The frequency of autoimmune disorders was determined in 373 vitiligo patients and in controls matched for sex, age and race. Vitiligo patients had an increased frequency of clinical autoimmune diseases of thyroid (7.5%), stomach (0.8%), parathyroid (1%), adrenal gland (1.3%). Vitiligo patients, without clinical signs of overt autoimmune diseases, also had a statistically significant increase in the frequency of gastric parietal cell (p < 0.001), thyroid microsomal (p < 0.05) and adrenal autoantibodies (p < 0.05). This increased incidence of autoimmune manifestations was correlated with the duration of vitiligo. Furthermore in 94% of the patients with parietal cell autoantibodies a gastric biopsy showed atrophic gastritis. In addition, in 48% of the patients with thyroid microsomal autoantibodies and in 2 out of 6 patients with adrenal autoantibodies without overt diseases at the beginning of the study, the functional investigation of the target organs during the follow-up allowed the detection of the presence or that of the subsequent development of clinical or subclinical dysfunction.

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Programmed cell death or apoptosis occurred in anuran amphibian larval pancreas as a remodelling agent, and was responsible for the reduction of the gland volume during metamorphosis. Apoptotic cells were recognisable by their morphological characteristics and could be immunocytochemically detected by means of the TUNEL reaction, which evidenced nuclear DNA fragmentation. During the last stages of prometamorphosis, that is in the period of hindlimb differentiation, only a few TUNEL positive cells occurred, whereas they increased at the beginning of metamorphic climax, that is at forelimb emergence and during tail regression. Under the electron microscope, the typical morphological characteristics of apoptosis were observed : decrease in size, and the presence of wide intercellular spaces and nuclei with dense chromatin masses arranged in crescents. The fragmentation of these cells produced the so-called 'apoptotic bodies ' : portions of cytoplasm lined by a membrane, containing nuclear fragments and cytoplasmic organites. Dead cell elimination is hypothesised to occur by phagocytic ingestion.

The aim of this study was to investigate the morphology and ultrastructure of the pronephros of Testudo hermanni as observed in the earlier part of its development. This paired structure appears during renal ontogenesis and originates from the first somites localised in the cephalic part of the embryo. The first pronephric evidence is noted at stage 12. The kidney is composed of large glomeruli that are devoid of a capsule and protrude into the coelomic cavity. A ciliated nephrostome provides access to short renal tubules, lined with a well-developed brush border. Two nephric ducts on the lateral sides of the embryo are connected to the tubules. The cytological characteristics of the pronephric structure suggest that it might be functional, at least in the first part of development. The pronephros of Testudo hermanni regresses after a short time around stage 18, while the mesonephros is already well differentiated. Its plesiomorphic characteristics, similar to those observed in amphibians, might be related to the phyletic position of chelonians within the reptiles.