13
254 OriginalArticles (A励tract) Studies‘ on Itching : Relationship of Itching to Vasomotor Reactions and to Skin Temperature* by Tsutomu Uchida** To elucidate the relationship of itching to vasomotor reactions and to skin tem- perature, experimental studies were performed on the normal skin and so-called itchy skin. The results are outlined as follows : 1) Experimental itching on the normal skin could scarcely be affected either by the administration of any autonomic nerve stimulant or of any vasomotor-inducing. drug, or by the local application of any of them to skin together with chemical itch stimulus. 2) When itch-producing lymphagoga, for example, histamine which induees remark- able vasomotor reactions was intra-epidermally, itching sensation developed before any skin vasomotor reaction was observed, and the vasomotor reactions increased even after the itching sensation subsided. Further, the skin reaction itself could be pro- duced by such low stimulus as can not induce itch in sensation. that is to say by subthreshold stimulus. 3) Stoppage of blood stream in the normal skin by tying off, or epinephrine ischemia, could not inhibit artificialitching. but itch threshold was generally elevated in this case. 4) In a site of the normal skin where the temperature was raised by warmth stimulus, the threshould generally lowered, but in site whose temperature was lowered by cold stimulus. the threshould was nearly always elevated. 5)On either clinical0rexperimental itchy skin, itching recurred immediately on the warmth stimulus. Furthermore, in the clinicalitchy skin, itis possible to reproduce itching with pharmacological stimulant such as v卵odilator. This was always Ob- served on the face and neck on the application of nicotinic acid. From 1) and 2) it can be affirmed that itching is independent of autonomic inner- vation, and from 3) and 4) it is clear that change in blood stream and skin temperature often affect the local itching excitability. From 5) it is confirmed that clinicalitching can recur or increase on the application of warmth stimulus. The reason is considered to be that warmth stimulus can be accumulated as itch stimulus, and that it increases the intensity of inflammatory process. ** Full-length report: Japanese section, pp. 1601~1628 Department of Dermatology (Director: Prof. J. Yamazaki), Faculty of Medicine, Gunma University, Maebashi.

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Page 1: 254 - drmtl.orgdrmtl.org/data/069110254E.pdfdermatoses, e・g.skin pulp of the patients w!th dermatitis herpetiformis, fluidof bullae of the patients with pemphigus vulgaris. and dermatitis

254

                     OriginalArticles

                        (A励tract)

      Studies‘on Itching : Relationship of Itching to Vasomotor Reactions

                   andto Skin Temperature*

                           by

                      TsutomuUchida**

  To elucidate the relationship of itching to vasomotor reactions and to skin tem-

perature, experimental studies were performed on the normal skin and so-called itchy

skin. The results are outlined as follows :

  1) Experimental itching on the normal skin could scarcely be affected either by

the administration of any autonomic nerve stimulant or of any vasomotor-inducing.

drug, or by the local application of any of them to skin together with chemical itch

stimulus.

  2) When itch-producing lymphagoga, for example, histamine which induees remark-

able vasomotor reactions was intra-epidermally, itching sensation developed before

any skin vasomotor reaction was observed, and the vasomotor reactions increased even

after the itching sensation subsided. Further, the skin reaction itself could be pro-

duced by such low stimulus as can not induce itch in sensation. that is to say by

subthreshold stimulus.

  3) Stoppage of blood stream in the normal skin by tying off, or epinephrine

ischemia, could not inhibit artificialitching. but itch threshold was generally elevated

in this case.

  4) In a site of the normal skin where the temperature was raised by warmth

stimulus, the threshould generally lowered, but in a site whose temperature was

lowered by cold stimulus. the threshould was nearly always elevated.

  5)On either clinical0rexperimental itchy skin, itching recurred immediately on

the warmth stimulus. Furthermore, in the clinicalitchy skin, it is possible to reproduce

itching with pharmacological stimulant such as v卵odilator. This was always Ob-

served on the face and neck on the application of nicotinic acid.

  From 1) and 2) it can be affirmed that itching is independent of autonomic inner-

vation, and from 3) and 4) it is clear that change in blood stream and skin temperature

often affect the local itching excitability. From 5) it is confirmed that clinicalitching

can recur or increase on the application of warmth stimulus. The reason is considered

to be that warmth stimulus can be accumulated as itch stimulus, and that it increases

the intensity of inflammatory process.

 *

**

Full-length report: Japanese section, pp. 1601~1628

Department of Dermatology (Director: Prof. J. Yamazaki), Faculty of Medicine,

Gunma University, Maebashi.

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       Studies on the Skin Collagen Disease

Part l : HistopathologicalFindings in Acute Lupus Erythematosus

        (Report of 4 Autopsy Cases゛゛)

      by

Rinnosuke Saiki゛゜゛

255

   The author has had an opportunity of observing 4 cases 0facute systemic lupus

erythematous, which were undergone subsequent post-mortem examinations. Histopa-

thological findings as well as clinical conditions in these cases are presented here。

   The autopsy revealed endocarditis with Libman-Sacks's syndrome in cases 1,111

and IV ;the renal glomeruli presented a picture of wire loop degeneration in cases I,II

and Ill;the splenic central artery presented a picture of onion skin degeneration

(periarterial fibrosis in a114 cases; and lupus pneumonitis in one case. There were

also vascular changes found in various internal organs。

   Various organs of the 4 cases presented a picture similar to that of widespread

periarteritis nodosa. Association of lupus erythematosus with periarteritis nodosa

was thought to be considered。

   Ina114 cases. the extent of eruptions was not parallel to the degree of changes

in the internal organs.            よ

   The upset of hormonal bnlance as represented by breakdown of pituitary adrenal

barrier cannot be accepted as the primary etiologic factor in lupus erythematosus,

though it may play a major part in the determination of the type of clinical response

and its severity。

   Reports of autopsy cases 6flupus erythematosus which appeared in the literature

both in Japan and abroad, especially those in which changes in the principal organs

were described and which held allergy ・reponsible for the condition, were studied.

The author is positively in favor of the hypothesis that lupus erythematosus is a

bacterial allergy. However, the possibility is emphasized that the kind of bacterial

antigen is an important factor in determining clinicaland pathological pictures, and the

intensity of antigenic stimulation which contributes to the occurrence of variations

in the clinical picture of the disease centering on subsepsis.

 *

**

Ful】。lengthreport: Japanese section pp. 1629~1655

Department of Dermato-Urology, (Director: Prof. K. Takenouchi) School of

Medicine, Chiba University, Chiba.

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256

In Vitro Experiment on EosinopMI AttractingFactor

     ofSerum in Cases with Dermatoses*゜

                by

           KoicMHirokawa**

   Noguchi (1950) found histologically that destruction products of the skin in some

dermatoses, e・g. skin pulp of the patients w!th dermatitis herpetiformis, fluid of bullae

of the patients with pemphigus vulgaris. and dermatitis herpetiformis etc., possessed

eosinotactic activity, and Stoughton (1958) indicated that breakdown products of normal

human epidermis were capable of acting as eosinotaxins. The author could obtain

great numbers of eosinophils from buffy coat of normal human blood, and studied

the eosinotactic activity in vitro of the serum of the patients with some dermatoses。

which are usually accompanied with blood eosinophilia and/or tissue eosinophilia。

   Material: The attracting substances used were (1) serum of 37patients;2 cases

of pemphigus vulgaris, 1 case of pemphigus foliaceus, 3 cases of dermatitisヽherpeti-

formis, 2 cases of mycosis fungoides, 1 case of pityriasis rubra Hebra, 3 cases of

dermatitis eχfoliativa,4 cases of psoriasis, 2 cases of chronic urticaria, 8 cases of

erythema nodosum, 2 cases of erythema multiforme, l case of penicillin eruption. 1

case of gnathostomiasis, 4 cases of basal cell carcinoma and 3 cases of squamous cell

carcinoma, (2) fluid of the perienteric cavity of ascaris lumbricoides. Normal human

sera were used as control。

   Method : The attracting substances and the control serum were adsorbed to caolin

in order to have visible targets. Defibrinized normal human blood was centrifuged at

2000r・p.m. for 5 minutes, and greyish-white layer of leucocytes (buffy coat) was drawn.

into a capillary pipet. A bit of the test substance and the control serum adsorbed

to caolin were placed on a cover slip to form two small disks, 0.5~0.6mm. in diameter,

at a distance of 5~8mm. from each other, and were fixed by drying. A drop of

buffy coat was laid on the cover slip and spread over a glass slide, and the preparation

was sealed with petrolatum. The preparartion was then incubated at 36~38°C for

2~4 hours in horizontal position, until all leucocytes scarcely showed amoeboid move-

ment. The margin of the target was brought il!to the field ofthe microscope and

leucocytes within a distance of 150μfrom the margin were counted. The measure of

eosinophil attracting activity was defined as the ratio of numbers of eosinophils to

total leucocytes. If the ratio of eosinophils around the attracting target was twice

higher or more than that around the control target, the substance tested was con・

sidered as eosinophil attracting・

 *

希*

Fun・length report: Japanese section pp. 1656~1666

Department of Dermatology (Ex-Director: Prof. K. Kitamura, Director: Prof. T

Kawamura), Faculty of Medicine, University of Tokyo, Tokyo

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257

   Results: The results were summarized in the following table. Eosinophil attract-

ing activity of serum was observed in 15.cases; among them 2 cases were accompanied

with neither blood eosinophilia nor tissue eosinophilia clinically.2cases with only blood

eosinophilia, and 4cases with tissue eosinophilia. The 7 cases which were accompanied

with blood and tissue eosinophilia were each one case of pemphigus vulgaris, pemphigus,

foliaceus, dermatitis herpetiformis, mycosis fungoides. pityriases rubra Hebra, derma-

titiseχfoliativaand gnathostomiasis cutis. It was pointed out that all these cases

developed chronic. non-infectious, and generalized manifestations. except the case of

gnathostomiasie cutis. The fluid of the perienteric cavity of ascaris lumbricoides

attracted eosinophils intensely.

Cases eoJ3Z!1iHaieoJだぶ151iaEosinotactic activity

    of serum

Erythema nodosum

Squamous cellcarcinoma

Psoriasis

Penicillineruption

Dermatitis herpetiformis

Mycosis fungoides

Erythema nodosum

Squamous cellcarcinoma

Pemphigns vulgaris

Pemphigus foliaceus

Dermatitis herpetiformes

Mycosis fungoides

Pityriasisrubra He bra

Dermatitis exfoliativa

Gnathostomiasis cutis

 -

 -

 -

 -

 十

 十

、+

 +

 十

 十

 十

 +

 +

 +

 十

    +

    -

    一

    十

    十

    -

    +

    +

    +

    +

・z +

    +

    十

    十

    十

  The following conclusion might be drawn from the results described above :―In

cases with some chronic. non-infectious, and generalized dermatoses. the skin::lesion

(the damage of the skin) is favourable for liberating eosinotactic factors。

  The eosinotactic factors attract eosinophils in loco and cause tissue eosinophilia.

0n the other hand, eosinotactic factors are transferred to the circulating blood and

stimulate the bone marrow t(irelease eosinophils, so that blood eosinophilia is provoked.

In cases with dermatoses due to animal parasites, blood eosinophilia as well as tissue

eosinophilia may be caused directly by parasital toχinwithout skin destraction.

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258

          The Study of the Kgment in Retinal Pigment Epithelium*

                         by

                    Masamitsu Miyamoto**

   The pigment epithelium of the retina of higher vertebrates cぴ■nsistsof a Sflぽre

 layer of cells which have rod-shaped pigment granules in their cytoplasm and mor-

 phologically resemble the pigment-producing cells in the skinア melanocytes. In 1923,.

 Miescher demonstrated the presence of“ dopa oxidase ” by histochemical methods- in

 the pigment epitheliリm of chick・rabbit and guinea pig in the early stage of their

 embryonal development, and he suggested that dopa is a precursor of the pigment i血

 the retina. Recently Miyamoto and Fitzpatick has proved that the pigment in. retinal!

 pigment epithelium shows not only “ dopa-oxidase ” but alsc monophenoloxidase (tyrO"

 sinase) activities and they concluded the pigment is melanin. The further studies

 has been carried out in order to clarify the mechanism of the pigment fcwmatioia in.

 the retina. The homogenate of retinal pigment epithelium of the brow】cL-feathered

 chick embryo were used in this study・

   By the manometric studies it was found that the retinal pigmentヶepitheiium. Mas.

 strong tyrosinase activity. L-Tyrosine, L-tyrosine ethyl ester. and LKiopa. are found

 to be active as substrates for retinal tyrosinase, whereas eatechol and p-eresol are

 inactive. By means of dialysis of the homogenate against KCN, it wasこrevealedthat;

this enzyme is copper-binding protein. as is mammalian. tyrosinase・

   Puring the embryonal development. changes of the・retinal tyrosinase activity wer&

 observed. On the 6th day of the embryonal age. the retinal pigment granules showed

 tyrosinase activity already and this activity was gradually increased and reached at;

 maximum on the 10th day, then rather rapid fallof the acti▽itywas noted after」2th day.

   One of the interesting findings in the substrate speifidty of retinal tyrosinase is that

 it was able to oxidize L-leucyl-L-tyrosine and glycyl-L-tyrosine just十as rapidly as

 L-tyrosine. Paperchromatographic analysis displayed the eo-eχistence of peptidase

 with tyrosinase in the pigment epithelium. Peptidase in combination with tyrtsdnase

 might play an important role in the pigment formation by eontroUing a supply of the

 substrate, tyrosine, to the enzyme. tyrosinase.

   The mechanism of the formation of the pigment in retinal pigment epithelium

 was discussed comparing with that in melanoma. The similarities between the bioche-

 mical behavior of retinal tyrosinase and melanoma tyrosinase were pointed out.

 *

**

Full-length report: Japanese section pp. 1667~1675

From the Department of Dermatology (Eχ・Director: Prof. K. Kitamura, Director:

Prof. T. Kawatnura), Faculty of Medicine, University of Tokyo, Tokyo.

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259

         Electron Microscopy study of Pathogenic Fungi゛゜

                   by

               Harukuni Drabe and Susumu Nakano*゜゛゜

  The morphology of pathogenic fungi, especially of trichophyton and Candida was

studied by an electron microscope. The form and appearance of the fungi, their

internal structure. the morphological transformation in the stage of growth and re-

production and the destruction of the fungi by fungistatics were observed, and the

correlation between the findings of these observations and the treatment of fungous

disease was discussed.

  The outer wall of the cells of trichophyton is rougher than that of Candida

(Fig. 3-6). In case of budding the cytoplasm of the mother cells transfers to the

budding part of the cell wall. The nature of cytoplasm varies with the age of the

cells forming vacuolation, and in old cells the structure of cellular elements becomes

obscure, reducing the thickness of the cell wall.

  The cells of trichophyton which parasite in the scales are remarkably different

from that of cultured ones. The cell wall of the former is very strong and thick

and the internal structure is cl!aracteristic (Fig. 10).

  The connection of the mother cells and daughter cells which were produced by

cellular division is compact and there is no communication. 0n the other hand, ill

case of budding, there was seen some communication in the early stage of budding

between these two cells, and the connection is looser than the former. By the

separation of the budded cells. the mother cells lose the cell wall partly.

  The morphological change of the fungi by fungistatics appeared as the form of

plasmolysis independent of the kind of the drugs (Fig. 20, 22, 23). This change was

considered reverse to some extent. but when it occurs remarkably. the cells are

thought to be dead.

   Inaddition the technics of the electron microscopic eχamination of the fungi are

described.                                         ,

 *

**

Full-le立gth report: Japanese setion pp. 1676~1690

From the Department of Dermatology (Director: Prof. K. Highchi), Faculty of

Medicine, Kyushu University, Fukuoka.

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260

The Effect of Repeated Subcultures of Candida Albicans strains

         ontheir Absorptive Capacity of Dye゛

                          by

                      Kei Hayashi**

  Miura and Kusunoki reported that the pathogenicity of Candida albicans will be

determinable by means of investigating its absorptive capacity of crystal violet. For

the purpose of confirming this concept Inoue carried out the same experiment using

20 dyes of eight groups and concluded that between tりestrains isolated either from

a lesion or morbid materials and that isolated from feces of healthy human, including

two strains isolated from unknown source in the latter group. the distinct difference

of absorptive capacity of dyes which were adc!ed in Sabouraud's glucose agar slant

at the dilution 10/3×10-6 of crystal violet, !O/2×10-6 of gentian violet, 1×10-5 of methyl

violet, 10/3×10-6 of pyoktanine blue, 1×10-6 of malachite green, and 1×10-4 of methyl

green or 1χ10-5 0fauramine, was observed. but on the other 13 dyes this character-・

istic was not found. An attention, however, was paid because the range of concent-

ration of dye to cause such phenomena in both group of strains is within narrow limits.

  Therefore, in order to eχamine whether such phenomena are affected by the

conditions of culture, the author carried out an eχperiment using the same strains

and the same culture media added dyes which Inous used in his test. The strain was

cultured on Sabouraud's glucose agar slant at 27°C and after formation of mycelial

coat it was stored at 3°C士or ten days and then it was subcultured under the same

condition repeatedly till tenth generation. The dyes used in the present experiment

were 20 of eight groups such as triphenylmethane. diphenylmethane, monoazo, disazo。

azine, thiazine, oxazine and xanthene and the strains were 19 of 6 species such as

14 strains of C. albicans, of them 6 strains isolated from a lesion or morbid materials

(Group I), 6 isolated from fecess of healthy human (Group II) and 2 isolated from

unknown sources (Group Ill), and one strain each of C. guilliermondi, C. tropicalis.

C. parakrusei, C. stellatoidea and C, pseudotropicalis. The method of experiment

was such that a strain cultured at 27°C for 10 days was inoculated on Sabourand's

glucose agar slant added dye in two parallel lines and stored in an incubator of

37°C for 3 days, after taking out from the incubator it was kept in room temper-

ature ; and observation was made on its absorptive capacity of dye on 7th, 14th, 21st

and 28th day respectively. The results are summarized as follows :-

  Some differences of the degree of absortive scapacity of dye between the group !

 * Full-lengthreport: Japanese section pp. 1691~1704

** From the Departnent of Dermatology (Director: Prof. 0. Miura), Nihon University

   Schoolof]Medicine.

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2肘

and II or Ill of C. albicans strains were observed on culture media to which crystal violet

was added at the dilution 10/3×10"^ gentian violet at 10/2×10-≪, methyl violet at

10/2×~^, and pyoktanine blue at 10/3×io-≪ 0r 10/4×10-6 respectively, but distinct d近-

erences such as Inoue reported were not observed. When malachite green or auramine

was added, no difference of・absorptive capacity of dye was found between group l

and II or 111.0n strains of other species of Candida the same results were obtained。

As Inoue observed, the author could not find any difference of absorptive capacity

on dyes between group I, II, and Ill of C. albicans strains, such as on janus green

of monoazo group, trypane blue, Congo red and Bismarck brown of diazo group.

safratiine-0 and neutral red of azine group, methylen blue, azur l and toluidine blue

of thiazine group. Nile blue and brilliant cresyl blue of oxazine and phloxine and

cotton blue of xanthene group。

   In conclusion, the author could not confirm the results of Miura and Kusunoki

or those of Inoue because the absorpt!ve capacity of dye of C. albicans isolated either

from a lesion or morbid materials or from feces of healthy human fluctuates during

repeated subcultures, so that the d迂ference of absorptive capacity of dye between

the groups of C. albicans strains becomes obscure.

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262

 Studies on Thiamine Metabolisn in Various Diseases of the Skin

Part IV. Studies on Thiamine Metabolism in Infants with Eczema*

by

           Katsu Takenouchi, Kazuo Aso, Shinichi Mitsuhashi

         Shoji Okamoto, Takashi Katayama and Akira Utsumi**

  (1) As preliminaries of studies on thiamine metabolism in infants with eczema,

measurements were made of thiamine levels in the breast milk, early morning urine

and blood in 15infants in a nursery home and in 32 normal and healthy infants

undergoing periodic physical examinations at a health center, who served as controls.

Urine thiamine levels were also estimated by using a test dose method. The results

of these investigations show that a thiamine level in the breast milk fed to healthy

infants was 14.6 7/di. in average; that thiamine levels in the early morning urine of

breast-fed infants were 67/dl.~5 7/dl. in 2 infants, 5 y/dl.~2.5 7/dl. in 4 infants, 2,5 7/dl.

~1 7/dl. in 2 infants and 0 7/dl. in l infant ; that thiamine levels in the early morning

urine of infants fed on both breast and cow゛smilk and infants fed on cow's milk

alone were over 30 y/di. in l infant. 30 -y/di.~20 7/d1, in 3 infant. 20 7/dl.~10 -y/dl.

in 3 i�ants and 10 7/dl.~5 7/dl. in l infant ; that thiamine levels in the early morning

urine of infants in the process of being weaned were over 30 7/dl. in 2 infants,

30 -y/dl.~20 7/dl. in 4 infants, 20 r/di.~5 -y/dl.in 2 infants and 5 7/dl.~2.5 7/dl. in 3

infants; and that a blood thiamine level was 6.1 -y/dl.in average.

  In view of the results of investigations by a test dose method as well as of the

results of studies described above, it has been revealed that a healthy infant fed

心n breast milk containing more than 107/dl. 0f thiamine, a breast-fed infant with a

thiamine level of over 1 -y/dl.in the early morning urine, an infant fed on a combina-

tion of breast milk with cow's milk or an infant in the process of being weaned with

.a thiamine level of over 2.5 7/dl. in the early morning urine and an infant with a

blood thiamine level of over 5 7/dl. may be classified as having normal thiamine

metabolism.

  (2)By using the various levels described above as standards of comparison.

thiamine metabolism in infants with eczema was investigated.

  a) Thiamine levels in the breast milk fed t0 39 infants with eczema ranged from

4.8 ■y/di.t0 29.4 7/dl・, with the average of 15.42 7/dl. Six infants with eczema, or 15%,

fed on breast milk were lower in thiamine level than 107/dl.

 *

**

Fu】1-lengthreport: Japanese section pp. 1705~1723              -'

From the Department of Dermato-Urology (Director: Prof. K. Takenouchi), School

0fMedicine, Chiba University, Chiba.

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263

  b) Blood thiamine levels investigated in 34mothers of infants with eczema ranged

from 3.0 7/dl. t0 12.0 7/d1。 with the average of 5.9 r/ldl. Those with low blood thiamine

levels were 6 mothers, or 18%。

  c) Blood thiamine levels estimated in 19 infants with eczema ranged from 2.8■y/dL

to 15.6 -y/dl・,with the average of 7.03 7/dl. Five infants with eczema, or 26 %, showed

blood thiamine levels lower than normal。

  d) Thiamine levels in the early morning urine were estimated in the following

infants with eczema : 18 breast-fed infants. 10 infants fed on both breast and cow's

milk, 7 infants in the process of being weaned and 3叫fants fed on cow's milk. Breast-

fed infants and infants fed on cow's milk showed normal values, while 40% of

infants fed on both breast and cow's milk and 43% of infants in the process of being

weaned showed values lower than normal。

  e) The increase of the weight was slower in infants with eczema than in healthy

infants。

  Overall results of investigations show that 21% of infants with eczema had

abnormal thiamine metabolism. It is noteworthy that in infants with eczema, the

decreased or increased rate of thiamine metabolism most often occurred 4, 5,6,7 and

8 months and after birth when they are supposed to be in the process of. 0rimme-

diately before, being weaned.

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264

Studies on ¶Ehiamine Metabolism in Various Diseases of the Skin

  Part V. Histochemical studies on Thiamine in the Skin*

                   by

          KatsuTakenouchi, Kazuo Aso and Takashi Katayama**

   By using a histochemical method, we carried out experiments to determine whether

thiamine is present in vrious parts of the skin。It was shown that thiamine is present

in the epithelium, corium and appendages of the skin。

   The pieces of the skin tissue kept in 100% alcohol for 24 hours were dehydrated,

embedded in non-fluorescent paraffin and sliced into thin sections, 7 t0 8μthick, by a

microtome knife. After paraffin was removed with benzene, the thin sections were

washed with 100% alcohol and non-fluorescent butyl alcohol to be freed of blind

fluorescence. After drops of a mixture of 4% potassium ferricyanide and 40 % caustic

soda in equal amounts were allowed to fall on them, they were washed with water

and enveloped in glycerine. Then the specimens were studied with fluorescent micro・・

scope to determine thiamine by measuring violet red fluorescence of thiochrome formed。

   Thiamine was found to be located in the epithelium, sweat glands, and hair follicles;

it was found all over in the horny and prickle layers of the epithelium. It appeared

that thiamine was accumulated in the cytoplasm of the cells as well as in the inter-

cellular space. Thiamine was also detected in the collagen and elastin of the corium,

the wall 0f the blood vessels, the hair follicles.the sweat glands and the sebaceous

glands. The sweat glands and hair follicleswere the most rich in thiamine。

   Thiamine in the hair follicles was distributed in a peculiar fashion as follows :

Henle's layer≧the corteχ>Huxley's layer≧the matrix>theouter root sheathにIt

appeared that thiamine might concern in keratinization, its distribution resembling

that of -SH. The fact that there were a lot of thiamine in the skin rich in the

pigmented granules may indicate that there isa close relation between the formation

between the formation of the pigment and the presence of thiamiiie.

 * Full-】eugthereport: Japanese section pp. 1724~1731

** From the Department of Dermato-Urology (Director: Prof. K. Takenouchi), School

    ofMedicine, Chiba University, Chiba.

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    studieson Thiamine Metabolism in Various Diseases of the Skin

Par VI. Thiamine in Relation to th≪ Growth of Hair, with Special Reference

     tothe Relation between Pigment and Thiamine in the Hair*

                        by

                     KazuoAso゛゜゛゛

265

  1) The author's attention has been called to the fact that rats and rabbits fed

on a diet deficientin thiamine show some changes in the hair. It was presumed that

thiamine might be concerned in the development and growth of the hair and that

deficiency in thiamine might cause disturbance of keratinization of the hair。

  2) By measuring thiamine in the black hair quantitatively, the author detected

a large amount of free thiamine in it(35~80 7/100 gm. in man). Free thiamine

detected in the gray hair of man and the white hair of rabbits and guinea pigs was

approximately 10 7/100 gmパn amoutnt. It may be supposed that this marked difference

of thiamine content indicates that thiamine is concerned in the formation of the

pigment in the hair。

  3) Fluorescent microscopy examinations of the hair follicle showed that there

was thiamine accumulated in the cortex which was rich in melanin pigment. This

observation 血ay be additional evidence for the possible role of thiamine in the

formation of the pigment。

  4)By adding varying amount of thiamine to tyrosine tyrosinase system, the author

carried out studies on the influence of thiamine on the formation of of hallachrome.

The influence of thiamine was determined by a method based on the density of red

color developed and the time elapsed before the pigment has been formedレ The

direct influence of thiamine on melanogenesis was not observed。

  5)The peculiar menner in which thiamine was distributed in various portions

of the hair follicle has suggested that thiamine may be concerned in keratinization。

It seemed likely that thiamine found in the gray hair of men and the white hair of

rabbits and guinea pigs might have something to do with the process of keratinization.

Thiamine was detected, though small in amount. in the horn of cattle.the rudimentary

t060fhorses. the feather of chickens and the scales shed from the skin of persons

with psoriasis.

 *

**

Full-lengthreport: Japanese sectionpp. 1732~1741

From the Department of Dermato-Urology (Director: Prof.K. Takenouchi), School

0fMedicine, Chiba University,Chiba,

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266

      studies on Thiamine Metabolism in Various Diseases of the Skin

         Part VII. Qualitative Estimation of ¶rhiamine in the Skiが

                         by

         Katsu Takenouchi, Kazuo Aso and Takashi Katayama゛゛゛゛

  As previously discussed.・disturbances of thiamine metabolism were frequently

encountered in some diseases of the skin. Therefore qualitative study of thiamine

in the skin is the utmost important. The manner in which thiamine is distributed in 包e

epidermis, corium and hair follicles etc. was discussed in the previous paper (part

V). The Auther's intention in this paper is directed to the qualitative estimation of

those thiamine we had inentified in those layers and appendages of the skin. By

using newly improved homogeneizer―a reformed boring lathe―the difficulty of

extraction of thiamine from the skin―grinding the skin into pieces―was dissolved.

The amount of thiamine estimated was dissolved. The amount of thiamine estimated

was as follows :

  1) As a preliminaryごexperiment, the amount of thiamine in experiment animals

was estimated. The amount of thiamine in the skin of pigs, guinea pigs, rabbits and

frogs was 0.5, 0.27, 0.43 and 0.54 7/gm. respectively, mostly belonging to the ester type.

Free type of it was only 0.03~0.1 -y/gm.

  2)The amount of thiamine in the human skin―axil�eand abdomen―was measured

as 0.55 and 0.72 y/gm. respectively√ The rate of ester type of thiamine to that of

free type has been disclosed similar to that of animals. Average !evel of free type of

thiamine estimated was 0.04~0.05 -y/gm.

  3)The amounnt of thiamine in various layers of the skin was estimated. The

membrane of cantharis blister and epidermis peeled by a dermatome were considered

as epidermal portions, and a kelloid tumor was used as section of the connective

tissue of the corium. By peeling off the corium as close to the epidermis as possible,

the lower part of the corium as well as hair folliclesand sweat glands were considered

to be collected. The amount of thiamine thus estimated in various layers of the skin

was as follows :

  1, A11 layers of the skin ;                  0.93~0.827/gm.

  2, Epidermis ;                         0.82~0.897/gm.

  3. Upper part of the corium ;               0.73~0.76 7/gm.

  4. Lower part of the corium ;                0.97~1.01-y/gm.   \

  The rate of thiamine found in the epidermis, upper part of the corium, and lower

part of the corium 辿usbecame 8: 7 : 10.

 * Full-】engthreport: Japanese sectionpp. 1742~1749  ・

**IFrom the Department of Dermato-Urology (Director: Prof.K. Takenouchi), School

   ofMedicine, Chiba University,Ghiba.