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伴有巨细胞反应的心血管淀粉样变性——两例尸检病例。

Cardiovascular amyloidosis with giant cell reaction.--Two autopsy cases.

作者信息

Kawada K, Ojima A, Yamauchi H, Kato M, Kato T, Kuriyama I, Yasue T

出版信息

Acta Pathol Jpn. 1978 Jul;28(4):595-604. doi: 10.1111/j.1440-1827.1978.tb00898.x.

Abstract

Two autopsy cases, a 77-year-old man and a 66-year-old woman, of cardiovascular amyloidosis with many giant cells were reported. These cells were always found adjacent to amyloid masses which were deposited mainly in small arteries and arterioles, and some of them contained amyloid substance in their cytoplasms. The incidence of these cells was high in the heart and in the kidneys of both cases, and in the latter case the cells were found in the majority of the organs varying in degree. The significance of the giant cells, which probably originated from macrophages, were discussed and that giant cells might appear as a foreign body reaction to amyloid substance was presumed.

摘要

报告了两例心血管淀粉样变性的尸检病例,分别为一名77岁男性和一名66岁女性,其中可见许多巨细胞。这些细胞总是在主要沉积于小动脉和微动脉的淀粉样物质团块附近被发现,并且其中一些细胞的细胞质中含有淀粉样物质。在这两例病例的心脏和肾脏中,这些细胞的发生率很高,在后者的大多数器官中均发现了程度不同的此类细胞。讨论了可能起源于巨噬细胞的巨细胞的意义,并推测巨细胞可能是对淀粉样物质的一种异物反应。

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