Sensitization by Stress for Renal Lesions Resembling those of Generalized Shwartzman Phenomenon

G. Gabbiani

doi:10.1159/000135481

A Re-Appraisal of the Role of Blood Coagulation and Platelets in the Generalized Shwartzman Phenomenon

Thrombosis and Haemostasis ◽

10.1055/s-0038-1649455 ◽

1966 ◽

Vol 15 (03/04) ◽

pp. 519-538 ◽

Cited By ~ 10

Author(s):

J Levin ◽

E Beck

Keyword(s):

Blood Coagulation ◽

The State ◽

Coagulation System ◽

Renal Lesions ◽

Intravascular Coagulation ◽

Renal Glomeruli ◽

Coagulation Mechanism ◽

Shwartzman Phenomenon ◽

Do So

SummaryThe role of intravascular coagulation in the production of the generalized Shwartzman phenomenon has been evaluated. The administration of endotoxin to animals prepared with Thorotrast results in activation of the coagulation mechanism with the resultant deposition of fibrinoid material in the renal glomeruli. Anticoagulation prevents alterations in the state of the coagulation system and inhibits development of the renal lesions. Platelets are not primarily involved. Platelet antiserum produces similar lesions in animals prepared with Thorotrast, but appears to do so in a manner which does not significantly involve intravascular coagulation.The production of adrenal cortical hemorrhage, comparable to that seen in the Waterhouse-Friderichsen syndrome, following the administration of endotoxin to animals that had previously received ACTH does not require intravascular coagulation and may not be a manifestation of the generalized Shwartzman phenomenon.

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PLATELETS AND THE SHWARTZMAN PHENOMENON

Journal of Experimental Medicine ◽

10.1084/jem.121.2.235 ◽

1965 ◽

Vol 121 (2) ◽

pp. 235-246 ◽

Cited By ~ 19

Author(s):

Jack Levin ◽

Leighton E. Cluff

Keyword(s):

Intravenous Injection ◽

Renal Lesions ◽

Shwartzman Reaction ◽

Hemorrhagic Lesion ◽

Shwartzman Phenomenon

Studies are reported on the effect of immunologically induced thrombocytopenia upon the local and generalized Shwartzman phenomena. Intravenous injection of antiplatelet serum to rabbits produced profound but transient thrombocytopenia unaccompanied by significant changes in circulating leucocytes. Platelet antiserum alone given to rabbits prepared with thorotrast produced renal lesions characteristic of the Shwartzman reaction. Thrombocytopenia induced by platelet antiserum did not inhibit the cutaneous hemorrhagic lesion of the local Shwartzman phenomenon produced by sequential injections of endotoxin intracutaneously and intravenously. The implications of these observations in the pathogenesis of the local cutaneous and generalized Shwartzman reaction are discussed.

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1913: The Radiographic Evolution of Radio Frequency Ablated Renal Lesions

The Journal of Urology ◽

10.1016/s0022-5347(18)39105-5 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 505-505

Author(s):

Edward D. Matsumoto ◽

Lori Watumall ◽

D. Brooke Johnson ◽

Kenneth Ogan ◽

Grant D. Taylor ◽

...

Keyword(s):

Radio Frequency ◽

Renal Lesions

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The Local Sanarelli-Shwartzman Phenomenon in Rats Induced by Human Leukaemic Cells

Thrombosis and Haemostasis ◽

10.1055/s-0038-1647777 ◽

1973 ◽

Vol 29 (02) ◽

pp. 353-362

Author(s):

J Lisiewicz ◽

A Pituch ◽

J. A Litwin

Keyword(s):

Chronic Lymphocytic Leukaemia ◽

Intravenous Injection ◽

Peripheral Blood ◽

Lymphocytic Leukaemia ◽

Acute Myeloblastic Leukaemia ◽

Demarcation Line ◽

E Coli ◽

Leukaemic Cells ◽

Shwartzman Phenomenon

SummaryThe local Sanarelli-Shwartzman phenomenon (SSP-L) in the skin of 30 rats was induced by an intr a cutaneous sensitizing injection of leukaemic leucocytes isolated from the peripheral blood of patients with chronic lymphocytic leukaemia (CLL), acute myeloblastic leukaemia (AL) and chronic granulocytic leukaemia (CGL) and challenged by an intravenous injection of 100(μ of E. coli endotoxin. SSP-L was observed in 7 rats after injection of CLL lymphocytes and in 6 and 2 rats after AL myeloblasts and the CGL granulocytes, respectively. The lesions in the skin after AL myeloblasts appeared in a shorter time and were of longer duration compared with those observed after CLL lymphocytes and CGL granulocytes. Histologically, the lesions consisted of areas of destruction in the superficial layers of the skin ; the demarcation line showed the presence of neutrophils, macrophages and erythrocytes. Haemorrhages and fibrin deposits near the demarcation line were larger after injection of CLL lymphocytes and AL myeloblasts than after CGL granulocytes. The possible role of leucocyte procoagulative substances in the differences observed have been discussed.

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Liquoid Induced Stasis and the Generalized Shwartzman Reaction

Thrombosis and Haemostasis ◽

10.1055/s-0038-1646840 ◽

1979 ◽

Vol 41 (04) ◽

pp. 804-810 ◽

Cited By ~ 1

Author(s):

Knut Nordstoga

Keyword(s):

Red Cells ◽

Renal Lesions ◽

Intravenous Injections ◽

Shwartzman Reaction ◽

Glomerular Capillaries

SummaryThe composition of the occlusive material within dilated glomerular capillaries, following intravenous injections of Liquoid in blue foxes, was studied electron microscopically; it was found that it mainly consisted of a debris in which disintegrated red cells constituted the major component. Damaged platelets and necrotic endothelial remnants were other components. These observations were interpreted as a result of glomerular stasis, and it was concluded that stasis in glomerular capillaries is a basic event in the development of the renal lesions accompanying the generalized Shwartzman reaction.

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