Table 6.
Histologic Findings in Organs That are Potential Sites of FK 506 Toxicity In Patients Who Died While on Therapy
Patient | Liver | Kidney | Pancreas | Blood Vessels | Other |
---|---|---|---|---|---|
D.M. | Microabscesses; no rejection | Mild arterial and arteriolonephrosclerosis; Fabray’s heterozygote | None | Atherosclerosis of LAD; hypertensive pulmonary arteriopathy | Severe coronary artery atherosclerosis |
M.S. | Focal infarcts and congestion; minimal rejection | Marked tubular vacuolization; congestion | None | Focal mural necrosis of arteries in perinephric fat of left renal pelvis | Cerebellar hemorrhage |
A.N.* | Centrilobular congestion and hemorrhage | Mild tubular vacuolization; no rejection | Acute pancreatitis with acinar dilatation and focal arterial necrosis | Focal thrombosis and necrosis of pancreatic arteries | Severe necrotizing pneumonia (polymicrobial) |
G.S. | Congestion and focal mild rejection | Minimal tubular vacuolization; changes of ATN | Autolysis with focal pancreatitis; mild interstitial fibrosis | Infarcted colonic epiploic with necrotic artery | Subhepatic abscess; organizing diffuse alveolar damage of lungs |
L.S. | Congestion; mild focal rejection | Focal infarct; marked tubular vacuolization; occasional polar arteriolar thrombosis | Acute hemorrhagic pancreatitis with arterial necrosis and thrombosis | Intraluminal fibrin thrombi in pulmonary arteries, submucosal veins of colon and renal polar arterioles | Large pulmonary thromboembolus |
Abbreviations: ATN, acute tubular necrosis; LAD, left anterior descending coronary artery.
Patient was taken off FK 506 before death because of mistaken diagnosis of hepatitis B.