26.07.2013 Views

Untitled - D Ank Unlimited

Untitled - D Ank Unlimited

Untitled - D Ank Unlimited

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Kupffer’s cell 436 Kveim reaction (historical)<br />

Henry George Kunkel.<br />

Kupffer’s cell<br />

A liver macrophage that has become fixed as a mononuclear<br />

phagocytic cell in the liver sinusoids. It is an integral part<br />

of the mononuclear phagocyte (reticuloendothelial) system.<br />

Monocytes become attached to the interior surfaces of liver<br />

sinusoids, where they develop into macrophages. They have<br />

CR1 and CR2 receptors, surface Fc receptors, and major<br />

histocompatibility complex (MHC) class II molecules. They<br />

are actively phagocytic and remove foreign substances from<br />

the blood as it flows through the liver. Under certain disease<br />

conditions, they may phagocytize erythrocytes, leading to<br />

the deposition of hemosiderin particles derived from hemoglobulin<br />

breakdown products.<br />

kuru<br />

A slow virus disease of some native tribes of Guinea that<br />

practice cannibalism. Transmission is through skin lesions<br />

of individuals preparing infected brains for consumption.<br />

The virus accumulates in brain cell membranes.<br />

Kveim reaction (historical)<br />

A skin reaction for the diagnosis of sarcoidosis in which<br />

ground lymph node tissue of a known sarcoidosis patient<br />

is suspended in physiological salt solution and inoculated<br />

intracutaneously into a suspected sarcoidosis patient. A<br />

positive reaction, on histopathologic examination of an<br />

injection-site biopsy 1 month to 6 weeks after inoculation,<br />

reveals a nodular epithelioid cell granuloma-like reaction.<br />

A positive Kveim test confirms the diagnosis of sarcoidosis.<br />

The danger of possibly transmitting hepatitis, AIDS, and<br />

other viruses precludes the use of this reaction.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!