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Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-09
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... ethnicity, absence of HLA C7 allele, and positivity for BKV. Transplanted organ risk factors include a long cold ischemia time, reperfusion injury, delayed graft function, biopsy proven acute rejection, implantation of a ureteric stent at the time of transplant, and (most importantly) the type of immune...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 17
Published: 15 November 2023
10.55418/9781933477299-ch24
ISBN-10: 1-933477-29-6
ISBN: 978-1-933477-29-9
...Table 24-2 RISK FACTORS ASSOCIATED WITH ACUTE CELL-MEDIATED REJECTION <1 year post-transplantation Younger age at transplantation Female sex (recipient or donor) Black recipient Noncompliance with immunosuppression Human leukocyte antigen (HLA) mismatches Table 24-1...
Images
Published: 15 November 2023
MILD CELL-MEDIATED REJECTION (GRADE 1R) Figure 24-3 MILD CELL-MEDIATED REJECTION (GRADE 1R) Perivascular lymphocytic infiltrates are usually obvious at both low-power (left) and high-power (right) microscopy. More about this image found in MILD CELL-MEDIATED REJECTION (GRADE 1R) Perivascular lymphocytic infiltrat...
Images
Published: 15 November 2023
MODERATE CELL-MEDIATED REJECTION (GRADE 2R) Figure 24-4 MODERATE CELL-MEDIATED REJECTION (GRADE 2R) The lymphocytic infiltrate extends beyond the perivascular territory into the interstitium and is associated with multifocal myocyte injury. Only a single focus of injury is shown here (black More about this image found in MODERATE CELL-MEDIATED REJECTION (GRADE 2R) The lymphocytic infiltrate ext...
Images
Published: 15 November 2023
SEVERE CELL-MEDIATED REJECTION (GRADE 3R) Figure 24-5 SEVERE CELL-MEDIATED REJECTION (GRADE 3R) A: There is an extensive interstitial and endocardial lymphocytic infiltrate, evident even at low power. B: The copious lymphocytes begin to replace the myocardium. C: Multifocal myocyte injury More about this image found in SEVERE CELL-MEDIATED REJECTION (GRADE 3R) A: There is an extensive interst...
Images
Published: 15 November 2023
ANTIBODY-MEDIATED REJECTION (pAMR 1 [H+]) Figure 24-7 ANTIBODY-MEDIATED REJECTION (pAMR 1 [H+]) Left: Endothelial cell swelling and intravascular mononuclear cells make the myocardium appear “busy” and more cellular than normal. Right: The nature of this cellularity becomes evident at high More about this image found in ANTIBODY-MEDIATED REJECTION (pAMR 1 [H+]) Left: Endothelial cell swelling ...
Images
Published: 15 November 2023
ANTIBODY-MEDIATED REJECTION (pAMR 1 [I+]) Figure 24-8 ANTIBODY-MEDIATED REJECTION (pAMR 1 [I+]) A,B: C4d (A) and C3D (B) immunofluorescence show diffuse and strong capillary endothelial reactivity. C: Diffuse and strong capillary endothelial C4d reactivity may also be seen More about this image found in ANTIBODY-MEDIATED REJECTION (pAMR 1 [I+]) A,B: C4d (A) and C3D (B) immunof...
Images
Published: 15 November 2023
NONSPECIFIC CHRONIC INFLAMMATION Figure 24-6 NONSPECIFIC CHRONIC INFLAMMATION A chronic inflammatory infiltrate within fibrosis or scar should not be regarded as rejection. The prominent physiologic contraction bands do not reflect ischemic injury. More about this image found in NONSPECIFIC CHRONIC INFLAMMATION A chronic inflammatory infiltrate within ...
Images
Published: 15 November 2023
that closely mimic rejection and Quilty effect. C: In situ hybridization for Epstein-Barr virus (L26) confirms the nature of the infiltrate. More about this image found in POST-TRANSPLANT LYMPHOPROLIFERATIVE DISORDER (PTLD) A: Two discrete gross ...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 17
Published: 15 November 2023
10.55418/9781933477299-ch04
ISBN-10: 1-933477-29-6
ISBN: 978-1-933477-29-9
... ( fig. 4-5 convincingly conveys this concept). Only in hyperacute rejection and acute myocarditis can the left ventricle dilate without coexistent myocyte hypertrophy. Diffuse thickening of the endocardium is most commonly associated with chronic chamber dilatation. Repetitive trauma from regurgitant...
Book Chapter
Book: Tumors of the Pancreas
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 15
Published: 01 March 2023
10.55418/9781933477275-09
ISBN-10: 1-933477-27-X
ISBN: 978-1-933477-27-5
... , Mizukami Y , Nakanuma V , Matsubara F . Duct-acinar-islet cell tumor of the pancreas . Ultrastruct Pathol 1992 ; 16 : 317 - 29 . 170. Fieguth HG , Wahlers T , Schafers HJ , Stangel W , Kemnitz J , Haverich A . Impact of HLA-compatibility on rejection...
Images
Published: 01 January 2022
LATE ACUTE CELLULAR REJECTION Figure 11-14 LATE ACUTE CELLULAR REJECTION Late acute cellular rejection is often characterized by lobular hepatitis, in addition to the typical bile duct changes of early acute cellular rejection. Interface hepatitis is well developed in this example. More about this image found in LATE ACUTE CELLULAR REJECTION Late acute cellular rejection is often chara...
Images
Published: 01 January 2022
CHRONIC REJECTION Figure 11-17 CHRONIC REJECTION Foam cell arteriopathy in chronic rejection, with subintimal accumulation of lipid-laden macrophages in a branch of the hepatic artery. Such changes are rarely seen on biopsy because the medium-sized arteries affected are not sampled. More about this image found in CHRONIC REJECTION Foam cell arteriopathy in chronic rejection, with subint...
Images
Published: 01 January 2022
ACUTE CELLULAR REJECTION Figure 4-36 ACUTE CELLULAR REJECTION A small granuloma is present next to a central vein in a case of otherwise typical acute cellular rejection. More about this image found in ACUTE CELLULAR REJECTION A small granuloma is present next to a central ve...
Images
Published: 01 January 2022
EARLY CHRONIC REJECTION Figure 11-15 EARLY CHRONIC REJECTION Slight mononuclear portal inflammatory infiltrate in early chronic rejection, with distorted attenuated bile duct. More about this image found in EARLY CHRONIC REJECTION Slight mononuclear portal inflammatory infiltrate ...
Images
Published: 01 January 2022
ACUTE CELLULAR REJECTION Figure 11-11 ACUTE CELLULAR REJECTION Endotheliitis involving hepatic venule in acute cellular rejection. Lymphocytes have burrowed under the endothelial cells, which are discontinuous and show a hobnail appearance. More about this image found in ACUTE CELLULAR REJECTION Endotheliitis involving hepatic venule in acute c...
Images
Published: 01 January 2022
ACUTE CELLULAR REJECTION Figure 11-12 ACUTE CELLULAR REJECTION Isolated central perivenulitis without involvement of portal tracts is a manifestation of acute cellular rejection more common in children. The inflammatory infiltrate consists of mostly mononuclear cells and is centered around More about this image found in ACUTE CELLULAR REJECTION Isolated central perivenulitis without involvemen...
Images
Published: 01 January 2022
ACUTE CELLULAR REJECTION Figure 11-9 ACUTE CELLULAR REJECTION The inflammatory infiltrate involves the portal tracts and hepatic venules. More about this image found in ACUTE CELLULAR REJECTION The inflammatory infiltrate involves the portal t...
Images
Published: 01 January 2022
ACUTE ANTIBODY-MEDIATED REJECTION Figure 11-8 ACUTE ANTIBODY-MEDIATED REJECTION There is linear circumferential expression of CD4D in portal vessels. More about this image found in ACUTE ANTIBODY-MEDIATED REJECTION There is linear circumferential expressi...
Images
Published: 01 January 2022
EARLY CHRONIC REJECTION Figure 11-16 EARLY CHRONIC REJECTION Reactive, distorted bile ducts with irregular spacing of biliary epithelial cells, without ductular reaction. More about this image found in EARLY CHRONIC REJECTION Reactive, distorted bile ducts with irregular spac...
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