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1.
Phys Rev Lett ; 120(22): 221301, 2018 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29906152

RESUMO

A search for boosted dark matter using 161.9 kt yr of Super-Kamiokande IV data is presented. We search for an excess of elastically scattered electrons above the atmospheric neutrino background, with a visible energy between 100 MeV and 1 TeV, pointing back to the Galactic center or the Sun. No such excess is observed. Limits on boosted dark matter event rates in multiple angular cones around the Galactic center and Sun are calculated. Limits are also calculated for a baseline model of boosted dark matter produced from cold dark matter annihilation or decay. This is the first experimental search for boosted dark matter from the Galactic center or the Sun interacting in a terrestrial detector.

2.
Phys Rev Lett ; 113(12): 121301, 2014 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-25279618

RESUMO

Bosonic superweakly interacting massive particles (super-WIMPs) are a candidate for warm dark matter. With the absorption of such a boson by a xenon atom, these dark matter candidates would deposit an energy equivalent to their rest mass in the detector. This is the first direct detection experiment exploring the vector super-WIMPs in the mass range between 40 and 120 keV. With the use of 165.9 day of data, no significant excess above background was observed in the fiducial mass of 41 kg. The present limit for the vector super-WIMPs excludes the possibility that such particles constitute all of dark matter. The absence of a signal also provides the most stringent direct constraint on the coupling constant of pseudoscalar super-WIMPs to electrons. The unprecedented sensitivity was achieved exploiting the low background at a level 10(-4) kg-1 keVee-1 day-1 in the detector.

3.
Thorac Cardiovasc Surg ; 60(2): 124-30, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21544787

RESUMO

BACKGROUND: The systemic and pulmonary inflammatory response associated with pneumonectomy performed via minithoracotomy versus that after open posterolateral thoracotomy is uncertain. METHODS: Groups consisting of 7 randomly assigned mice underwent a) minithoracotomy (with 5-mm long incisions and sparing of the muscles) alone, b) posterolateral thoracotomy (with 20-mm long incisions) alone, c) pneumonectomy via minithoracotomy, or d) pneumonectomy via posterolateral thoracotomy. The animals' daily food intake, body weight changes and spontaneous activity were monitored for 10 days, and lung water accumulation and vascular hyperpermeability in the remaining right lung were measured at 24 h after surgery. Concentrations of high mobility group box 1 protein (HMGB1), a mediator of inflammation and shock, were measured in the bronchoalveolar lavage fluid. RESULTS: Compared with posterolateral thoracotomy, pneumonectomy via minithoracotomy was associated with significantly less weight loss (p < 0.05), despite a similar daily food intake among the groups. Spontaneous activity after pneumonectomy via minithoracotomy returned earlier than after posterolateral thoracotomy. Pulmonary vascular hyperpermeability and water retention in the residual lung were significantly less prominent after pneumonectomy performed via minithoracotomy than after pneumonectomy via posterolateral thoracotomy (both comparisons p < 0.05). HMGB1 concentrations in the bronchoalveolar lavage fluid collected from the residual lung were significantly lower (p < 0.05) after minithoracotomy than after posterolateral thoracotomy. CONCLUSIONS: Based on postoperative weight loss, spontaneous activity, and the degree of pulmonary capillary injury in the residual lung, pneumonectomy via minithoracotomy was less invasive than posterolateral thoracotomy. The lower increase in HMGB1 associated with minithoracotomy might result in lower pulmonary vascular hyperpermeability and reflect less surgical invasiveness.


Assuntos
Lesão Pulmonar/prevenção & controle , Pneumonectomia/efeitos adversos , Toracotomia/efeitos adversos , Animais , Líquido da Lavagem Broncoalveolar/química , Permeabilidade Capilar , Ingestão de Alimentos , Proteína HMGB1/metabolismo , Lesão Pulmonar/diagnóstico por imagem , Lesão Pulmonar/etiologia , Lesão Pulmonar/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Atividade Motora , Pneumonectomia/métodos , Edema Pulmonar/etiologia , Edema Pulmonar/metabolismo , Edema Pulmonar/prevenção & controle , Toracotomia/métodos , Fatores de Tempo , Redução de Peso , Microtomografia por Raio-X
4.
Science ; 269(5220): 60-1, 1995 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-17787704

RESUMO

Radon concentration in ground water increased for several months before the 1995 southern Hyogo Prefecture (Kobe) earthquake on 17 January 1995. From late October 1994, the beginning of the observation, to the end of December 1994, radon concentration increased about fourfold. On 8 January, 9 days before the earthquake, the radon concentration reached a peak of more than 10 times that at the beginning of the observation, before starting to decrease. These radon changes are likely to be precursory phenomena of the disastrous earthquake.

5.
Int J Tuberc Lung Dis ; 12(3): 269-74, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18284831

RESUMO

OBJECTIVE: To examine the performance of an interferon-gamma (IFN-gamma) release assay (QuantiFERON-TB 2G assay [QFT-G]) to detect Mycobacterium tuberculosis infection in a Japanese general hospital, for the diagnosis of active pulmonary tuberculosis (PTB) and extra-pulmonary tuberculosis (EPTB). DESIGN: We prospectively examined the performance of QFT-G in 194 patients suspected of active TB. Diagnosis was confirmed by 1) positive M. tuberculosis cultures, or 2) clinical manifestations or laboratory or pathological findings consistent with active TB and response to specific therapy. RESULTS: Three patients with indeterminate QFT-G results were excluded. Among the remaining 191 patients, 77 had active TB. When the cut-off concentration of IFN-gamma was set at 0.35 IU/ml, as recommended by the manufacturer, the assay was positive in 69 patients and negative in 122. The sensitivity of the assay was 76.6% in all patients, 74.5% in the 47 patients with PTB and 80.0% in the 30 patients with EPTB. The overall specificity of the assay was 91.2%. CONCLUSION: Although the specificity of the QFT-G to detect active TB was high and its sensitivity low, it was as accurate for the detection of active EPTB as for PTB when the 0.35 IU/ml INF-gamma cut-off concentration was used.


Assuntos
Ensaio de Imunoadsorção Enzimática/métodos , Interferon gama/sangue , Tuberculose/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Antígenos de Bactérias , Proteínas de Bactérias , Humanos , Masculino , Pessoa de Meia-Idade , Derrame Pleural/diagnóstico por imagem , Curva ROC , Radiografia , Sensibilidade e Especificidade , Tuberculose Pulmonar/diagnóstico
6.
Genetics ; 74(3): 509-20, 1973 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-4355322

RESUMO

Ethyl methanesulfonate-treated third chromosome of Drosophila melanogaster were tested for the presence of dominant and recessive temperature-sensitive lethal mutations at 17 degrees , 22 degrees and 29 degrees C. Out of 1,176 chromosomes tested, no dominant ts lethals, 21 heat-sensitive, 22 cold-sensitive and 10 heat-cold-sensitive lethals were recovered. Heat-cold sensitivity was produced by a single mutation in all cases. Sixty-two percent of the ts lethals were fertile as homozygotes in both sexes. Surprisingly, 88% of the ts lethals mapped between st and Sb, a region straddling the centromere and estimated to comprise 12.9% of the genetic length and 55% of the physical length of chromosome 3. All but one of the heat- and cold-sensitive lethals complemented with each other at their respective restrictive temperatures.


Assuntos
Drosophila melanogaster , Genes Letais , Mutação , Temperatura , Animais , Mapeamento Cromossômico , Cromossomos/efeitos dos fármacos , Temperatura Baixa , Cruzamentos Genéticos , Feminino , Genes Dominantes , Genes Recessivos , Teste de Complementação Genética , Heterozigoto , Temperatura Alta , Masculino , Mesilatos/farmacologia , Mutagênicos/farmacologia , Mutação/efeitos dos fármacos
7.
Genetics ; 75(2): 299-321, 1973 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-4203579

RESUMO

It has been found that certain alleles of the zeste locus (z(a) 1-1.0) have no phenotype of their own, but interact with certain alleles at the bithorax locus (bx 3-58.8). This interaction takes the form of an enhancement of the homeotic bx phenotype to a more extreme form-i.e., the metathorax is transformed into mesothorax in varying degrees depending on the bx allele used. This enhancement is somewhat reminiscent of the transvection effect described by Lewis (1954). The characterization of the interaction thus far has shown that the enhancement only effects bx alleles which arise spontaneously, whereas the origin of the z(a) allele is unimportant. The gene claret nondisjunctional was used for the production of gynandromorphs which showed that the enhancing ability of z(a), like the eye pigment change caused by z, is autonomous. The enhancement of one specific allele (bx(34e)), which is temperature-sensitive, has allowed a delineation of the temperature-sensitive period of the bithorax locus to a period extending from the middle of the second larval instar to the middle of the third larval instar. These results, as well as those of other enhancer and suppressor systems in Drosophila, have revealed the possibility of the involvement of heterocyclic compounds in the control of cell determination and fate in Drosophila melanogaster.


Assuntos
Drosophila melanogaster/anatomia & histologia , Tórax/anormalidades , Alelos , Animais , Cruzamentos Genéticos , Drosophila melanogaster/crescimento & desenvolvimento , Olho , Feminino , Teste de Complementação Genética , Larva , Masculino , Microscopia Eletrônica de Varredura , Fenótipo , Pigmentação , Temperatura
8.
J Appl Physiol (1985) ; 77(2): 567-73, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8002501

RESUMO

Estimating blood content in the lung remains a key step in calculating lung water volume and microvascular permeability. We studied the effect of regional lung hematocrit (Hct) variation on assessment of acute lung injury. Escherichia coli endotoxin was administered in guinea pigs intravenously. Lung injury was evaluated by measuring the wet-to-dry weight ratio (W/D) and transvascular 125I-labeled albumin leakage for 3 h [tissue-to-plasma 125I-albumin ratio (T/P)] in five tissue samples from each animal. Residual blood content was corrected using either 51Cr-red blood cells as a blood cell marker, 99mTc-albumin as a plasma marker, or both, injected 10 min before the guinea pigs were killed. Lung Hct, estimated from the marker counts of lung and peripheral blood samples, was lower than peripheral blood Hct; intraindividual variation, represented by the standard deviation in each subject, was 0.024 +/- 0.015 for the control group (coefficient of variation 8.0 +/- 5.1%) and 0.026 +/- 0.013 for the endotoxin group (coefficient of variation 8.5 +/- 4.1%). Uncorrected W/D for residual blood content was greater than the corrected W/D. 99mTc-albumin correction gave values closer to the W/D corrected by both markers. T/P corrected by 99mTc-albumin showed smaller data variations than the values obtained with 51Cr-red blood cell correction, which was affected by variations in lung Hct. We recommend using a plasma marker to correct for blood content in assessing acute lung injury by W/D and T/P.


Assuntos
Pneumopatias/fisiopatologia , Circulação Pulmonar/fisiologia , Animais , Água Corporal/fisiologia , Radioisótopos de Cromo , Eritrócitos/fisiologia , Escherichia coli , Feminino , Cobaias , Hematócrito , Lipopolissacarídeos , Pneumopatias/induzido quimicamente , Tamanho do Órgão , Volume Plasmático/fisiologia , Soroalbumina Radioiodada
9.
J Appl Physiol (1985) ; 78(5): 1635-41, 1995 May.
Artigo em Inglês | MEDLINE | ID: mdl-7649897

RESUMO

Hyperoxic lung injury is attributable to oxygen radicals produced under hyperoxic conditions. The 21-aminosteroid (AS), U-74389G, is a potent antioxidant. We examined the effect of U-74389G on lung injury in guinea pigs during exposure to 90% O2 for 48 h. We injected either vehicle or 10 mg/kg of U-74389G 30 min before the O2 exposure and injected the same dose 12, 24, and 36 h later. We performed two series of experiments after exposure. In the first series, we measured the clearance rate of 99mTc-labeled dialdehyde starch (DAS) from the lungs as an index of pulmonary epithelial damage in three experimental groups consisting of 1) control (n = 6) O2 alone (n = 6), and 3) O2 + AS (n = 6). In the second series, pulmonary endothelial injury was estimated by using 28 guinea pigs divided into four experimental groups consisting of 1) control (n = 8), 2) AS alone (n = 5), 3) O2 alone (n = 6), and 4) O2 + AS (n = 9). In the second series, we measured the wet-to-dry weight ratio (W/D) as an index of lung water and the concentration ratio of 125I-labeled albumin in lung tissue and bronchoalveolar lavage (BAL) fluid compared with plasma (T/P and BAL/P, respectively) as indexes of pulmonary endothelial damage. Cell accumulation in BAL fluid and lung tissue samples was also assessed in the second series.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Antioxidantes/uso terapêutico , Pneumopatias/tratamento farmacológico , Oxigênio/toxicidade , Pregnatrienos/uso terapêutico , Animais , Contagem de Células Sanguíneas , Líquido da Lavagem Broncoalveolar/citologia , Endotélio/patologia , Epitélio/patologia , Água Extravascular Pulmonar/fisiologia , Feminino , Cobaias , Pulmão/metabolismo , Pneumopatias/patologia , Tamanho do Órgão/fisiologia , Soroalbumina Radioiodada , Amido/análogos & derivados , Compostos de Tecnécio
10.
Oncol Res ; 10(3): 123-32, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9700723

RESUMO

Three newly synthesized imidazothiazole derivatives (N276-12, N276-14, N276-17) were examined regarding their ability and mechanism as a chemosensitizing agent against multidrug resistance 1 (MDR1)-mediated and multidrug resistance-associated protein (MRP)-mediated MDR. All three N276 compounds almost completely reversed the acquired resistance to vincristine (VCR), vinblastine (VBL), and doxorubicin (DXR) in MDR1-overexpressing human cancer cell lines (KB/VJ300 and T24/VCR). Their reversal effect against acquired resistance to VCR, DXR, and etoposide (VP16) was partial but clearly observed in the cell line expressing MRP (KB/VP4). All three N276 compounds enhanced the intracellular accumulation of [3H]VCR in MDR1-overexpressing KB/VJ300 cells through the inhibition of the increased efflux of the drug. They (100 microM) almost completely inhibited the photoaffinity labeling of P-glycoprotein encoded by the MDR1 gene. All the N276 compounds also remarkably enhanced the sensitivity to VBL and DXR in both MDR1- and MRP-overexpressing renal cell carcinoma (RCC) cell line (NKK1), whereas they showed no potentiation of these anticancer agents in an RCC cell line (KPK1) expressing neither MDR1 nor MRP. The combination chemotherapy of VCR or VP16 with N276-12 significantly increased the life span of mice inoculated i.p. or i.v. with drug-resistant P388/VCR cells without any significant side effects, whereas chemotherapy with the anticancer agent alone did not increase the life span at all. These results suggest that these newly synthesized imidazothiazole derivatives can be a useful chemosensitizing agent against not only MDR1- but also MRP-mediated MDR.


Assuntos
Transportadores de Cassetes de Ligação de ATP/antagonistas & inibidores , Resistência a Múltiplos Medicamentos , Imidazóis/farmacologia , Proteínas Associadas à Resistência a Múltiplos Medicamentos , Tiazóis/farmacologia , Transportadores de Cassetes de Ligação de ATP/genética , Animais , Cruzamentos Genéticos , Doxorrubicina/metabolismo , Resistência a Múltiplos Medicamentos/genética , Feminino , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Genes MDR , Humanos , Imidazóis/metabolismo , Células KB , Leucemia P388 , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos DBA , Transplante de Neoplasias , Tiazóis/metabolismo , Células Tumorais Cultivadas
11.
Laryngoscope ; 97(10): 1203-6, 1987 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3657368

RESUMO

Three cases of persistent bilateral sensorineural hearing loss following Mycoplasma pneumoniae (MP) infection are reported. These cases were characterized by highly elevated MP complement fixation titer and cold hemagglutinin titer. All the patients had bilateral acute otitis media with a moderate to high degree of mixed hearing loss in the early stage following primary atypical pneumonia (PAP).


Assuntos
Perda Auditiva Neurossensorial/etiologia , Pneumonia por Mycoplasma/complicações , Adulto , Criança , Feminino , Perda Auditiva Bilateral/etiologia , Humanos , Masculino , Otite Média/etiologia
12.
Intern Med ; 33(5): 257-62, 1994 May.
Artigo em Inglês | MEDLINE | ID: mdl-7949627

RESUMO

We measured myeloperoxidase (MPO), thiobarbituric acid reactive material (TBARM), and Type IV collagen 7S domain (7S collagen) in the plasma of 21 patients with acute lung injury (ALI). Sixteen healthy subjects served as a control group. There was no significant difference in MPO between the control and ALI groups. The TBARM and 7S collagen concentrations in ALI (TBARM; 3.05 +/- 0.65 nMol/ml, 7S collagen 9.06 +/- 5.96 ng/ml: Mean +/- SD) were significantly higher than those in the control group (2.54 +/- 0.33 and 3.43 +/- 1.05, p < 0.05). TBARM and 7S collagen levels of deceased ALI patients were higher than those of surviving ALI patients (p < 0.05). There were significant correlations between the plasma levels of these two parameters and the lung injury scores. Our findings suggest that plasma TBARM and 7S collagen are useful markers for the assessment of the severity of ARDS.


Assuntos
Colágeno/sangue , Peroxidase/sangue , Síndrome do Desconforto Respiratório/sangue , Substâncias Reativas com Ácido Tiobarbitúrico/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Biomarcadores/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico
13.
Artigo em Inglês | MEDLINE | ID: mdl-18238677

RESUMO

A new poling method utilizing the cooperativity and strong hydrogen bonding force of thiourea groups is proposed in ferroelectric polythioureas [poly(octamethylene thiourea) and poly(nonamethyleno thiourea)]. The method, which is named "surface energy poling," takes advantage of the surface energy difference of the polar amorphous material to form remanent polarization. A polythiourea film sandwiched between a metal with higher surface energy and polytetrafluoroethylenes with lower surface energy was heated up to T/sub c/ [1.15/spl times/T/sub g/ (glass transition temperature)] and cooled slowly to room temperature. The resulting film showed a pyroelectric constant of 10 /spl mu//m/sup 2/K, giving evidence of remanent polarization. This method is similar to the orientation process in liquid crystal devices.

14.
Kekkaku ; 70(1): 31-5, 1995 Jan.
Artigo em Japonês | MEDLINE | ID: mdl-7884988

RESUMO

A 22 year-old woman was admitted to our hospital complaining of subtle fever and productive cough. She did not smoke and had no underlying disease. Her chest radiograph showed infiltration in the right upper lung field. A diagnosis of Mycobacterium fortuitum pulmonary disease was made on the basis of isolation of M. fortuitum from repeated sputum cultures. On admission, we administered standard antimycobacterial agents, but found the M. fortuitum isolated in this case to be completely resistant to them. We then administered antibiotics including 600 mg of ciprofloxacin and 200 mg of doxycycline. The pneumonic findings on chest X-ray and her clinical symptoms gradually improved thereafter. The in vitro susceptibility tests confirmed the efficacy of ciprofloxacin and doxycycline. We concluded that these drugs contributed significantly to improve the disease.


Assuntos
Quimioterapia Combinada/uso terapêutico , Infecções por Mycobacterium não Tuberculosas/tratamento farmacológico , Tuberculose Pulmonar/tratamento farmacológico , Adulto , Ciprofloxacina/uso terapêutico , Doxiciclina/uso terapêutico , Feminino , Humanos
15.
Nihon Kokyuki Gakkai Zasshi ; 36(3): 283-7, 1998 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-9656678

RESUMO

A 60-year-old man was admitted to our hospital complaining of non-productive cough. He had worked in Africa and received a blood transfusion after a traffic accident in 1985. On admission, the patient had remarkable hypoxemia and a decreased CD4+ lymphocyte count. A serological test for human immuno-deficiency virus (HIV)-1 was positive. His chest radiographs showed diffuse reticular and linear opacities, and broncoalveolar lavage findings established a diagnosis of Pneumocystis carinii pneumonia (PCP). A high-resolution CT of the chest revealed peripheral infiltrates and low attenuation areas (LAA) consistent with severe emphysematous alterations. We administered high-dose methylprednisolone and trimethoprim-sulphamethoxazole (TMP-SMX). Because of marked eosinophilia, TMP-SMX was discontinued, and the patient was given inhaled pentamidine isothiocyanate. Although there was a striking clinical improvement, the emphysema-like lesion on chest CT remained unaltered. LAA on CT had been modest in 1994, but had markedly enlarged during the three years thereafter, leading us to speculate that most of the LAA lesions recognized on admission might have developed in association with PCP. Pulmonary function tests showed an obstructive ventilatory defect and impaired diffusing capacity. Although PCP classically presents with diffuse ground-glass or fine granular opacities, thin-walled cavities or other atypical findings have recently been reported, especially in AIDS patients. There have been several reports about emphysema-like lesions associated with PCP. It was suggested that these lesions might be due to lung parenchyma destruction induced by HIV itself or increased elastase release from HIV-infected macrophages. This is the first report of PCP with pulmonary emphysematous lesions in Japan.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/complicações , Síndrome da Imunodeficiência Adquirida/complicações , HIV-1 , Pneumonia por Pneumocystis/complicações , Enfisema Pulmonar/etiologia , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia por Pneumocystis/diagnóstico por imagem , Enfisema Pulmonar/diagnóstico por imagem , Intensificação de Imagem Radiográfica , Tomografia Computadorizada por Raios X
16.
Nihon Kokyuki Gakkai Zasshi ; 36(2): 182-6, 1998 Feb.
Artigo em Japonês | MEDLINE | ID: mdl-9617147

RESUMO

A 55-year-old woman was admitted to our hospital with progressive dyspnea that had begun one month before. Chest rentogenogram revealed groundglass appearance and reticular shadows bilaterally. Pulmonary function tests showed both decreased vital capacity and diffusing capacity. Bronchoalveolar lavage fluid had a high lymphocyte fraction with a low CD4+/CD8+ ratio. Thoracoscopic lung biopsy revealed thick, fibro-edematous interstitium and diffuse infiltration of lymphocytes. We also observed an intra-alveolar exudate with infiltration of histiocytes and lymphocytes. The clinical features and pathological findings were consistent with subacute interstitial pneumonia, which was the entity proposed by Kawabata and colleagues. The patient developed acute respiratory failure four days after lung biopsy and died despite steroid pulse therapy. Although subacute interstitial pneumonia has been reported to respond to steroid therapy, and to have a good prognosis, we believe that subacute interstitial pneumonia could fatally worsen when associated with lung biopsy, infection, or some other stimulus.


Assuntos
Biópsia/efeitos adversos , Doenças Pulmonares Intersticiais/patologia , Pulmão/patologia , Toracoscopia/efeitos adversos , Doença Aguda , Feminino , Humanos , Pessoa de Meia-Idade , Insuficiência Respiratória/etiologia
17.
Kokyu To Junkan ; 41(10): 1009-12, 1993 Oct.
Artigo em Japonês | MEDLINE | ID: mdl-8235115

RESUMO

A 41-year old woman was admitted to a local hospital because of leg pain, chest pain and dyspnea after taking estrogen for two months for irregular menstruation. On admission to the hospital, her lung scintigram showed multiple segmental perfusion defects in the right lung. Pulmonary angiography showed several thrombi in the proximal pulmonary artery. A diagnosis of pulmonary thromboembolism was made. AT-III activity was found to be only 50% of normal value, indicating that the pulmonary thromboemboli were due to AT-III deficiency. The patient was then put on anticoagulants for two years. When she was 43-year-old, she was admitted to Keio University Hospital because of worsening of dyspnea. After admission her dyspnea had got better due to bed rest. Her brain CT, which was performed because of her gait disturbance, indicated past right cerebellar infarction. We gave her 2 mg of warfarin and maintained a thrombotest of about 30%. The investigation of her family revealed that her son also showed decrease AT-III activity, indicating a congenital abnormality. 26 families with this disease have been reported in Japan. Most had venous thromboemboli, but only a few cases had brain infarction as well. In addition, it is suggested that an estrogen therapy for irregular menstruation may have contributed, in this particular case, to the onset of thromboemboli.


Assuntos
Deficiência de Antitrombina III , Cerebelo/irrigação sanguínea , Infarto Cerebral/etiologia , Embolia Pulmonar/etiologia , Adulto , Estrogênios/efeitos adversos , Feminino , Humanos , Masculino , Fatores de Risco
18.
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