Maltese Cross Sign Urine

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.

Maltese cross sign urine. 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. If cholesterol or cholesterol esters are present they are associated with the maltese cross sign under polarized light. Formed by the breakdown of lipid rich epithelial cells these are hyaline casts with fat globule inclusions yellowish tan in color. Serra journal ndt plus year 2009 volume.

Round particles producing birefringent maltese crosses under polarized light are commonly seen in the urinary sediment of patients with a nephrotic syndrome. Examination of urinary sediment by a phase contrast microscopy showing abundant roundish and variable sized particles with a nucleus like centre b with a structure of birefringent maltese crosses like under polarized light. It is a heraldic cross variant which developed from earlier forms of eight pointed crosses in the 16th century. Maltese cross urine 15 maltese cross urine png transparent pictures for free download search.

Maltese cross like crystals in the urinary sediment of a diabetic patient. The appearance of the maltese crosses is due to the birefringence of lipid droplets which consist mainly of cholesterol esters. 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. 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.

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. Use them absolutely free and share our website with your friends. 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.