Maltese Cross Sign Fatty Casts

Fatty degeneration of the tubular epithelium in degenerative tubular disease.

Maltese cross sign fatty casts. 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. Question 1 a patient presents with edema which is most noticeable in the hands and face. They are pathognomonic for high urinary protein nephrotic syndrome. 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.

Non specific please rate topic. Renal failure casts wider than normal cast matrix. Crystals in acid urine. Fatty casts oval fat bodies nephrotic syndrome.

Fatty casts containing cholesterol will produce classic maltese cross formations under polarized light. They are pathognomonic for nephrotic syndrome of high urinary proteins. Although chiefly associated with the knights hospitaller order of st. Fatty casts oval fat bodies maltese cross pattern under polarized light.

They are pathognomonic for high urinary protein nephrotic syndrome. Nephrotic syndrome maltese cross sign. If cholesterol or cholesterol esters are present they are associated with the maltese cross sign under polarized light. If cholesterol or cholesterol esters are present they are associated with the maltese cross sign under polarized light.

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. This formation is indicated by the white arrow in the bottom image. Fatty casts are characteristic of degenerative tubular disease and are frequently associated with heavy proteinuria.

Uric acid many different shapes diamond rhombic prism or rosette. Laboratory findings include proteinuria hypoalbuminemia and hyperlipidemia. John now the. It is a heraldic cross variant which developed from earlier forms of eight pointed crosses in the 16th century.

Fatty casts formed by the breakdown of lipid rich epithelial cells these are hyaline casts with fat globule inclusions yellowish tan in color. Formed by the breakdown of lipid rich epithelial cells these are hyaline molds with inclusions of yellowish roasted fatty blood cells. Associated with maltese cross sign.