دورية أكاديمية
Eosinophilic Angiocentric Fibrosis of the Nasal Cavities: A Report of an Uncommon Lesion with Emphasis on the Etiology and Differential Diagnosis
العنوان: | Eosinophilic Angiocentric Fibrosis of the Nasal Cavities: A Report of an Uncommon Lesion with Emphasis on the Etiology and Differential Diagnosis |
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المؤلفون: | Jessica Farina, Giuseppe Broggi, Carmelo Federico, Magda Zanelli, Andrea Palicelli, Rosario Caltabiano |
المصدر: | Medicina, Vol 58, Iss 7, p 865 (2022) |
بيانات النشر: | MDPI AG, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Medicine (General) |
مصطلحات موضوعية: | eosinophilic angiocentric fibrosis, IgG4-related systemic disease, differential diagnosis, Medicine (General), R5-920 |
الوصف: | Background and Objectives: Eosinophilic angiocentric fibrosis (EAF) is an indolent but sometimes locally destructive lesion with a predilection for the sinonasal tract. Although it was first described in 1983, its etiology remains unknown. Some authors initially attributed EAF to trauma, hypersensitivity, and/or surgical manipulation, while it has been recently suggested to include EAF within the spectrum of IgG4-related systemic diseases. Materials and Methods: We report an uncommon case of idiopathic EAF in a 76-year-old male who developed two bilateral tumefactive masses in the nasal cavities. Results: As the histological examination showed a subepithelial proliferation of fibroblasts along with sclero-hyaline fibrosis around small-sized vessels (an “onion skin-like” pattern) and an eosinophils-rich inflammatory infiltrate, a diagnosis of EAF was rendered. The differential diagnosis included granuloma faciale, Wegener’s granulomatosis, and Churg–Strauss syndrome. Conclusions: Pathologists should be aware of the possibility that this lesion can be part of the wide spectrum of IgG4-related systemic diseases by performing IgG4 investigations to assess adherence to IgG4-related systemic disease criteria. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1648-9144 1010-660X |
العلاقة: | https://www.mdpi.com/1648-9144/58/7/865Test; https://doaj.org/toc/1010-660XTest; https://doaj.org/toc/1648-9144Test |
DOI: | 10.3390/medicina58070865 |
الوصول الحر: | https://doaj.org/article/f1f5b777ac6245a7a0f67d7f072b38faTest |
رقم الانضمام: | edsdoj.f1f5b777ac6245a7a0f67d7f072b38fa |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 16489144 1010660X |
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DOI: | 10.3390/medicina58070865 |