Vallat M, Vallat J M, Loubet R, Leboutel M J, Loubet A
J Fr Ophtalmol. 1979 Apr;2(4):275-8.
Amyloid well known as a homogeneous eosinophilic material deposited in various body tissues. Conjunctival biopsies in four patients distributed among the different classical type of diffuse amyloidosis demonstrate the diagnostic value of this simple procedure. In all cases, by optic microscopy amyloid deposits were seen in the subepithelial connective tissue of the conjunctiva. Electron microscopy showed the characteristic fibrillar material of amyloid, with its fiber diameter of 9 to 12 nm in all cases. Since it is a totally harmless procedure, it seems obvious that each time systemic amyloidosis is suspected, conjunctival biopsy must be done first.
淀粉样蛋白是一种众所周知的沉积在身体各种组织中的均质嗜酸性物质。对四名患有不同经典类型弥漫性淀粉样变性的患者进行结膜活检,证明了这种简单操作的诊断价值。在所有病例中,通过光学显微镜观察,在结膜上皮下结缔组织中可见淀粉样蛋白沉积。电子显微镜显示了淀粉样蛋白特有的纤维状物质,所有病例中其纤维直径为9至12纳米。由于这是一种完全无害的操作,显然每当怀疑有全身性淀粉样变性时,都必须首先进行结膜活检。