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. 2006 Mar 27;37(4):381–390. doi: 10.1016/j.humpath.2006.01.015

Table 1.

Summary of major pathologic reports on SARS

Serial no. First author/countries No. of patients Organs reported Major pathologic findings Reference
1 Nicholls/HK, China 6 Mainly lung DAD (Fig. 1A-D), giant cells, enlarged pneumocytes, prominent macrophages (Fig. 1C and 1E1), white pulp atrophy of spleen (Fig. 2C), hemophagocytosis (Fig. 2A and B). [6]
2 Tse/HK, China 7 Lung DAD, multinucleated pneumocytes, BOOP-like pattern of organization (Fig. 1C and D). [7]
3 Cheung/HK, China 10 Lung DAD with organization and fibrosis, no specific histology [8]
4 Lang/China 3 General autopsy DAD, hemorrhagic necrosis in lymph node and spleen, lymphocyte depletion in spleen [9]
5 Ding/China 3 General autopsy DAD, necrosis in splenic lymphoid tissue and lymph node, systemic vasculitis [10]
6 Hsiao/Taiwan, China 4 Lung DAD, no specific histology, DAD absent in early stage [11]
7 Franks/Singapore Chongs/ Singapore 8 Lung DAD, acute phase in ≤10 days, organizing phase in >10 days, multinucleated pneumocyte and macrophages [12], [13]
8 Hwang/Canada 20 Lung DAD in 8, acute fibrinous and organizing pneumonia in 6, mixed pattern in 6, multinucleated giant cells, fibrin thrombi [14]
9 Chau/HK, China 3 Liver accumulation of mitosis and apoptosis, ballooning hepatocytes, lobular inflammation (Fig. 2F). [15]
10 Leung/HK, China 6 Intestinal tract Minimal architectural disruption but with active viral replication in small and large intestine [16]
11 Leung/HK, China 8 Skeletal muscle Spectrum of myopathic changes, focal fiber necrosis common (Fig. 2D). [17]
12 Chu/HK, China 7 Kidney Acute tubular necrosis (Fig. 2E), normal glomeruli [18]
13 Wong/HK, China 4 Hematolymphoid Atrophic white pulp in spleen, active bone marrow, reactive hemophagocytosis not seen [19]

NOTE. Fig. 1, Fig. 2 are new photomicrographs showing pathologic changes in patients with SARS examined by the authors. Abbreviation: HK, Hong Kong.