Randall’s plaque of patients with nephrolithiasis begins in basement membranes of thin loops of Henle
J. Clin. Invest. Andrew P. Evan, et al. 111:607 doi:10.1172/JCI17038 [
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Figure 4Accumulation of interstitial crystal deposits. In (
a) and (
b), extensive accumulation of crystalline deposition (green arrows) is shown around a few loops of Henle and nearby vascular bundles, resulting in the formation of incomplete to complete cuffs (indicated by circles) of crystalline material in the papillary tissue of a CaOx patient. Note the accumulation of crystal material in the basement membrane of nearby collecting duct and the normal appearance of the collecting duct cells. In (
c), an electron micrograph shows a dense accumulation of crystalline material around a loop of Henle that appears to be necrotic. Magnification, ×900 (
a); ×1,600 (
b); ×400 (
c). CD, collecting duct.