Immunopathogenesis of Libman-Sacks endocarditis. Assessment by light and immunofluorescent microscopy in two patients.

Abstract:

:The possible contribution of immunological mechanisms in the development of Libman-Sacks endocarditis was studied in 2 patients with systemic lupus erythematosus who underwent aortic valve replacement. Sections of verrucous lesions, stained with haematoxylin and eosin, showed three apparently distinct zones: an outer exudative zone of fibrin, nuclear debris, and haematoxylin-stained bodies; a middle organizing zone of proliferating capillaries and fibroblasts; and an inner zone of neovascularization which showed distinct, thin-walled junctional vessels. The striking finding was the apparently selective deposition of immunoglobulins and complement identified by direct immunofluorescence, within the walls of the small junctional vessels of the zone of neovascularization. We suggest that the observed immune deposits are immune complexes and that circulating immune complexes may play a critical role in the growth and proliferation of the verrucous lesion.

journal_name

Ann Rheum Dis

authors

Shapiro RF,Gamble CN,Wiesner KB,Castles JJ,Wolf AW,Hurley EJ,Salel AF

doi

10.1136/ard.36.6.508

subject

Has Abstract

pub_date

1977-12-01 00:00:00

pages

508-16

issue

6

eissn

0003-4967

issn

1468-2060

journal_volume

36

pub_type

杂志文章
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    doi:10.1136/ard.37.2.187

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    更新日期:2013-08-01 00:00:00

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    doi:10.1136/ard.40.3.245

    authors: McInnes GT,Lawson DH,Jick H

    更新日期:1981-06-01 00:00:00

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    pub_type: 杂志文章,评审

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    authors: Klimiuk PS,Taylor L,Baker RD,Jayson MI

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