Introduction: Human immunodeficiency virus infec- tion is associated with several different types of peripheral neuropathy: distal predominantly sensory axonal polyneuropathy, like Guillain Barre syndrome. Case presen...Introduction: Human immunodeficiency virus infec- tion is associated with several different types of peripheral neuropathy: distal predominantly sensory axonal polyneuropathy, like Guillain Barre syndrome. Case presentation: A 55-year-old Caucasian woman with Human immunodeficiency virus infection, diag- nosed with Guillain Barre syndrome was studied. Serum and CSF immunoglobulin G and Albumin levels were quantified by using an immunodiffusion technique. She had preceding viral symptoms. The clinical diagnosis of the illness in this patient was pa-resthesias or sensory loss, tendon reflexes. It was also observed cranial nerves abnormalities, acute mo- tor and sensory axonal neuropathy and ophthalmoplegia. The mean CD4 count was 367/mm3, CSF white blood cell 25 wbc/mm3. The serum sodium concentration was significantly low (133 mmol/L). She had a respiratory compromise as a result of their neuropa- thy and developed congestive heart failure and hy- potension and died of a cardiac arrest. The neuro-immunological response described by our patient was a blood/CSF barrier dysfunction without IgG intra-thecal synthesis. Conclusion: There is no doubt that this study is of great importance because will help clinicians increase their knowledge of the immune response in patients with this autoimmune disorder on the basis of this case report, in which, for first time, could be seen the neuroimmunological response through the reibergram in a patient with HIV- asso-ciated Guillain-Barre syndrome.展开更多
Coalbed gas non-Darcy flow has been observed in high permeable fracture systems,and some mathematical and numerical models have been proposed to study the effects of non-Darcy flow using Forchheimer non-Darcy model.Ho...Coalbed gas non-Darcy flow has been observed in high permeable fracture systems,and some mathematical and numerical models have been proposed to study the effects of non-Darcy flow using Forchheimer non-Darcy model.However,experimental results show that the assumption of a constant Forchheimer factor may cause some limitations in using Forchheimer model to describe non-Darcy flow in porous media.In order to investigate the effects of non-Darcy flow on coalbed methane production,this work presents a more general coalbed gas non-Darcy flow model according to Barree-Conway equation,which could describe the entire range of relationships between flow velocity and pressure gradient from low to high flow velocity.An expanded mixed finite element method is introduced to solve the coalbed gas non-Darcy flow model,in which the gas pressure and velocity can be approximated simultaneously.Error estimate results indicate that pressure and velocity could achieve first-order convergence rate.Non-Darcy simulation results indicate that the non-Darcy effect is significant in the zone near the wellbore,and with the distance from the wellbore increasing,the non-Darcy effect becomes weak gradually.From simulation results,we have also found that the non-Darcy effect is more significant at a lower bottom-hole pressure,and the gas production from non-Darcy flow is lower than the production from Darcy flow under the same permeable condition.展开更多
To determine whether genetic factors may work in concert with autoimmune factors in the pathogenesis of Guillain Barre syndrome (GBS) Methods We determined the differences in the distribution of HLA alleles between...To determine whether genetic factors may work in concert with autoimmune factors in the pathogenesis of Guillain Barre syndrome (GBS) Methods We determined the differences in the distribution of HLA alleles between GBS patients and normal controls HLA DQA, DQB and DRB alleles were typed by the sequence specific primer polymerase chain reaction (PCR SSP) methods in 47 GBS, 7 patients with Campylobacter jejuni (CJ) enteritis and 50 normal controls Results There were no differences in the frequency of HLA DQA, DQB and DRB among GBS group, CJ group, normal controls and GBS subgroups with respect to recent CJ infection, GM1 IgG and GM1 IgM antibodies ( P >0 05) There was an increasing tendency of DQA1*0301 ( P =0 056, RR =2 991) in the subgroup with GM1 IgG antibodies and DQA1 *0302 ( P =0 087, RR =3 587) in the subgroup with recent CJ infection No difference was found among GBS, CJ enteritis patients and normal controls Conclusions The increasing tendency of the two alleles suggests that there may be some relation between genetic factors and immunological factors, but a definite conclusion waits for more cases展开更多
Objective To investigate the relationship between the pathogenesis of Guillain Barre syndrome (GBS) and Campylobacter jejuni (C jejuni) in China Methods C jejuni strains were isolated from fresh stools...Objective To investigate the relationship between the pathogenesis of Guillain Barre syndrome (GBS) and Campylobacter jejuni (C jejuni) in China Methods C jejuni strains were isolated from fresh stools of 47 GBS patients in Beijing area from 1995 to 1997 by modified Skirrow’s method Serotyping of C jejuni was performed with Penner’s method in 47 GBS patients and 171 patients with C jejuni enteritis in our hospital during the same period The stools from which no C jejuni strains could be isolated were typed by PCR RFLP (restriction fragment length polymorphism) method Results Six C jejuni strains were isolated by Skirrow’s method, including 3 strains of Penner serotype 2, 1 Penner serotype 4, 1 Penner serotype 19 and 1 Penner serotype 26 Three strains of DNA Ⅰ, which was equal to the same type of Penner serotype 19, were found by PCR RFLP method Conclusion C jejuni isolated from Beijing area are similar to those reported in literature, which once more confirms the molecular mimicry pathogenetic theory of GBS caused by C jejuni infection in China The similarities of serotypes between C jejuni strains from GBS patients and those from C jejuni enteritis patients may explain the high incidence of GBS following C jejuni infection in China展开更多
BACKGROUND Epstein–Barr virus(EBV)-positive mucocutaneous ulcers(MCUs)are an uncommon disorder characterized by ulcerative lesions in the skin,oral cavity or gastrointestinal tract in patients with iatrogenic or agin...BACKGROUND Epstein–Barr virus(EBV)-positive mucocutaneous ulcers(MCUs)are an uncommon disorder characterized by ulcerative lesions in the skin,oral cavity or gastrointestinal tract in patients with iatrogenic or aging-induced immunosuppression.The nonspecific lesions are difficult to differentiate from small bowel adenocarcinomas.We present the case of a 69-year-old woman who was initially misdiagnosed with a small bowel adenocarcinoma but was later surgically diagnosed with and treated for EBV-MCU.Through this case,we aim to emphasize the importance of accurately distinguishing between the two conditions.CASE SUMMARY The patient presented with an incidental finding of a small bowel tumor during computed tomography(CT)examination performed for hematuria.The CT scan showed irregular thickening of the distal ileum,which was suggestive of a malignant small bowel tumor.An exploratory laparotomy revealed an 8-cm mass in the distal ileum;thus,a segment of the small intestine,including the mass,was resected.Histopathological analysis revealed an ulceroinfiltrative mass-like lesion with luminal narrowing,marked inflammatory cell infiltration,and large atypical lymphoid cells(positive for EBV-encoded small RNA).A final diagnosis of an EBV-MCU was established.The postoperative course was uneventful,and the patient was discharged on postoperative day 7.The patient remained recurrencefree until 12 mo after surgery.CONCLUSION This case highlights the diagnostic challenges for EBV-MCUs and emphasizes the importance of comprehensive evaluation and accurate histopathological analysis.展开更多
文摘Introduction: Human immunodeficiency virus infec- tion is associated with several different types of peripheral neuropathy: distal predominantly sensory axonal polyneuropathy, like Guillain Barre syndrome. Case presentation: A 55-year-old Caucasian woman with Human immunodeficiency virus infection, diag- nosed with Guillain Barre syndrome was studied. Serum and CSF immunoglobulin G and Albumin levels were quantified by using an immunodiffusion technique. She had preceding viral symptoms. The clinical diagnosis of the illness in this patient was pa-resthesias or sensory loss, tendon reflexes. It was also observed cranial nerves abnormalities, acute mo- tor and sensory axonal neuropathy and ophthalmoplegia. The mean CD4 count was 367/mm3, CSF white blood cell 25 wbc/mm3. The serum sodium concentration was significantly low (133 mmol/L). She had a respiratory compromise as a result of their neuropa- thy and developed congestive heart failure and hy- potension and died of a cardiac arrest. The neuro-immunological response described by our patient was a blood/CSF barrier dysfunction without IgG intra-thecal synthesis. Conclusion: There is no doubt that this study is of great importance because will help clinicians increase their knowledge of the immune response in patients with this autoimmune disorder on the basis of this case report, in which, for first time, could be seen the neuroimmunological response through the reibergram in a patient with HIV- asso-ciated Guillain-Barre syndrome.
基金Projects(91330106,11171190)supported by the National Natural Science Foundation of ChinaProjects(15CX05065A,15CX05003A)supported by the Fundamental Research Funds for the Central Universities,China
文摘Coalbed gas non-Darcy flow has been observed in high permeable fracture systems,and some mathematical and numerical models have been proposed to study the effects of non-Darcy flow using Forchheimer non-Darcy model.However,experimental results show that the assumption of a constant Forchheimer factor may cause some limitations in using Forchheimer model to describe non-Darcy flow in porous media.In order to investigate the effects of non-Darcy flow on coalbed methane production,this work presents a more general coalbed gas non-Darcy flow model according to Barree-Conway equation,which could describe the entire range of relationships between flow velocity and pressure gradient from low to high flow velocity.An expanded mixed finite element method is introduced to solve the coalbed gas non-Darcy flow model,in which the gas pressure and velocity can be approximated simultaneously.Error estimate results indicate that pressure and velocity could achieve first-order convergence rate.Non-Darcy simulation results indicate that the non-Darcy effect is significant in the zone near the wellbore,and with the distance from the wellbore increasing,the non-Darcy effect becomes weak gradually.From simulation results,we have also found that the non-Darcy effect is more significant at a lower bottom-hole pressure,and the gas production from non-Darcy flow is lower than the production from Darcy flow under the same permeable condition.
文摘To determine whether genetic factors may work in concert with autoimmune factors in the pathogenesis of Guillain Barre syndrome (GBS) Methods We determined the differences in the distribution of HLA alleles between GBS patients and normal controls HLA DQA, DQB and DRB alleles were typed by the sequence specific primer polymerase chain reaction (PCR SSP) methods in 47 GBS, 7 patients with Campylobacter jejuni (CJ) enteritis and 50 normal controls Results There were no differences in the frequency of HLA DQA, DQB and DRB among GBS group, CJ group, normal controls and GBS subgroups with respect to recent CJ infection, GM1 IgG and GM1 IgM antibodies ( P >0 05) There was an increasing tendency of DQA1*0301 ( P =0 056, RR =2 991) in the subgroup with GM1 IgG antibodies and DQA1 *0302 ( P =0 087, RR =3 587) in the subgroup with recent CJ infection No difference was found among GBS, CJ enteritis patients and normal controls Conclusions The increasing tendency of the two alleles suggests that there may be some relation between genetic factors and immunological factors, but a definite conclusion waits for more cases
文摘Objective To investigate the relationship between the pathogenesis of Guillain Barre syndrome (GBS) and Campylobacter jejuni (C jejuni) in China Methods C jejuni strains were isolated from fresh stools of 47 GBS patients in Beijing area from 1995 to 1997 by modified Skirrow’s method Serotyping of C jejuni was performed with Penner’s method in 47 GBS patients and 171 patients with C jejuni enteritis in our hospital during the same period The stools from which no C jejuni strains could be isolated were typed by PCR RFLP (restriction fragment length polymorphism) method Results Six C jejuni strains were isolated by Skirrow’s method, including 3 strains of Penner serotype 2, 1 Penner serotype 4, 1 Penner serotype 19 and 1 Penner serotype 26 Three strains of DNA Ⅰ, which was equal to the same type of Penner serotype 19, were found by PCR RFLP method Conclusion C jejuni isolated from Beijing area are similar to those reported in literature, which once more confirms the molecular mimicry pathogenetic theory of GBS caused by C jejuni infection in China The similarities of serotypes between C jejuni strains from GBS patients and those from C jejuni enteritis patients may explain the high incidence of GBS following C jejuni infection in China
文摘BACKGROUND Epstein–Barr virus(EBV)-positive mucocutaneous ulcers(MCUs)are an uncommon disorder characterized by ulcerative lesions in the skin,oral cavity or gastrointestinal tract in patients with iatrogenic or aging-induced immunosuppression.The nonspecific lesions are difficult to differentiate from small bowel adenocarcinomas.We present the case of a 69-year-old woman who was initially misdiagnosed with a small bowel adenocarcinoma but was later surgically diagnosed with and treated for EBV-MCU.Through this case,we aim to emphasize the importance of accurately distinguishing between the two conditions.CASE SUMMARY The patient presented with an incidental finding of a small bowel tumor during computed tomography(CT)examination performed for hematuria.The CT scan showed irregular thickening of the distal ileum,which was suggestive of a malignant small bowel tumor.An exploratory laparotomy revealed an 8-cm mass in the distal ileum;thus,a segment of the small intestine,including the mass,was resected.Histopathological analysis revealed an ulceroinfiltrative mass-like lesion with luminal narrowing,marked inflammatory cell infiltration,and large atypical lymphoid cells(positive for EBV-encoded small RNA).A final diagnosis of an EBV-MCU was established.The postoperative course was uneventful,and the patient was discharged on postoperative day 7.The patient remained recurrencefree until 12 mo after surgery.CONCLUSION This case highlights the diagnostic challenges for EBV-MCUs and emphasizes the importance of comprehensive evaluation and accurate histopathological analysis.
