another interesting case of cardiac disease in the context of lupus
here is a case that is often a thorny question from autopsy work.
The history may suggest IHD, but the possibility of ARVC comes to mind…
A case from Dr Agbamu
A 99 year old female who suffered a cardiac arrest at home and whose family “requested a PM be conducted to establish the exact COD.”
He says that he thought this was going to be amyloid, but the Congo red is negative, and the Masson’s trichrome suggests that the material is collagen.
The underlying questions are,
- Is “diffuse myocardial fibrosis” a recognised pathological diagnosis (as opposed to a description).
- If it is, what is the cause of “diffuse myocardial fibrosis”. Is it a consequence of senescence? Is the aortic stenosis (felt was minor) enough to account for it?
- Is there another diagnosis?
Here is a case from Dr Desley Neil.
Do you think it is Takayasu’s or something different ?
Here is a case from Dr Youd.
Do have a look and let us know your thoughts
one of the common themes in autopsy pathology is the reality that a cardiac lesion may encountered without there being pre-mortem signs/symptoms. the significance is often unclear and several possibilities exist.
do respond with your thoughts on this case.
here is a sudden death case
feedback / thoughts would be appreciated
please do have a look at the case and make comments as you see fit
please have a look and make comment/s
please have a look at the case and make comment/s