Lipiduria – with special relevance to Fabry disease

Examination of the urine under the microscope using polarised light is invaluable for detecting and identifying lipid particles. Attention to the shape of these Maltese cross bearing bodies can distinguish conventional fat particles from Fabry bodies with great sensitivity and specificity across a w...

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Veröffentlicht in:Clinical chemistry and laboratory medicine 2015-11, Vol.53 (2), p.1465-1470
Hauptverfasser: Becker, Gavin J., Nicholls, Kathleen
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Nicholls, Kathleen
description Examination of the urine under the microscope using polarised light is invaluable for detecting and identifying lipid particles. Attention to the shape of these Maltese cross bearing bodies can distinguish conventional fat particles from Fabry bodies with great sensitivity and specificity across a wide phenotypic spectrum. This could be a cheap and rapid tool for screening subjects suspected of having Fabry disease for renal involvement. It remains to be seen whether there is value in integrating polarised light into automated urine microscopy machines, but potentially this could greatly help the pathologist or nephrologist in identifying unusual urinary particles, and broaden the capacity for larger scale screening.
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source MEDLINE; De Gruyter journals
subjects albuminuria
Fabry
Fabry Disease - urine
Humans
Kidney - chemistry
Kidney - physiology
Lipids - urine
lipiduria
microscopy
Microscopy - methods
renal
Sensitivity and Specificity
Urinalysis - methods
title Lipiduria – with special relevance to Fabry disease
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