Document Detail


Isolated vasculitis involving the female genital tract: clinicopathologic spectrum and phenotyping of inflammatory cells.
MedLine Citation:
PMID:  7937728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Isolated vasculitis involving the female genital tract (IVF) is rare. Although both giant cell arteritis (GCA) and polyarteritis nodosa (PAN) types of involvement have been documented, several clinicopathologic features of IVF are not clearly understood. We wish to report two cases of IVF (one GCA and one PAN) and compare them with previously reported cases. Including our two cases, we found a total of 33 reported cases of IVF, which included 18 GCA and 15 PAN. In cases of GCA, all parts of the female genital tract were involved with roughly comparable frequency, whereas in the case of PAN, the cervix is uniformly involved, with the vulva and myometrium being affected once and twice, respectively. In all cases of GCA and most cases of PAN, the vasculitis represented an incidental finding upon microscopic examination of the female genital tract removed for unrelated problems; however, in one case of PAN, vaginal bleeding probably related to vasculitis-induced cervical ulcer was reported. In either category, no clearcut pattern of predisposing factors was identified and, at the time of diagnosis, none of the patients had any diseases known to be associated with vasculitis, such as connective tissue disease, rheumatoid arthritis, or drug hypersensitivity. Although antineutrophilic cytoplasmic antibodies were recently described as sensitive and specific markers for systemic vasculitis, tests for these antibodies were not done on previously reported cases and were negative for both current cases. Long-term follow-up in IVF indicates that even without any specific treatment for vasculitis, systemic involvement did not occur.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
H Abu-Farsakh; D Mody; R W Brown; L D Truong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc     Volume:  7     ISSN:  0893-3952     ISO Abbreviation:  Mod. Pathol.     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-11-02     Completed Date:  1994-11-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8806605     Medline TA:  Mod Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  610-5     Citation Subset:  IM    
Affiliation:
Department of Pathology, Baylor College of Medicine, Houston, Texas.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antigens, CD / analysis
Female
Genital Diseases, Female / pathology*,  physiopathology*
Giant Cell Arteritis / pathology,  physiopathology
Humans
Immunoenzyme Techniques
Immunophenotyping
Polyarteritis Nodosa / pathology,  physiopathology
Vasculitis / pathology*,  physiopathology*
Chemical
Reg. No./Substance:
0/Antigens, CD

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


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