Table 2.
Histologic Findings at Diagnosis and Explant or Autopsy | |||||
---|---|---|---|---|---|
Diagnostic biopsy | Explant/ Post-mortem | ||||
Patient | Alveolar Simplification | Capillary features | Dilated Shunt Veins | Arteriolar Muscularization | Lung development and capillarization |
1 | Mild and patchy | Most capillaries in a single layer adjacent to epithelium with patchy double-layering | About half of examined BVBs | Moderate | 26 months – Normalized RAC, patchy foci with thickened alveolar septa and misaligned veins |
2 | Mild and patchy | Most capillaries in a single layer adjacent to epithelium with patchy double-layering | About half of examined BVBs | Moderate to severe | 4 months – Normalized RAC, rare foci with thickened alveolar septa and patchy misaligned veins |
3 | Severe | Frequent to nearly uniform remote capillaries and reduced number | Most BVB | Severe | N/A |
4 | Mild but uniform | Most capillaries in a single layer adjacent to epithelium but decreased in density | Most BVB | Moderate | 10 months – Improved alveolarization but abnormal RAC, patchy normal capillaries. Obliteration of arteriolar lumen from intimal expansions and foam cells. |
Abbreviations: bronchovascular bundles (BVBs) and radial alveolar count (RAC)