Document Detail


Sinus histiocytosis massive lymphadenopathy syndrome: histogenesis of the hepatic lesion.
MedLine Citation:
PMID:  3606023     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sinus histiocytosis massive lymphadenopathy (SHML) syndrome with hepatic involvement, occurring in a seven-year-old black female, is reported. Morphologic characterization of the hepatic lesion is accomplished utilizing conventional light, fluorescent and electron microscopy, and histochemical techniques and by comparing and contrasting the findings with those in cases of familial erythrophagocytic lymphohistiocytosis (FEL) and virus-associated hemophagocytic syndrome (VAHS). The histiocytic proliferation in the liver in SHML differs by showing: (a) an intralobular distribution with portal sparing; (b) marked steatosis; and (c) lipofuscinosis. The aforesaid intralobular distribution and the accompanying hypertrophy and hyperplasia of Kupffer cells, as well as commonalities of steatosis and lipofuscinosis, and, to a lesser extent, erythrophagocytosis and siderosis, suggest a histogenesis from Kupffer cells. The histochemical finding of fatty acid peroxides and both fluorescent microscopic and histochemical evidence of lipofuscin inclusions, a by-product of lipid peroxidation, in Kupffer cells provide at least a theoretical basis for both erythrophagocytosis and proliferation eventuating in intralobular histiocytosis.
Authors:
R E Brown; C A D'Cruz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of clinical and laboratory science     Volume:  17     ISSN:  0091-7370     ISO Abbreviation:  Ann. Clin. Lab. Sci.     Publication Date:    1987 May-Jun
Date Detail:
Created Date:  1987-07-28     Completed Date:  1987-07-28     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0410247     Medline TA:  Ann Clin Lab Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  162-70     Citation Subset:  IM; X    
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MeSH Terms
Descriptor/Qualifier:
Child
Erythrocytes
Female
Humans
Liver Neoplasms / pathology*,  ultrastructure
Lymphatic Diseases / pathology*
Phagocytosis
Syndrome

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


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