Clinical implications of the presence of refractile particles in the liver of haemodialysis patients.

J M Morales, F Colina, J Arteaga, A Barrientos, V G Millet, L M Ruilope, J M Alcazar, J L Rodicio
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Abstract

In a retrospective study we have examined 20 liver specimens from haemodialysis patients with a mean time on treatment of 27 months. Thirteen specimens were biopsies, the remaining came from autopsies. The presence of refractile particles was found in 55 per cent of biopsies and 100 per cent of autopsies. Its presence was not constantly associated with morphological lesions of the liver. We believe that the deposition of this material could be a fortuitous finding with uncertain clinical implications.

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血液透析患者肝脏中存在折射性颗粒的临床意义。
在一项回顾性研究中,我们检查了20例血液透析患者的肝脏标本,平均治疗时间为27个月。13个标本来自活组织检查,其余标本来自尸检。在55%的活组织检查和100%的尸检中发现了可折射颗粒的存在。它的存在并不总是与肝脏的形态学病变有关。我们认为这种物质的沉积可能是一个偶然的发现,具有不确定的临床意义。
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