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[猴实验性麻风的周围神经病变。V. 皮肤神经和皮肤感觉器官的组织病理学发现]

[Peripheral nerve lesions of experimental leprosy in monkeys. V. Histopathological finding of cutaneous nerves and cutaneous sensory organs].

作者信息

Fukunishi Y

出版信息

Nihon Rai Gakkai Zasshi. 1989 Apr-Jun;58(2):112-26. doi: 10.5025/hansen1977.58.112.

Abstract

The skin samples of each palm side and dorsum side of finger, nose and peripheral nerves running under the finger skin at the area between proximal phalanx and distal phalanx of mangabey monkey A022 and rhesus monkey A125 were studied by histopathological methods (semithin section and light microscopic findings). Results found about this study were as follows. 1. In spite of the existence of a large amount of leprosy bacilli at the areas of corium and subcutis, some of Meissner's corpuscles, Vater-Pacinian corpuscles (or Golgi-Mazzoni's corpuscles) and Krauze's end bulbs-like structures were observed. 2. Occasionally, several intracytoplasmic foamy structures containing a large amount of leprosy bacilli were observed at the shallow and deep layers of stratum papillare of corium, where leprosy bacilli were not so remarkable as shown on Figure 4. So, it was thought that the affinity of leprosy bacilli to free nerve endings should be exist there. 3. Some of M. arrector pili were kept in good condition in spite of the existence of multiplying leprosy bacilli around the hair follicles. 4. It was thought that the histopathological findings of the fascicles of cutaneous nerves were classified to 4 patterns. The first pattern of histopathological finding of the cutaneous nerve was shown as A on Figure 25. In this pattern observed in almost of all the fascicles locating at the subcutis, no leprosy bacillus was observed inside the fascicles, and the nerve fibers were kept in good condition. The second pattern observed in almost of all the fascicles located at the corium, was shown as B on Figure 25. In this pattern, a large amount of leprosy bacilli were observed inside the fascicles, and the nerve fibers were often kept in good condition. The third pattern observed in almost of all the fascicles located at the deep layer of corium and subcutis, was shown as C on Figure 25. In this pattern, not only multiplying leprosy bacilli but also remarkable fibrosis were found inside one fascicle, and many nerve fibers disappeared by the existence of the bacilli and fibrosis. The final pattern observed in almost of all the fascicles located at the deep layer of corium and subcutis, was shown as D on Figure 25. In this pattern, remarkable fibrosis was observed inside the fascicles, and the nerve fibers often disappeared by the existence of fibrosis.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

采用组织病理学方法(半薄切片和光学显微镜观察结果),对白眉猴A022和恒河猴A125手指掌侧和背侧、鼻尖以及手指近端指骨和远端指骨之间区域手指皮肤下走行的周围神经的皮肤样本进行了研究。关于本研究的结果如下。1. 尽管真皮和皮下组织区域存在大量麻风杆菌,但仍观察到一些迈斯纳小体、 Vater - 帕西尼小体(或高尔基 - 马佐尼小体)以及克劳泽终球样结构。2. 偶尔,在真皮乳头层浅层和深层观察到几个含有大量麻风杆菌的胞浆内泡沫状结构,此处麻风杆菌不像图4所示那么明显。因此,认为麻风杆菌与游离神经末梢之间应该存在亲和力。3. 尽管毛囊周围存在大量繁殖的麻风杆菌,但一些立毛肌仍保持完好。4. 认为皮肤神经束的组织病理学表现可分为4种类型。皮肤神经组织病理学表现的第一种类型如图25中A所示。在几乎所有位于皮下组织的神经束中观察到的这种类型中,神经束内未观察到麻风杆菌,神经纤维保持完好。第二种类型几乎在所有位于真皮的神经束中观察到,如图25中B所示。在这种类型中,神经束内观察到大量麻风杆菌,神经纤维通常保持完好。第三种类型几乎在所有位于真皮深层和皮下组织的神经束中观察到,如图25中C所示。在这种类型中,在一个神经束内不仅发现大量繁殖的麻风杆菌,还发现明显的纤维化,并且由于杆菌和纤维化的存在,许多神经纤维消失。最后一种类型几乎在所有位于真皮深层和皮下组织的神经束中观察到,如图25中D所示。在这种类型中,神经束内观察到明显的纤维化,并且由于纤维化的存在,神经纤维常常消失。(摘要截选至400字)

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