Maltese Cross Nephrotic Syndrome

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Maltese cross nephrotic syndrome. It is also examined for active casts. The arms of the maltese crosses seen in these patients with gross proteinuria are symmetrical figure 2. Maltese crosses are due to cholesterol which is increased in nephrotic syndrome. The appearance of the maltese crosses is due to the birefringence of lipid droplets which consist mainly of cholesterol esters.

Images in clinical medicine from the new england journal of medicine maltese crosses in the nephrotic syndrome. Maltese crosses in the nephrotic syndrome a 66 year old man presented with edema which had developed over the previous month. Download citation images in clinical medicine. Round particles producing birefringent maltese crosses under polarized light are commonly seen in the urinary sediment of patients with a nephrotic syndrome.

Notably our patient had only moderate proteinuria no clinical signs of a nephrotic syndrome and the. Martin sedlacek m d and anton c. The classic maltese cross pattern is evident in fatty casts with polarized microscopy because of the birefringence of the lipid. This article has no abstract.

Both brian and gregory have nephrotic syndrome but brian has minimal change disease while gregory has focal segmental glo merulo sclerosis. Which is more a feature of active nephritis.