Diagnosis of limited ophthalmic Wegener granulomatosis: distinctive pathologic features with ANCA test confirmation.
Int Ophthalmol
; 28(1): 35-46, 2008 Feb.
Article
en En
| MEDLINE
| ID: mdl-17589807
ABSTRACT
PURPOSE:
To describe the clinical and histopathologic finding of very limited ophthalmic Wegener granulomatosis (WG).METHODS:
Thirteen patients with scleritis, orbitopathy, episcleritis, and panuveitis were studied. They presented without evidence of lung or kidney disease, though eight had sinus involvement. We reviewed the biopsies for histopathologic findings consistent with WG, and tested for antineutrophil cytoplasmic antibodies antineutrophil cytoplasmic antibody (ANCA).RESULTS:
WG was suggested by granulomatous foci, collagen necrosis, neutrophils/nuclear dust, plasma cells and infiltrating eosinophils. Granular degeneration of the interstitial collagen; mummification of the collagen with disappearance of fibroblastic nuclei; and a polymorphous infiltrate exhibiting plasma cells, lymphocytes, neutrophils, and eosinophils within the epithelioid granulomas should suggest the diagnosis. ANCA test results supported the diagnosis of WG in all cases.CONCLUSION:
The described histologic characteristics are highly suggestive of WG. These findings along with clinical or laboratory findings, allow the diagnosis of very limited ophthalmic WG in the absence of systemic involvement.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Orbitales
/
Panuveítis
/
Escleritis
/
Granulomatosis con Poliangitis
/
Anticuerpos Anticitoplasma de Neutrófilos
/
Dacriocistitis
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Int Ophthalmol
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos