The problem is one of potential connection between the hyperkeratinization of oral mucous membranes seen in vitamin A deficiency and that produced in long-term large-dose estrogenic therapy. Hormones and vitamins have specific effects on the organism as a whole. Both of these substances affect epithelial structures in a definite manner. Do they at all times perform as separate entities or, under the conditions described, do they act, directly or indirectly, upon each other? In the first experiment, two subadult female rhesus monkeys, one normal and one ovariectomized, were given 1,000 R.U. of progynon B for fifty-three days, when biopsies showed a definite change in the alveolar and areolar gingivae as evidenced by hyperkeratinization and hyperplasia. Eight days after the observance of these changes, daily doses of vitamin A (10,000 I.U.), plus estrogen (500 R.U.), were given for thirty-one days, after which time the animals were sacrificed and sections of oral mucous membranes and vaginas were studied. The effect of the vitamin A upon the keratinization and hyperplasia produced by estrogen was a suppression or amelioration. In the second experiment on a female rhesus monkey, large doses of vitamin A (10,000 I.U.) daily for thirty days were followed by combined vitamin A (10,000 I.U.) and estrogen (1,000 R.U.) daily for thirty days. In general, the results of the vitamin A administration indicated a degenerative change in the gingivae. The addition of estrogenic hormone to the administration of vitamin A resulted in overcoming the high vitamin A effect, producing hyperplasia of the gingivae with marked restoration of tissue tone. Although the injection of the combined estrogen and vitamin A produced an amelioration of the previous treatment effects in both experiments, the results in each were dissimilar.
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