Thakerngpol K, Sonakul D, Fucharoen S, Boonyaphiphat P, Vathanopas V, Sahaphong S, Stitnimankarn T
Department of Pathology, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Birth Defects Orig Artic Ser. 1988;23(5B):199-206.
Electron microscopic study of liver tissue from 30 thal patients in advanced stages has been described. In all cases, regardless of the type of hemoglobin, electron microscopic observations gave identical results. Significant findings are ferroacidophilic bodies, ferroacidophilic degeneration of hepatocytes, interhepatocyte collagen, hemosiderin and ferritin, paracrystalline accumulations of ferritin molecules, and liver cell ballooning. The ultrastructures of FAB, FAD, and balloon cells were similar to those seen in viral hepatitis, but no viral particles were found.
对30例晚期地中海贫血患者的肝组织进行了电子显微镜研究。在所有病例中,无论血红蛋白类型如何,电子显微镜观察结果均相同。重要发现包括铁嗜酸小体、肝细胞的铁嗜酸变性、肝细胞间胶原、含铁血黄素和铁蛋白、铁蛋白分子的副晶状聚积以及肝细胞气球样变。铁嗜酸小体、铁嗜酸变性和气球样变细胞的超微结构与病毒性肝炎所见相似,但未发现病毒颗粒。