Maltese Cross Sign Urine

Analysis of the urine sediment with phase contrast microscopy showed abundant roundish particles figure figure1a 1 a with a structure of birefringent maltese crosses under polarized light figure figure1b.
Maltese cross sign urine. Use them absolutely free and share our website with your friends. Lab medicine urinalysis maltese crosses are anisotropic or birefringent cholesterol rich fat droplets associated with finely granular renal casts which have a cruciform appearance by polarised light and are found both within and outside of the cells in the urine sediment of patients with nephrotic syndrome eclampsia renal toxicity fat embolism after crush injury and in fabry s disease due to aggregates of glycosphingolipids. Formed by the breakdown of lipid rich epithelial cells these are hyaline casts with fat globule inclusions yellowish tan in color. Here you can find 15 amazing images on maltese cross urine theme and download them without registration.
Serra journal ndt plus year 2009 volume. The appearance of the maltese crosses is due to the birefringence of lipid droplets which consist mainly of cholesterol esters. The impaired kidney function ckd stage 3 with proteinuria was interpreted on the basis of long standing diabetes in a patient with a single kidney whereas the nature of. Lipid droplets that may be seen in the urine particularly from patients with glomerular disease and heavy proteinuria can act as liquid crystals and show a distinctive form on polarizing microsco.
The urinary sediment showed fatty casts panel a with typical maltese crosses under polarized light panel b and was otherwise unremarkable with no sign of nephritis. Maltese cross like crystals in the urinary sediment of a diabetic patient article etter2009maltesecc title maltese cross like crystals in the urinary sediment of a diabetic patient author christoph etter and ruth russi and giovanni battista fogazzi and rudolf peter w u thrich and andreas l. They are pathognomonic for high urinary protein nephrotic syndrome. Particles producing maltese cross and maltese cross like birefringence in the urinary sediment and their findings under phase contrast microscopy and polarizing light lipid droplets 2 8 di.
Vs iron svg maltese cross the. Although chiefly associated with the knights hospitaller order of st. John now the. Round particles producing birefringent maltese crosses under polarized light are commonly seen in the urinary sediment of patients with a nephrotic syndrome.
It is a heraldic cross variant which developed from earlier forms of eight pointed crosses in the 16th century.