CPC - Pathology discussant - Dr Seetha Lakshmi
30
IRACON 2016 KOCHI CPC DR. SEETHALEKSHMY N.V. DEPT OF PATHOLOGY AMRITA INSTITUTE OF MEDICAL SCIENCES. KOCHI
-
Upload
ira-con -
Category
Healthcare
-
view
19 -
download
3
Transcript of CPC - Pathology discussant - Dr Seetha Lakshmi
IRACON 2016KOCHICPC
DR. SEETHALEKSHMY N.V. DEPT OF PATHOLOGY
AMRITA INSTITUTE OF MEDICAL SCIENCES.KOCHI
RENAL BIOPSY- SCANNER VIEW
H&E
H&E
H&E
PAS
TRICHROME
(MT)
H&E
PAS
JONES SILVER
TRICHROME (MT)
CONGO RED STAIN
CONGORED-POLARISATIO
N
CONGO RED-UV
FLUORESCENCE
IMMUNOFLUORESCENCE
• IMMUNOFLUORESCENCE STUDY NEGATIVE FOR• Ig G• Ig A • Ig M • C 3• C 1q • Both Kappa and Lambda LIGHT CHAINS
IMMUNOHISTOCHEMISTRY
• AA AMYLOID IMMUNOHISTOCHEMICAL STAIN IS POSITIVE OVER THE GLOMERULAR MESANGIUM AND AFEW BLOOD VESSELS
DIAGNOSIS
RENAL BIOPSY: SECONDARY AMYLOIDOSIS KIDNEY(SAA POSITIVE)IN A BACKGROUND OF URATE NEPHROPATHY WITH MEDULLARY TUBULOINTERSTITIAL MICROTOPHI ,MILD GLOBAL GLOMERULO SCLEROSIS AND CHRONIC TUBULOINTERSTITIAL NEPHRITIS.
CLINICAL CORRELATION……
ARTHRITIS AND RHEUMATISM, VOL. 24, NO. 11 (NOVEMBER 1981)
THE JAPANESE JOURNAL OF NEPHROLOGYVOL. 27 (1985) NO. 8 P 1201-1207
CÉCILE, CAZORLA ET AL AA AMYLOIDOSIS IN NEW CALEDONIA: AN UPDATE ,PATHOLOGY , VOLUME 46 , S97,2014
THANK YOU
