RESUMO
We report a case of metastatic pulmonary calcification in a patient with chronic renal failure on hemodialysis and secondary hyperparathyroidism. The diagnosis was made by using a probe-based confocal endomicroscopy which showed specific structures in the lung tissue and was proven by a transbronchial lung biopsy. To the best of our knowledge, this is the first reported case of the confocal endomicroscopy findings in a patient with metastatic pulmonary calcification.
Assuntos
Calcinose/diagnóstico por imagem , Broncoscopia , Calcinose/etiologia , Humanos , Hiperparatireoidismo/complicações , Falência Renal Crônica/complicações , Masculino , Microscopia Confocal/instrumentação , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios XRESUMO
The structural regularities of the organization of interneuronal syncytial cytoplasmic connections between neuronal bodies in gyrus dentatus and CA1 and CA2 (CA is cornu ammonis) of hippocampus, as well as between cell neurites of the caudal mesenteric ganglion were studied by transmission electron microscopy. The syncytial perforations are located only on the base of tight junctions. The perforations have rounded edges corresponding to the fusion edges of perforated membranes of adjacent neurons - or where their edges have a form of thinned plate - a remnant of the tight junction. In the lumen of the perforations, remnants of contact membranes - residual bodies - are revealed. On living neurons in tissue culture, the syncytial connection of two contacting processes of different neurons is found during the death of the body of one of them, but with preservation of viability of its processes that contact with other neurons.
