Chronic deciduitis in the placental basal plate: Definition and interobserver reliability

Khong, T. Y.; Bendon, Robert W.; Qureshi, Faisal; Redline, Raymond W.; Gould, Stephen J.; Stallmach, Thomas; Lipsett, Jill; Staples, Alan

doi:10.1016/s0046-8177(00)80241-5

Cited by 99 publications

(75 citation statements)

References 8 publications

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“…Our findings regarding deciduitis are very similar to those reported by others when describing chronic deciduitis in the placental basal plate [14]. Moreover, the diffuse decidual leukocytoclastic necrosis of decidua basalis, a placental lesion associated with preeclampsia, preterm birth and IUGR, also shows a significant association to chronic deciduitis [15].…”

Section: Discussionsupporting

confidence: 90%

Placental ischemia and changes in umbilical and uteroplacental arterial and venous hemodynamics

Thuring

Maršál

Laurini

2011

The Journal of Maternal-Fetal & Neonatal Medicine

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Section: Discussionsupporting

confidence: 90%

Placental ischemia and changes in umbilical and uteroplacental arterial and venous hemodynamics

Thuring

Maršál

Laurini

2011

The Journal of Maternal-Fetal & Neonatal Medicine

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“…Villitis of unknown etiology was defined as the presence of lymphohistiocytic infiltration of varying proportions in the placental villous tree [19,74,75]. Chronic deciduitis was defined as the presence of lymphocytic infiltration into the decidua of the basal plate [76].…”

Section: Placental Examinationmentioning

confidence: 99%

Chronic inflammatory lesions of the placenta are associated with an up-regulation of amniotic fluid CXCR3: A marker of allograft rejection

Maymon

Romero

Bhatti

et al. 2018

Journal of Perinatal Medicine

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Objective: The objective of this study is to determine whether the amniotic fluid (AF) concentration of soluble CXCR3 and its ligands CXCL9 and CXCL10 changes in patients whose placentas show evidence of chronic chorioamnionitis or other placental lesions consistent with maternal anti-fetal rejection. Methods: This retrospective case-control study included 425 women with (1) preterm delivery (n = 92); (2) term in labor (n = 68); and (3) term not in labor (n = 265). Amniotic fluid CXCR3, CXCL9 and CXCL10 concentrations were determined by ELISA. Results: (1) Amniotic fluid concentrations of CXCR3 and its ligands CXCL9 and CXCL10 are higher in patients with preterm labor and maternal anti-fetal rejection lesions than in those without these lesions [CXCR3: preterm labor and delivery with maternal anti-fetal rejection placental lesions (median, 17.24 ng/mL; IQR, 6.79-26.68) vs. preterm labor and delivery without these placental lesions (median 8.79 ng/mL; IQR, 4.98-14.7; P = 0.028)]; (2) patients with preterm labor and chronic chorioamnionitis had higher AF concentrations of CXCL9 and CXCL10, but not CXCR3, than those without this lesion [CXCR3: preterm labor with chronic chorioamnionitis (median, 17.02 ng/mL; IQR, 5.57-26.68) vs. preterm labor without chronic chorioamnionitis (median, 10.37 ng/mL; IQR 5.01-17.81; P = 0.283)]; (3) patients with preterm labor had a significantly higher AF concentration of CXCR3 than those in labor at term regardless of the presence or absence of placental lesions. Conclusion: Our findings support a role for maternal antifetal rejection in a subset of patients with preterm labor.

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“…The placental pathologies that are thought to be immune mediated include villitis of unknown etiology (VUE) (17), chronic deciduitis (CD; with or without plasma cell deciduitis) (18,19), massive chronic intervillositis (20,21), maternal floor infarction (22,23), and the placental pathology associated with preeclampsia (severe and chronic placental ischemia) (24). Some of these lesions were shown to be increased in small studies of placentas from egg donor pregnancies (25,26).…”

mentioning

confidence: 99%

Placental pathology in egg donor pregnancies

Gündoğan

Bianchi

Scherjon

et al. 2010

Fertility and Sterility

109

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Chronic deciduitis in the placental basal plate: Definition and interobserver reliability

Cited by 99 publications

References 8 publications

Placental ischemia and changes in umbilical and uteroplacental arterial and venous hemodynamics

Placental ischemia and changes in umbilical and uteroplacental arterial and venous hemodynamics

Chronic inflammatory lesions of the placenta are associated with an up-regulation of amniotic fluid CXCR3: A marker of allograft rejection

Placental pathology in egg donor pregnancies

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