[Normal pattern of intraepidermal nerve fibers in 30 healthy volunteers with PGP 9.5]. / Padronização normal das fibras nervosas intraepidérmicas em 30 voluntários saudáveis com PGP 9,5.

Skin biopsy has become an attractive technique to evaluate the terminal regions of small nerve fibers. There is extensive innervation of the skin by both sensory and autonomic fibers as demonstrated by staining for the pan-axonal marker PGP 9,5. The normal pattern is fundamental before any study, since three different techniques described in the literature with different results. Skin biopsy specimens of 3-mm in diameter were obtained from the distal leg of 30 healthy controls. Median intraepidermal nerve fiber density was 5.3/mm. Skin biopsy may be a useful tool for assessing the topographic extent and degree of nerve fiber damage in sensory neuropathies and may be particularly useful in experimental treatment trials for peripheral neuropathies since, in contrast to standard nerve biopsy, the test can be repeated.

Padronização normal das fibras nervosas intraepidérmicas em 30 voluntários saudáveis com PGP 9, 5 / Normal pattern of intraepidermal nerve fibers in 30 healthy volunteers with PGP 9.5

O recente método de avaliação das fibras nervosas intraepidérmicas com o PGP 9,5 vem se mostrando de grande utilidade no diagnóstico das neuropatias sensitivas de fibras finas, autonômicas e neuropatias periféricas subclínicas. Devido à variação da técnica relatada na literatura é de fundamental importância uma padronização normal. Estudamos 15 homens e 15 mulheres com média de idade de 34,5 anos. Em todos os voluntários foi realizada biopsia de pele na porção distal da perna. A média da densidade linear das fibras nervosas intraepidérmicas foi 5,3/mm com mediana de 6,0 e desvio padrão de 1,94. Essa técnica possui um grande número de vantagens em relação à biopsia de nervo convencional, é simples, pouco invasiva, reproduzível e pode ser repetida no mesmo paciente para avaliar progressão da neuropatia e possíveis respostas terapêuticas.

U0ltrastructural description of the musculature, the intraepidermal nervous system, and their interrelation in Pseudochordodes bedriagae (Nematomorpha).

The ultrastructure of the body wall muscles and the intraepidermal nervous system of the Gordiida Pseudochordodes bedriagae are described. The body wall muscles are of the circomyarian type, since the sarcomeres constitute a system of continuous peripheral helices. The organisation of the sarcomeres follows a pattern that resembles that of the striated muscles. The muscle fibres are separated into areas by invaginations formed exclusively by the plasma membrane (T component), while the sarcoplasmic reticulum lies at the sides of the Z granules forming subsarcolemmal cisternae, and in the zone near the nucleus, like flattened vesicles, contributing with the T component to the formation of dyads and triads. The muscle fibres present two types of adaptations for their innervation: (1) cytoplasmic projections towards the epidermis, and (2) invaginations of the plasmalemma. The motor peripheral nervous system is conformed by the nerve fibres that run within the epidermis and their projections towards the basal membrane in order to contact the adaptations of the muscle fibres in a basi-epidermal synapsis. The presence of an intraepithelial peripheral nervous system in Gordiida confirms a structural pattern common to other taxa of Nemathelminthes.