Composition of calcifications in children with juvenile dermatomyositis: association with chronic cutaneous inflammation.

OBJECTIVE: Calcific deposits develop in 20-40% of children with juvenile dermatomyositis (juvenile DM), contributing to disease morbidity and mortality. This study was undertaken to define the structure and composition of these deposits and to characterize their association with chronic inflammation. METHODS: We examined calcific deposits from 5 children with juvenile DM (2 boys and 3 girls). The crystal structure and mineral content of the deposits was analyzed by x-ray diffraction, Fourier transform infrared spectroscopy, and imaging. The protein content of the deposits, following solubilization, was assayed by Western blotting. RESULTS: All 5 children had both a young age at disease onset (mean +/- SD 3.3 +/- 1.9 years) and, despite therapy, persistent cutaneous inflammation (mean +/- SD duration 81.3 +/- 58.7 months). The bone proteins, osteopontin, osteonectin, and bone sialoprotein, were identified in the protein extracts; the only mineral detected was hydroxyapatite, but the tissue was distinct from bone, with an extremely high mineral content and an irregular distribution of mineral. CONCLUSION: These results indicate that chronic cutaneous inflammation may contribute to the formation of hydroxyapatite-containing pathologic calcifications in children with juvenile DM.

Uptake and elimination of naphthalene from liver, lung, and muscle tissue in the leopard frog (Rana pipiens).

The effects of a 0-12-hour naphthalene exposure on pulmonary CO(2) excretion and bioaccumulation in the leopard frog, Rana pipiens, were investigated. The data showed that naphthalene transport occurred from the aqueous phase into the frog tissue. The first-order rate constant (k in day-1) for the entry of naphthalene from the water into the frog was 0.079 +/- 0.007 (k +/- 95% C.I.). Bioaccumulation of naphthalene was measured in liver, lung, and thigh muscle tissue. Exposure to naphthalene caused a significant reduction in pulmonary CO(2) excretion, particularly following the first 30 minutes of exposure. Pulmonary CO(2) excretion returned to baseline levels after 8 hours of exposure, indicating that some degree of acclimation had occurred. Depuration experiments were used to monitor recovery from naphthalene exposure. Recovery of CO(2) excretion was evident following 2 hours of depuration and complete elimination of naphthalene from tissues occurred after 3 hours. The data indicate that accumulated polycyclic aromatic hydrocarbons (PAHs) may alter normal physiologic functions such as gas exchange. Since amphibians, such as frogs, are one of the first organisms to come into contact with contaminated water and sediments, the information in this study suggests that this species may be used to assess bioaccumulation and toxicity of PAHs in ecosystems.