1/4. Acute bilateral ballism in a patient with intravascular dissemination of gastric carcinoma.An 84-year-old woman presented with an acute onset of violent bilateral ballism-chorea. She was admitted to the local neurology unit, but not definite diagnosis could be made of the underlying condition, although she did appear to have bronchopneumonia. At autopsy the stomach wall was thickened, and the lesser curve lymph nodes were firm and enlarged. A single nodule was noted in the liver while the lungs appeared consolidated. histology revealed a moderate-to-poorly differentiated gastric adenocarcinoma with extensive intravascular dissemination which included the central nervous system (CNS). Numerous small infarcts related to vessels occluded by tumour were present throughout the brain, and we feel that this was the underlying mechanism for the acute onset of ballism.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
2/4. Chronic bronchopneumonia with recurrent hemoptyses and resultant severe anemia.A female patient, 69 years old, was hospitalized because of a 2-year history of recurrent hemoptyses resulting in severe anemia. X-ray examination of the chest showed a mass lesion in the right lower lung field, which had grown over the preceding 2 years. Bronchographic, arteriographic and CT examinations excluded the possibilities of bronchiectasis, pulmonary A-V fistula or sequestration. Histological examination following right lower lobectomy revealed no evidence of neoplasms or tuberculosis, fungal and parasitic infections but showed a predominant mononuclear cell infiltration and abundant small vessels in the affected small bronchi, and peribronchiolar and adjacent alveolar regions. To our knowledge, no case with chronic bronchopneumonia accompanied by such massive hemoptyses, as seen in this case, has been reported to date.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
3/4. Roentgenographic and clinical signs in yellow nail syndrome.The yellow nail syndrome is a rare condition consisting of thickened opaque yellow nails, lymphedema and respiratory symptoms such as bronchitis or pleural effusions. In a 25-year-old woman, presenting all clinical signs of this syndrome, lymphangiography revealed impaired lymphdrainage of both legs. Both, number and size of the lymph vessels and regional lymph nodes were found to be reduced and several extravasations of the contrast medium were noted. Lymphangiography may help to establish the diagnosis of yellow nail syndrome, especially if the assocation of clinical anomalies is incomplete.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |
4/4. A peculiar case of allergic angiitis.A 27-year-old male patient with a history of bronchial asthma showed polyarticular swellings, skin purpura and an acute pneumopathy and died 15 days after the acute onset of symptoms. Necropsy confirmed the diagnosis of confluent bronchopneumonia, but in all the organs, including the bone marrow, there were numerous eosinophils, fibrinoid necrosis of arteriovenous walls in the viscera and parieto-vascular infiltrates with mononuclear cells and many eosinophils. These lesions, exclusively around the vessels, were considered to express a variant or a morphogenetic stage of the Churg-Strauss angiitis.- - - - - - - - - - ranking = 1keywords = vessel (Clic here for more details about this article) |