Maltese Cross Sign Fatty Casts
Associated with maltese cross sign.
Maltese cross sign fatty casts. Non specific please rate topic. Fatty casts oval fat bodies nephrotic syndrome. Dm crush injuries nephrotic syndrome tubular necrosis.
The appearance of the maltese crosses is due to the birefringence of lipid droplets which consist mainly of cholesterol esters. Average 5 0 of 7 ratings. They are pathognomonic for high urinary protein nephrotic syndrome.
Formed by the breakdown of lipid rich epithelial cells these are hyaline casts with fat globule inclusions yellowish tan in color. John now the. A routine urinalysis demonstrates proteinuria and fatty casts.
Based on these findings the physician decided to proceed with a kidney biopsy. Fatty casts are characteristic of degenerative tubular disease and are frequently associated with heavy proteinuria. Rbc casts in the urine.
It is a heraldic cross variant which developed from earlier forms of eight pointed crosses in the 16th century. If cholesterol or cholesterol esters are present they are associated with the maltese cross sign under polarized light. The maltese cross is a cross symbol consisting of four v or arrowhead shaped concave quadrilaterals converging at a central vertex at right angles two tips pointing outward symmetrically.
Although chiefly associated with the knights hospitaller order of st. Fatty casts with maltese cross sign. Fatty casts containing cholesterol will produce classic maltese cross formations under polarized light.
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