A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase
Autor(a) principal: | |
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Data de Publicação: | 1977 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Hansenologia Internationalis (Online) |
Texto Completo: | https://periodicos.saude.sp.gov.br/hansenologia/article/view/36065 |
Resumo: | 1) Lipid-staining techniques of histological sections should be used routinely, in addition to Hematoxylin-Eosin and staining for bacilli, to enhance diagnostic precision of the clinical forms of Hanseniasis. 2) The use of the Sudan III In 8972 consecutive cases lead us to the conclusion that, despite the slight disadvantages of easy cristalization and long term loss of stain in the preparations, it is essential for a correct histological diagnosis.3) In Indeterminate Hanseniasis lipid staining is always negative. Some cases, clinically considered as Indeterminate forms were actually shown to be incipient Virchowian or transitional forms through the finding of typical Virchow cells containing both bacilli and lipids. The early discovery of such cases can only be carried through systematic search for lipids on specifical staining. 4) In Tuberculoid Hanseniasis with quiescent granulomas, lipids are never found. 5) In Reactional Tuberculoid Hanseniasis, pathological lipids are not found but a yellowish hue, light and diffuse, is observed due to the edema fluid which permeates and disrupts granulomas. This is due to partial solubilization of the stain in the edema fluid which contains a fraction of normal lipoid; Pathologists unacquainted to such an image might consider it positive: thus it is a false-positive reaction. 6) Tuberculoid Hanseniasis is considered in reaction when only some of the granulomas show edema disjoining epithelioid cells; the diffuse yellowish tone is observed exclusively in those undergoing such a transitional phase. 7) In active Virchowian Hanseniasis lipid search is positive over 99% of the cases.8) In regressive and residual Virchowian Hanseniasis, lipids are present in practically all cases (100%).In terminal stages lipid-deposits are found also in big vacuoles, cavities and inside the cytoplasm of giant foreign-body cells. 9) In Borderline Hanseniasis lipids were found in 758% of cases. 10) In Borderline Hanseniasis it is particularly important to distinguish between the two types of lipid-images because both can be found in the same preparation:— localized lipid finely granulous or in droplets, inside Virchow cells;— diffuse, light yellow lipoids, in tuberculoid granulomas with edema. |
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A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníaseLipídiosSudão IIIHanseníaseCélula de VirchowIndeterminadaVirchowiana TuberculóideDimorfaLipidsSudan IIIHanseniasisVirchow cellIndeterminateVirchowianTuberculoidBorderline1) Lipid-staining techniques of histological sections should be used routinely, in addition to Hematoxylin-Eosin and staining for bacilli, to enhance diagnostic precision of the clinical forms of Hanseniasis. 2) The use of the Sudan III In 8972 consecutive cases lead us to the conclusion that, despite the slight disadvantages of easy cristalization and long term loss of stain in the preparations, it is essential for a correct histological diagnosis.3) In Indeterminate Hanseniasis lipid staining is always negative. Some cases, clinically considered as Indeterminate forms were actually shown to be incipient Virchowian or transitional forms through the finding of typical Virchow cells containing both bacilli and lipids. The early discovery of such cases can only be carried through systematic search for lipids on specifical staining. 4) In Tuberculoid Hanseniasis with quiescent granulomas, lipids are never found. 5) In Reactional Tuberculoid Hanseniasis, pathological lipids are not found but a yellowish hue, light and diffuse, is observed due to the edema fluid which permeates and disrupts granulomas. This is due to partial solubilization of the stain in the edema fluid which contains a fraction of normal lipoid; Pathologists unacquainted to such an image might consider it positive: thus it is a false-positive reaction. 6) Tuberculoid Hanseniasis is considered in reaction when only some of the granulomas show edema disjoining epithelioid cells; the diffuse yellowish tone is observed exclusively in those undergoing such a transitional phase. 7) In active Virchowian Hanseniasis lipid search is positive over 99% of the cases.8) In regressive and residual Virchowian Hanseniasis, lipids are present in practically all cases (100%).In terminal stages lipid-deposits are found also in big vacuoles, cavities and inside the cytoplasm of giant foreign-body cells. 9) In Borderline Hanseniasis lipids were found in 758% of cases. 10) In Borderline Hanseniasis it is particularly important to distinguish between the two types of lipid-images because both can be found in the same preparation:— localized lipid finely granulous or in droplets, inside Virchow cells;— diffuse, light yellow lipoids, in tuberculoid granulomas with edema.1º) As técnicas de coloração para lipídios devem ser realizadas, rotineiramente, ao lado da Hematoxilina eosin e da coloração de bacilos a fim de aumentar a precisão diagnóstica das diversas formes clinicas da Hanseníase. 2.°) O Sudão III usado em 8972 casos permite concluir que, apesar dos pequenos inconvenientes da fácil cristalização e descoramento das preparações é imprescindível à correção do diagnóstico histopatológico. 3.°) Na Hanseníase Indeterminada a pesquisa de lipídio patológico é sempre negativa. Alguns casos clinicamente diagnosticados como Indeterminados revelaram tratar-se de Hanseníase Virchowiana incipiente ou em fase de transição graças ao achado de células de Virchow típicas com o duplo componente bacilos-lipídio. Somente o emprego obrigatório da coloração para lipídios despista estes casos.4.°) Na Hanseníase Tuberculóide, com granulomas quiescentes a pesquisa de lipídios é sempre negativa. 5.°) Na Hanseníase Tuberculóide reacional a pesquisa de lipídio anormal é negativa porém graças ao edema que desestrutura os granulomas aparece uma tonalidade amarelada, clara e difusa. Isto se deve à solubilização parcial do corante no liquido de edema que contém uma fração de lipóides normais. Um patologista não familiarizado com esta imagem poderia considerá-la como positiva (é portanto falso-positiva). 6.°) Consideramos como Hanseníase Tuberculóide em reação quando nem todos os granulomas apresentam edema separando as células epitelióides; a cor amarelada difusa somente é observada nos que estiverem nesta fase de transição. 7.°) Na Hanseníase Virchowiana em atividade a pesquisa de lipídios foi positiva em mais de 99% dos casos. 8.°) Na Hanseníase Virchowiana em regressão e residual a presença de lipídios é praticamente de 100%. No estádio final a deposição do lipídio se faz também no interior de grandes vacúolos, cavidades e no citoplasma de células gigantes do tipo corpo estranho. 9.°) Na Hanseníase Dimorfa encontramos positividade em 75,9% dos casos. 10.°) Na Hanseníase Dimorfa é multo importante o reconhecimento dos 2 tipos de imagem pois elas podem estar presentes na mesma preparação:— lipídio localizado grumoso e nítido, nas células de Virchow;— lipídio difuso, amarelo claro, nos granulomas tuberculóides com edema.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo1977-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3606510.47878/hi.1977.v2.36065Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 2 No. 2 (1977); 135-152Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 2 n. 2 (1977); 135-1521982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36065/34370https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNEVES, RENE GARRIDO2023-11-29T16:43:58Zoai:ojs.periodicos.saude.sp.gov.br:article/36065Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-11-29T16:43:58Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false |
dc.title.none.fl_str_mv |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
title |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
spellingShingle |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase NEVES, RENE GARRIDO Lipídios Sudão III Hanseníase Célula de Virchow Indeterminada Virchowiana Tuberculóide Dimorfa Lipids Sudan III Hanseniasis Virchow cell Indeterminate Virchowian Tuberculoid Borderline |
title_short |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
title_full |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
title_fullStr |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
title_full_unstemmed |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
title_sort |
A coloração de, lipídios pelo Sudão lll. Importância na classificação histopatológica da hanseníase |
author |
NEVES, RENE GARRIDO |
author_facet |
NEVES, RENE GARRIDO |
author_role |
author |
dc.contributor.author.fl_str_mv |
NEVES, RENE GARRIDO |
dc.subject.por.fl_str_mv |
Lipídios Sudão III Hanseníase Célula de Virchow Indeterminada Virchowiana Tuberculóide Dimorfa Lipids Sudan III Hanseniasis Virchow cell Indeterminate Virchowian Tuberculoid Borderline |
topic |
Lipídios Sudão III Hanseníase Célula de Virchow Indeterminada Virchowiana Tuberculóide Dimorfa Lipids Sudan III Hanseniasis Virchow cell Indeterminate Virchowian Tuberculoid Borderline |
description |
1) Lipid-staining techniques of histological sections should be used routinely, in addition to Hematoxylin-Eosin and staining for bacilli, to enhance diagnostic precision of the clinical forms of Hanseniasis. 2) The use of the Sudan III In 8972 consecutive cases lead us to the conclusion that, despite the slight disadvantages of easy cristalization and long term loss of stain in the preparations, it is essential for a correct histological diagnosis.3) In Indeterminate Hanseniasis lipid staining is always negative. Some cases, clinically considered as Indeterminate forms were actually shown to be incipient Virchowian or transitional forms through the finding of typical Virchow cells containing both bacilli and lipids. The early discovery of such cases can only be carried through systematic search for lipids on specifical staining. 4) In Tuberculoid Hanseniasis with quiescent granulomas, lipids are never found. 5) In Reactional Tuberculoid Hanseniasis, pathological lipids are not found but a yellowish hue, light and diffuse, is observed due to the edema fluid which permeates and disrupts granulomas. This is due to partial solubilization of the stain in the edema fluid which contains a fraction of normal lipoid; Pathologists unacquainted to such an image might consider it positive: thus it is a false-positive reaction. 6) Tuberculoid Hanseniasis is considered in reaction when only some of the granulomas show edema disjoining epithelioid cells; the diffuse yellowish tone is observed exclusively in those undergoing such a transitional phase. 7) In active Virchowian Hanseniasis lipid search is positive over 99% of the cases.8) In regressive and residual Virchowian Hanseniasis, lipids are present in practically all cases (100%).In terminal stages lipid-deposits are found also in big vacuoles, cavities and inside the cytoplasm of giant foreign-body cells. 9) In Borderline Hanseniasis lipids were found in 758% of cases. 10) In Borderline Hanseniasis it is particularly important to distinguish between the two types of lipid-images because both can be found in the same preparation:— localized lipid finely granulous or in droplets, inside Virchow cells;— diffuse, light yellow lipoids, in tuberculoid granulomas with edema. |
publishDate |
1977 |
dc.date.none.fl_str_mv |
1977-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36065 10.47878/hi.1977.v2.36065 |
url |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36065 |
identifier_str_mv |
10.47878/hi.1977.v2.36065 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.saude.sp.gov.br/hansenologia/article/view/36065/34370 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
publisher.none.fl_str_mv |
Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo |
dc.source.none.fl_str_mv |
Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 2 No. 2 (1977); 135-152 Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 2 n. 2 (1977); 135-152 1982-5161 reponame:Hansenologia Internationalis (Online) instname:Instituto Lauro de Souza Lima (ILSL) instacron:ILSL |
instname_str |
Instituto Lauro de Souza Lima (ILSL) |
instacron_str |
ILSL |
institution |
ILSL |
reponame_str |
Hansenologia Internationalis (Online) |
collection |
Hansenologia Internationalis (Online) |
repository.name.fl_str_mv |
Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL) |
repository.mail.fl_str_mv |
hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br |
_version_ |
1796797580481396736 |