Kikuchi-Fujimoto disease,a rare form of necrotizing lymphadenitis,is an uncommon,benign,self-limiting disorder of obscure etiology.It affects mostly young adults of both genders.Clinically,it presents with fever and l...Kikuchi-Fujimoto disease,a rare form of necrotizing lymphadenitis,is an uncommon,benign,self-limiting disorder of obscure etiology.It affects mostly young adults of both genders.Clinically,it presents with fever and lymphadenopathy of a firm to rubbery consistency frequently involving cervical lymph nodes while weight loss,splenomegaly,leucopenia,and elevated erythrocyte sedimentation rate feature in severely affected patients.Cutaneous involvement occurs in about 30%-40%of cases as facial erythema and nonspecific erythematous papules,plaques,acneiform or morbilliform lesions of great histologic heterogeneity.Both Kikuchi-Fujimoto disease and systemic lupus erythematosus share an obscure and complex relationship as systemic lupus erythematosus may occasionally precede,develop subsequently,or sometimes be associated concurrently with Kikuchi-Fujimoto disease.It is often mistaken for non-Hodgkin lymphoma while lupus lymphadenitis,cat-scratch disease,Sweet’s syndrome,Still’s disease,drug eruptions,infectious mononucleosis,and viral or tubercular lymphadenitis are other common differentials.Fine needle aspiration cytology mostly has features of nonspecific reactive lymphadenitis and immunohistochemistry studies usually show variable features of uncertain diagnostic value.Since its diagnosis is exclusively from histopathology,it needs to be evaluated more carefully;an early lymph node biopsy will obviate the need for unnecessary investigations and therapeutic trials.Its treatment with systemic corticosteroids,hydroxychloroquine,or antimicrobial agents mostly remains empirical.The article reviews clinicoepidemiological,diagnostic,and management aspects of KFD from the perspective of practicing clinicians.展开更多
The worn scars on Alloy 690 after the fretting corrosion testing in simulated pressurized water reactor(PWR)secondary water have been comprehensively analyzed by scanning transmission electron microscopy(STEM)and tran...The worn scars on Alloy 690 after the fretting corrosion testing in simulated pressurized water reactor(PWR)secondary water have been comprehensively analyzed by scanning transmission electron microscopy(STEM)and transmission Kikuchi diffraction(TKD).The high-quality characterization results experimentally show that the fretting wear accelerates the corrosion of Alloy 690 in two approaches.The first one is to break the integrity of the oxide scale by introducing cavities at the oxide grain boundaries.The second one is to alter the microstructure of the underneath matrix,forming a nano-grained matrix layer.The increased grain boundary density in this layer can accelerate the consumption of Cr in the near-surface matrix.The loss of oxide scale integrity and the accelerated Cr consumption are believed to contribute to the deteriorated corrosion resistance of Alloy 690 during the fretting corrosion process.展开更多
The microstructures of copper liners of shaped charges prepared byelectroforming technique were investigated by transmission electron microscopy (TEM). Meanwhile, theorientations distributing of the grains in the elec...The microstructures of copper liners of shaped charges prepared byelectroforming technique were investigated by transmission electron microscopy (TEM). Meanwhile, theorientations distributing of the grains in the electroformed copper liners of shaped charges wasexamined by the electron backscattering Kikuchi pattern (EBSP) technique. TEM observations haverevealed that these electroformed copper liners of shaped charges have the grain size of about 1-3mu m and the grains have a preferential orientation distribution along the growth direction. EBSPanalysis has demonstrated that the as-formed copper liners of shaped charges exhibit amicro-texture, i.e. one type of fiber texture, and the preferred growth direction is normal to thesurface of the liners.展开更多
Dear Editor,Kikuchi-Fujimoto disease(KFD),or histiocytic necrotizing lymphadenitis,was initially described in 1972 by Drs.Kikuchi and Fujimoto(Shirakusa et al.,1988).The main clinical manifestations are fever and cerv...Dear Editor,Kikuchi-Fujimoto disease(KFD),or histiocytic necrotizing lymphadenitis,was initially described in 1972 by Drs.Kikuchi and Fujimoto(Shirakusa et al.,1988).The main clinical manifestations are fever and cervical lymphadenopathy with or without pain,sometimes accompanied by tachycardia,nausea and symptomatic infiltrative erythematous lesions.The diagnosis of KFD is usually based on characteristic lymph node histologic findings of coagulative necrosis,histiocytic infiltrate,loss of nodal architecture,展开更多
The paper deals with different plastic deformation behavior of electroformed copper liner of shaped charge, deformed at high strain rate (about 1×107s-1) and normal strain rate (4×10-4s-1). The crystallograp...The paper deals with different plastic deformation behavior of electroformed copper liner of shaped charge, deformed at high strain rate (about 1×107s-1) and normal strain rate (4×10-4s-1). The crystallographic orientation distribution of grains in recovered slugs which had undergone high-strain-rate plastic deformation during explosive detonation was investigated by electron backscattering Kikuchi pattern technique. Cellular structures formed by tangled dislocations and sub-grain boundaries consisting of dislocation arrays were detected in the recovered slugs. Some twins and slip dislocations were observed in specimen deformed at normal strain rate. It was found that dynamic recovery and recrystallization take place during high-strain-rate deformation due to the temperature rising, whereas the conventional slip mechanism operates during deformation at normal strain rate.展开更多
The mesenteric lymph node cavitation syndrome consists of central necrosis of mesenteric lymph nodes and may occur with either celiac disease or a sprue-like intestinal disease that fails to respond to a gluten-free d...The mesenteric lymph node cavitation syndrome consists of central necrosis of mesenteric lymph nodes and may occur with either celiac disease or a sprue-like intestinal disease that fails to respond to a gluten-free diet. Splenic hypofunction may also be present. The cause is not known but its development during the clinical course of celiac disease is usually indicative of a poor prognosis for the intestinal disorder, a potential for signif icant compli-cations including sepsis and malignancy, particularly T-cell lymphoma, and signif icant mortality. Modern abdominal imaging modalities may permit earlier detection in celiac disease so that earlier diagnosis and improved under-standing of its pathogenesis may result.展开更多
Introduction: The discovery of peripheral lymphadenopathy is a frequent reason for consultation and hospitalization in Internal Medicine. The aim of this article is to review through three cases the etiologies of chro...Introduction: The discovery of peripheral lymphadenopathy is a frequent reason for consultation and hospitalization in Internal Medicine. The aim of this article is to review through three cases the etiologies of chronic lymphadenopathy rarely reported in a tropical environment. Observations: The first patient is a 62-year-old man who has been infected with HIV-1 for 14 years and who had a multicenter form of Castleman disease. The diagnosis was confirmed after 3 histological lymph nodes. The progression was favorable under Etoposide-based chemotherapy. The second observation is about a 38-year-old woman with a 2-month chronic febrile adenopathy without improvement after anti-tuberculosis treatment. The diagnosis of Kikuchi Fujimoto disease, in its necrotizing form, was confirmed in histology. The evolution was made favorable by the corticosteroid therapy. The third observation is about a 63-year-old woman with an enlargement of groups of lymph nodes, liver, and spleen. This tumoral syndrome was associated to an exudative ascites and a Systemic Inflammatory Response Syndrome (SIRS). The initial diagnosis was a multifocal tuberculosis based on a set of evidence (exudative lymphocytic ascites, epidemiological context and a positive Quantiferon TB test). The first ganglionic histology was not contributory. It was the second ganglionic histology that indicated the diagnosis of lymph node plasmocytoma revealing a myeloma. The patient died of septic shock. Conclusion: In tropical environment, the etiologies of chronic lymphadenopathy are not limited to tuberculosis and malignant haemopathies. Carrying out ganglionic histology is an absolute necessity.展开更多
文摘Kikuchi-Fujimoto disease,a rare form of necrotizing lymphadenitis,is an uncommon,benign,self-limiting disorder of obscure etiology.It affects mostly young adults of both genders.Clinically,it presents with fever and lymphadenopathy of a firm to rubbery consistency frequently involving cervical lymph nodes while weight loss,splenomegaly,leucopenia,and elevated erythrocyte sedimentation rate feature in severely affected patients.Cutaneous involvement occurs in about 30%-40%of cases as facial erythema and nonspecific erythematous papules,plaques,acneiform or morbilliform lesions of great histologic heterogeneity.Both Kikuchi-Fujimoto disease and systemic lupus erythematosus share an obscure and complex relationship as systemic lupus erythematosus may occasionally precede,develop subsequently,or sometimes be associated concurrently with Kikuchi-Fujimoto disease.It is often mistaken for non-Hodgkin lymphoma while lupus lymphadenitis,cat-scratch disease,Sweet’s syndrome,Still’s disease,drug eruptions,infectious mononucleosis,and viral or tubercular lymphadenitis are other common differentials.Fine needle aspiration cytology mostly has features of nonspecific reactive lymphadenitis and immunohistochemistry studies usually show variable features of uncertain diagnostic value.Since its diagnosis is exclusively from histopathology,it needs to be evaluated more carefully;an early lymph node biopsy will obviate the need for unnecessary investigations and therapeutic trials.Its treatment with systemic corticosteroids,hydroxychloroquine,or antimicrobial agents mostly remains empirical.The article reviews clinicoepidemiological,diagnostic,and management aspects of KFD from the perspective of practicing clinicians.
基金Shanghai Pujiang Program(No.21PJ1406400)is acknowledged for funding this research.
文摘The worn scars on Alloy 690 after the fretting corrosion testing in simulated pressurized water reactor(PWR)secondary water have been comprehensively analyzed by scanning transmission electron microscopy(STEM)and transmission Kikuchi diffraction(TKD).The high-quality characterization results experimentally show that the fretting wear accelerates the corrosion of Alloy 690 in two approaches.The first one is to break the integrity of the oxide scale by introducing cavities at the oxide grain boundaries.The second one is to alter the microstructure of the underneath matrix,forming a nano-grained matrix layer.The increased grain boundary density in this layer can accelerate the consumption of Cr in the near-surface matrix.The loss of oxide scale integrity and the accelerated Cr consumption are believed to contribute to the deteriorated corrosion resistance of Alloy 690 during the fretting corrosion process.
基金the National Natural Science Foundation of China (No. 59971008)
文摘The microstructures of copper liners of shaped charges prepared byelectroforming technique were investigated by transmission electron microscopy (TEM). Meanwhile, theorientations distributing of the grains in the electroformed copper liners of shaped charges wasexamined by the electron backscattering Kikuchi pattern (EBSP) technique. TEM observations haverevealed that these electroformed copper liners of shaped charges have the grain size of about 1-3mu m and the grains have a preferential orientation distribution along the growth direction. EBSPanalysis has demonstrated that the as-formed copper liners of shaped charges exhibit amicro-texture, i.e. one type of fiber texture, and the preferred growth direction is normal to thesurface of the liners.
基金supported in part by Beijing Natural Science Foundation (7162060 to ZX)Basic and Clinic Science Foundation of Capital Medical University (16JL22 to ZX)+2 种基金Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding (ZYLX201601 to LM)Health and Family Planning Research and Development Foundation of Shunyi District (Wsjzkyfzzx-z-02 to ZX)the US National Institutes of Health grant (P30-CA008748 to YWT)
文摘Dear Editor,Kikuchi-Fujimoto disease(KFD),or histiocytic necrotizing lymphadenitis,was initially described in 1972 by Drs.Kikuchi and Fujimoto(Shirakusa et al.,1988).The main clinical manifestations are fever and cervical lymphadenopathy with or without pain,sometimes accompanied by tachycardia,nausea and symptomatic infiltrative erythematous lesions.The diagnosis of KFD is usually based on characteristic lymph node histologic findings of coagulative necrosis,histiocytic infiltrate,loss of nodal architecture,
文摘The paper deals with different plastic deformation behavior of electroformed copper liner of shaped charge, deformed at high strain rate (about 1×107s-1) and normal strain rate (4×10-4s-1). The crystallographic orientation distribution of grains in recovered slugs which had undergone high-strain-rate plastic deformation during explosive detonation was investigated by electron backscattering Kikuchi pattern technique. Cellular structures formed by tangled dislocations and sub-grain boundaries consisting of dislocation arrays were detected in the recovered slugs. Some twins and slip dislocations were observed in specimen deformed at normal strain rate. It was found that dynamic recovery and recrystallization take place during high-strain-rate deformation due to the temperature rising, whereas the conventional slip mechanism operates during deformation at normal strain rate.
文摘The mesenteric lymph node cavitation syndrome consists of central necrosis of mesenteric lymph nodes and may occur with either celiac disease or a sprue-like intestinal disease that fails to respond to a gluten-free diet. Splenic hypofunction may also be present. The cause is not known but its development during the clinical course of celiac disease is usually indicative of a poor prognosis for the intestinal disorder, a potential for signif icant compli-cations including sepsis and malignancy, particularly T-cell lymphoma, and signif icant mortality. Modern abdominal imaging modalities may permit earlier detection in celiac disease so that earlier diagnosis and improved under-standing of its pathogenesis may result.
文摘Introduction: The discovery of peripheral lymphadenopathy is a frequent reason for consultation and hospitalization in Internal Medicine. The aim of this article is to review through three cases the etiologies of chronic lymphadenopathy rarely reported in a tropical environment. Observations: The first patient is a 62-year-old man who has been infected with HIV-1 for 14 years and who had a multicenter form of Castleman disease. The diagnosis was confirmed after 3 histological lymph nodes. The progression was favorable under Etoposide-based chemotherapy. The second observation is about a 38-year-old woman with a 2-month chronic febrile adenopathy without improvement after anti-tuberculosis treatment. The diagnosis of Kikuchi Fujimoto disease, in its necrotizing form, was confirmed in histology. The evolution was made favorable by the corticosteroid therapy. The third observation is about a 63-year-old woman with an enlargement of groups of lymph nodes, liver, and spleen. This tumoral syndrome was associated to an exudative ascites and a Systemic Inflammatory Response Syndrome (SIRS). The initial diagnosis was a multifocal tuberculosis based on a set of evidence (exudative lymphocytic ascites, epidemiological context and a positive Quantiferon TB test). The first ganglionic histology was not contributory. It was the second ganglionic histology that indicated the diagnosis of lymph node plasmocytoma revealing a myeloma. The patient died of septic shock. Conclusion: In tropical environment, the etiologies of chronic lymphadenopathy are not limited to tuberculosis and malignant haemopathies. Carrying out ganglionic histology is an absolute necessity.
