查詢結果分析
來源資料
相關文獻
- Autopsy Findings on Patients with AIDS in Hualien Tzu Chi Hospital
- 愛滋病相關之卡波西氏肉瘤
- 愛滋病相關癌症
- 微脂體包容之doxorubicin的臨床運用
- Intussusception as the Initial Manifestation of AIDS Associated with Primary Kaposi's Sarcoma: A Case Report
- Pulmonary Kaposi's Sarcoma in a Patient with HIV Infection: A Case Report
- AIDS-associated Primary Nasopharyngeal Kaposi Sarcoma--Case Report
- Pulmonary Kaposi Sarcoma Associated with Immune Reconstitution Inflammatory Syndrome after Treatment for Pneumocystis Jiroveci Pneumonia and HIV Infection--A Case Report
- 一位卡波西氏肉瘤併感染傷口之急診照護經驗
- 臺灣某醫學中心愛滋病患家屬壓力與因應行為之初探
頁籤選單縮合
題 名 | Autopsy Findings on Patients with AIDS in Hualien Tzu Chi Hospital=花蓮慈濟醫院愛滋病患解剖發現 |
---|---|
作 者 | 陳彥仲; 曾柏元; 李明勳; 王立信; 劉奕祥; 許永祥; | 書刊名 | 慈濟醫學 |
卷 期 | 17:6 民94.12 |
頁 次 | 頁409-415+453 |
分類號 | 415.112 |
關鍵詞 | 愛滋病; 肺囊蟲病; 漸近性多發白質退化病; 惡性淋巴瘤; 卡波西氏肉瘤; AIDS; Pneumocystis carinii pneumonia; Progressive multifocal leukoencephalopathy; Malignant lymphoma; Kaposi sarcoma; |
語 文 | 英文(English) |
中文摘要 | 目的:從1996年到2004年,慈濟醫院作了5例愛滋病患的病理解剖。我們回顧這些病例的臨床表現和解剖發現,目的在於了解花蓮愛滋病患之臨床病理表現。病人與方法:所有5個病患均是男性。兩位是臺灣原住民同時是同性戀,一個是與朋友共同針頭,一個是在4年前曾到泰國旅遊,另一個是來自泰國的華僑。所有器官標本均取來自解剖。組織病理學檢查是用蘇木質伊紅染色。特殊染色包括PAS、GMS、抗酸試驗和免疫組織化學染色,包括漸近性多發白質退化病的JC病毒蛋白,淋巴瘤標記的UCHL-1和L-26,卡波西氏肉瘤的第八型疱診病毒蛋白。EB病毒和JC病毒原位雜交應用於淋巴瘤及漸近性多發白質退化病。結果:所有5例均有淋巴組織耗盡及胸腺萎縮。最開始機遇感染為口腔念珠菌。肺囊蟲是在早期最常見的感染,巨細胞病毒感染在二病例發現,另有兩例感染結核病。特別的是,有兩例JC病毒有關的漸近性多發白質退化病被證實有一例為淋巴瘤合併腦部多處擴散及摧毀性漸近性多發白質退化症,另一例用JC病毒原位雜交證實。有一例證實空泡性脊髓病變,另一例為愛滋病相關心肌病變。兩例原住民且均為同性戀者有擴散性卡波西氏肉瘤。一例B細胞惡性淋巴瘤,但無法以原位雜交法偵測到EB病毒基因。結論:本研究發現愛滋病最常見感染是念珠菌、肺囊蟲病、結核病及巨細胞病毒感染。另有兩例JC病毒有關漸近性多發白質退化病被證實。最常見的惡性腫瘤為卡波西氏肉瘤及惡性淋巴瘤。 |
英文摘要 | From 1996 through 2004, Autopsy was performed on five patients with acquired immunodeficiency syndrome (AIDS) in hualien Tzu Chi General Hospital. The aimo of this study was to review the clinical manifestations and autopies findings of this 5 AIDS patients in Eastern Taiwan (Hualien). Patients and Methods: All patients were men. Two were homosexual men who were Taiwanese aborigines. One was an intravenous drug user. One has been traveled to Thailand 4 years ago. The last one came from Thailand. All organ specimens were obtained by autopsy procedures. Histopathological examinations was performed using hematoxylin and eosin stain. Specific studies including PAS. GMS, acid fast stain and immunohistochemistry stains including JC polyomavirus protein for progressive multifocal leukoencephalopathy (PML), UCHL-1 & L-26 for lymphoma, Human herpesvirus 8 (HHV-8) for Kaposi sarcoma were also performed. Epstein-Barr Virus (EBV) & JC polyomavirus in situ hybridization were also performed in lymphoma & PML. Results: At autopsy, lymphoid depletion and thymus atrophy were found in all 5 patients. The initial opportunistic infection was usually oral candidiasis, pneumocysits carinii pneumonia (PCP) was the most common opportunistic infection which developed during the early stage. Cytomegalovirus (CMV) infection was found in two patients. Mycobacterium infection had developed in two patients. Two patients had JC virus associated PML. One demonstrated disseminated malignant lymphoma with “burnt out” PML. The other one proved JC virus in situ hybridization. One ease proved to have vacuolar myelopathy and the other one proved AIDS associated cardiomyopathy. Two patients had disseminated HHV-8 associated Kaposisarcoma (KS) and all were Taiwanese aborigines and homosexual. Malignant lymphoma was found in one case, which was high grade B cell type. Epstein-Barr virus (EBV) encoding small RNA (EBER-1)was not demonstrated in the lymphoma. Conclusion: The most common opportunistic infections in this series are candida, PCP, tuberculosis, and CMV infections, PML due to JC virus was also commonly found. The most common malignancy was malignant lymphoma and Kaposi sarcoma. |
本系統中英文摘要資訊取自各篇刊載內容。