HEMANGIOMATOSIS CAPILAR PULMONAR PDF
Enfermedad venooclusiva pulmonar y hemangiomatosis capilar pulmonar. Article (PDF Available) in Medicina Clínica (6) · January A hemangiomatose capilar pulmonar é uma doença rara, caracterizada por proliferação de . Pulmonary capillary hemangiomatosis with atypical endotheliosis. Pulmonary veno-occlusive disease/pulmonary capillary hemangiomatosis: A case report and literature review. XIONG Xianliang et al., Journal of Central South.
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Archivos de Bronconeumologia http: Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal.
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SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Pulmonary capillary hemangiomatosis PCH is a low-grade pulmonary malignancy due to interstitial proliferation of capillary-like vessels occurring in patients of any age or sex. Prognosis is poor, with an estimated mean survival of 36 months. A year old man, former smoker 39 pack-yearspresented with worsening dyspnoea upon exertion and fatigue lasting 4 years.
Electrocardiographic examination showed a PR interval of milliseconds, with pulmonary P waves, right bundle branch block, and a heart rate of 94 bpm. Findings of llaboratory tests were unremarkable. Complete pulmonary function tests were not performed, as the patient was not compliant. Spirometry showed a mild obstructive ventilatory defect not reversible upon broncho-dilation. Standard chest X-ray showed non-specific hilar congestion not shown. Echocardiography revealed severe hypokinesia of the right ventricle along with a marked dilation of the right atrium and an estimated systolic pulmonary artery pressure of 70 mmHg.
Right heart catheterization was refused. Thromboembolic pulmonary disease was ruled out by contrast medium computed tomography CT Fig.
Main imaging findings are shown in Fig. The patient was started on oral therapy with carvedilol The patient was referred to a lung transplantation center. Now, over 50 months after diagnosis, his clinical condition is still seriously compromised, though stable.
Volumetric reconstruction bone filter HRCT of the upper a and lower lung lobes b showing multifocal smooth interlobular septal tickening white arrows and bilateral mild pleural hemangiomatosjs black arrows. Endothelial cells stain positive with the CD31 monoclonal antibody d.
We reported a case of PCH with an atypically long clinical course 6 years from clinical onset along with a non-specific radiologic pattern. PCH is characterized by alveolar wall thickening due to capillary proliferation. Infiltration and compression of pulmonary veins by new capillaries can result in secondary PVOD.
Clinicians and radiologists should bear PCH in mind, as early identification may improve patient management. PCH behaves like a low-grade non-metastatic vascular neoplasm, with a slow progressive clinical course.
Prognosis is poor and lung transplantation is the best option. The authors declare that they have no conflict of interests. Please cite this article as: Previous article Next article. February Pages e5-e12 Pages Letter to the Editor. This item has received.
Orphanet: Hemangiomatosis capilar pulmonar
Now, over 50 months after diagnosis, his clinical condition is still seriously compromised, though stable. Pulmonary capillary hemangiomatosis associated with primary pulmonary hypertension: Report of 2 new cases and review of 35 cases from the literature.
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