Maltese Cross Nephrotic Syndrome
The appearance of the maltese crosses is due to the birefringence of lipid droplets which consist mainly of cholesterol esters.
Maltese cross nephrotic syndrome. Nephrotic syndrome happens when the glomeruli are damaged and they become more permeable so they start letting plasma proteins pass from the blood to the nephron and then into the urine. Images in clinical medicine from the new england journal of medicine maltese crosses in the nephrotic syndrome. Martin sedlacek m d and anton c. It is also examined for active casts.
The arms of the maltese crosses seen in these patients with gross proteinuria are symmetrical figure 2. The classic maltese cross pattern is evident in fatty casts with polarized microscopy because of the birefringence of the lipid. Download citation images in clinical medicine. The following are baseline essential investigations urine sample shows proteinuria.
Maltese crosses in the nephrotic syndrome list of authors. Maltese crosses are due to cholesterol which is increased in nephrotic syndrome. Both brian and gregory have nephrotic syndrome but brian has minimal change disease while gregory has focal segmental glo merulo sclerosis. Notably our patient had only moderate proteinuria no clinical signs of a nephrotic syndrome and the.
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