Jahnke V, Theopold H M
Laryngol Rhinol Otol (Stuttg). 1977 Sep;56(9):773-81.
In mucoviscidosis, even the clinically and histologically often normal appearing nasal mucosa exhibits characteristic changes with the electron microscope. The epithelial cells show intra- and extracellular edema, the cilia membrane damage. The highly viscous mucous blanket and the frequent lamination of the basement membrane of the capillaries can be explained by a disturbance in mucopolysaccharide and glycoprotein metabolism respectively. The functional disorder of the goblet cells and the nasal glands manifests itself with signs of increased activity, but without definite degenerative changes. The course of the pathologic mucous formation on the cells appears morphologically normal so that a disturbance of membrane transport or in the dilution of the secretions must be assumed. The endonasal polyps differ from allergic polyps by the absence of eosinophilic infiltration.
在黏液黏稠病中,即使临床上和组织学上常看似正常的鼻黏膜,在电子显微镜下也呈现出特征性变化。上皮细胞表现出细胞内和细胞外水肿、纤毛膜损伤。高度黏稠的黏液毯和毛细血管基底膜的频繁分层分别可由黏多糖和糖蛋白代谢紊乱来解释。杯状细胞和鼻腺的功能障碍表现为活性增加的迹象,但无明确的退行性改变。细胞上病理性黏液形成的过程在形态上看似正常,因此必须假定存在膜转运或分泌物稀释方面的紊乱。鼻内息肉与过敏性息肉的不同之处在于缺乏嗜酸性粒细胞浸润。