Document Detail


Clinical and pathologic aspects of recurrent placental villitis.
MedLine Citation:
PMID:  4007849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a retrospective survey, recurrent villitis was identified in ten of 59 patients in whom placental villitis had been diagnosed. The ten patients had a total of 41 pregnancies, with a reproductive loss of 60 per cent. In addition to enhanced fetal losses in all trimesters of gestation and postnatally, the incidences of fetal growth retardation and premature delivery were increased. There was no evidence of recent TORCH (toxoplasma, rubella, cytomegalovirus, herpes) infection, but all patients tested had rubella immunity. In six patients genital cultures were positive for gonorrhea and assorted microorganisms. Uterine abnormalities, including two septate uteri, one incompetent cervix, one submucosal leiomyoma, and one retroflexion, were common, and vaginal bleeding had occurred in five patients. Other factors included obesity (five patients) and clinical and laboratory evidence of autoimmunity (four of the five patients tested). In a control group of 20 patients with nonrecurrent villitis, the perinatal loss rate (37 per cent) was lower, and the incidences of positive cultures, uterine structural anomalies, obesity, and autoimmunity were also lower. Placental histologic findings included decidual plasma cell and intervillous fibrin and histiocytic infiltration, in addition to villous inflammation. These lesions, although consistent for a given patient, defined two clinically relevant groups of patients. The results of this study suggest that recurrent villitis is more frequent than previously reported, that it is associated with high perinatal mortality, and that immunologic and structural abnormalities in the host may play a role in its pathogenesis.
Authors:
R W Redline; C R Abramowsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human pathology     Volume:  16     ISSN:  0046-8177     ISO Abbreviation:  Hum. Pathol.     Publication Date:  1985 Jul 
Date Detail:
Created Date:  1985-08-15     Completed Date:  1985-08-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9421547     Medline TA:  Hum Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  727-31     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chorioamnionitis / pathology*
Chorionic Villi*
Female
Fetal Death / etiology
Fetal Growth Retardation / etiology
Genital Diseases, Female / complications
Humans
Infection / complications
Inflammation / pathology*
Pregnancy
Recurrence
Retrospective Studies
Uterus / abnormalities

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


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