Summary
Quantitative morphologic studies on the glomeruli of kidneys from patients with cirrhosis of the liver revealed enlargement of the glomeruli and an increase in the mesangial matrix but no increase in the number of mesangial cells.
The glomerular changes in hepatic cirrhosis are called collectively “intercapillary glomerulosclerosis” because there is no proliferation of glomerular cells.
Zusammenfassung
Am Autopsiematerial von 30 Patienten untersuchten wir mit quantitativ-morphologischen Methoden die Frage nach den glomerulären Veränderungen bei verschiedenen Formen der Lebercirrhose. Es ergab sich eine Vergrößerung der Glomeruli und eine Zunahme des Mesangium. Die Mesangiumzellen sind nicht vermehrt. In Anbetracht des Fehlens einer Proliferation ortsständiger Zellen möchten wir die Veränderungen als intercapilläre Glomerulosklerose bezeichnen.
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Literatur
Baxter, J. H., Ashworth, C. T.: Renal lesions in portal cirrhosis. Arch. Path. 41, 476–488 (1946)
Benner, E. J., Gourley, R. T., Cooper, R. A., Benson, J. A.: Chronic active hepatitis with lupus nephritis. Ann. intern. Med. 68, 405–413 (1968)
Bloodworth, J. M. B., Sommers, S. C.: “Cirrhotic glomerulosclerosis” a renal lesion associated with hepatic cirrhosis. Lab. Invest. 8, 962–978 (1959)
Combes, B., Stastny, P., Shorey, J., Eigenbrodt, E. H., Barrera, A., Hull, A. R., Carter, N. W.: Glomerulonephritis with deposition of australia antigen-antibody complexes in glomerular basement membrane. Lancet 1971 II, 234–237.
Crowson, C. N., More, R. H.: Glomerulotubular nephrosis correlated with hepatic lesions. II. Incidence and morphology of associated kidney and liver lesions in human autopsy material. Arch. Path. 60, 73–84 (1955).
Dixon, F. J.: The role of antigen-antibody complexes in disease. Harvey Lect. 58, 21–52 (1963)
Faith, G. C., Trump, B. F.: The glomerular capillary wall in human kidney disease. Acute glomerulonephritis, systemic lupus erythematosus and preeclampsia-eclampsia. Comparative electron-microscopic observations and a review. Lab. Invest. 15, 1682–1719 (1966)
Feizi, T., Gitlin, N.: Immun-complex disease of the kidney associated with chronic hepatitis and cryoglobulinemia. Lancet 1969 II, 873–876.
Fisher, E. R., Hellström, H. R.: The membranous and proliferative glomerulonephritis of hepatic cirrhosis. Amer. J. clin. Path. 32, 48–55 (1959)
Fisher, E. R., Perez-Stable, E.: Cirrhotic (hepatic) lobular glomerulonephritis. Correlation of ultrastructural and clinical features. Amer. J. Path. 52, 869–889 (1968)
Germuth, F. G., Valdes, A. J., Senterift, L. B., Pollack, A. D.: A unique influence of cortisone on the transit of specific macromolecules across vascular walls in immune complex disease. John Hopk. med. J. 122, 137–153 (1968)
Gökcen, M.: Autoimmunity in liver disease. Serologic investigations with clinical correlations. J. Lab. clin. Med. 59, 533–541 (1962)
Goresky, C. A., Kumar, G.: Renal failure in cirrhosis of the liver. Canad. med. Ass. J. 90, 353–356 (1964)
Hanberg-Sørensen, F.: Quantitative studies of the renal corpuscles. I. Intraglomerular, interglomerular and interfocal variation in the normal kidney. Acta path. microbiol. scand., Section A 80, 115–124 (1972)
Hennig, A.: Volum- und Oberflächenmessung in der Mikroskopie. Verh. anat. Ges. (Jena) 54, 254–265 (1957)
Jones, W. A., Rao, D. R. G., Braunstein, H.: The renal glomerulus in cirrhosis of the liver. Amer. J. Path. 39, 393–404 (1961)
Kawano, K., McCoy, J., Wenzl, J., Porch, J., Howard, C., Goddard, M., Kimmelstiel, P.: Quantitation of glomerular structure. A study of methodology. Lab. Invest. 25, 343–348 (1971)
Mackay, I. R.: The problem of persisting destructive disease of the liver. Gastroenterology 40, 617–626 (1961)
Maclachlan, M. J., Rodnan, G. P., Cooper, W. M., Fennell, R. H.: Chronic active (“lupoid”) hepatitis. A clinical, serological and pathological study of 20 patients. Ann. intern. Med. 62, 425–462 (1965)
Manigand, G., Morel-Maroger, L., Simon, J., Deparis, M.: Lésions rénales glomerulaires et cirrhose du foie. Rev. Europ. Etudes Clin. et Biol. 15, 989–996 (1970)
Meltzer, M., Franklin, E. C., Elias, K., McCluskey, R. T., Cooper, N.: Cryoglobulinemia—a clinical and laboratory study. II. Cryoglobulins with rheumatoid factor activity. Amer. J. Med. 40, 837–856 (1966)
Mizuta, M., Kawamura, S., Harada, T.: Renal changes in hepatic lesion: An immunological consideration on the mechanism of its development. Bull. Yamaguchi med. Sch. 14, 269–293 (1967)
Morris, R. C., Fudenberg, H. H.: Impaired renal acidification in patients with hypergammaglobulinemia. Medicine (Baltimore) 46, 57–69 (1967)
Movat, H. Z.: Silver impregnation methods for electron microscopy. Amer. J. clin. Path. 35, 528–535 (1961)
Papper, S.: The kidney in liver disease. In: Disease of the kidney. Ed. by Strauss, M. B., and L. G. Welt, p. 841–852. Boston: Little Brown and Co. 1963
Patek, A. J., Seegal, D., Bevans, M.: The coexistence of cirrhosis of the liver and glomerulonephritis. Amer. J. med. Sci. 221, 77–85 (1951)
Sakaguchi, H.: Hepatic glomerulosclerosis. Lightmicroscopic study of autopsy cases. Acta path. jap. 18, 407–415 (1968)
Salomon, M. J., Sakaguchi, H., Churg, J., Dachs, S., Grishman, E., Mautner, W., Paronetto, F., Rosenthal, W. S.: Renal lesions in hepatic disease. A study based on kidney biopsies. Arch. intern. Med. 115, 704–709 (1965)
Sitte, M.: Morphometrische Untersuchungen an Zellen. In: Weibel/Elias, Quantitative methods in morphology, p. 167. Berlin-Heidelberg-New York: Springer 1967
Wehner, H.: Stereologische Untersuchungen am Mesangium normaler menschlicher Nieren. Virchows Arch. Abt. A 344, 286–294 (1968)
Zollinger, H. U.: Entzündliche Glomerulaerkrankungen. Ergebnisse licht- und elektronenmikroskopischer Untersuchungen. Path. europ. 5, 2–57 (1970)
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Mit Unterstützung der Deutschen Forschungsgemeinschaft. Mit technischer Assistenz von Fräulein H. Huber.
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Wehner, H., Andler, D. Über die intercapilläre Glomerulosklerose bei Lebercirrhose. Virchows Arch. Abt. A Path. Anat. 360, 265–272 (1973). https://doi.org/10.1007/BF00542985
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DOI: https://doi.org/10.1007/BF00542985