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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Clin+Diagn+Res
2016 ; 10
(4
): EC01-5
Nephropedia Template TP
gab.com Text
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English Wikipedia
Profile of Kidney Histopathology in Cases of Burns - Particular Emphasis on
Acridine Orange Fluorescence Study and to Explore its Forensic Utility
#MMPMID27190809
Bhetariya BV
; Desai NJ
; Gupta BD
; Patel PN
J Clin Diagn Res
2016[Apr]; 10
(4
): EC01-5
PMID27190809
show ga
INTRODUCTION: The major cause of death in the burn patients includes multiple
organ failure and infection but, sometimes the exact cause of death in many
fatally burned patients is difficult to detect. Many times in medico-legal
post-mortem examinations in cases of burns, histopathological examination of
organs is requested. AIM: The aim was to study various histopathological changes
in kidneys in the post-mortem cases of burns, by using routine Haematoxylin and
Eosin stain (H&E stain), special Periodic and Schiff's Stain (PAS) stain, to
study the role of acridine orange fluorescence study, to explore the forensic
utility of this microscopic study and to find out the relationship between
duration of survival and histopathological changes observed. MATERIALS AND
METHODS: An experimental longitudinal prospective study from October 2010 to
September 2012. Total 32 cases of death due to burns were autopsied at mortuary,
the Department of Forensic Medicine and Toxicology in our hospital. Bilateral
kidneys were removed and preserved in 10% formalin solution. These were forwarded
to Department of Pathology for histopathological examination. Routine microscopic
examination by H&E stain as well as PAS stain and fluorescence study by acridine
orange stain were done in all cases. RESULTS: It was observed that in 21 (65.63%)
cases gross findings in kidneys were normal, in 06 (18.75%) were grossly pale and
in 05 (15.62%) heavy & congested. Sections taken from kidneys and studied by H&E
stain showed overlapping histopathological changes in all cases. In 26 (81.25%)
cases, changes of Acute Tubular Necrosis (ATN) while in remaining 06 (18.75%),
changes of cloudy swelling were observed. The sections stained by acridine orange
and observed under fluorescent microscope were lightly positive in 15 (46.88%),
brightly positive in 08 (25.00%) whereas, negative in 09 (28.12%). CONCLUSION:
Microscopy by various methods helps in getting specific lesions in kidney due to
burns. However, it does not add any new tool to resolve any forensic issues of
burns. Therefore, microscopy (including florescent), if done would be redundant.