Consensus statement on surgical pathology of the aorta from the Society for Cardiovascular Pathology and the Association for European Cardiovascular Pathology: I. Inflammatory diseases

被引:232
作者
Stone, James R. [1 ]
Bruneval, Patrick [2 ]
Angelini, Annalisa [3 ]
Bartoloni, Giovanni [4 ]
Basso, Cristina [3 ]
Batoroeva, Lubov [5 ]
Buja, L. Maximilian [6 ]
Butany, Jagdish [7 ]
d'Amati, Giulia [8 ]
Fallon, John T. [9 ]
Gittenberger-de Groot, Adriana C. [10 ]
Gouveia, Rosa H. [11 ]
Halushka, Marc K. [12 ]
Kelly, Karen L. [13 ]
Kholova, Ivana [14 ]
Leone, Ornella [15 ]
Litovsky, Silvio H. [16 ]
Maleszewski, Joseph J. [17 ]
Miller, Dylan V. [18 ]
Mitchell, Richard N. [19 ]
Preston, Stephen D. [20 ]
Pucci, Angela [21 ]
Radio, Stanley J. [22 ]
Rodriguez, E. Rene [23 ]
Sheppard, Mary N. [24 ]
Suvarna, S. Kim [25 ]
Tan, Carmela D. [23 ]
Thiene, Gaetano [3 ]
van der Wal, Allard C. [26 ]
Veinot, John P. [27 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Univ Paris 05, Paris, France
[3] Univ Padua, Sch Med, Padua, Italy
[4] Univ Catania, Catania, Italy
[5] Russian Acad Med Sci, Irkutsk, Russia
[6] Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA
[7] Toronto Gen Hosp, Toronto, ON, Canada
[8] Univ Roma La Sapienza, I-00185 Rome, Italy
[9] New York Med Coll, Valhalla, NY 10595 USA
[10] Leiden Univ, Leiden, Netherlands
[11] Hosp Santa Cruz, Carnaxide, Portugal
[12] Johns Hopkins Univ, Baltimore, MD USA
[13] E Carolina Univ, Greenville, NC USA
[14] Fimlab Labs, Tampere, Finland
[15] Univ Bologna, St Orsola Malpighi Hosp, Bologna, Italy
[16] Univ Alabama Birmingham, Birmingham, AL USA
[17] Mayo Clin, Rochester, MN USA
[18] Univ Utah, Salt Lake City, UT 84112 USA
[19] Brigham & Womens Hosp, Boston, MA 02115 USA
[20] Papworth Hosp, Papworth Everard, Cambs, England
[21] Pisa Univ Hosp, Pisa, Italy
[22] Univ Nebraska, Lincoln, NE 68583 USA
[23] Cleveland Clin, Cleveland, OH 44106 USA
[24] Univ London, St George Med Sch, London, England
[25] Sheffield Teaching Hosp, Sheffield, S Yorkshire, England
[26] Univ Amsterdam, Amsterdam, Netherlands
[27] Univ Ottawa, Ottawa, ON, Canada
关键词
Atherosclerosis; Aortitis; Inflammatory aneurysm; Aorta; GIANT-CELL ARTERITIS; IGG4-RELATED SYSTEMIC-DISEASE; TERM-FOLLOW-UP; ASCENDING AORTA; TAKAYASU ARTERITIS; VASCULAR-LESIONS; NATURAL-HISTORY; HISTOLOGICAL CLASSIFICATION; ATHEROSCLEROTIC LESIONS; ANKYLOSING-SPONDYLITIS;
D O I
10.1016/j.carpath.2015.05.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inflammatory diseases of the aorta include routine atherosclerosis, aortitis, periaortitis, and atherosclerosis with excessive inflammatory responses, such as inflammatory atherosclerotic aneurysms. The nomenclature and histologic features of these disorders are reviewed and discussed. In addition, diagnostic criteria are provided to distinguish between these disorders in surgical pathology specimens. An initial classification scheme is provided for aortitis and periaortitis based on the pattern of the inflammatory infiltrate: granulomatous/giant cell pattern, lymphoplasmacytic pattern, mixed inflammatory pattern, and the suppurative pattern. These inflammatory patterns are discussed in relation to specific systemic diseases including giant cell arteritis, Takayasu arteritis, granulomatosis with polyangiitis (Wegener's), rheumatoid arthritis, sarcoidosis, ankylosing spondylitis, Cogan syndrome, Behcet's disease, relapsing polychondritis, syphilitic aortitis, and bacterial and fungal infections. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:267 / 278
页数:12
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