Histiocytic

  • 文章类型: Journal Article
    目的:描述33只接受眼球摘除和眼部组织病理学检查的无菌肉芽肿性全葡萄膜炎综合征的临床和组织病理学特征。
    方法:回顾33例患者的病历和眼部组织病理学报告。纳入标准是摘除术结合特征性临床和组织病理学特征。
    结果:代表了13个品种(包括杂交品种)。葡萄膜炎是急性和暴发性的,继发性青光眼是常见的(n=27)。从初次就诊到摘除的间隔为99天(中位数为33天,5-605天)。眼球摘除的平均年龄为6.7岁。眼部体征最初为单侧(n=18)或双侧(n=15)。在最初接受单侧摘除的18/25例病例中,该疾病变为双侧疾病,导致9/18的摘除或安乐死(平均间隔168天)。59只眼中的7只眼在局部抗炎和全身免疫抑制治疗后具有良好的结果。从就诊到随访,没有一条狗有旅行史或相关的全身体征(平均619天,范围16-3012天)。组织病理学显示组织细胞和淋巴浆细胞性葡萄膜炎伴色素分散,在光学显微镜上没有发现感染因子。
    结论:据作者所知,这是英国首次报道犬的无菌肉芽肿性葡萄膜炎综合征.临床症状很严重,随着快速发展,并可能导致受影响的狗的双侧摘除或安乐死。似乎没有年龄或品种倾向,然而,在这方面需要进一步的研究。早期和积极的干预,局部和全身免疫抑制治疗,建议减少失明的风险,摘除,和安乐死。
    OBJECTIVE: To describe the clinical and histopathological features of a sterile granulomatous panuveitis syndrome in 33 dogs that underwent enucleation and ocular histopathology.
    METHODS: Retrospective review of the medical records and ocular histopathology reports of 33 cases. Inclusion criteria were enucleation in conjunction with characteristic clinical and histopathological features.
    RESULTS: Thirteen breeds were represented (including crossbreeds). Panuveitis was acute and fulminating, and secondary glaucoma was common (n = 27). Interval from initial presentation to enucleation was 99 days (median 33 days, range 5-605 days). The mean age at enucleation was 6.7 years. Ocular signs were initially unilateral (n = 18) or bilateral (n = 15). The disease became bilateral in 18/25 cases that initially underwent unilateral enucleation, resulting in enucleation or euthanasia in 9/18 (mean interval of 168 days). Seven out of 59 eyes had a good outcome following topical anti-inflammatory and systemic immunosuppressive therapy. None of the dogs had travel history nor relevant systemic signs from presentation to follow-up (mean 619 days, range 16-3012 days). Histopathology revealed histiocytic and lymphoplasmacytic panuveitis with pigment dispersion, and no infectious agents were identified on light microscopy.
    CONCLUSIONS: To the authors\' knowledge, this is the first report of a sterile granulomatous panuveitis syndrome in dogs in the UK. The clinical signs are severe, with rapid progression, and can result in bilateral enucleation or euthanasia in affected dogs. There does not appear to be an age or breed predisposition, however further research is necessary in this regard. Early and aggressive intervention, with both topical and systemic immunosuppressive therapy, is recommended to reduce the risk of blindness, enucleation, and euthanasia.
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  • 文章类型: Journal Article
    腔胃肠道可能是强烈免疫反应的部位,其中反应性淋巴增生过程有时很难与淋巴瘤区分开。在这篇文章中,我们回顾了胃肠道正常的常驻炎症细胞和常见的非肿瘤性淋巴增生反应,重点是它们的差异和与淋巴瘤的联系。涵盖的主题包括淋巴细胞性食管炎,胃慢性炎症,粘膜相关淋巴组织,和溃疡,小肠淋巴增生,乳糜泻,显微镜下结肠炎,炎症性肠病,原发性免疫缺陷,移植物抗宿主病,和抗程序性细胞死亡蛋白-1效应。我们还提出了胃肠道内组织细胞过程不太常见的差异。本文的目的是为实践面对淋巴的病理学家提供参考。淋巴浆细胞,或腔胃肠道中的组织细胞过程。我们希望帮助执业病理学家区分良性和恶性实体,并确定需要进一步检查的特征。
    The luminal gastrointestinal tract can be a site of robust immune response in which reactive lymphoproliferative processes can sometimes be difficult to distinguish from lymphoma. In this article, we review gastrointestinal tract normal resident inflammatory cells and common nonneoplastic lymphoproliferative responses with emphasis on their differential and links to lymphoma. Topics that are covered include lymphocytic esophagitis, gastric chronic inflammation, mucosa-associated lymphoid tissue, and ulceration, small intestinal lymphoid hyperplasia, celiac disease, microscopic colitis, inflammatory bowel disease, primary immunodeficiency, graft-versus-host disease, and anti-programmed cell death protein-1 effect. We additionally present the less common differential of histiocytic processes within the gastrointestinal tract. The aim of this paper is to serve as a reference for practicing pathologists facing lymphoid, lymphoplasmacytic, or histiocytic processes in the luminal gastrointestinal tract. We hope to help the practicing pathologist distinguish benign from malignant entities and identify features requiring further workup.
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  • 文章类型: Case Reports
    Benign Fibrous Histiocytoma (BFH) is a well recognised tumour of the soft tissue, developing entirely within the subcutaneous tissue, the deep soft tissues or in the parenchymal organs. However, BFH of bones is poorly defined. It has been rarely reported in the bones with femur, tibia and pelvic bone being the most commonly affected bones. Involvement of the jawbones is rare. Their clinical and radiographic features often simulate the common odontogenic and non-odontogenic lesions of the jaws. Hence, it is imperative for a dentist to have proper knowledge of various conditions affecting the jaws. Here we report a case of BFH which presented as an indolent swelling of the right mandibular posterior region for 15 years. The case emphasizes the need for considering BFH in the differential diagnosis of swellings of the jaws.
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