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瑞氏综合征的肝脏病理学

Pathology of the liver in Reye's syndrome.

作者信息

Svoboda D J, Reddy J K

出版信息

Lab Invest. 1975 May;32(5):571-9.

PMID:1127876
Abstract

A study of six patients with Reye's syndrome indicated that, by light microscopy, inflammation and necrosis of liver cells are especially prominent in fatal cases. Contrary to previous reports, electron microscopic examination indicated that, aside from loss of matrix dense granules, alterations in mitochondrial structure were minimal or absent. Although an increase in the number of liver cell microbodies has been reported, no such increase was apparent in the present study. The most unusual ultrastructural change in microbodies in the present study was the appearance of noncrystalline cores in the matrix. No ultrastructural features served to distinguish patients who died from those who survived. Although derangement of mitochondrial function may be important in the pathogenesis of Reye's syndrome, such derangement is not necessary reflected in the ultrastructure of mitochondria.

摘要

一项针对6例瑞氏综合征患者的研究表明,通过光学显微镜观察,在致命病例中肝细胞的炎症和坏死尤为明显。与之前的报道相反,电子显微镜检查显示,除了基质致密颗粒的丢失外,线粒体结构的改变微乎其微或不存在。尽管有报道称肝细胞微体数量增加,但在本研究中并未观察到这种增加。本研究中微体最不寻常的超微结构变化是基质中出现非晶状核心。没有超微结构特征可用于区分死亡患者和存活患者。尽管线粒体功能紊乱可能在瑞氏综合征的发病机制中起重要作用,但这种紊乱并不一定会在线粒体的超微结构中体现出来。

相似文献

1
Pathology of the liver in Reye's syndrome.瑞氏综合征的肝脏病理学
Lab Invest. 1975 May;32(5):571-9.
2
Ultrastructural study of intranuclear inclusions in the exocrine pancreas in Reye's syndrome.
Lab Invest. 1974 Mar;30(3):333-40.
3
Ultrastructural abnormalities of liver cells in Reye's syndrome.
Hum Pathol. 1977 Jul;8(4):421-31. doi: 10.1016/s0046-8177(77)80006-3.
4
[Reye's syndrome: pathological study of 2 cases].[瑞氏综合征:2例病理研究]
Sem Hop. 1975 Mar 14;51(13):891-9.
5
A comparison of liver ultrastructure in salicylate intoxication and Reye's syndrome.水杨酸盐中毒与瑞氏综合征肝脏超微结构的比较。
Hepatology. 1984 Jul-Aug;4(4):687-90. doi: 10.1002/hep.1840040421.
6
Reye's syndrome without fatty liver.无脂肪肝的瑞氏综合征
Helv Paediatr Acta. 1976 Apr;30(6):509-13.
7
Periportal hepatic necrosis in Reye's syndrome. One case in a review of eight patients.瑞氏综合征中的门周肝坏死。八例患者回顾中的一例。
Am J Gastroenterol. 1980 Jan;73(1):49-53.
8
Morphologic grading of hepatic mitochondrial alteration in Reye's syndrome: potential prognostic implication.
Pediatr Pathol. 1985;4(3-4):265-75. doi: 10.3109/15513818509026900.
9
Mitochondrial ultrastructure in Reye's syndrome (encephalopathy and fatty degeneration of the viscera).瑞氏综合征(脑病合并内脏脂肪变性)中的线粒体超微结构
N Engl J Med. 1971 Dec 9;285(24):1339-43. doi: 10.1056/NEJM197112092852402.
10
Hepatic ultrastructure in Reye's syndrome.瑞氏综合征中的肝脏超微结构。
Va Med Mon (1918). 1972 Dec;99(12):1295-300.

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Fatty liver: biochemical and clinical considerations.脂肪肝:生化及临床考量
Am J Dig Dis. 1975 Dec;20(12):1142-70. doi: 10.1007/BF01070758.
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Unusual cerebral inclusions in Reye's syndrome.瑞氏综合征中异常的脑内包涵体。
Br Med J. 1976 Nov 13;2(6045):1176. doi: 10.1136/bmj.2.6045.1176.