[Unusual lung finding of massive alveolar filling with foamy macrophages in congenital epidermolysis bullosa after amnion fluid aspiration in 15-day-old newborn without any clinical signs of respiratory impairment]

Cesk Patol. 2015;51(2):89-93.
[Article in Czech]

Abstract

Epidermolysis bullosa represents a group of mechanobullous diseases which are most commonly genetically determined. We describe the case of a 15-day-old female newborn with congenital epidermolysis bullosa which was inflicted on aproximately 1/3 of her skin surface, who died because of incorrigible sepsis with multiorgan failure. The main topic of our report is a description of an unusual pulmonary finding of massive alveolar filling with foamy macrophages after amnion fluid aspiration, which contained a excessive amount of desquamated epidermal cells. Introduced case shows outstanding discrepancy of negative clinical finding on one side and massive histopathological finding on the other.

Keywords: epidermolysis bullosa - foamy alveolar macrophages - amniotic fluid aspiration..

Publication types

  • Case Reports

MeSH terms

  • Amniotic Fluid
  • Epidermolysis Bullosa*
  • Fatal Outcome
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases*
  • Lung* / cytology
  • Lung* / pathology
  • Macrophages, Alveolar
  • Respiratory Aspiration*
  • Sepsis
  • Skin / pathology