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Re-evaluation of chorioamnionitis and funisitis with a special reference to subacute chorioamnionitis

descriptionPublicationkeyboard_double_arrow_right Article 01 Feb 2002Publisher:Elsevier BVJournal:Human Pathology, volume 33, pages 183-190 (issn: 0046-8177,

Authors: Rieko Ijiri; Yukichi Tanaka; Makiko Ohyama; Keisuke Kato; Michiko Yamanaka; Yasufumi Itani; Akiko Goto;

doi: 10.1053/hupa.2002.31291

pmid: 11957143

Re-evaluation of chorioamnionitis and funisitis with a special reference to subacute chorioamnionitis

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Abstract

Our purpose is to prove that prolonged inflammation of the chorionic plate, which we have termed subacute chorioamnionitis (SCAM), is a distinctive entity and should be differentiated from acute chorioamnionitis (ACAM) because it is an excellent prognostic indicator of chronic lung disease (CLD), including Wilson-Mikity syndrome (WMS). Ninety singleton placentas with stage-3 chorioamnionitis were delivered at 23 to 32 weeks of gestation during 1993 to 1996, and the infants survived more than 28 days. There were 49 placentas with stage 3 SCAM, 33 placentas with stage 3 ACAM, and 8 placentas with subacute necrotizing funisitis (SNF) and without inflammation of the chorionic plate. Fifty-three of gestation- and birthweight-matched placentas without chorioamnionitis were selected as control. To determine the risk factors for CLD, 27 clinical and 6 histological variables were analyzed. Logistic regression analysis showed that amniotic necrosis (AN) (P =.0168) and low birthweight (P =.0341) were the major contributing risk factors for CLD. SNF was not significantly related to CLD. Patients with SCAM (AN+, SNF-) were highly susceptible to CLD. In conclusion, SCAM, especially when associated with AN, seems to be a unique prognostic indicator of CLD.

Related Organizations

Kanagawa Children's Medical Center
Japan

Keywords

Inflammation, Lung Diseases, Placenta, Infant, Newborn, Gestational Age, Infant, Low Birth Weight, Umbilical Cord, Necrosis, Chorioamnionitis, Logistic Models, Pregnancy, Risk Factors, Chronic Disease, Humans, Female, Amnion, Infant, Premature, Retrospective Studies

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	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Top 10%
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