[Lungs "Hassalloid´s-like" bodies in children with epidermolysis bullosa junctionalis and bart´s syndrome]. / "Hassalloidné" telieska v plúcach u dietata s epidermolysis bullosa junctionalis a s Bartovým syndrómom.

Epidermolysis bullosa and Bart´s syndrome are fairly accurately documented diseases by histopathology. In the article the authors describe interesting and hitherto undescribed phenomenon in the lungs male infant with epidermolysis bullosa junctionalis and Barts syndrome, who died 17 days after birth and 13 days after surgery for pyloric atresia, on multiorgan failure within basic congenital diseases.Histologically in lung alveoli was found to the massive presence of foamy macrophages and numerous globoid formations resembling morphological and immunohistochemical "Hassall´s" bodies in a thymus of the newborn. It was a acidophillic spherical bodies concentric tracks in the connective tissue with focal presence of fibrin, as a unique proof CKAE1/AE3 and CKHMW positive epithelial cells and CD68-positive histiocytic elements. An interesting finding was the follicular skin structure in the center "hassalloid´s-like" body, which suggests an aspiration components of the skin during intrauterine life.Normal Apgar score at birth of the child (10/10/10 s.) and severe histological features on the death of the child testify for the first pathogenetic formation "hassalloid´s-like" bodies in the lungs during the 17-day life of a disabled child.

[Skin cell response after jellyfish sting]. / Kozná bunková reakcia po popálení medúzou.

INTRODUCTION: Jellyfish burning is not commonly part of the professional finding in the central Europe health care laboratory. Holiday seaside tourism includes different and unusual presentations of diseases for our worklplaces. Sea water-sports and leisure is commonly connected with jellyfish burning and changes in the skin, that are not precisely described. AIM: Authors focused their research on detection of morphological and quantitative changes of some inflammatory cells in the skin biopsy of a 59-years-old woman ten days after a jellyfish stinging. Because of a comparison of findings the biopsy was performed in the skin with lesional and nonlesional skin. METHODS: Both excisions of the skin were tested by imunohistochemical methods to detect CD68, CD163, CD30, CD4, CD3, CD8, CD20 a CD1a, to detect histiocytes, as well as several clones of lymphocytes and Langerhans cells (antigen presenting cells of skin), CD 117, toluidin blue and chloracetase esterase to detect mastocytes and neutrophils. Material was tested by immunofluorescent methods to detect IgA, IgM, IgG, C3, C4, albumin and fibrinogen. Representative view-fields were documented by microscope photocamera Leica DFC 420 C. Registered photos from both samples of the skin were processed by morphometrical analysis by the Vision Assistant software. A student t-test was used for statistical analysis of reached results. RESULTS: Mean values of individual found cells in the sample with lesion and without lesion were as follows: CD117 -2.64/0.37, CD68-6.86/1.63, CD163-3.13/2.23, CD30-1.36/0.02, CD4-3.51/0.32, CD8-8.22/0.50, CD3-10.69/0.66, CD20-0.56/0.66, CD1a-7.97/0.47 respectively. Generally mild elevation of eosinofils in lesional skin was detected. Increased values of tested cells seen in excision from lesional skin when compared with nonlesional ones were statistically significant in eight case at the level p = 0.033 to 0.001. A not statistically significant difference was found only in the group of CD163+ histiocytes. CONCLUSION: Authors detected numbers of inflammatory cells in lesional skin after the stinging by a jellyfish and compared them with the numbers of cells in the nonlesional skin of the same patient. Statistically significant differences were seen in the level of selected inflammation cells and numerically documented changes of cellularity in the inflammatory focus were caused by a hypersensitivity reaction after jellyfish injury in the period of 10 days after attack.

[Bart´s syndrome associated with epidermolysis bullosa junctionalis and with pyloric atresia. An autopsy case report]. / Bartov syndróm asociovaný s epidermolysis bullosa junctionalis a s atréziou pyloru. Nekroptická kazuistika.

Barts syndrome, in literature also known under the name CLAS (Congenital Localised Absence of Skin), first described by Bart in 1966 as congenital localized absence of skin, epidermolysis bullosa congenita and nail abnormalities. The authors present a macroscopic and histological findings of a newborn with Barts syndrome, with epidermolysis bullosa junctionalis and atresia pylori, who died 17 days after birth and 13 days after surgery for pyloric stenosis.

Occupational dermatoses caused by contact with metalworking fluids in the region of central slovakia from 2000 to 2012.

Metalworking fluids (MWFs) are a common cause of allergic and irritant contact dermatitis. MWFs being currently used are mostly water based, containing biocides, emulsifiers, and other additives. We performed a retrospective analysis of the etiology of the occupational dermatoses caused by metalworking fluids in three regions of Central Slovakia (population of approximately 2 million) between 2000 and 2012. The primary aim was the analysis of metalworking fluid-induced dermatoses, which involved determining the particular disease type (allergic or irritant), its regional distribution, and the specific chemical causing the disease. The secondary aim of the study was to assess the level of knowledge and competence among dermatologists in performing patch testing for allergens contained in metalworking fluids using a study-specific questionnaire. Of the total number of 422 dermatoses during the analyzed period, 64 (41 in men and 23 in women) were caused by metalworking fluids. The implicated fluids were all aqueous, synthetic MWFs. 39 patients developed an allergic and 25 an irritant-induced contact dermatitis. 51 patients were tested using a special Trolab® metalworking battery (Almirall Hermal GmbH, Reinbek, Germany). The test identified a positive reaction to one of the following chemicals: methylchoroisothiazolinone/methylisothiazolinone (MCI/MI), formaldehyde, 1,2-benzisothiazoline-3-one, abietic acid, chloroxylenol, triclosan, amerchol L101, dichlorophene, propylenglycol, metylene (bis-methyl oxazolidine), monoethanolamine, and diethanolamine. The questionnaire showed that a large majority of Slovak dermatologists have no experiences with testing of MWFs. Metalworking fluids were found to be the most frequent cause of occupational contact dermatitis. They also are the second largest group of all occupational dermotoses. Their incidence corresponded with the presence of machine industry in the region. Several unresolved problems include detection of specific allergens and standardization of patch test performance among individual dermatologists. Low levels of experience in testing of MWFs revealed need to educate both dermatologists and residents.