びまん性肺胞障害
WordNet
- suffer or be susceptible to damage; "These fine china cups damage easily"
- inflict damage upon; "The snow damaged the roof"; "She damaged the car when she hit the tree"
- the act of damaging something or someone (同)harm, hurt, scathe
- loss of military equipment (同)equipment casualty
- the occurrence of a change for the worse (同)harm, impairment
- spread out; not concentrated in one place; "a large diffuse organization"
- move outward; "The soldiers fanned out" (同)spread, spread out, fan out
- lacking conciseness; "a diffuse historical novel"
- pertaining to the tiny air sacs of the lungs
- pertaining to the sockets of the teeth or that part of the upper jaw; "alveolar processes"
- designed or tending to discredit, especially without positive or helpful suggestions; "negative criticism" (同)negative
- (sometimes followed by `to' (同)detrimental, prejudicial, prejudicious
- harmed or injured or spoiled; "I wont buy damaged goods"; "the storm left a wake of badly damaged buildings"
PrepTutorEJDIC
- 〈U〉『損害』,損傷,被害 / 《複数形で》損害賠障[金] / 《the~》《単数形で》《話》飛用 / …‘に'損傷する
- 〈光・熱・液体など〉‘を'散らす,放散する,拡散させる / 〈学問・知識など〉‘を'広める,普及させる / 散る,放散する,拡散する / 広まる,普及する / 広く散った,広がった / 〈文体などが〉締まりのない,散漫な
- 歯茎音の(舌先を上歯茎にふれて発音する) / 肺胞の;歯槽(しそう)の / 歯茎音
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/03/10 03:20:01」(JST)
[Wiki en表示]
Micrograph showing hyaline membranes, the key histologic feature of diffuse alveolar damage. H&E stain.
Diffuse alveolar damage is a histological pattern in lung disease. It is seen in acute respiratory distress syndrome (ARDS),[1] transfusion related acute lung injury (TRALI) and acute interstitial pneumonia (AIP).
Contents
- 1 Prevalence
- 2 Etiology
- 3 References
- 4 External links
§Prevalence
It is a common biopsy finding.[2] Through histology, diffuse alveolar damage goes through several stages:
- Exudative phase - similar to pulmonary edema. The alveoli become flooded with transudate
- Hyaline membrane production. Hyaline membranes are fibrous structures laid down in order to stop oxygen being absorbed via the damaged alveoli.
- Organising phase
§Etiology
Diffuse alveolar damage is associated primarily with ARDS and TRALI in adults, and hyaline membrane disease in neonates. It is most commonly associated with infection.[3]
§References
- ^ Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease. St. Louis, Mo: Elsevier Saunders. p. 715. ISBN 0-7216-0187-1.
- ^ Parambil JG, Myers JL, Ryu JH (August 2006). "Diffuse alveolar damage: uncommon manifestation of pulmonary involvement in patients with connective tissue diseases". Chest 130 (2): 553–8. doi:10.1378/chest.130.2.553. PMID 16899858.
- ^ Parambil JG, Myers JL, Aubry MC, Ryu JH (July 2007). "Causes and prognosis of diffuse alveolar damage diagnosed on surgical lung biopsy". Chest 132 (1): 50–7. doi:10.1378/chest.07-0104. PMID 17475632.
§External links
- Gross pathology of DAD - utah.edu.
- Microscopic pathology of DAD - utah.edu.
Pathology of respiratory system (J, 460–519), respiratory diseases
|
|
Upper RT
(including URTIs,
Common cold) |
Head
|
- sinuses
- Sinusitis
- nose
- Rhinitis
- Vasomotor rhinitis
- Atrophic rhinitis
- Hay fever
- Nasal polyp
- Rhinorrhea
- nasal septum
- Nasal septum deviation
- Nasal septum perforation
- Nasal septal hematoma
- tonsil
- Tonsillitis
- Adenoid hypertrophy
- Peritonsillar abscess
|
|
Neck
|
- pharynx
- Pharyngitis
- Strep throat
- Laryngopharyngeal reflux (LPR)
- Retropharyngeal abscess
- larynx
- Croup
- Laryngitis
- Laryngopharyngeal reflux (LPR)
- Laryngospasm
- vocal folds
- Laryngopharyngeal reflux (LPR)
- Vocal fold nodule
- Vocal cord paresis
- Vocal cord dysfunction
- epiglottis
- Epiglottitis
- trachea
- Tracheitis
- Tracheal stenosis
|
|
|
Lower RT/lung disease
(including LRTIs) |
Bronchial/
obstructive
|
- acute
- Acute bronchitis
- chronic
- COPD
- Chronic bronchitis
- Acute exacerbations of chronic bronchitis
- Acute exacerbation of COPD
- Emphysema)
- Asthma (Status asthmaticus
- Aspirin-induced
- Exercise-induced
- Bronchiectasis
- unspecified
- Bronchitis
- Bronchiolitis
- Bronchiolitis obliterans
- Diffuse panbronchiolitis
|
|
Interstitial/
restrictive
(fibrosis)
|
External agents/
occupational
lung disease
|
- Pneumoconiosis
- Asbestosis
- Baritosis
- Bauxite fibrosis
- Berylliosis
- Caplan's syndrome
- Chalicosis
- Coalworker's pneumoconiosis
- Siderosis
- Silicosis
- Talcosis
- Byssinosis
- Hypersensitivity pneumonitis
- Bagassosis
- Bird fancier's lung
- Farmer's lung
- Lycoperdonosis
|
|
Other
|
- ARDS
- Pulmonary edema
- Löffler's syndrome/Eosinophilic pneumonia
- Respiratory hypersensitivity
- Allergic bronchopulmonary aspergillosis
- Hamman-Rich syndrome
- Idiopathic pulmonary fibrosis
- Sarcoidosis
|
|
|
Obstructive or
restrictive
|
Pneumonia/
pneumonitis
|
By pathogen
|
- Viral
- Bacterial
- Atypical bacterial
- Mycoplasma
- Legionnaires' disease
- Chlamydiae
- Fungal
- Parasitic
- noninfectious
- Chemical/Mendelson's syndrome
- Aspiration/Lipid
|
|
By vector/route
|
- Community-acquired
- Healthcare-associated
- Hospital-acquired
|
|
By distribution
|
|
|
IIP
|
|
|
|
Other
|
- Atelectasis
- circulatory
- Pulmonary hypertension
- Pulmonary embolism
- Lung abscess
|
|
|
|
Pleural cavity/
mediastinum |
Pleural disease
|
- Pneumothorax/Hemopneumothorax
- Pleural effusion
- Hemothorax
- Hydrothorax
- Chylothorax
- Empyema/pyothorax
- Malignant
- Fibrothorax
|
|
Mediastinal disease
|
- Mediastinitis
- Mediastinal emphysema
|
|
|
Other/general |
- Respiratory failure
- Influenza
- SARS
- Idiopathic pulmonary haemosiderosis
- Pulmonary alveolar proteinosis
|
|
Index of the respiratory system
|
|
Description |
- Anatomy
- Physiology
- Development
|
|
Disease |
- Congenital
- Neoplasms and cancer
- Chest trauma
- Infection
- Other
- Symptoms and signs
|
|
Treatment |
- Procedures
- Drugs
- nasal
- throat
- obstructive airway diseases
- cough and cold
- histaminergics
- pulmonary arterial hypertension
- other
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- The effect of octreotide, an analog of somatostatin, on bleomycin-induced interstitial pulmonary fibrosis in rats.
- Tug T, Kara H, Karaoglu A, Karatas F, Turgut NH, Ayan E, Boran C, Tug E.SourceDepartment of Chest Diseases, Faculty of Medicine, Abant Izzet Baysal University , Bolu , Turkey.
- Drug and chemical toxicology.Drug Chem Toxicol.2013 Apr;39(2):181-6. doi: 10.3109/01480545.2012.710618. Epub 2012 Sep 5.
- In this study, octreotide (OCT), a synthetic somatostatin analog, was tested for its beneficial effects in the prevention of interstitial pulmonary fibrosis (IPF) induced by bleomycin (BLM) in rats by histological examination and by evaluating tissue OH-proline levels. Thirty male Wistar rats were d
- PMID 22946449
- A case of interstitial lung disease associated with clinically amyopathic dermatomyositis: radiologic-pathologic correlation.
- Okubo G, Noma S, Nishimoto Y, Sada R, Kobashi Y.SourceDepartments of *Radiology †General Internal Medicine ‡Pathology, Tenri Hospital, Nara, Japan.
- Journal of thoracic imaging.J Thorac Imaging.2013 Jan;28(1):W24-6. doi: 10.1097/RTI.0b013e31826af2b7.
- This case report describes a 64-year-old woman with interstitial lung disease associated with clinically amyopathic dermatomyositis. Chest computed tomography revealed consolidations along bronchovascular bundles in the periphery of the lower lungs. Interstitial lung disease developed acutely, and t
- PMID 23047733
Japanese Journal
- Epithelial regeneration after diffuse alveolar damage in relation to underlying disease and DAD stage: an autopsy study
- Asano Satoru,Takemura Tamiko,Katoh Keiichi,Taneda Masuzoh,Kitagawa Masanobu
- Journal of medical and dental sciences 58(4), 113-121, 2011-12
- NAID 110008716097
- Pathology: Diffuse alveolar damage in a young cat
- Kobayashi Ryosuke,Yamano Shigeki,Tanaka Katsuyuki [他]
- 日本獣醫學会会誌 73(10), 1347-1349, 2011-10
- NAID 40019050688
Related Links
- 通常型間質性肺炎(UIP: usual interstitial pneumoniae); 閉塞性細気管支炎を合併 したびまん性肺胞障害(BIP: bronchiolitis obliterans and diffuse alveolar damage); 剥離型間質性肺炎(DIP: desquamative interstitial pneumoniae); 巨細胞性間質性 ...
- The final histopathological feature, common in these lung disorders, is diffuse alveolar damage (DAD). The histopathology of DAD is considered to represent end stage phenomenon in acutely behaving interstitial pneumonias, such as acute ...
Related Pictures
★リンクテーブル★
[★]
- 英
- acute interstitial pneumonitis acute interstitial pneumonia AIP
- 関
- 特発性間質性肺炎、diffuse alveolar damage DAD
- ハンマン-リッチ症候群
特徴
臨床診断名
|
AIP
|
病理組織像
|
DAD
|
分布
|
びまん性,均質
|
時相
|
均質
|
間質への細胞浸潤
|
少ない
|
胞隔の炎症
|
なし
|
線維芽細胞巣
|
びまん性,間質
|
肺胞内マクロファージ集積
|
なし
|
肺胞腔内線維化
|
しばしば
|
顕微鏡的蜂巣肺(肺胞虚説)
|
なし
|
硝子膜
|
高頻度
|
概念
- 特発性間質性肺炎の一型
- 発熱、乾性咳、呼吸困難をもって急激に発症する特発性間質性肺炎の急性型。
- 急性発症、数日の経過で呼吸不全、数週間~数ヶ月で重篤な転帰
- 病理的にはびまん性肺胞障害 DAD、臨床的には急性呼吸促迫症候群 ARDSを呈する。
原因
病理組織所見
蜂巣肺
- 上肺野から下肺野までびまん性に肺胞障害が見られる。
- (急性期)間質浮腫、肺胞への進出、硝子膜形成、(器質化期)線維化
発症様式
検査
BALF所見
胸部X線写真
- 進行性に拡大するスリガラス陰影・肺胞性陰影
症状
*ARDSとは
- 1. 急性発症,
- 2. 胸部X線写真で両側浸潤影,
- 3. PaO2/FIO2≦200,
- 4. 左心不全の否定
治療
- 治療が奏功するのは少数
予後
[★]
- 英
- diffuse alveolar damage, DAD
- 同
- びまん性肺胞領域障害
臨床関連
[★]
[★]
- 関
- barrier、break、breakage、difficulty、disorder、disruption、disturbance、dysfunction、foe、hindrance、impair、impairment、impediment、injure、injury、lesion、obstacle、spoilage
[★]
- 関
- diffusely、diffusion、diffusional、diffusive、disseminated、pervasive、spread、widespread
[★]
- 関
- alveoli、alveolus、pulmonary alveoli、pulmonary alveolus、tooth socket
[★]
- 関
- affective、injurious、traumatic