Difference between revisions of "Crystals in body fluids"

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[[Image:Gout_-_monosodium_urate_crystals_(20X,_polarized,_red_compensator).jpg|thumb|right|Crystals (gout) and blood cells. (WC/Gabriel Caponetti)]]
[[Image:Gout_-_monosodium_urate_crystals_(20X,_polarized,_red_compensator).jpg|thumb|right|Crystals (gout) and blood cells in [[polarized light]]. (WC/Gabriel Caponetti)]]
[[Image: Crystals in urine - uc -- very high mag - animation.gif | Crystals - very high mag.|thumb|right|Crystals (uric acid-type) in urine. (WC)]]
[[Image: Crystals in urine - uc -- very high mag - animation.gif | Crystals - very high mag.|thumb|right|Crystals in urine. (WC)]]
This article deals with '''crystals in body fluids'''.
This article deals with '''crystals in body fluids'''.


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Image: Uric acid crystals (urine) - Ürik asit kristalleri (idrar) - 03.png | Uric acid crystals. (WC)
Image: Uric acid crystals (urine) - Ürik asit kristalleri (idrar) - 03.png | Uric acid crystals. (WC)
Image: Calcium oxalate crystals in urine.jpg | Calcium oxalate crystal - envelope-shaped. (WC)
Image: Calcium oxalate crystals in urine.jpg | Calcium oxalate crystal - envelope-shaped. (WC)
Image: Fluorescent uric acid.JPG | Uric acid crystals. (WC)
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Latest revision as of 04:58, 24 April 2016

Crystals (gout) and blood cells in polarized light. (WC/Gabriel Caponetti)
Crystals in urine. (WC)

This article deals with crystals in body fluids.

Crystals

Joint crystals

Types:[1]

  • Gout = needle-shaped, negatively birefringent, yellow when aligned.
  • Pseudogout = rhomboid-shaped, positively birefringent, blue when aligned.

Notes:

  • Pseudogout also known as CPPD = calcium pyrophosphate dehydrogenase.
  • Memory device: ABC+ = aligned blue is calcium & cuboid - positively birefringent.

Urine crystals

Types - morphology:

  • Envelope shape (calcium oxalate).
  • Diamond shape (uric acid).
  • Coffin-lid shape (struvite).
  • Hexagonal shape (cysteine).

Notes:

  • Memory devices:
    • Diamonds are see-through; ergo, uric acid stones not seen on KUB.
    • Calcium oxalate = envelope, uric acid = diamond.
  • Uric acid crystals: usually dissolve in formalin... but do not dissolve in alcohol.[2][3]
  • Calcium oxalate crystals are seen in the context of ethylene glycol poisoning.[4]

Images

  • Struvite crystals. (WC)

  • Uric acid crystals. (WC)

  • Calcium oxalate crystal - envelope-shaped. (WC)

  • Uric acid crystals. (WC)

Case

  • Crystals - high mag.

  • Crystals - high mag.

  • Crystals - very high mag.

  • Crystals - very high mag.

  • Crystals - very high mag.

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Urine cytology

Negative for malignant cells.
Mainly squamous cells present. Cuboidal/rhomboidal crystals present.

Diseases

Gout

Main article: Gout

Pseudogout

  • AKA Calcium pyrophosphate dihydrate deposition disease,[5] abbreviated CPPD.
Main article: Chondrocalcinosis

See also

References

  1. ↑ Yeung, J.C.; Leonard, Blair J. N. (2005). The Toronto Notes 2005 - Review for the MCCQE and Comprehensive Medical Reference (2005 ed.). The Toronto Notes Inc. for Medical Students Inc.. pp. RH6. ISBN 978-0968592854.
  2. ↑ Geddie, W. 8 January 2010.
  3. ↑ Shidham, V.; Chivukula, M.; Basir, Z.; Shidham, G. (Aug 2001). "Evaluation of crystals in formalin-fixed, paraffin-embedded tissue sections for the differential diagnosis of pseudogout, gout, and tumoral calcinosis.". Mod Pathol 14 (8): 806-10. doi:10.1038/modpathol.3880394. PMID 11504841.
  4. ↑ Saukko, Pekka; Knight, Bernard (2004). Knight's Forensic Pathology (3rd ed.). A Hodder Arnold Publication. pp. 589. ISBN 978-0340760444.
  5. ↑ URL: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001458/. Accessed on: 28 October 2011.

External links

Retrieved from "https://librepathology.org/w/index.php?title=Crystals_in_body_fluids&oldid=43907"