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. Author manuscript; available in PMC: 2020 Jul 1.
Published in final edited form as: J Pediatr. 2019 Mar 8;210:214–219.e2. doi: 10.1016/j.jpeds.2019.01.047

Table 2.

Summary of histologic findings on initial biopsy and available explant or postmortem assessments.

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)