Abstract
The pathology of an unusual form of nonneuropathic familial amyloidosis is presented. The disease, occurring in two sisters, is similar to a form of familial amyloidosis described by Ostertag in 1950 and is characterized by progressive renal failure and an autosomal dominant mode of inheritance. Widespread vascular amyloidosis and dense renal glomerular amyloid deposits characterize the disease pathologically. Renal interstitial foam cells and glomerular giant cells were found in the kidneys of one sister. The giant cells, probably of macrophage origin, contain amyloid fibrils within poorly formed non-membrane-bounded cytoplasmic vacuoles. Transitions to well-formed membrane-bounded cytoplasmic vacuoles with nonfibrillar material were also present. It is suggested that these cells function to degrade and resorb amyloid, and that as amyloid is changed to a nonfibrillar state, well-defined membranes can form around the degraded material.
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- Ben-Ishay Z., Zlotnick A. The cellular origin of amyloid. Electron microscopid study in a case of amyloidosis. Isr J Med Sci. 1968 Sep-Oct;4(5):987–994. [PubMed] [Google Scholar]
- Cohen A. S. The constitution and genesis of amyloid. Int Rev Exp Pathol. 1965;4:159–243. [PubMed] [Google Scholar]
- DAHLIN D. C. Primary amyloidosis, with report of six cases. Am J Pathol. 1949 Jan;25(1):105–123. [PMC free article] [PubMed] [Google Scholar]
- DeLellis R. A., Sri Ram J., Glenner G. G. Amyloid. IX. Further kinetic studies on experimental murine amyloidosis. Int Arch Allergy Appl Immunol. 1970;37(2):175–183. [PubMed] [Google Scholar]
- Dumont A., Sheldon H. Changes in the fine structure of macrophages in experimentally produced tuberculous granulomas in hamsters. Lab Invest. 1965 Nov;14(11):2034–2055. [PubMed] [Google Scholar]
- Fedorko M. E., Hirsch J. G. Structure of monocytes and macrophages. Semin Hematol. 1970 Apr;7(2):109–124. [PubMed] [Google Scholar]
- Glenner G. G. The pathogenetic and therapeutic implications of the discovery of the immunoglobulin origin of amyloid fibrils. Hum Pathol. 1972 Jun;3(2):157–162. doi: 10.1016/s0046-8177(72)80069-8. [DOI] [PubMed] [Google Scholar]
- HELLER H., SOHAR E., GAFNI J., HELLER J. Amyloidosis in familial Mediterranean fever. An independent genetically determined character. Arch Intern Med. 1961 Apr;107:539–550. doi: 10.1001/archinte.1961.03620040065007. [DOI] [PubMed] [Google Scholar]
- Lowenstein J., Gallo G. Remission of the nephrotic syndrome in renal amyloidosis. N Engl J Med. 1970 Jan 15;282(3):128–132. doi: 10.1056/NEJM197001152820304. [DOI] [PubMed] [Google Scholar]
- Mahloudji M., Teasdall R. D., Adamkiewicz J. J., Hartmann W. H., Lambird P. A., McKusick V. A. The genetic amyloidoses with particular reference to hereditary neuropathic amyloidosis, type II (Indiana or Rukavina type). Medicine (Baltimore) 1969 Jan;48(1):1–37. [PubMed] [Google Scholar]
- Neustein H. B., O'Brien J. S., Rosser R. J., Fillerup D. L. Chronic nephritis and renal foam cells. Cholesterol ester storage. Arch Pathol. 1972 Jun;93(6):503–509. [PubMed] [Google Scholar]
- Page D. L., Glenner G. G. Social interaction and wounding in the genesis of "spontaneous" murine amyloidosis. Am J Pathol. 1972 Jun;67(3):555–567. [PMC free article] [PubMed] [Google Scholar]
- SANERKIN N. G. On the nature of "interstitial foam cells" in chronic glomerulonephritis. J Pathol Bacteriol. 1963 Jul;86:135–140. doi: 10.1002/path.1700860117. [DOI] [PubMed] [Google Scholar]
- SYMMERS W. S. Primary amyloidosis: a review. J Clin Pathol. 1956 Aug;9(3):187–211. doi: 10.1136/jcp.9.3.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schubert G. E., Veigel J., Lennert K. Structure and function of the kidney in multiple myeloma. Virchows Arch A Pathol Pathol Anat. 1972;355(2):135–157. doi: 10.1007/BF00556315. [DOI] [PubMed] [Google Scholar]
- Spear G. S., Slusser R. J., Schulman J. D., Alexander F. Polykaryocytosis of the visceral glomerular epithelium in cystinosis with description of an unusual clinical variant. Johns Hopkins Med J. 1971 Aug;129(2):83–99. [PubMed] [Google Scholar]
- Williams G. Histological studies in resorption of experimental amyloid. J Pathol Bacteriol. 1967 Oct;94(2):331–336. doi: 10.1002/path.1700940210. [DOI] [PubMed] [Google Scholar]
- Wright J. R., Ozdemir A. I., Matsuzaki M., Binette P., Calkins E. Amylod resorption: possible role of multinucleated giant cells. The apparent failure of penicillamine treatment. Johns Hopkins Med J. 1972 May;130(5):278–288. [PubMed] [Google Scholar]
- Zucker-Franklin D., Franklin E. C. Intracellular localization of human amyloid by fluorescence and electron microscopy. Am J Pathol. 1970 Apr;59(1):23–41. [PMC free article] [PubMed] [Google Scholar]







