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肌肉中的含铁血黄素沉积。三例报告。

Hemosiderin deposition in muscle. Report of three cases.

作者信息

Vallat J M, Loubet R, Leboutet M J, Loubet A

出版信息

Acta Neuropathol. 1978 May 24;42(2):153-6. doi: 10.1007/BF00690984.

DOI:10.1007/BF00690984
PMID:654887
Abstract

This report presents the morphological character of iron deposits in muscle biopsies of three patients who have been suffering from secondary hemochromatosis. The granules observed by light microscopy and located either in the cytoplasm of macrophages or inside muscle fibres are illustrated in electron micrographs. In this study, Thiery's technic, which is a specific and very sensitive reaction, has been very useful to confirm by electron microscopy that these granules contain iron. Such a study in muscle appears to be unique. In our experience, accumulation of hemosiderin pigment in muscle does not seem to be specific of any disease but suggests that a hepatic biopsy must be done.

摘要

本报告呈现了三名继发性血色素沉着症患者肌肉活检中铁沉积的形态学特征。光镜下观察到的位于巨噬细胞胞质或肌纤维内部的颗粒在电子显微镜照片中有展示。在本研究中,蒂埃里技术是一种特异且非常敏感的反应,通过电子显微镜证实这些颗粒含铁,这一技术非常有用。肌肉方面的此类研究似乎是独一无二的。根据我们的经验,肌肉中含铁血黄素色素的积累似乎并非任何疾病所特有,但提示必须进行肝活检。

相似文献

1
Hemosiderin deposition in muscle. Report of three cases.肌肉中的含铁血黄素沉积。三例报告。
Acta Neuropathol. 1978 May 24;42(2):153-6. doi: 10.1007/BF00690984.
2
Histological changes in cardiac hemochromatosis improved by an iron-chelating agent. A biopsy case.铁螯合剂改善心脏血色素沉着症的组织学变化。1例活检病例。
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The nature of storage iron in idiopathic hemochromatosis and in hemosiderosis. Electron optical, chemical, and serologic studies on isolated hemosiderin granules.特发性血色素沉着症和含铁血黄素沉着症中储存铁的性质。对分离出的含铁血黄素颗粒的电子光学、化学和血清学研究。
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Perivascular siderophages in skeletal muscle from a patient with diabetic neuropathy.糖尿病性神经病变患者骨骼肌中的血管周围含铁血黄素巨噬细胞。
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[Autopsy case of hemochromatosis--with special reference to the non-iron-containing pigment (hemofuscin)].血色沉着病尸检病例——特别提及不含铁色素(血褐素)
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引用本文的文献

1
Perivascular siderophages in skeletal muscle from a patient with diabetic neuropathy.糖尿病性神经病变患者骨骼肌中的血管周围含铁血黄素巨噬细胞。
Acta Neuropathol. 1992;84(2):216-20. doi: 10.1007/BF00311399.
2
Muscle siderosis in AIDS: a marker for macrophage dysfunction?艾滋病中的肌肉铁质沉着症:巨噬细胞功能障碍的一个标志物?
J Neurol. 1992 Jan;239(1):46-8. doi: 10.1007/BF00839212.

本文引用的文献

1
COMMENTARY ON HEMOSIDERIN.关于含铁血黄素的述评
Blood. 1965 Mar;25:370-4.
2
Iron in the heart. Etiology and clinical significance.心脏中的铁。病因及临床意义。
Am J Med. 1971 Aug;51(2):209-21. doi: 10.1016/0002-9343(71)90240-3.
3
[Myocardiopathy secondary to idiopathic hemochromatosis. Four anatomoclinical cases with an electronic microscope study of the myocardium].[特发性血色素沉着症继发心肌病。四例解剖临床病例及心肌的电子显微镜研究]
Arch Mal Coeur Vaiss. 1971 Nov;64(11):1533-46.
4
Normal serum ferritin in precirrhotic hemochromatosis.肝硬化前期血色沉着病患者的血清铁蛋白正常。
N Engl J Med. 1977 May 12;296(19):1116. doi: 10.1056/NEJM197705122961913.
5
Perivascular hemosiderin deposition in muscle in Waldenström's macroglobulinemia.华氏巨球蛋白血症中肌肉血管周围含铁血黄素沉积。
J Neurol Sci. 1975 Jun;25(2):153-63. doi: 10.1016/0022-510x(75)90137-9.