One screen, three images — some invisible in ordinary light

Nature ◽  
2021 ◽  
Vol 592 (7854) ◽  
pp. 329-329
Keyword(s):  
2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 440.1-441
Author(s):  
M. L. Peral ◽  
I. Calabuig ◽  
A. Martín-Carratalá ◽  
M. Andrés ◽  
E. Pascual

Background:Synovial fluid analysis using polarized microscopy is the gold standard for the diagnosis of crystal-related arthritis. In our experience, we have noted that, when calcium pyrophosphate (CPP) crystals are observed, they sometimes appear within intracellular vacuoles. However, this phenomenon is not seen in those samples containing monosodium urate (MSU) crystals. This finding has been scantly reported in the literature, but may be useful in clinical practice to ensure accurate crystal identification.Objectives:Our study aims to assess whether the presence of vacuoles contributes to identifying the type of crystal, and also to gauge the frequency of their presentation.Methods:We conducted an observational study in a rheumatology unit between February and June of 2019. Synovial fluids containing CPP or MSU crystals, obtained in daily clinical practice, were consecutively included for analysis. Two observers simultaneously analyzed the presence of vacuoles by ordinary light and phase contrast microscopy in less than 24 hours after their extraction, using a microscope equipped with two viewing stations. The primary study variable was to determine whether CPP and MSU crystals are seen inside intracellular vacuoles, and to calculate the frequency of this finding for each type of crystal, estimating their 95% confidence interval (95% CI) and comparing rates using Fisher’s exact test.Results:Twenty-one samples were obtained. Data is given in the Table. MSU crystals were present in 7 (33.3%) and CPP crystals in 14 (66.6%). Interestingly, none of the MSU samples showed crystal-containing vacuoles (95% CI 0-35.4%). On the contrary, cytoplasmic vacuoles containing crystals were present in all of the CPP samples (95% CI 78.5-100%). The findings were confirmed by phase-contrast microscopy. Differences were statistically significant (p<0.001).Table.SAMPLES ACCORDING TO TYPE OF MICROCRYSTAL(n=21)SAMPLES WITH VACUOLS(UNDER ORDINARY LIGHT)SAMPLES WITH VACUOLS(UNDER PHASE CONTRAST)CPP (14; 66.6%)14 (100%)(95%CI 78.5-100%)14 (100%)(95%CI 78.5-100%)MSU (7; 33.3%)0 (0%)(95%CI 0-35.4%)0 (0%)(95%CI 0-35.4%)Conclusion:The presence of vacuoles may be a useful and easy way to differentiate MSU and CPP crystals when performing synovial fluid microscopy in clinical practice, since it appears to be a distinctive feature in CPP crystal fluids.References:[1]Kohn NN, Hughes RE, McCarty DJ Jr, Faires JS. The significance of calcium phosphate crystals in the synovial fluid of arthritic patients: the «pseudogout syndrome». II. Identification of crystals. Ann InternMed. 1962 May;56:738-45.[2]Pascual E, Sivera F, Andrés M. Synovial Fluid Analysis for Crystals. CurrOpRheumatol 2011;23:161-169.[3]McCarty DJ, Koopman WJ. Arthritis and allied conditions: A textbook of rheumatology, volumen 1. Lea &amp;Febiger. 1993.[4]Pascual E, Sivera F. Synovial fluid crystal Analysis. En Gout and other crystal arthropathies. Terkeltaub R ed. Elsevier; 2012: p.20-34.[5]Hwang HS, Yang CM, Park SJ, Kim HA. Monosodium Urate Crystal-Induced Chondrocyte Death via Autophagic Process. Int J Mol Sci. 2015 Dec 8;16(12):29265-77.Image 1. Microscopy with ordinary light. Cells with cytoplasmic vacuoles are observed, as well as abundant intra and extracellular CPP crystals.Image 2. Microscopy with phase contrast technique. Cells with intracellular vacuoles are observed inside which have microcrystals with parallelepiped morphology, compatible with CPP.Disclosure of Interests: :None declared


2014 ◽  
Vol 875-877 ◽  
pp. 467-471
Author(s):  
Ning Wang ◽  
Xiao Xia Li

The electrically controlled birefringence of nematic liquid crystal BL-009 was measured by polarized interference method. The influence of LC absorption effect, the birefringence variation, is discussed in this paper. The experiments results showed the influence to birefringence is big in infrared region. Not only the birefringence value is greatly different with that of unconsidering absorption effect, but also the gradient changing of birefringence curves is obvious. Furthermore, the electrically controlled birefringences of two conditions are compared when the absorption coefficients of ordinary light and the extraordinary light are nearly same and greatly different. The analysis demonstrated the approximate method of absorption coefficient is feasible.


1909 ◽  
Vol 6 (11) ◽  
pp. 512-513
Author(s):  
T. Crook

It frequently happens that micas exhibit small basal cleavage rifts of roughly circular shape, and these may be so numerous as to render opaque or feebly translucent a plate which would be otherwise quite transparent. The so-called silver-amber mica of the mica trade, a variety of phlogopite which is highly prized for its low conductivity, apparently owes its silvery sheen to the presence of these cleavage rifts, which overlap each other to a considerable extent, and reflect the light copiously. The presence of these basal cleavage rifts in silvery phlogopite is rendered quite obvious when a plate is examined under the microscope in ordinary light, by the interference rings seen round the borders of the rifts. Such a plate of silvery phlogopite exhibits a peculiar phenomenon in consequence of the presence of these rifts.


The study of β-ray spectra has now advanced to that stage at which, for the majority of radioactive substances, the velocities of the homogeneous electrons forming the “lines” have been measured with a fair accuracy. The relative intensities of the “lines” have in the past been obtained by visual estimation of the photographic blackening of the plates on which they have been recorded, and it has become important to obtain more precise information on this subject. The most direct method of determining the relative intensities would be to count the number of, or measure the total charge carried by, the particles forming the lines. This is not practicable, to any high degree of accuracy, because of the small effects which are obtainable, and it is obvious that the photographic plate, in giving quite intense and sharp lines, in addition to a permanent record, presents many advantages. The use of this method, however, necessitates the calibration of the plate both for the variation of the blackening with exposure and also with velocity of the rays. The corresponding calibrations for ordinary light have now become a matter of routine, but since there has, as yet, been little systematic work on the behaviour of the photographic plate to β-rays, we have thought it best to record in this paper such experiments as we have found necessary before undertaking the main intensity problem. It is the dependence of blackening on exposure which is mainly treated in this paper, although we have in addition obtained some interesting results on the effect of β-particles of different velocities. In an investigation on the relationship between blackening and exposure i. e ., the characteristic curve of a type of plate, it is first necessary to find the dependence of the blackening D on the time of exposure t , when the product of intensity I and time of exposure t is kept constant. If D is independent of t , when I. t is constant, then the Reciprocity Law of Bunsen and Roscoe is said to be valid for the plate. This law, although it has to be slightly modified for luminous radiation, has been shown to be true in the case of X-rays and also for heterogeneous β-rays. In all previous work on the photographic action of β-rays the particles were of heterogeneous velocities, but in view of the ultimate object of this investigation it was thought unsatisfactory to employ heterogeneous particles, and although the procedure was thereby made rather more laborious, beams of practically homogeneous particles, taken from the continuous β-ray spectrum, were used. It is in general important, when dealing with an unknown type of plate, after investigating the validity of the Reciprocity Law, to determine the variation of the characteristic curve with time of development, and thereby find the optimum value. Our general experience in photographing β-ray spectra had led us to employ a particular type of plate and method of development, and the main value of our experiments on the variation of the characteristic curve with time of development was that it indicated the error introduced into the value of the density for a given uncertainty in the time of development.


1898 ◽  
Vol 63 (389-400) ◽  
pp. 102-112 ◽  

In a paper read before this Society in June last it was state that certain metals, alloys, and other substances such as picture copal, printing ink, straw board, &c., were able to act even at distance on a sensitive photographic plate, producing effects simila in appearance and developed in the same way as plates which had been acted on by ordinary light. At that time sufficient experimental evidence had not been obtained to determine the nature of this action, or even to clearly indicate its general character, whether in fact the action arose from vapour given off by the active body or whether phosphorescence was produced which acted on the plate.


2018 ◽  
Vol 143 (16) ◽  
pp. 1157-1166 ◽  
Author(s):  
Monika Reuss-Borst ◽  
Anne-Kathrin Tausche

AbstractThe metabolic diseases gout and calciumpyrophosphate deposition (CPPD) (formerly: chondrocalcinosis/pseudogout) are crystal arthropathies which are caused by crystals in synovial fluid and in the case of gout also in periarticular structures. Today, in particular gout is considered as an auto-inflammatory process since phagocytosis of monosodium urate crystals by monocytes/macrophages results in the activation of the innate immune system by activation of the NRLP3-Inflammasome and consecutive secretion of the key cytokine interleukin-1ß and other pro-inflammatory cytokines. The prevalence of both crystal arthropathies rises with increasing age of patients. Most often they present clinically as an acute monarthritis of different locations. Beside typical clinical presentation, performance of ultrasonography, conventional X-Ray of joints and under special circumstances dual-energy-computer tomography could be also helpful diagnostic tools. There are EULAR guidelines describing the diagnostic algorithm for making right diagnosis. The arthrocentesis with microscopic detection of crystals is established diagnostic gold standard. Whereas crystals of monosodium urate could be very clearly be seen as relatively large intra- and extracellular needles with a strong birefringence in polarized light microscopy the detection of CPPD-crystals is more difficult. Those crystals are much smaller, showing weaker birefringence and are sometimes only seen with ordinary light microscopy. As both crystal diseases are mediated by IL-1 driven processes, the therapeutic intervention first target the acute inflammation consisting in colchicine, NSAIDs and glucocorticoids. Secondarily, in gout there are well established causal therapies to lower effectively serum urate levels below the target of 6 mg/dL (360 µmol/l). Unfortunately, those causal therapeutic options are still lacking in CPPD.


1917 ◽  
Vol 10 (2) ◽  
pp. 166-170 ◽  
Author(s):  
J. A. Gilbreath.

Blood ◽  
1957 ◽  
Vol 12 (10) ◽  
pp. 913-925 ◽  
Author(s):  
RICHARD F. BAKEMEIER ◽  
SCOTT N. SWISHER

Abstract Serologic experiments are described in which was studied the agglutination of leukocytes from donors representing various ABO, Rh, and Lewis erythrocyte groups an certain canine blood groups, in the presence of corresponding antisera. Appropriate mixing of antisera with leukocytes and erythrocytes from donors of different groups was seen to produce clumping of leukocytes which did not conform to the reactions of the erythrocytes from the leukocyte donor. When viewed under phase microscopy, certain of these leukocyte clumps, which appeared homogeneous with ordinary light microscopy were found to be clumps of leukocytes mixed with ghosts of erythrocytes reacting with the antibody present. Factors contributing to this apparently immunologically non-specific clumping were the presence of complement-fixing, potentially hemolytic antibody and thermolabile components of serum. A possible relationship with erythrophagocytosis is suggested. These observations indicate that certain results of this and other "leukoagglutination" technics, which have been interpreted as demonstrating the presence of A and B antigens on human leukocytes, deserve re-evaluation and emphasize the importance of developing methods of preparing homogeneous leukocyte suspensions.


Sign in / Sign up

Export Citation Format

Share Document