Document Detail


Angiogenesis, tumor necrosis factor-alpha and procoagulant factors in coronary artery giant aneurysm of a fatal infantile Kawasaki disease.
MedLine Citation:
PMID:  18402791     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Kawasaki disease (KD) is an infantile febrile illness of unknown origin characterized by clinical, laboratory and histopathologic features of systemic vasculitis. METHODS AND RESULTS: We report a 3-month-old female infant with incomplete KD who suddenly died despite intravenous immunoglobulin, aspirin, steroid and heparin treatment. Postmortem examination confirmed the echocardiographically detected giant coronary aneurysms and showed occlusive thrombosis in the giant aneurysm of the left anterior descending coronary artery, associated with neoangiogenesis, macrophage infiltration and immunostaining for tissue factor (a strong initiator of the coagulation cascade), thrombopoietin receptor and tumour necrosis factor-alpha. CONCLUSIONS: These findings show the association of angiogenesis, tumor necrosis factor-alpha and procoagulant factors, with macrophage infiltration in coronary artery aneurysms of a fatal infantile KD.
Authors:
Angela Pucci; Silvana Martino; Angela Celeste; Alessandra Linari; Maria Tibaldi; Elisa Camosso; Maruska Muscio; Giacomo Barattia; Caterina Riva; Giovanni Bartoloni
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-05
Journal Detail:
Title:  Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology     Volume:  17     ISSN:  1054-8807     ISO Abbreviation:  Cardiovasc. Pathol.     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-09     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9212060     Medline TA:  Cardiovasc Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  186-9     Citation Subset:  IM    
Affiliation:
Department of Pathology, Regina Margherita Hospital, Turin 10126, Italy. angelapucci@libero.it <angelapucci@libero.it>
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MeSH Terms
Descriptor/Qualifier:
Blood Coagulation Factors / biosynthesis*
Coronary Aneurysm / etiology*,  metabolism,  pathology
Fatal Outcome
Female
Humans
Immunohistochemistry
Infant
Macrophages / metabolism,  pathology
Mucocutaneous Lymph Node Syndrome / complications*,  pathology*,  physiopathology
Myocardium / metabolism,  pathology
Neovascularization, Pathologic / etiology*,  pathology
Receptors, Thrombopoietin / biosynthesis
Thromboplastin / biosynthesis
Tumor Necrosis Factor-alpha / biosynthesis*
Chemical
Reg. No./Substance:
0/Blood Coagulation Factors; 0/Receptors, Thrombopoietin; 0/Tumor Necrosis Factor-alpha; 9035-58-9/Thromboplastin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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