Die Morphologie der immunopathischen Reaktionen

Letterer, E

doi:10.1007/978-3-642-88548-8_1

Cited by 5 publications

(1 citation statement)

References 442 publications

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“…Ohne Kenntnis der Vorgeschichte sind Arthus-Ph/~nomen und Shwartzman-Phi~nomen nicht zu unterscheiden (Letterer, ~967, 1969). Nach Letterer (1969) hat die erste Einwirkung eine Umstimmung der Endothelien der Capillarbahn zur Folge. Itier begegnen sieh der priiparierende, fixierte und der ausl6sende, auf dem Blutweg ankommende Reaktionsstoff.…”

Section: Iunclassified

Zur �tiologie und Pathogenese der Appendicitis

Ziegler¹

1972

Langenbecks Arch Chiv

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Summary.In an unseleeted series of 272 appendices removed by operation 100 showed signs of appendicitis. In 31 cases the inflammation was serofibrinous, in 8 cases ulcerous, in li cases subaeute and in 50 cases uleero-phlegmonous.Apparently sero-fibrinous, ulcerous and subacute appendicitis are frequent forms of intestinal inflammation with an excellent tendency to heal spontaneously and accordingly of good prognosis. This is demonstrated by appendieal scars in more than 80 % of adults and by acute but clinically inapparent appendieal inflammation when the appendix was removed prophylactically during gynecologica! laparatomies.In all 50 cases of ulcero-phlegmonous appendicitis hemorrhagic necroses of the intestinal wall and 48 times mierothromboses were found. These are regarded as morphological equivalents of severe capillary damage comparable to those seen in eases of Shwartzman phenomenon. The disease often develops within a few hours and is but rarely reversible. Only in these cases is perforation to be feared.Thus ulcero-phlegmonous appendicitis and the other forms of appendicitis do not represent gradual degrees of one and the same pathological process but are of different pathogenesis.

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Section: Iunclassified