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巴吉度猎犬中的拉福拉病(进行性肌阵挛性癫痫)——能否通过肌肉活检进行早期诊断?

[Lafora disease (progressive myoclonic epilepsy) in the Bassett hound--possibility of early diagnosis using muscle biopsy?].

作者信息

Kaiser E, Krauser K, Schwartz-Porsche D

机构信息

Lehrstuhl für Allgemeine Pathologie, Tierärztlichen Fakultät, Ludwig-Maximilians-Universität München.

出版信息

Tierarztl Prax. 1991 Jun;19(3):290-5.

PMID:1653470
Abstract

A progressive, hereditary disease has been observed in Basset Hounds, which appears clinically and neuromorphologically as myoclonus epilepsy (ME) and is similar to Lafora-Glueck disease in humans. The characteristic intracellular accumulations are typical myoclonus inclusion bodies. Four forms of inclusion bodies (IB) can be distinguished: a) very small, homogeneous, PAS-positive IBs, b) IBs consisting of an accumulation of PAS-positive particles, c) IBs with a concentric internal structure and a smooth or radial outer zone, and d) IBs with a homogeneous center, concentric layering, light intermediate zone, and a smooth outer zone. The occurrence of IBs is restricted largely to nerve cells. Here they are located mainly in pericarya, to a lesser extent in dendrites, and rarely in the neurites of the peripheral nervous system. IBs are also found in samples of skeletal muscle where they lie between myofibrils or beneath the sarcolemma. They are slightly basophilic in HE-staining and markedly PAS-positive. In transmission electron micrographs IBs prove to consist of chain-like filamentous material of varying density with focal concentrations. They are similar to IBs of the brain. Both muscular and neuronal IBs lack surrounding membranes. Diagnosis of Lafora disease in dogs by examination of muscle biopsies is discussed.

摘要

在巴吉度猎犬中观察到一种进行性遗传性疾病,其临床和神经形态学表现为肌阵挛性癫痫(ME),与人类的拉福拉-格吕克病相似。特征性的细胞内积聚物是典型的肌阵挛包涵体。可以区分出四种形式的包涵体(IB):a)非常小的、均匀的、过碘酸雪夫反应(PAS)阳性的IB;b)由PAS阳性颗粒积聚而成的IB;c)具有同心内部结构和光滑或放射状外部区域的IB;d)具有均匀中心、同心分层、浅色中间区域和光滑外部区域的IB。IB的出现主要局限于神经细胞。在这里,它们主要位于神经细胞体,在树突中较少见,在周围神经系统的神经突中则很少见。在骨骼肌样本中也发现了IB,它们位于肌原纤维之间或肌膜下方。在苏木精-伊红(HE)染色中它们略呈嗜碱性,且过碘酸雪夫反应明显阳性。在透射电子显微镜照片中,IB被证明由密度不同且有局灶性聚集的链状丝状物质组成。它们与大脑中的IB相似。肌肉和神经元的IB都没有周围膜。本文讨论了通过检查肌肉活检来诊断犬拉福拉病的方法。

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