Document Detail


Fibrosis of the human heart and systemic organs in adrenal adenoma.
MedLine Citation:
PMID:  1345047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In experimental animals, chronic mineralocorticoid (MC) excess is associated with fibrosis of the myocardium and systemic organs, where both a reactive, i.e. interstitial and perivascular, and reparative, i.e. microscopic scarring following cardiac myocyte necrosis, fibrosis are found. We sought to determine if a similar fibrous tissue response was present in human myocardium and systemic organs in association with adrenal adenoma. Postmortem specimens of heart, adrenals, pancreas, lungs, kidney and liver were obtained from 5 patients (age 67 +/- 5 years) with autopsy-proven adrenal adenoma. Documented histologically normal tissue from age-matched patients was used for comparison. Tissue sections were stained with the collagen specific stain Sirius Red F3BA and analyzed using normal and polarized light. Reactive and/or reparative fibrosis was found in the heart, pancreas, adrenal glands and lungs, but not in the kidney or liver. These observations support a link between chronic MC excess and fibrosis of the heart and systemic organs in humans with adrenal adenoma.
Authors:
S E Campbell; A A Diaz-Arias; K T Weber
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Blood pressure     Volume:  1     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1994-06-23     Completed Date:  1994-06-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  149-56     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Missouri-Columbia.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / pathology*
Adrenal Gland Neoplasms / pathology*
Adrenal Glands / pathology
Aged
Endomyocardial Fibrosis / pathology*
Female
Fibrosis
Humans
Lung / pathology
Male
Middle Aged
Myocardium / pathology
Pancreas / pathology
Grant Support
ID/Acronym/Agency:
R01-HL-31701/HL/NHLBI NIH HHS

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


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