Blistering diseases are a heterogeneous group of disorders that can affect either skin and mucous membrane, or both, varying in presentation, clinical course, pathohistology, immunopathology and treatment. Not infrequently the diagnosis is delayed. This can result in severe, and sometimes fatal consequences. Although these diseases are rare, it is very important to make an accurate diagnosis based on a combination of clinical profile and laboratory observations. A brief review is presented of the following bullous diseases: pemphigus, paraneoplastic pemphigus, bullous pemphigoid, cicatricial pemphigoid, epidermolysis bullosa acquisita, dermatitis herpetiformis, linear IgA bullous disease, porphyria cutanea tarda, and subcorneal pustular dermatitis. Their clinical, pathohistologic and immunopathologic features and recommendations for therapy are discussed.
Increased conjunctival expression of IL-4 may play an important role in the regulation of local accumulation of macrophages (by inducing m-CSF), and matrix accumulation (by inducing HSP47 and collagen) during conjunctival scarring in patients with OCP. IL-4, therefore, may augment or enhance both conjunctival inflammatory and subsequent fibrotic responses in patients with OCP.
The naphtha catalytic reforming process is evaluated by designing new composite nano-catalysts. Three catalysts were prepared for this process. The first catalyst was molybdenum carbide composite with platinum over HY zeolite (Mo2C.Pt/HY zeolite), the second catalyst was molybdenum carbide composite with platinum over modified zeolite by cerium nitrate (Mo2C.Pt/CeY zeolite), and the last catalyst was bimetallic titanium and platinum with a titanium content of 1% and platinum content of 0.11% over HY zeolite (Pt.Ti/HY zeolite). All catalysts were tested with several tests, mainly X-Ray Diffraction (XRD), BET surface area, and pore volume. All these substances were applied as catalysts for the reforming process of Iraqi heavy naphtha at the following operating conditions: reaction temperature (480, 500, and 520 ), reaction pressure (10, 12.5, and 15 bar), liquid hourly space velocity (LHSV) at 2 hr-1, and constant hydrogen to hydrocarbon ratio (H2/ HC) of 4. All the reforming reactions occurred in a packed bed pilot plant reactor to investigate its stability and activity during the reforming process. All the developed catalyst samples showed sensational stability even at operating under difficult circumstances. The best catalyst was Pt.Ti/HY zeolite based on the results obtained with respect to the octane number (86.2) at 520 and 15 bar. Also, a mathematical model to describe the reforming process with high accuracy was built and simulated using gPROMS software. The results were very satisfying since the most significant error with the wt% of reformate was 4.9% (the experimental aromatics content was 23.94 wt.%, while the predicted result was 21.67 wt.%), while Research Octane Number (RON) error was 4.7% (the experimental RON was 81, whereas the predicted value of RON was 85) among all the results meaning that the simulating was valid to describe the process.
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