Thrombocytopenia in systemic lupus erythematosus patients and its association with antiphospholipid antibodies

Introduction: Systemic lupus erythematosus (SLE) is a complex systemic autoimmune disease, characterized by immune-mediated inflammation in different organs. The course of the disease is characterized by relapses and remissions, and the degree of severity of the clinical manifestations is greatly affected by the number and nature of the various organ affection. The death rate in patients with SLE is still significant, and it may be due to lupus activity, when vital organs are affected, the complications of treatment especially infections or long-term complications, such as cardiovascular disorders. Objective: To detect the relation between thrombocytopenia in SLE patients and presence antiphospholipid antibodies.Patients and methods: This study was a cross-sectional study included 100 SLE patients who attended to Sohag University Hospitals. Patients included in this study were classified as SLE patients according to either the 2012 SLICC criteria or the new 2017 ACR/EULAR SLE classification criteria. All of the participants were subjected to the following: Full history, full clinical examination, routine investigations, ANA by immunofluorescence, and ANA profile for the most common 19 autoantibodies by immunoblot. All of the participants were subjected to detection of serum titers of all antiphospholipid antibodies (aPLs) including lupus anticoagulant (LA), anti-cardiolipin (aCL) and anti-beta2-glycoprotein I (ab2GPI).Results: In this study, we demonstrated that aPLs are strongly associated with increased risk of thrombocytopenia in SLE patients. We identified aPL profiles, especially LA and IgM isotypes, as biomarkers for the risk stratification of thrombocytopenia in SLE patients.Conclusions: We concluded that aPLs are strongly associated with increased risk of thrombocytopenia in SLE patients

(5,7-Dimethyl-2-oxo-2H-chromen-4-yl)methyl pyrrolidine-1-carbodithio­ate

In the title compound, C17H19NO2S2, the 2H-chromene ring system is almost planar, with a maximum deviation of 0.044 (2) Å, and the pyrrolidine ring adopts an envelope conformation. The dihedral angle between the 2H-chromene system and the planar part of the pyrrolidine ring is 83.65 (8)°. A weak intra­molecular C—H⋯S hydrogen bond occurs. The crystal structure features C—H⋯O hydrogen bonds and π–π inter­actions, with a centroid–centroid distance of 3.5728 (16) Å

Accumulation of potentially toxic metals in egyptian alluvial soils, berseem clover (Trifolium alexandrinum l.), and groundwater after long-term wastewater irrigation

The reduced availability of water resources in Egypt has imposed the need to intensify the use of wastewater for crop irrigation in the alluvial soils of anthropogenic origin. Relevant effects can derive from contents of potentially toxic metals (PTMs) in supply resources soils, crops, and groundwater in these areas. For this reason the PTM content has to be monitored to evaluate and minimize health hazards. Therefore, in this context, two areas of the SE Nile Delta subjected to 25 year of wastewater irrigation, using agricultural drainage water (ADW) and mixed wastewater (MWW) were chosen and compared with a nearby site irrigated with Nile freshwater (NFW). At each of the three sites, ten samples of irrigation water, topsoil, berseem clover (Trifolium alexandrinum L.) plants, and seven groundwater samples were collected and analyzed for Cr, Co, Cu, Pb, Ni, and Zn. Results indicate that the total contents of Co, Cu, Ni, and Zn in soils collected from the three sampling sites and Pb in the MWW-irrigated soils were higher than their average natural contents in the earth’s crust, indicating potential risks. The DTPA-extractable contents of Cu in the three sites, in addition to Pb and Zn in the MWW-irrigated soils, exceeded the safe limits. The MWW-irrigated soils showed a considerable degree of metal contamination, while the NFW-and ADW-irrigated soils showed moderate and low levels of contamination, respectively. The contents of the six PTMs in the three sites showed low individual ecological risks, except for Pb in the MWW-irrigated soils that showed a moderate risk; however, the overall ecological risk remained low in all samples. The values of Co, Cu, and Ni in berseem shoot in addition to Pb from the MWW-irrigated soils were over the maximum permissible levels for animal feeding. Values of root-to-shoot translocation factor were lower than 1.0 for Cr, Co and Ni but higher than 1.0 for Cu, Pb, and Zn. Berssem plant is a good candidate for phytofiltration of Cr, Co and Ni, while for extracting Cu, Pb and Zn from polluted soils. The groundwater samples collected from the three sampling sites showed lower metal concentrations than the safe limits for drinking standards. Further remediation studies should be taken into account to alleviate potential environmental and health-related risks when using supply resources different from freshwater

NATURAL ENEMIES ASSOCIATED WITH MEALY PLUM APHID HYALOPTERUS PRUNI (Geoff.), (HOMOPTERA: APHIDIDAE) INFESTED APRICOT TREES, AT QALUBIA GOVERNORATE

The present work was carried out to study the population dynamics of the mealy plum aphid Hyalopterus pruni (Geoff.) and related parasitoids and predators on apricot trees, during the two successive seasons, 2003 and 2004, at Qalubia Gover-norate. The obtained data revealed that, the occurrence of H. pruni on apricot trees covered 5 months (from February to June). The mean total numbers of this aphid species per season were 1.78 (0.01-6.37) and 2.83 (0.00-10.01) individuals./leaf. The maximum numbers of H. pruni were recorded during the 2nd weeks of April, 2003 and 2004. No aphid individuals were observed during the period extended from July to September, in the two studied seasons. Four species of parasitoids; namely Aphidius matricariae Hal., Lysiphylbus sp. (1ry parasitoids) and 2 species of Alloxysta spp. (2ry parasitoids) were recorded during this study, attacking H. pruni. These parasitoid species were found during nearly three months of each season, in connection with the population density of the previous aphid species. The first para-sitoid was the highest in its numbers. The total numbers of predatory species per season were 407 and 1082 individuals, in the two studied seasons, 2003 and 2004, respectively. The maximum monthly occurrence of these predatory species was dur-ing April, 2003 (146 individuals) and April, 2004 (581 individuals), respectively. The predator Chrysoperla septempunctata L. had the highest percentages of occur-rence among other recorded predatory species (52.83 and 73.01%, respectively). In general, the parasitoid A. matricariae and the predator C. septempunctata, could be mass reared and released for controlling H. pruni on apricot trees with other availa-ble safe control methods developed in Integrated Pest Management (IPM) programs against this pest

(6-Meth­oxy-2-oxo-2H-chromen-4-yl)methyl pyrrolidine-1-carbodithio­ate

In the title compound, C16H17NO3S2, the 2H-chromene ring is close to being planar [maximum deviation = 0.034 (2) Å] and the pyrrolidine ring is twisted about the C—C bond opposite the N atom. The dihedral angle between the ring-system planes is 75.24 (16)° and an intra­molecular C—H⋯S inter­action occurs. In the crystal, mol­ecules are linked by C—H⋯O hydrogen bonds and the packing also exhibits π–π inter­actions, with a distance of 3.6106 (13) Å between the centroids of the benzene rings of neighbouring mol­ecules

Protein Energy Wasting in a Sample of Egyptian Children on Regular Hemodialysis: Relation to Anorexigenic Hormones

BACKGROUND: Increased incidence of pediatric end-stage renal disease (ESRD) with associated serious consequences indicating a major public health problem. Malnutrition and uremic wasting are leading causes of growth impairment and increasing morbidity and mortality of pediatric ESRD patients, predominantly those on regular hemodialysis (HD). Ghrelin and obestatin, which are known appetite regulatory hormones, might have a pivotal role in uremic wasting and growth impairment in hemodialyzed children. AIM: The aim of the present study was to measure serum unacylated ghrelin (UAG) and obestatin and to investigate their roles in the growth impairment of Egyptian hemodialyzed children. SUBJECTS AND METHODS: The study included 50 hemodialyzed and 40 healthy children recruited from the Department of Nephrology, Pediatric Hospital, Ain Shams University. Full clinical examination and measurement of anthropometric indices were done. Routine labs were done as well, with an assessment of serum levels of obestatin, UAG, and insulin by enzyme linked immunosorbent assay. Furthermore, we determined fasting serum glucose and lipid profile with the calculation of homeostasis model assessment for insulin resistance (HOMA-IR). RESULTS: Anthropometric measurements were statistically significantly decreased in the hemodialyzed group than that of the control group (p < 0.05). Weight z-score was the most affected anthropometric parameter (37 patients = 74% with underweight and 13 patients = 26% with normal weight). The hemodialyzed children showed a significant increase of UAG, obestatin, insulin, glucose, HOMA-IR, and TG, while a significant decrease of HDL-cholesterol and albumin (p < 0.01). UAG had a negative correlation with Wt-z score, Ht z-score, fat mass %, albumin, and TG while obestatin was inversely correlated to Wt-z score, BMI z-score, waist circumference, and waist-height ratio (W/H). CONCLUSION: UAG and obestatin hormones were elevated in a group of Egyptian children on regular HD. These hormones were strongly related to the impairment of renal functions, and anthropometric parameters, dyslipidemia, hypoalbuminemia, and insulin resistance in these pediatric hemodialyzed patients

Renal hilar pheochromocytoma: a case report

Paraganglioma is a rare tumor arising from undifferentiated cells of the primitive neural crest. These tumors are most commonly found in the adrenal gland, other localisations are also possible. A 58-year-old woman who presented with history of left lumbar pain, headache, hypertension, palpitation and sweating was found to have a secreting left renal hilar pheochromocytoma. Radical excision of the tumor was therefore undertaken and her hypertension was controlled. From the case report and literature review, the authors suggest a diagnostic and therapeutic strategy for the management of ectopic localization of pheochromocytoma