Zhang C H
Department of Pathology, Beijing Friendship Hospital, Capital Institute of Medicine.
Zhonghua Bing Li Xue Za Zhi. 1992 Dec;21(6):339-42.
Histopathologic study on the lymphadenopathy of 38 HIV infected patients in Zambia are reported. The histologic type of lymph node changes might be divided as follows: follicular hyperplasia, mixed follicular hyperplasia, follicular involution, and lymphocyte depletion. The author points out that although each individual histologic change in lymph node is not specific, the summation of changes in lymph node are characteristic. A diagnosis of HIV infection might be considered, and appropriate test is warranted, when histologic changes are found in enlarged lymph nodes at two or more noningunal sites for several months. Lymph node biopsy is recommended and significant in discovering HIV infected cases, making diagnosis of AIDS as well as AIDS-related complex, and evaluation of prognosis of these patients.
报告了对赞比亚38例艾滋病毒感染患者淋巴结病的组织病理学研究。淋巴结变化的组织学类型可分为以下几种:滤泡增生、混合性滤泡增生、滤泡退化和淋巴细胞耗竭。作者指出,虽然淋巴结的每一种个体组织学变化都不具有特异性,但淋巴结变化的总和具有特征性。当在两个或更多非腹股沟部位的肿大淋巴结中发现组织学变化持续数月时,可考虑诊断为艾滋病毒感染,并进行适当的检测。建议进行淋巴结活检,这对于发现艾滋病毒感染病例、诊断艾滋病以及艾滋病相关综合征以及评估这些患者的预后具有重要意义。