アクセス数 : ?
ダウンロード数 : ?
ID 111538
著者
Hashimoto, Kiyoshi Tottori University
Nakanishi, Hirofumi Tottori University
Yamasaki, Akira Tottori University
Chikumi, Hiroki Tottori University
Hasegawa, Yasuyuki Tottori University
Watanabe, Masanari Tottori University
Ito, Hisao Tottori University
Shimizu, Eiji Tottori University
キーワード
pulmonary findings
rheumatoid arthritis
interstitial pneumonia
autopsy
資料タイプ
学術雑誌論文
抄録
We report the autopsy findings of a 40- year- old woman with lung complications of rheumatoid arthritis. She has been suffering from rheumatoid arthritis and interstitial pneumonia without satisfactory therapies because of her poor compliance. At autopsy, diffuse pleural adhesions and many protruding cysts were observed. The cut surfaces had rich fibrous changes and honey-comb like appearances dominantly in the left lower lobe. Microscopically, remarkable fibrous changes were observed with destruction of the alveolar structure. These fibroses were temporally homogeneous and lacked prominent fibroblastic foci. The histological pattern was consistent with fibrous non- specific interstitial pneumonia. In peripheral pulmonary arterioles, some thrombi were detected with much recanalization. Systemic amyloidosis was observed in the submandibular gland, thyroid, heart, and arterioles of the lung, kidney, and digestive tract. In the left pulmonary artery, a large embolus was detected. This embolism was the direct cause of death. Her pulmonary findings, except for the embolism, were considered sober states of lung complications of rheumatoid arthritis without the influence of therapy.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
AA12022913
出版者
Faculty of Medicine Tokushima University
54
3-4
開始ページ
340
終了ページ
344
並び順
340
発行日
2007-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版