Akiyama M, Watanabe Y, Nishikawa T
Department of Dermatology, Keio University School of Medicine, Tokyo, Japan.
Dermatologica. 1989;178(3):145-50. doi: 10.1159/000248414.
The morphology of mast cells in the skin lesion from a case of urticaria pigmentosa was observed using light and electron microscopy. Furthermore, the IgE deposition on mast cells in the lesion was studied with immunoelectron microscopy. Diaminobenzidine reaction and 4-chloro-naphthol reaction were used to detect endogenous peroxidase activity in mast cells in the lesion. Ultracytochemical techniques were applied to clarify the localization of peroxidase activity in the mast cells. Morphologically, neither blast-like cells nor intermediate cells between basophils and mast cells were found in the lesion. No mast cells in the lesion did exhibit IgE deposition on their plasma membrane. By light microscopy, granular stains of diaminobenzidine reaction and 4-chloro-naphthol reaction were observed in the cytoplasm of mast cells in the lesion. By electron microscopy, a finely stippled peroxidase staining was observed in some granules of the mast cells. Perinuclear cisterna and endoplasmic reticulum appeared devoid of enzymatic activity. These findings suggest that the infiltrating mast cells in this case were immature.
采用光镜和电镜观察了一例色素性荨麻疹患者皮肤损害中肥大细胞的形态。此外,用免疫电镜研究了损害中肥大细胞上的IgE沉积情况。采用二氨基联苯胺反应和4-氯萘酚反应检测损害中肥大细胞的内源性过氧化物酶活性。应用超细胞化学技术明确过氧化物酶活性在肥大细胞中的定位。形态学上,损害中未发现母细胞样细胞或嗜碱性粒细胞与肥大细胞之间的中间细胞。损害中的肥大细胞在其质膜上均未表现出IgE沉积。光镜下,在损害中肥大细胞的细胞质中观察到二氨基联苯胺反应和4-氯萘酚反应的颗粒状染色。电镜下,在肥大细胞的一些颗粒中观察到细点状过氧化物酶染色。核周池和内质网似乎没有酶活性。这些发现提示该病例中浸润的肥大细胞不成熟。