Is the appearance of macrophages in pulmonary tissue related to time of asphyxia?
In order to connect the appearance of macrophages and giant cells in pulmonary tissue with the time of asphyxia the authors analyzed 50 asphyxiated human lungs paying their attention on the number of alveolar and interstitial macrophages and giant cells. They compared histological specimens of 25 asphixiated humans lungs following a slow asphyxia (30 min or more) with 25 histological specimens of asphyxiated human lungs following a rapid asphyxia (10-15 min). Alveolar and interstitial macrophages and giant cells per section, were considered and numbered. Controls were done on histological examination of traumatized lungs. In the pulmonary alveoli following on acute asphyxia there were 27.7+/-4.4 macrophages per section. Subjects dead after a slow asphyxiation showed 68.2+/-7.1 alveolar macrophages per section (p<0.001). Interstitial macrophages were also frequently present. No differences are detectable in the number of polynuclear giant cells between rapidly and slowly asphyxiated human lungs. The number of alveolar and interstitial macrophages per section can be considered as a further histological evidence of a slow asphyxia and can differentiate a slow asphyxia from an acute one.
Vacchiano
G
G
Cattedra di Medicina Legale, Università degli Studi del Sannio, Piazza Guerrazzi 1, 82100 Benevento, Italy. givacchi@tin.it
D'Armiento
F
F
Torino
R
R
D001237:Asphyxia / Q000473:pathology*; D001344:Autopsy; D016022:Case-Control Studies; D002452:Cell Count; D015726:Giant Cells / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D008168:Lung / Q000473:pathology*; D008213:Lymphocyte Activation; D008262:Macrophage Activation; D016676:Macrophages, Alveolar / Q000473:pathology*; D011180:Postmortem Changes; D013997:Time Factors