Dense Plasma Cell Infiltration Research Articles

Sarcoptes scabiei: Histopathological Changes Associated with Acquisition and Expression of Host Immunity to Scabies

The sequential changes in the histology in scabietic lesions were investigated for hosts (rabbits) during sensitization and reinfestation with Sarcoptes scabiei. Experimentally infested naive hosts developed heavy scabies infestations but 65% of the hosts showed induced immunity (resistance) to reinfestation. All hosts (naive, immune, and susceptible) exhibited an initial cell infiltrate in scabietic lesions that consisted predominantly of neutrophils and a few macrophages. This was followed by a dense plasma cell infiltrate. Upon reinfestation the progression of neutrophil infiltration was faster and the response was greater in hosts who acquired immunity than those in the susceptible hosts.

AORTITIS SYNDROME WITH PROTRACTED CLINICAI COURSE

A comparative histopathological study of aortitis syndrome was performed in terms of the duration of illness. Five autopsy cases were divided into two groups, three short term cases and two long term cases. The aortic lesions of the short term group were characterized by the presense of pathognomonic granulomatous inflammation. These consisted of epithelioid cell granuloma including multinucleated giant cells and dense infiltration of lymphocytes and plasma cells. There was no atherosclerotic change in the intima. On the other hand, the aortae of the long term group showed severe atherosclerotic change in the intima. Their lumens were dilated, even forming a large abdominal aneurysm in one case. Fibrosis, loss of smooth muscle cells and elastic fibers, and splitting of the inner aspect were frequently observed in the media. There was a dense fibrosis in the adventitia. It is suggested that the formation of a slit-like space in the inner half of the media represents a characteristic lesion of aortitis of longer duration. Improvement in chemotherapeutic regimens, including corticosteroid therapy, might be responsible for the favorable prognoses seen in the long term group.

著明な歯肉肥大を伴う形質細胞歯肉炎と合併した急速進行性歯周炎の１症例とその治療経過について

A case of rapidly progressive periodontitis combined with plasma cell gingivitis with marked enlargement of the gingiva was presented. Clinically, in the plasma cell gingivitis, the gingiva appear red, friable and bleed easily; usually it does not induce loss of attachment. Histologically, a dense infiltration of the normal plasma cells in the connective tissue is a common finding. A hypersensitivity reaction to some antigens, often flavorings or spices, is generally recognized. In this case, a rapidly progressive loss of attachment was observed, so rapidly progressive periodontitis was diagnosed. Differential diagnosis of the plasma cell gingivitis could be determined by histological and ultrastructural examination. Allergens, however, could not be identified. Conventional periodontal therapy, including intensive plaque control, could not cure the plasma cell gingivitis completely but recurrence of gingival enlargement and loss of attachment could be well controlled.

Actinic prurigo of the lower lip: Review of the literature and report of five cases

Actinic prurigo (AP) is a chronic, familial, photodermatitis that primarily affects American Indians. It is more prevalent in young females and may be evident clinically as a pruritic lower lip cheilitis that typically does not respond to conventional therapy. Other clinical features associated with AP include conjunctivities, alopecia of the eyebrows, and formation of pterygia. The histologic features of AP have been described as nonspecific. We are presenting five cases of AP in which the major clinical manifestation was a pruritic, unsightly lower lip cheilitis. All of our patients were American Indians. Three patients were from the same family. The youngest patient was 10 years old and the oldest was 69 years old. All five cases were characterized histologically by numerous germinal centers within the lamina propria and a dense perivascular plasma cell infiltrate. In four of the five cases, there was a moderate to dense infiltrate of eosinophils. All five patients had been generally unresponsive to conventional therapy. With the exception of the youngest patient, all had had the disease for at least several years. One patient, now deceased, had the lower lip lesion surgically removed for cosmetic reasons. To our knowledge, this is the first report in the dental literature that describes the clinical and histologic features of AP of lower lip.

Changes in the Mucosa of Colon Conduits With Particular Reference to the Risk of Malignant Change

Summary— Intestinal suction biopsies were obtaineid in 15 infants and children with cutaneous colo-ureterostomies. The patients were subdivided into groups according to the length of time the conduit had been established, i.e. less than 5 years, 5 to 10 years, 10 to 15 years and over 15 years. The histological changes found were chronic inflammation with a dense infiltration of plasma cells and eosinophils. The changes were progressive and correlated with the length of time the conduit had been established. As persistent chronic inflammation is a precursor of malignancy, it seems likely that there is a risk of malignant change in these conduits. Regular follow-up of such patients is recommended and should include flexible fibreoptic endoscopy of the conduit.

Changes in the mucosa of colon conduits with particular reference to the risk of malignant change.

Intestinal suction biopsies were obtained in 15 infants and children with cutaneous colo-ureterostomies. The patients were subdivided into groups according to the length of time the conduit had been established, i.e. less than 5 years, 5 to 10 years, 10 to 15 years and over 15 years. The histological changes found were chronic inflammation with a dense infiltration of plasma cells and eosinophils. The changes were progressive and correlated with the length of time the conduit had been established. As persistent chronic inflammation is a precursor of malignancy, it seems likely that there is a risk of malignant change in these conduits. Regular follow-up of such patients is recommended and should include flexible fibreoptic endoscopy of the conduit.

Vulvitis circumscripta plasmacellularis

In this paper we present what is apparently the tenth published case of vulvitis circumscripta plasmacellularis (Zoon). The patient had eroded, red-brown, asymptomatic vulvar lesions that were recalcitrant to treatment. The characteristic histopathology--dense plasma cell infiltrate and deposition of hemosiderin--was present.

Plasma cell lesions within the oral tissues: Immunoperoxidase staining of routinely fixed and processed tissue

Multiple and solitary myeloma of bone and extramedullary plasmacytoma are often associated with primary or secondary involvement of the oral cavity. With conventional histologic techniques, differentiation of these neoplastic proliferations from the dense plasma cell infiltrates commonly accompanying inflammatory processes in the oral tissues can present a diagnostic problem. This article presents eight cases of plasma cell or plasma cell-like lesions within the oral tissues to illustrate the way in which immunoperoxidase techniques on routinely fixed and embedded tissues can aid histologic methods.

Histopathology of periodontitis (‘broken-mouth’) in sheep: a further consideration

Histological observations of serial sections through the anterior teeth and periodontia of mature five-year-old sheep with 'broken-mouth' revealed two important histopathological features which advance the understanding of the disease mechanism. The periodontal pockets may extend not only in a vertical but also in a horizontal direction. The host response associated with microbial plaque at the advancing front and the more established regions showed obvious cellular differences. At the advancing front emigrating neutrophils are very evident, the pocket epithelium very thin, sometimes with microulceration. In the more established regions dense plasma cell infiltrates are common, with low numbers of neutrophils. It was concluded that broken-mouth periodontitis results from an active progression of plaque-forming oral microorganisms (of unknown species) advancing along the root surface between the cementum and periodontal tissues.

The Actinic Cheilitis of Hereditary Polymorphic Light Eruption

Sixty-four North American Indians with hereditary polymorphic light eruption (HPLE), or a family history of HPLE, had chronic, recurrent, exudative, and exfoliative cheilitis. Fifty-two had the cheilitis by the age of 10 years. Microscopically, the epithelium was either thickened, or thinned and covered by a thick crust. The dermis had a dense infiltration of inflammatory cells, mostly lymphocytes and plasma cells. The condition was not premalignant. The HPLE has to be differentiated from the chronic actinic cheilitis caused by long exposure to sunlight with out any element of hypersensitivity. The latter is potentially premalignant. Chronic recurrent actinic cheilitis associated with hereditary polymorphic light eruption appears to be a specific characteristic of photosensitivity occurring in American Indians. Plasma cell infiltration is not specific for either type of cheilitis.

Lymph node plasmacytoma in a child: Clinical and immunological findings with special reference to S-Ig and complement receptor subtypes

A ten year-old girl presented with increased susceptibility to infection, massive enlargement of the cervical lymph nodes, a high erythrocyte sedimentation rate and an extremely high serum IgA (peak level 66 g/l). The diagnosis of plasmacytoma was confirmed by the identification of a monoclonal immunoglobulin (IgAk) in the serum and in the plasma cells present in a cervical lymph node biopsy. Her disturbed blood coagulation and thrombelastogram, serum hyperviscosity, cryoglobulinemia, hyponatremia and constantly positive test for rheumatoid factor without evidence of rheumatic disease were attributed to the effects of the myeloma proteins. Other signs often associated with plasmacytoma (bone pain, osteolytic lesions, anemia, bone marrow failure or infiltration) were absent indicating that the plasmacytoma originated in a lymph node, which is unusual. This case is the second well-documented childhood plasmacytoma to be reported. With combined melphalan and prednisone therapy, the greatly enlarged lymph nodes regressed in size and the plasma IgA concentration fell to normal. Immunological investigations revealed a considerable reduction of blood T cells, and abnormal skin tests at the time of diagnosis indicated a disturbance of cellular immunity. There were also abnormalities in the B-cell system. The blood B lymphocytes were found to carry only complement receptors for C3b and mainly for IgA, whereas in normal individuals blood B cells bear complement receptors for both C3b and C3d and mainly surface Ig of the IgM class. In the lymph node biopsy, there were many primary follicles expressing complement receptors for both C3b and C3d among the dense plasma cell infiltrates, but germinal centers, which mainly serve to renew B cells, were completely absent. In conjunction with data from the literature, we concluded 1) that the production of normal B lymphocytes is blocked, probably due to a secondary T cell deficiency, and 2) that the majority of the residual blood and bone marrow B cells and the plasmacytoma cells are parts of the same neoplastic cell clone.

Mitogenic Activity of Actinomyces Viscosus

Abstract Actinomyces viscosus homogenate (AVIS) contains substance(s) which cause spleen cells from conventional and germfree mice to undergo increased DNA synthesis. This mitogenic effect is primarily on B cells since spleen cells from nude mice or T-depleted spleen cells from conventional mice respond as strongly as conventional (T + B) spleen cells. Mouse thymocytes do not respond mitogenically to AVIS. It is unlikely that the mitogenic activity is due to the presence of LPS, since A. viscosus is Gram-positive and is not known to have an LPS cell wall component. Also, AVIS is not inactivated by polymyxin B, as are some preparations of LPS, and C3H/HeJ mouse splenocytes respond strongly to AVIS but not to LPS. The activity is heat stable, is not lost upon dialysis, and is not affected by lysozyme. Mitogenic activity is partially lost when AVIS is digested with nonspecific bacterial protease or treated with metaperiodate. Sodium hydroxide treatment completely abolishes mitogenic activity. Actinomycotic lesions are characterized by a long-term inflammatory response involving a dense plasma cell infiltrate. We suggest that B cell mitogens from Actinomyces may play a role in the elicitation of the plasma cell component of these lesions.

Folate deficiency and the pill.

A 21-year-old woman who had been taking oral contraceptives (OCs) for 13 months presented with severe megaloblastic anemia. oc therapy was discontinued and 5 mg folic acid 3 times/day was administered. 20% reticulocytosis resulted in 5 days. 2 weeks after beginning therapy a small intestinal biopsy revealed partial villous atrophy with a convolut ed pattern and a dense inflammatory infiltration of plasma cells and lymphocytes in the lamina propria and the surface cells of the villi were low columnar with a poor brush border. The woman later became pregnant and remained well on a normal diet. A second small intestinal biopsy revealed a mixed pattern of leaves and ridges. The villi revealed a normal tall columnar surface epithelium with a normal brush border and the lamina propria contained scanty plasma cells and some lymphocytes.

The in vitro production of antibody by delayed phase corneal limbal lymphoid foci.

The intracorneal inoculation of a sufficient quantity of a soluble protein antigen into the eye of a rabbit produces a biphasic allergic reaction in that cornea. The earlier stage, characterized by a diffuse corneal clouding, is a manifestation of delayed hypersensitivity and is accompanied by a limbal infiltrate composed predominantly of lymphocytic-mononuclear elements. The later response, known as the Wessely Phenomenon, is a ring of opacification in the cornea which is visible in the gross. This reaction is dependent upon the presence of specific circulating antibodies and is therefore classified among the immediate types of hypersensitivity. It is accompanied by a dense limbal infiltration of plasma cells. Intervening between the two reactions is a period of several days during which the eye appears relatively normal. Explants containing large numbers of infiltrating lymphocytic-mononuclear elements were removed from the corneal-scleral junction of experimental eyes during the height of the delayed type hypersensitivity reaction and maintained in vitro in tissue culture. At a later date the overlay fluid in which the explants were maintained was shown to contain specific humoral antibodies, demonstrating the capability of cells present at a delayed reaction for the later production of antibodies. The possible linkage of the two modes of immune phenomena is discussed.