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[人体皮肤中的细胞样小体]

[Cytoid bodies in the human skin].

作者信息

Gebhart W

出版信息

Fortschr Med. 1978 Feb 23;96(8):389-92.

PMID:75830
Abstract

Cytoid bodies represent roundish or polygonal, approximately cell-sized structures in histological sections. Such bodies have been reported to be of pathologic significance in several cutaneous disorders. Histological, immunological and electron microscopic investigations were performed in order to (1) characterize the different types of cytoid bodies in human skin, (2) elucidate their origin and nature and (3) determine their significance in cutaneous histopathology. A distinct identification of elastic globes, Russell bodies, Civatte bodies, amyloid bodies and cytoid fibrin bodies could be made. In addition, other substances such as nuclear or cytoplasmic debris, cytolytic fragments or basement membrane proliferations were found in form of cytoid aggregates in several dermatoses. However, none of the different groups of cytoid bodies was evaluated to be of pathognomonic significance for a specific disease. All of them are rather symptomatic for a number of anatomical or pathological principles and events in the dermo-epidermal junction area. Thus, the presence of cytoid bodies is not a major diagnostic aid in histopathology but may give valuable hints for a better interpretation of the morphogenesis of etiologically unrelated skin disorders.

摘要

细胞样小体在组织学切片中表现为圆形或多边形、大小近似细胞的结构。据报道,此类小体在多种皮肤疾病中具有病理意义。为了(1)鉴定人类皮肤中不同类型的细胞样小体,(2)阐明其起源和性质,以及(3)确定它们在皮肤组织病理学中的意义,进行了组织学、免疫学和电子显微镜研究。可以明确鉴别弹性球体、拉塞尔小体、西瓦特小体、淀粉样小体和细胞样纤维蛋白小体。此外,在几种皮肤病中还发现了其他物质,如核碎片或胞质碎片、细胞溶解片段或基底膜增生,它们以细胞样聚集体的形式存在。然而,不同组别的细胞样小体均未被评估为对某一特定疾病具有诊断意义。它们都更像是真皮-表皮交界区一些解剖学或病理学原理及事件的症状表现。因此,细胞样小体的存在在组织病理学中并非主要的诊断辅助手段,但可能为更好地解释病因无关的皮肤疾病的形态发生提供有价值的线索。

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