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2015 ; 10
(ä): 153
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Histological study of chronic pulmonary aspergillosis
#MMPMID26334307
Tochigi N
; Ishiwatari T
; Okubo Y
; Ando T
; Shinozaki M
; Aki K
; Gocho K
; Hata Y
; Murayama SY
; Wakayama M
; Nemoto T
; Hori Y
; Shibuya K
Diagn Pathol
2015[Sep]; 10
(ä): 153
PMID26334307
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BACKGROUND: Chronic pulmonary aspergillosis (CPA) has been accepted the criteria
for the diagnosis of pulmonary Aspergillus infection. Whereas, either
pathophysiology or signs of CPA remains still controversial. METHODS: In this
study, we histopathologically investigated 25 specimens of CPA, surgically
resected. RESULTS: 21 (84 %) of that comprised male. There were 21 cases with
mild impairment of the immune system and/or a scar mostly due to old
tuberculosis. There is a tendency for a negative correlation between peripheral
blood white cell numbers and value level of beta-(1,3)-D-glucan. Four cases
showed a granular fluorescent signal in granulation tissue surrounding the cavity
without the fungal aspects itself. CONCLUSIONS: In conclusion, acute inflammatory
exudate along the terminal respiratory tract is most significant
pathophysiolocial complication of the CPA, caused to organizing pneumonia, which
derives fatal respiratory failure. In addition, the viability of fungus does not
concern extension of exudative inflammation at the site of erosion along terminal
airway.
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