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(Chest. 1972;61:298-301.)
© 1972 American College of Chest Physicians

Rheumatic Pneumonitis

William A. Grunow M.D.1 and John R. Esterly M.D.1

1 Departmnt of Pathology, The University of Chicago, Chicago, illimlois

A review of the pulmonary findings in 24 cases of acute rheumatic fever has confirmed the frequency of alveolar hemorrhage, fibrinous edema, interstitial inflammatory exudate, and complicating bacterial pneumonia. Organizing pneumonitis was identified in two-thirds of the specimens. Septal necrosis was present in over half the cases, and in four there were foci of arteriolitis, but both findings were usually associated with pneumona. In patients with severe involvement, the changes form a morphologic pattern characteristic of rheumatic pneumonitis. However, the lesions, either individually or in combination, may be found in a variety of disorders, and none of the pulmonary changes appeared to be specifically referable to acute rheumatic fever.




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