诊断为COVID-19的患者的尸检结果表明骨髓和淋巴结中的独特形态模式
Ali AlJabban1,2, Mark G Evans1, Geoffrey G Fell3
1Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Journal of clinical pathology
|June 8, 2023
概括
严重的COVID-19尸检显示,36%的患者患有骨髓血细胞瘤. 淋巴结的变化也很常见,这表明广泛的炎症状态而不是仅仅HLH.
科学领域:
- 病理学 病理学 病理学
- 血液学 血液学 血液学
- 病毒学 病毒学
背景情况:
- 骨髓 (BM) 中的血细胞分裂在严重的COVID-19中被观察到.
- 有限的尸体解剖研究主要集中在淋巴状或造血组织组织上.
研究的目的:
- 为了调查COVID-19死者的BM和淋巴结 (LN) 的形态模式.
- 为了评估血细胞淋巴细胞瘤 (HLH) 患病率的标准.
主要方法:
- 分析了25名SARS-CoV-2阳性成年人的尸体解剖样本 (BM,LN).
- 使用了组织病理学检查 (H&E,免疫组织化学) 和HLH 2004标准.
主要成果:
- 36%的BM标本显示出血细胞的模式.
- 80%的LN标本增加了血细胞细胞.
- 少数人符合HLH标准;与临床/生化标志物相关的模式.
结论:
- 在严重的COVID-19中存在明显的BM和LN形态模式.
- BM血细胞瘤可能表明一般的炎症反应,而不仅仅是HLH.
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