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[犬猫糖尿病性神经病变——一项活检电子显微镜研究]

[Diabetic neuropathy in dogs and cats--a bioptic electron microscopic study].

作者信息

Dahme E, Hafner A, Reusch C, Schmidt P

机构信息

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

出版信息

Tierarztl Prax. 1989;17(2):177-88.

PMID:2763290
Abstract

Electron microscopic examination of peripheral nerves within dermal corium based upon skin biopsies (punch diameter = 6 mm) of chronic diabetic dogs and cats in comparison with normal controls revealed that more than 90% of the diabetic animals (31/34 dogs, 9/10 cats) had developed characteristic neuropathies. The main features were of axonal atrophy of myelinated and unmyelinated fibers, demyelination and - to a lesser degree - intraaxonal accumulation of glycogen (about 25%). In contrast with human diabetic polyneuropathy vascular basement membranes were throughout of normal appearance. Thickening of the perineural basement membranes were observed in a few canine cases only. Diagnostic procedures as well as questions on pathogenesis are discussed in detail.

摘要

基于慢性糖尿病犬猫皮肤活检(打孔直径 = 6 毫米)对真皮层内周围神经进行电子显微镜检查,并与正常对照进行比较,结果显示超过 90% 的糖尿病动物(31/34 只犬,9/10 只猫)出现了特征性神经病变。主要特征为有髓和无髓纤维的轴突萎缩、脱髓鞘,以及在较小程度上轴突内糖原积累(约 25%)。与人类糖尿病多发性神经病变不同,血管基底膜外观始终正常。仅在少数犬类病例中观察到神经束膜基底膜增厚。详细讨论了诊断程序以及发病机制相关问题。

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