Maltese Cross Urine Sediment. This article has no abstract. There also may be free globules of fat in the urine.
Maltese cross like crystals in the urinary sediment of a diabetic patient article etter2009maltesecc title maltese cross like crystals in the urinary sediment of a diabetic patient author c. Maltese cross like crystals in the urinary sediment of a diabetic patient. Urinary casts are microscopic cylindrical structures produced by the kidney and present in the urine in certain disease states.
A term of art referring to a light microscopic appearance of a crystal or crystalloid structure which is likened to a maltese cross which may correspond to granules of talc or cholesterol or bacteria lab medicine urinalysis maltese crosses are anisotropic or birefringent cholesterol rich fat droplets associated.
There also may be free globules of fat in the urine. They form in the distal convoluted tubule and collecting ducts of nephrons then dislodge and pass into the urine where they can be detected by microscopy. Composed of irregular refractile droplets of fat which show a maltese cross polarization pattern bound by matrix. The urinary sediment showed fatty casts panel a with typical maltese crosses under polarized light panel b and was otherwise unremarkable with no sign of nephritis.