Tuesday, May 22, 2012

IMAGE QUIZ

The Answers to the image quiz from May 21, 2012:
A. Diffuse proliferative glomerulonephritis: higher power EM showing details of the glomerular capillary wall with subepithelial humps (A2-white asterisks),  and a large, confluent subendothelial electron dense deposit (A1-arrows).
B. Diffuse proliferative glomerulonephritis: This electron micrograph shows a subepithelial "hump“ (B1- D) and a portion of one neutrophil (PMN) in the lumen.  Notice the close contact between the endothelial cell and the inflammatory cell.  There is prominent effacement of the foot processes of the epithelium overlying the deposit, with dense condensation of microfilaments in the cytoplasm in this area.
C. Mesangioproliferative glomerulonephritis (e.g., IgA nephropathy). There is preservation of the peripheral capillary wall.  The mesangium shows large electron dense deposits (C.1-arrows).

The Questions
Name the deposits is the purpose of the quiz. You have 3 pictures, A, B, and C. The deposits are labelled by numbers in red. Name the type/location of deposit (e.g., subsendothelial versus mesangial deposit).
A1, A2, B1, C1