Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
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.
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.
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
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
一
一
十
+
-
-
-
-
十
十
+
十
+
+
+
-
-
-
-
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.
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.
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.
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.
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.
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.
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.
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.
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,
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.