Martínez Cabruja R, Fernández Segoviano P, Ulloa García J, Rocamora Ripoll A
Med Clin (Barc). 1979 Nov 10;73(8):347-9.
A case of primary amyloidosis in which multinucleated giant cells occurred in relation to amyloid deposits in the renal-glomerulus and in multiple other organs is reported. The ubiquity of multinucleated giant cells distinguishes the present case from those previously described in the literature. It is felt that the finding of multinucleated giant cells next to amyloid deposits in the walls of blood vessels and interstitium of several organs adds support to the theory that these cells function as macrophages. It is also suggested that in cases of amyloidosis with severe renal involvement, emergence of giant cells might be promoted by chronic dialysis.
报告了一例原发性淀粉样变性病例,其中多核巨细胞与肾小体及多个其他器官中的淀粉样沉积物有关。多核巨细胞的普遍存在使本病例有别于文献中先前描述的病例。血管壁和几个器官间质中淀粉样沉积物旁出现多核巨细胞这一发现,支持了这些细胞起巨噬细胞作用的理论。还提示,在严重累及肾脏的淀粉样变性病例中,慢性透析可能促使巨细胞出现。