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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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[Not Available].

H U Funk1

  • 1Pathologischen Institut des Kantonsspitals Winterthur, Deutschland.

Diabetologia
|November 1, 2013
PubMed
Summary
This summary is machine-generated.

Homogeneous capillary lesions were found in diabetic patients with and without Kimmelstiel-Wilson glomerulosclerosis, but not in controls. These pancreatic capillary changes may indicate diabetic microvascular complications.

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Area of Science:

  • Pathology
  • Diabetology
  • Nephrology

Context:

  • Diabetic nephropathy is a significant complication of diabetes mellitus.
  • Kimmelstiel-Wilson glomerulosclerosis is a characteristic lesion of diabetic nephropathy.
  • Pancreatic microvasculature changes in diabetes are not well understood.

Purpose:

  • To investigate the presence and characteristics of homogeneous capillary lesions in the pancreas of diabetic patients.
  • To compare the occurrence of these lesions in patients with and without Kimmelstiel-Wilson glomerulosclerosis.
  • To differentiate these homogeneous lesions from other pancreatic microvascular changes.

Summary:

  • Homogeneous, PAS-positive capillary wall thickening was examined in pancreatic samples from 25 diabetics with Kimmelstiel-Wilson glomerulosclerosis, 54 diabetics without, and 70 non-diabetic controls.
  • These lesions were observed in approximately one-third of cases with glomerulosclerosis, one-seventh of cases without, and none of the controls, primarily in extrainsular capillaries.
  • Histochemical analysis distinguished these homogeneous lesions from nodular Kimmelstiel-Wilson lesions and islet hyalinosis, with their pathogenesis remaining unclear.

Impact:

  • Identifies a distinct microvascular lesion in the pancreas associated with diabetes.
  • Suggests potential markers for diabetic microvascular disease beyond the kidney.
  • Highlights the need for further research into the pathogenesis and clinical significance of pancreatic capillary lesions in diabetes.