Difference between revisions of "Medical lung diseases"

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==Pulmonary Langerhans cell histiocytosis==
==Pulmonary Langerhans cell histiocytosis==
*[[AKA]] eosinophilic granuloma of the lung.
*[[AKA]] eosinophilic granuloma of the lung.
===General===
{{Main|Pulmonary Langerhans cell histiocytosis}}
*Associated with smoking.<ref name=Ref_PPP234>{{Ref PPP|234}}</ref>
*Not associated with systemic diseases of Langerhans cells ([[AKA]] [[Langerhans cell histiocytosis|Hand-Schueller-Christian disease]]).
 
Subtypes:<ref name=Ref_PPP234/>
*Cellular form.
*Fibrotic form.
 
One form usually predominates.
 
===Radiology===
*Upper lung zones.
 
===Microscopic===
Features:<ref name=Ref_PPP237>{{Ref PPP|237}}</ref>
*Cellular peribronchiolar nodules with:
**Langerhans cells - '''key feature''':
***Pale staining nucleus (H&E) with nuclear infolding - "crumpled tissue paper" appearance.
**+/-Smoker's macrophages (brown pigmented airspace macrophages).
**+/-Eosinophilia (may be rare) - '''significantly narrow DDx'''.
**Chronic inflammatory cells (lymphocytes). (???)
 
Images:
*[http://path.upmc.edu/cases/case299.html Pulmonary LCH & adenocarcinoma - several images (upmc.edu)].
 
===IHC===
*Langerhans cells: S100+ and CD1a+.<ref name=Ref_PPP237>{{Ref PPP|237}}</ref>


=Granulomatous lung disease=
=Granulomatous lung disease=
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