RESUMO: Os objetivos deste trabalho foram descrever os aspectos epidemiológicos, clínicos e patológicos de dois surtos de intoxicação por Froelichia humboldtiana em bovinos em Pernambuco e reproduzir experimentalmente essa intoxicação em bovinos. Intoxicações espontâneas foram observadas após o início do período chuvoso nos municípios de Cachoerinha e São Caetano. Vinte e dois bovinos apresentaram sinais clínicos e lesões cutâneas compatíveis com fotossensibilização primária, dentre os quais, dois bezerros lactentes. Todos os bovinos se recuperaram totalmente cerca de 21 dias após serem retirados da pastagem. Para reproduzir experimentalmente a intoxicação, três vacas, uma delas com bezerro ao pé, foram mantidas em um piquete de 1ha composto por F. humboldtiana por 14 dias consecutivos. O quadro clínico e as lesões tegumentares, tanto nos bovinos intoxicados nos surtos espontâneos, quanto nos bovinos do experimento consistiram em prurido e hiperemia em áreas despigmentadas de pele, que evoluíam para edema, dermatite exsudativa e necrose de áreas extensas de pele. Em todos os bovinos examinados, os níveis séricos de aspartato aminotransferase (AST), gamaglutamiltransferase (GGT), bilirrubina total, direta e indireta estavam normais. Histologicamente, as lesões consistiram em necrose da epiderme, hiperqueratose com grande quantidade de neutrófilos degenerados e acantose. Na derme havia edema e infiltrado inflamatório composto por eosinófilos, linfócitos e plasmócitos principalmente ao redor dos vasos sanguíneos. Nos bovinos do experimento, sinais clínicos de fotossensibilização foram observados após o terceiro dia de consumo de F. humboldtiana. O bezerro lactente apresentou sinais clínicos leves de fotodermatite no 8º dia do experimento. Estimou-se que o consumo médio de matéria seca de F. humboldtiana necessário para iniciar os sinais clínicos em cada bovino adulto foi de 78kg.

ABSTRACT: The aim of this work was to describe the epidemiological, clinical and pathological aspects of two outbreaks of spontaneous poisoning caused by Froelichia humboldtiana in cattle in Pernambuco, northeastern Brazil and reproduce experimentally this poisoning in cattle. Spontaneous poisonings of primary photosensitization occurred in two farms at the municipalities of Cachoeirinha and São Caetano and affected twenty-two adult bovines and two suckling calves after the rainy season. All bovines have recovered 21 days after they were removed from the pasture. To reproduce experimental poisoning, three cows and a calf were maintained in a pasture with 1ha composed by F. humboldtiana during 14 days. Clinical signs and skin lesions were similar in both spontaneous and experimental poisoning and consisted of cutaneous itching and hyperemia of non-pigmented areas of skin that evolved into edema, exudative dermatitis and extensive areas of skin necrosis. Serum levels of aspartate aminotransferase (AST), gamma glutamyltransferase (GGT), total, direct and indirect bilirubin were normal in all cattle examined. Histologically, lesions consisted of epidermal necrosis, hyperkeratosis with large amounts of degenerate neutrophils and acanthosis. In the dermis, edema and inflammatory infiltrate composed of eosinophils, lymphocytes and plasma cells mainly around the blood vessels were observed. In the experimental group, clinical signs of photosensitization were observed after the third day of F. humboldtiana consumption. The suckling calf displayed mild clinical signs of photodermatitis on the 8th day of the experiment. It was estimated that the average consumption of F. humboldtiana necessary to initiate clinical signs in each adult bovine was 78kg.

Abstract Objective: To identify the commercially available toothpastes intended for children and their total soluble fluoride concentrations (TSF). Material and Methods: Twelve brands of toothpastes intended for children marketed in supermarkets and pharmacies were found and analyzed: Bitufo®; Colgate Smile®; Lilica Ripilica®; Even Baby®; Turma da Mônica Baby®; Loney Tunes®; Loney Tunes Baby®; Malvatrikds Baby®; Oral B Stages®; Sanifil Kids®; Tandy®; Tra-lá-lá Baby®. Duplicate samples of each toothpaste were weighed (+/- 90 to 110 mg) and diluted in 10 mL of distilled water under stirring. To evaluate soluble fluoride, duplicate aliquots of supernatant suspensions were evaluated on specific ion fluoride electrode calibrated with fluoride standard solutions and results expressed in ppm F according to established protocol. Results: According to information provided by manufacturers, 5 non-fluoridated toothpastes, 3 toothpastes with less than 1000 ppm F and 4 toothpastes with conventional fluoride concentration (1100 ppm F) were identified. After analysis of soluble fluoride of fluoridated toothpastes, only 02 presented TSF concentration equal to or greater than 1000 ppm F. The TSF concentration (mean ± SD) for all samples ranged from 8.2 ± 0.1 to 1065.9 ± 24.7 ppm F. Conclusion: Few toothpastes intended for children presented soluble fluoride concentrations capable of preventing dental caries. Additionally, regulatory measures need to be implemented for the marketing of toothpastes intended for children with at least 1000 ppm of soluble fluoride, especially in locations without other sources of fluoride (fluoridated water) for the population.

RESUMO: O objetivo deste estudo foi avaliar os aspectos clínicos e patológicos da deficiência de fósforo em caprinos no semiárido de Pernambuco. Para isso, visitas técnicas foram realizadas em diferentes propriedades na microrregião do Sertão do Moxotó durante o período da estação seca. Realizaram-se exames clínicos, determinação da atividade sérica de cálcio total e ionizado, fosforo sérico, magnésio, razão Ca:P, proteína total, albumina, globulina e o percentual de cinzas ósseas. Biopsias ósseas da região hipocondríaca da 12 costela direita foram fixadas em solução de formalina a 10% e descalcificadas para análises histológicas. Os principais sinais clínicos observados nos caprinos com deficiência de fósforo foram aumento da fragilidade óssea além de desidratação, magreza, hipomotilidade ruminal, alopecia, pelos opacos, quebradiços e eriçados e osteofagia. As médias dos valores das cinzas ósseas e do teor de fósforo nos ossos estavam abaixo dos valores de referência e a correlação entre essas duas variáveis foi fortemente positiva (r=0,91); a redução da concentração do fósforo sérico foi acompanhada da redução da porcentagem desse mineral nas cinzas. Esse resultado é conclusivo para o diagnóstico de deficiência de fósforo. No exame microscópico dos fragmentos ósseos das costelas, verificou-se evidente aumento da atividade osteoclástica com áreas de reabsorção óssea e maior quantidade de tecido osteóide e de fibras colágenas na matriz óssea. Conclui-se que a deficiência de fósforo é uma doença frequente em caprinos criados em regime semi-extensivo no semiárido de Pernambuco e que a suplementação desse mineral é necessária na região estudada.

ABSTRACT: The aim of this study was to evaluate the clinical and pathological aspects of phosphorus deficiency in goats in the semiarid region of Pernambuco. For this, technical visits were carried out at different properties in the Sertão do Moxotó region during the dry season period. Clinical examinations, serum analysis and rib biopsies were carried out to determine macromineral contents. Serum concentrations of total and ionized Ca, serum and bone P, Mg, Ca:P ratio, total protein, albumin, globulin and ashes were determined. Bone biopsies were performed by surgical procedure in the hypochondriac region of the 12th right rib which were fixed in 10% formalin solution and decalcified for histological analysis. The main clinical signs in phosphorus-deficient goats consisted of dehydration, poor corporal score, ruminal hypomotility, alopecia, opaque, brittle and bristly hair and osteophagy. The averages of bone ashes and phosphorus content in bones were below the reference values and the correlation between these two variables was strongly positive (r=0.91). The reduction of the serum phosphorus concentration was accompanied by the reduction of the percentage of this mineral in the ashes. This result is conclusive for the diagnosis of phosphorus deficiency. In the microscopic examination of ribs bony fragments there was a clear increase in osteoclastic activity with areas of bone resorption and a greater amount of osteoid tissue and collagen fibers in the bone matrix. It is concluded that phosphorus deficiency is a frequent disease in goats in the semiarid region of Pernambuco, Brazil and and the supplementation of this mineral is necessary in the studied region.

ABSTRACT Prolactinomas are the most common pituitary adenomas (approximately 40% of cases), and they represent an important cause of hypogonadism and infertility in both sexes. The magnitude of prolactin (PRL) elevation can be useful in determining the etiology of hyperprolactinemia. Indeed, PRL levels > 250 ng/mL are highly suggestive of the presence of a prolactinoma. In contrast, most patients with stalk dysfunction, drug-induced hyperprolactinemia or systemic diseases present with PRL levels < 100 ng/mL. However, exceptions to these rules are not rare. On the other hand, among patients with macroprolactinomas (MACs), artificially low PRL levels may result from the so-called “hook effect”. Patients harboring cystic MACs may also present with a mild PRL elevation. The screening for macroprolactin is mostly indicated for asymptomatic patients and those with apparent idiopathic hyperprolactinemia. Dopamine agonists (DAs) are the treatment of choice for prolactinomas, particularly cabergoline, which is more effective and better tolerated than bromocriptine. After 2 years of successful treatment, DA withdrawal should be considered in all cases of microprolactinomas and in selected cases of MACs. In this publication, the goal of the Neuroendocrinology Department of the Brazilian Society of Endocrinology and Metabolism (SBEM) is to provide a review of the diagnosis and treatment of hyperprolactinemia and prolactinomas, emphasizing controversial issues regarding these topics. This review is based on data published in the literature and the authors' experience.

O objetivo deste trabalho é relatar casos de intoxicação espontânea em bovinos por Ricinus communis (mamona) na Paraíba, região semi-árida do nordeste do Brasil. Os casos foram observados em dois rebanhos de propriedades vizinhas no ano de 2013. Os primeiros sinais clínicos se desenvolveram dentro de 6-24 h e consistiam em fraqueza, taquicardia, dispnéia, diarréia aquosa profusa, desidratação, depressão, instabilidade, cólicas, decúbito lateral permanente e morte em 48-72h. Dos 60 bovinos sob risco, 19 foram afetados e 14 morreram. Cinco bovinos se recuperaram totalmente após um período de 12 dias. Três bovinos foram necropsiados. As principais lesões macroscópicas foram hemopericárdio, hemotórax, edema pulmonar, petéquias no epicárdio e endocárdio, equimoses nos músculos papilares e sufusões nos os músculos intercostais. Hemorragias também foram observadas na cavidade abdominal, baço e na mucosa do abomaso e intestino delgado. O conteúdo ruminal estava líquido, e continha grande quantidade de sementes de R. communis. No parênquima hepático havia áreas circulares, esbranquiçadas e distribuídas focalmente. As principais lesões microscópicas consistiam em necrose miocárdica coagulativa multifocal com a presença de infiltrado de células mononucleares e graus variados de hemorragias entre as fibras musculares cardíacas. O abomaso e a mucosa e submucosa do intestino delgado apresentavam edema discreto e infiltrado de células inflamatórias mononucleares e polimorfonucleares. O diagnóstico da intoxciação por R. communis foi baseado na história de consumo de planta, sinais clínicos, patologia da doença e pela presença de grandes quantidades de sementes de R. communis no sistema digestório dos bovinos.

The aim of this study is to report cases of spontaneous poisoning of cattle by Ricinus communis (castor beans) in Paraíba, a semiarid region of northeastern Brazil. The cases were observed in 2 herds on neighboring properties in 2013. Clinical signs developed within 6-24 h and consisted of weakness, tachycardia, dyspnea, profuse watery diarrhea, dehydration, depression, instability, cramps, permanent lateral recumbency and death within 48-72 h. Of the 60 cattle at risk, 19 were affected and 14 died. Five fully recovered after the course of 12 days. Three animals were necropsied. The main gross lesions were hemopericardium, hemothorax, pulmonary edema, petechial hemorrhages in the epicardium and endocardium, ecchymoses at the papillary muscles and suffusions on the intercostal muscles. Hemorrhages were also observed in the abdominal cavity, spleen and mucosa of the abomasum and small intestine. The rumen content was liquid with a large amount of castor bean seeds. There were circular, whitish and focally diffuse areas in the liver parenchyma. The main microscopic lesions consisted of multifocal coagulative myocardial necrosis with the presence of mononuclear cell infiltration and varying degrees of bleeding between cardiac muscle fibers. The abomasum and small intestine mucosae and submucosa had mild edema and mononuclear and polymorphonuclear inflammatory cell infiltration. The diagnosis of R. communis was based on the history of plant consumption, clinical signs, pathology of the disease and the presence of large amounts of castor bean seeds in the forestomachs.

O objetivo deste trabalho foi reproduzir a intoxicação por Ipomoea verbascoidea em caprinos e descrever os aspectos epidemiológicos, clínicos e histopatológicos da intoxicação espontânea por essa planta no Estado de Pernambuco. Para isso, realizou-se o acompanhamento da epidemiologia da doença em sete municípios do semiárido pernambucano. Três caprinos espontaneamente intoxicados foram examinados e, em seguida eutanasiados e necropsiados (Grupo I). Para reproduzir experimentalmente a doença, as folhas secas de I. verbascoidea contendo 0,02% de swainsonina, foram fornecidas na dose de 4g/kg (0,8mg de swainsonina/kg) a dois grupos de três animais. Os caprinos do Grupo II receberam a planta diariamente por 40 dias e foram eutanasiados no 41º dia de experimento. Os caprinos do Grupo III receberam a planta diariamente por 55 dias e foram eutanasiados no 120º dia de experimento. Outros três caprinos constituíram o grupo controle (Grupo IV). Nos grupos experimentais, as lesões encefálicas foram avaliadas por histopatologia e adicionalmente avaliaram-se as lesões cerebelares por morfometria, mediante mensuração da espessura da camada molecular, do número de neurônios de Purkinje e da área dos corpos celulares dessas células. Os principais sinais clínicos e lesões microscópicas foram semelhantes aos previamente reportados em animais intoxicados por plantas que contem swainsonina. Nos caprinos do GII e GIII, os primeiros sinais clínicos foram observados entre o 22º e 29º dia de experimento; clinicamente a doença desenvolvida por esses animais foi semelhante aos casos espontâneos. Nenhum dos caprinos do GIII se recuperou dos sinais neurológicos. Esse resultado evidencia que o consumo da planta por 26-28 dias após a observação dos primeiros sinais clínicos é suficiente para provocar lesões irreversíveis. Pela análise morfométrica, a camada molecular do cerebelo dos caprinos do Grupo I e III eram mais delgadas que às dos caprinos do grupo controle, e os neurônios de Purkinje estavam atróficos. Sugere-se que essas alterações sejam responsáveis pelo quadro clínico neurológico observado nos caprinos que deixam de ingerir a planta e apresentam seqüelas da intoxicação.

The aim of this paper was to reproduce the poisoning of Ipomoea verbascoidea in goats and describe the epidemiological, clinical and pathological aspects of spontaneous poisoning by this plant in Pernambuco. For this, we studied the epidemiology of the disease in seven municipalities in the semiarid region of the State. Three spontaneously poisoned goats were examined and then euthanized and necropsied (Group I). To reproduce the disease, the dried leaves of I. verbascoidea containing 0.02% swainsonine were supplied at doses of 4g/kg (0.8mg swainsonine/kg) to two groups of three animals. The goats in Group II received daily doses of the plant during 40 days and were euthanized on the 41st day of the experiment. Goats from Group III received daily doses of the plant during 55 days and were euthanized on the 120th day of the experiment. Other three goats constituted the control group (Group IV). In experimental groups, the brain lesions were evaluated by histopathology; additionally the cerebellar lesions were evaluated by morphometry, by measuring the molecular layer thickness, the number of Purkinje cells and the area of the cell bodies of these cells. The main clinical signs and microscopic lesions in goats poisoned were similar to those reported by swainsonine containing plants. In goats of GII and GIII, the first nervous signs were observed between 22th and 29th days; clinically, the disease developed by these animals was similar to the spontaneous cases. The goats of GIII did not recover from the neurologic signs. These results show that the consumption of the plant by 26-28 days after observation of the first clinical signs is enough to cause irreversible damage. By morphometric analysis, the molecular layer of the cerebellum of the goats of Group I and III were thinner than those of goats in the control group, and Purkinje neurons were atrophic. It is suggested that these changes are responsible for the neurological picture observed in goats that stop eating the plant and have sequelae of poisoning.

Com o objetivo de avaliar a toxicidade de diferentes concentrações das favas de Stryphnodendron fissuratum em vacas prenhes, as favas desta árvore foram moídas, misturadas à ração comercial e fornecidas a oito vacas nas doses totais de 6,5g/kg, 7,5g/kg, 9g/kg e 10g/kg. Os animais que receberam doses de 6,5g/kg pariram bezerros normais e aqueles que receberam 7,5g/kg pariram bezerros fracos que não sobreviveram. Doses de 9g/kg resultaram no nascimento de um bezerro imaturo e de outro bezerro com distiquíase, opacidade congênita das córneas e microftalmia. Ambas as vacas que ingeriram 10g/kg morreram, porém uma vaca abortou antes de morrer. Nas vacas que morreram, as lesões macroscópicas e histológicas do sistema digestivo e fígado foram semelhantes às descritas anteriormente na intoxicação por S. fissuratum. Nos bezerros e no feto abortado não foram observadas lesões macroscópicas ou histológicas significantes. A análise fitoquímica dos extratos metanólicos das favas de S. fissuratum revelou a presença de taninos hidrossolúveis, proantocianidinas, leucoantocianidinas e da saponina triterpénica β-amirina. Saponinas triterpénicas têm sido associadas com a toxicidade das favas de Stryphnodendron spp. e Enterolobium spp., que causam sinais clínicos semelhantes aos observados na intoxicação por S. fissuratum. Esta pesquisa confirmou a toxicidade das favas de S. fissuratum para bovinos, no entanto não foram confirmados os efeitos abortivos das mesmas, pois o aborto e as mortes neonatais observadas podem ser decorrentes dos efeitos tóxicos da planta nas mães. Novas pesquisas são necessárias para pesquisar se as favas da planta causam malformações semelhantes às observas em um dos bezerros nascidos vivos.

To evaluate the toxicity of different concentrations of pods of Stryphnodendron fissuratum to pregnant cows, the pods of this tree were grounded, mixed in a commercial food and given to eight pregnant cows in total doses of 6.5g/kg, 7.5g/kg, 9g/kg and 10g/kg. The animals that received doses of 6.5g/kg delivered normal calves and those that received 7.5g/kg delivered weak calves that did not survive. Doses of 9g/kg resulted in the birth of an immature calf and another with congenital bilateral distichiasis, corneal opacity, and microphthalmia. Both cows that ingested 10g/kg died, and one of these aborted before death. In the dead cows, the gross and histological lesions of the digestive system and liver were similar to those previously described in S. fissuratum poisoning. No significant lesions were observed in the calves and in the aborted fetus. The phytochemical analysis of methanol extracts from pods of S. fissuratum revealed the presence of soluble tannins, proanthocyanidins, leucoanthocyanidins and the triterpenoid saponin β-amyrin. Triterpenoid saponins had been associated with the toxicity of Stryphnodendron spp. and Enterolobium spp., which cause clinical signs similar to those observed in the poisoning by S. fissuratum. The results presented herein confirmed the toxicity of S. fissuratum to bovines. However, the abortive effects of this plant was not confirmed; thus because the abortion and neonatal deaths could be due to the toxicity of the pods to the cows. New research should be done to demonstrate if S. fissuratum is a cause of malformations similar to those observed in one of the calves born from the treated cows.