporating the universal fluorescent labeled M13 (-21) primer. In 69 pampas deer, average allelic diversity was 15, expected heterozygosity was 0.869 and the mean polymorphic information content value was 0.847. Paternity exclusion probabilities over loci were NE-1P = 0.01336 and NE-2P = 0.00135, and combined non-exclusion probability of identity was P(ID) = 3 x 10(-8).


Assuntos
Cervos/genética , Alelos , Animais , Sequência de Bases , Bovinos/genética , Primers do DNA/genética , Cervos/classificação , Feminino , Variação Genética , Genética Populacional , Cabras/genética , Desequilíbrio de Ligação , Masculino , Repetições de Microssatélites , Técnicas de Amplificação de Ácido Nucleico , Polimorfismo Genético , Ovinos/genética , Especificidade da Espécie
9.
Arch Intern Med ; 135(2): 267-70, 1975 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1147730

RESUMO

The designation "pseudomyeloma'' is used to describe three patients who had a clinical picture that closely resembled multiple myeloma and was characterized by severe osteoporosis and a serum monoclonal paraprotein peak. The diagnosis of myeloma could not be made histologically, initally or after three, four, or ten years of observation. The protein abnormalities and the bone marrow picture remained stable. It is not known if this association has pathophysiologic importance or if it represents a chance phenomenon.


Assuntos
Transtornos das Proteínas Sanguíneas/complicações , Mieloma Múltiplo/diagnóstico , Osteoporose/complicações , Sedimentação Sanguínea , Exame de Medula Óssea , Ciclofosfamida/uso terapêutico , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Imunoglobulinas/isolamento & purificação , Masculino , Melfalan/uso terapêutico , Pessoa de Meia-Idade , Mieloma Múltiplo/fisiopatologia , Osteoporose/tratamento farmacológico
10.
Am J Med ; 58(3): 354-64, 1975 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-163583

RESUMO

From a review of 17 cases of Fanconi syndrome with Bence Jones proteinuria and myeloma or amyloidosis, including three new cases reported here in detail, there emerges a well defined set of characteristics. In most cases, the diagnosis of Fanconi syndrome preceded the development of myeloma or amyloidosis. Myeloma preceding the development of Fanconi syndrome has not been reported. All the patients had Bence Jones proteinuria, but in some it could be detected only by electrophoresis or immunoelectrophoresis, In the seven cases in which the Bence Jones protein was typed, it was of kappa type. There were no serum protein monoclonal abnormalities. In the bone marrow and renal samples of half of the patients, crystalline cytoplasmic inclusion bodies were present in lymphoplasmacytic elements and renal tubular cells. It is proposed that patients with Fanconi syndrome and Bence Jones proteinuria have a distinct type of plasma cell disorder or variant of the monoclonal gammopathies, characterized by a slow progression of the tumor and by an early phase dominated by the metabolic complications of the renal proximal tubular dysfunction. Adult patients with Fanconi syndrome should be carefully investigated for the presence of Bence Jones protein and a plasmacytic dyscrasia should be excluded.


Assuntos
Síndrome de Fanconi/etiologia , Mieloma Múltiplo/complicações , Idoso , Proteína de Bence Jones , Biópsia por Agulha , Eletroforese das Proteínas Sanguíneas , Medula Óssea/patologia , Síndrome de Fanconi/diagnóstico , Síndrome de Fanconi/metabolismo , Feminino , Glicosúria/etiologia , Humanos , Imunoeletroforese , Corpos de Inclusão/ultraestrutura , Inalação , Rim/patologia , Masculino , Microscopia Eletrônica , Pessoa de Meia-Idade , Plasmócitos/patologia , Proteinúria/etiologia
11.
Mayo Clin Proc ; 51(7): 452-62, 1976 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1064737

RESUMO

We have previously reported on the ultrastructure of platelets in preleukemia and myelomonocytic leukemia. We referred to an unusual and distinct anomaly of the platelet granules found in 15 of 16 patients. In the present communication we wish to describe and illustrate the light microscopic appearance of giant anomalous granules. Close scrutiny of the platelet morphology and a search for the aforementioned platelet granulopathy are important in the evaluation of patients with myeloproliferative diseases. In this paper we describe and illustrate in more detail the ultrastructure and ultrastructural histochemistry of the abnormal granules. In those patients with the platelet granulopathy, we have conducted in vitro platelet aggregation studies and carried out an electron microscopic evaluation of the aggregates. At least some of the giant granules remained morphologically intact in advanced stages of the aggregation phenomenon, and thus they are probably composed of elements that were not released during aggregation.


Assuntos
Plaquetas/ultraestrutura , Grânulos Citoplasmáticos/ultraestrutura , Leucemia Mieloide/patologia , Lesões Pré-Cancerosas/patologia , Fosfatase Ácida/análise , Anemia Aplástica/patologia , Plaquetas/enzimologia , Membrana Celular/ultraestrutura , Humanos , Leucemia Mieloide/sangue , Peroxidases/análise , Agregação Plaquetária , Lesões Pré-Cancerosas/sangue , Vacúolos/ultraestrutura
12.
Mayo Clin Proc ; 50(10): 573-87, 1975 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1058329

RESUMO

Light and electron microscopic studies of platelets from 16 patients with myelomonocytic leukemia or "preleukemia" revealed major morphologic alterations in 15 and minor ones in 1. Although variable in severity from case to case, the changes present followed a distinct pattern. In most cases there were two platelet populations, one morphologically normal and one morpholigically abnormal. The most salient changes pertained to size (giant forms), shape (the platelets being rounded and probably spheroidal), decrease or absence of the microtubules, and increase in immature elements. A striking feature was the variation in size and shape of the granules, with truly giant forms (up to 2.5 mum) being present. In cytogenetic studies in 14 cases, there was no correlation between the chromosomal changes and the various types of platelet anomalies.


Assuntos
Anemia Aplástica/patologia , Transtornos Plaquetários/patologia , Leucemia Mieloide/patologia , Adulto , Idoso , Agranulocitose/patologia , Plaquetas/ultraestrutura , Medula Óssea/análise , Células da Medula Óssea , Aberrações Cromossômicas , Transtornos Cromossômicos , Retículo Endoplasmático/patologia , Feminino , Glicogênio/isolamento & purificação , Humanos , Masculino , Megacariócitos/patologia , Microtúbulos/patologia , Pessoa de Meia-Idade , Mitose , Vacúolos/patologia
13.
Mayo Clin Proc ; 51(6): 379-92, 1976 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1063906

RESUMO

In vitro aggregation of the platelets from four patients with refractory anemia and two patients with acute myelomonocyctic leukemia revealed distinctive abnormalities. In five patients, there was deficient or minimal aggregation with adenosine diphosphate (ADP), epinephrine, or collagen and only one wave of aggregation could be elicited with ADP at any concentration. Ultrastructural studies revealed numerous isolated platelets, small aggregates with few platelet pseudopods, and the presence of a characteristic type of aggregate with heterogeneous platelet composition combining features of both the primary and the secondary waves of aggregation. These "mixed aggregates" were particularly abundant in the four patients who had refractory anemia and may constitute the structural basis of the single wave of aggregation observed.


Assuntos
Anemia Aplástica/sangue , Plaquetas/ultraestrutura , Leucemia Mieloide/sangue , Agregação Plaquetária , Difosfato de Adenosina/farmacologia , Colágeno/farmacologia , Epinefrina/farmacologia , Humanos , Megacariócitos/ultraestrutura , Agregação Plaquetária/efeitos dos fármacos
14.
Mayo Clin Proc ; 51(7): 443-51, 1976 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-180359

RESUMO

Studies of in vitro platelet aggregation were done in five patients with refractory anemia and two with acute myelomonocytic leukemia. The macroscopic results as well as the general ultrastructural findings were reviewed in a companion paper. Electron microscopic analysis of changes in the individual platelets within aggregates revealed a striking heterogeneity, both in the degree of response of each platelet are in the ultrastructural characteristics of the platelet population. Many of the unaggregated platelets had reacted individually, resembling the platelets of patients with Glanzmann's thrombasthenia. There were other abnormalities suggesting the presence of surface defects, such as the presence of areas of obliteration of the interplatelet space (so-called tight connections). One of the most striking findings was a peculiar dissociation between the different components of the aggregation sequence.


Assuntos
Anemia Aplástica/patologia , Transtornos Plaquetários/patologia , Plaquetas/ultraestrutura , Leucemia Mieloide/patologia , Agregação Plaquetária , Anemia Aplástica/sangue , Plaquetas/patologia , Núcleo Celular/ultraestrutura , Colágeno/farmacologia , Grânulos Citoplasmáticos/ultraestrutura , Humanos , Corpos de Inclusão/ultraestrutura , Leucemia Mieloide/sangue , Megacariócitos/ultraestrutura , Adesividade Plaquetária , Pseudópodes/ultraestrutura , Propriedades de Superfície
15.
Mayo Clin Proc ; 50(7): 402-6, 1975 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1171340

RESUMO

The platelets of a patient with the Bernard-Soulier syndrome were studied by electron microscopy. The main abnormalities were the presence of giant and often round platelets, hypertrophic and frequently widely dilated open canalicular system, disorganized microtubules, and platelets with sparse or absent granulation. Although well defined, these ultrastructural morphologic aberrations are not considered diagnostic or pathognomonic of the syndrome.


Assuntos
Plaquetas/ultraestrutura , Púrpura Trombocitopênica/genética , Adolescente , Retículo Endoplasmático/ultraestrutura , Complexo de Golgi/ultraestrutura , Humanos , Linfócitos/ultraestrutura , Masculino , Microscopia Eletrônica , Púrpura Trombocitopênica/sangue , Púrpura Trombocitopênica/patologia , Síndrome
16.
Mayo Clin Proc ; 51(9): 585-93, 1976 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-183065

RESUMO

Platelets and megakaryocytes from 11 patients with the carcinoid syndrome have been studied by transmission electron microscopy. Cells fixed in phosphate-buffered glutaraldehyde are oval to discoid, with pseudopods, a dilated open-channel system, and a prominent dense tubular system as defined by peroxidase activity and alkaline bismuth stain. Atypical with hexagonal lattices and treaded substructures and large (diameter greater than 0.5 mum), phosphatase-positive, debris-containing vacuoles are four times more numerous than in normal platelets. Incubation of platelets in a 0.05% suspension of latex results in particle incorporation into phagosomes and the debris-containing vacuoles. Molybdate-dichromate stain reveals two classes of dense bodies, one of which (with a reticular core) is 20 times more numerous than in normal platelets. Bone marrow megakaryocytes lack both dense bodies and debris vacuoles analogous to those found in circulating platelets. These results suggest autophagy or endocytosis abnormalities and provide evidence for multiple types of dense bodies in carcinoid platelets.


Assuntos
Plaquetas/ultraestrutura , Síndrome do Carcinoide Maligno/metabolismo , Megacariócitos/ultraestrutura , Fosfatase Ácida/metabolismo , Idoso , Plaquetas/enzimologia , Plaquetas/metabolismo , Grânulos Citoplasmáticos/ultraestrutura , Feminino , Histocitoquímica , Humanos , Ácido Hidroxi-Indolacético/urina , Corpos de Inclusão/ultraestrutura , Masculino , Síndrome do Carcinoide Maligno/sangue , Síndrome do Carcinoide Maligno/patologia , Síndrome do Carcinoide Maligno/urina , Pessoa de Meia-Idade , Metástase Neoplásica , Fagocitose , Serotonina/metabolismo , Vacúolos/ultraestrutura
17.
Mayo Clin Proc ; 51(11): 697-708, 1976 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-994551

RESUMO

Five patients were seen at the Mayo Clinic over an 8-year period with the following complex of clinical and morphologic features; striking eosinophilia, cardiomyopathy, hepatosplenomegaly, and either a rapidly fatal or a prolonged, debilitating illness. In recent years, controversy has raged over the precise designation of this syndrome, with proposals ranging from eosinophilic leukemia to hypereosinophilic syndromes. To focus on the major target organ of the disease, we have favored the term endomyocardiopathy with eosinophilia. Experience with these five patients showed that (1) eosinophilia can persist for many years before symptoms appear; (2) progressive restrictive cardiac disease was the major cause of death and debility; (3) osmiophilic cytoplasmic inclusions are present in eosinophils of these patients and also in cells from other patients with marked eosinophilia; and (4) echocardiography may prove to be a useful noninvasive tool to diagnose and follow the progress of cardiac involvement. Although none of these patients was thought to have leukemia, intensive therapy with steroids or cytotoxic agents, or both, is considered necessary to control the progression of the disease.


Assuntos
Cardiomiopatias/complicações , Eosinofilia/complicações , Adolescente , Adulto , Bussulfano/uso terapêutico , Cardiomiopatias/diagnóstico , Cardiomiopatias/tratamento farmacológico , Grânulos Citoplasmáticos/ultraestrutura , Digoxina/uso terapêutico , Difenidramina/uso terapêutico , Eosinofilia/diagnóstico , Eosinofilia/tratamento farmacológico , Eosinófilos/ultraestrutura , Feminino , Furosemida/uso terapêutico , Hepatomegalia/diagnóstico , Humanos , Hidroxiureia/uso terapêutico , Masculino , Pessoa de Meia-Idade , Prednisona/uso terapêutico , Esplenomegalia/diagnóstico , Síndrome
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