[Cytoid bodies in human skin (author's transl)]. 1976

W Gebhart

Cytoid bodies represent ovoid, round or polygonal, approximately cellsized structures. In human skin such bodies may occur under normal as well as under pathological conditions. A number of heterogenous materials contribute to the morphogenesis of cytoid bodies, but in sections of human skin prepared for routine histology, different groups of cytoid bodies can not always be distinguished from each other. However, such a differentiation is necessary, if their presence is to be utilized as a diagnostic parameter or interpreted as a sign of physiological or pathological events in the dermoepidermal junction area. The object of the present studies was to (i) characterize the different groups of cytoid bodies by histological, histochemical, immunological and electron microscopical techniques, (ii) elucidate their nature, origin and morphogenesis and (iii) determine their significance in the histology of the skin. The following results were obtained: (1) Elastic globes can easily be identified by their bright autofluorescence and their affinity for elastin stains. Electron microscopically they exhibit a mixture of amorphous, granular and filamentous material, thus showing simlarities with elastic fibers. They are regularly found in normal skin of the extremities and the face but usually are absent on the trunk. Therefore their demonstration may be of importance in forensic medicine by allowing a better determination of the origin of isolated skin pieces. (2) Russel bodies may show gross variations in their histological, histochemical and ultrastructural properties. They contain different amounts of carbohydrates, lipids, proteins and immunoglobulins. These variable component result in a polymorphous structure. Russel bodies are produced by plasma cells and can frequently be found in skin infiltrates with a predominant admixture of this cell type. Their presence may be correlated with an increased local production of immunoglobulins, but their differentiation from other cytoid bodies and fungal elements is also of importance. (3) Civatte bodies are also eosinophil, PAS-positive and exhibit a typical fibrillar ultrastructure. They may be localised intraepidermally as well as in the upper corium. Although most frequently ecountered in lichen planus they may also be found in numerous other dermatoses and even in clinically normal skin. As indicated by their characteristics, they originate from epidermal keratinocytes and probably represent a morphological substrate of "apoptosis". (4) Amyloid is identified by the green birefringence of Congo red stained sections and by the more irregular arrangement of the individual filaments under the electron microscope. Cytoid aggregates of amyloid in the skin occur mainly in lichen amyloidosus and macular amyloidosis. Their presence should prompt further investigations of the patient for other signs of amyloidosis. (5) Fibrin in the form of cytoid clumps and clusters can frequently and specifically be demonstrated in skin diseases by immunofluorescence...

UI MeSH Term Description Entries
D008179 Lupus Erythematosus, Discoid A chronic form of cutaneous lupus erythematosus (LUPUS ERYTHEMATOSUS, CUTANEOUS) in which the skin lesions mimic those of the systemic form but in which systemic signs are rare. It is characterized by the presence of discoid skin plaques showing varying degrees of edema, erythema, scaliness, follicular plugging, and skin atrophy. Lesions are surrounded by an elevated erythematous border. The condition typically involves the face and scalp, but widespread dissemination may occur. Lupus Erythematosus, Chronic Cutaneous,Lupus Erythematosus, Cutaneous, Chronic,Discoid Lupus Erythematosus
D008854 Microscopy, Electron Microscopy using an electron beam, instead of light, to visualize the sample, thereby allowing much greater magnification. The interactions of ELECTRONS with specimens are used to provide information about the fine structure of that specimen. In TRANSMISSION ELECTRON MICROSCOPY the reactions of the electrons that are transmitted through the specimen are imaged. In SCANNING ELECTRON MICROSCOPY an electron beam falls at a non-normal angle on the specimen and the image is derived from the reactions occurring above the plane of the specimen. Electron Microscopy
D009024 Morphogenesis The development of anatomical structures to create the form of a single- or multi-cell organism. Morphogenesis provides form changes of a part, parts, or the whole organism.
D004547 Elastic Tissue Connective tissue comprised chiefly of elastic fibers. Elastic fibers have two components: ELASTIN and MICROFIBRILS. Elastic Fibers,Elastic Fiber,Elastic Tissues,Fiber, Elastic,Fibers, Elastic,Tissue, Elastic,Tissues, Elastic
D004549 Elastin alpha-Elastin,kappa-Elastin,alpha Elastin,kappa Elastin
D005337 Fibrin A protein derived from FIBRINOGEN in the presence of THROMBIN, which forms part of the blood clot. Antithrombin I
D006416 Hematoxylin A dye obtained from the heartwood of logwood (Haematoxylon campechianum Linn., Leguminosae) used as a stain in microscopy and in the manufacture of ink. Hydroxybrazilin,Haematoxylon,Hematoxiline,Hemotoxylin,Hydroxybrasilin
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000682 Amyloid A fibrous protein complex that consists of proteins folded into a specific cross beta-pleated sheet structure. This fibrillar structure has been found as an alternative folding pattern for a variety of functional proteins. Deposits of amyloid in the form of AMYLOID PLAQUES are associated with a variety of degenerative diseases. The amyloid structure has also been found in a number of functional proteins that are unrelated to disease. Amyloid Fibril,Amyloid Fibrils,Amyloid Substance,Fibril, Amyloid,Fibrils, Amyloid,Substance, Amyloid
D012867 Skin The outer covering of the body that protects it from the environment. It is composed of the DERMIS and the EPIDERMIS.

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