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肺毛细血管瘤病

Pulmonary capillary haemangiomatosis.

作者信息

Whittaker J S, Pickering C A, Heath D, Smith P

出版信息

Diagn Histopathol. 1983 Apr-Jun;6(2):77-84.

PMID:6661994
Abstract

A Cypriot male of 22 years died after suffering recurrent daily haemoptyses of varying severity and slowly increasing effort intolerance for a period of four and a half years. Examination of a lung biopsy specimen revealed dilated vascular channels suggestive of a congenital anomaly of the pulmonary vasculature. Histological examination of the lung following necropsy revealed the diagnosis of pulmonary capillary haemangiomatosis. In this condition sheets of thin-walled blood vessels infiltrate the lung parenchyma, the walls of pulmonary arteries and veins, the bronchi and the pleura. The infiltration of pulmonary veins and venules induces secondary pulmonary veno-occlusive disease. This appears to be the second example of this disease which has been reported. It is open to clinical and histological mis-diagnosis and clinicians and pathologists should be aware of the existence of this entity.

摘要

一名22岁的塞浦路斯男性,在经历了四年半时间里反复出现的、严重程度各异的每日咯血以及逐渐加重的劳力性不耐受后死亡。对一份肺活检标本的检查显示血管通道扩张,提示存在先天性肺血管异常。尸检后对肺部进行的组织学检查确诊为肺毛细血管瘤病。在这种疾病中,薄壁血管片浸润肺实质、肺动脉和静脉壁、支气管以及胸膜。肺静脉和小静脉的浸润引发继发性肺静脉闭塞性疾病。这似乎是已报道的该疾病的第二个病例。它容易在临床和组织学上被误诊,临床医生和病理学家应意识到这种疾病的存在。

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引用本文的文献

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Pulmonary capillary hemangiomatosis: a case series and review of literature.肺毛细血管血管瘤病:病例系列及文献综述
Am J Cardiovasc Dis. 2021 Apr 15;11(2):239-245. eCollection 2021.
2
Pulmonary capillary hemangiomatosis: a focus on the EIF2AK4 mutation in onset and pathogenesis.肺毛细血管血管瘤病:聚焦于EIF2AK4突变在发病及发病机制中的作用
Appl Clin Genet. 2015 Aug 7;8:181-8. doi: 10.2147/TACG.S68635. eCollection 2015.
3
Pulmonary capillary haemangiomatosis in a premature infant.
Pediatr Radiol. 2005 Jun;35(6):635-40. doi: 10.1007/s00247-004-1374-6. Epub 2005 Feb 16.
4
Pulmonary capillary haemangiomatosis in children and adolescents: report of a new case and a review of the literature.儿童和青少年的肺毛细血管血管瘤病:1例新病例报告及文献复习
Eur J Pediatr. 2004 Dec;163(12):731-7. doi: 10.1007/s00431-004-1527-5.
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The pathology of the early and late stages of primary pulmonary hypertension.原发性肺动脉高压早期和晚期的病理学
Br Heart J. 1987 Sep;58(3):204-13. doi: 10.1136/hrt.58.3.204.