51. Ultrastructural findings of lung injury due to Vaccine-induced Immune Thrombotic Thrombo- cytopenia (VITT) following COVID-19 vaccination: a scanning electron microscopic study
- Author
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T, Congiu, D, Fanni, M, Piras, C, Gerosa, F, Cau, D, Barcellona, E, D'Aloja, R, Demontis, A, Chighine, M, Nioi, P, Coni, A, Ravarino, G, Cerrone, V, Aimola, C, Botta, A, Scano, G, Orrù, F, Coghe, P, Van Eyken, G, La Nasa, L, Saba, J S, Suri, G, Faa, and F, Marongiu
- Subjects
Male ,Fibrin ,Purpura, Thrombocytopenic, Idiopathic ,ChAdOx1 nCoV-19 ,Vaccination ,Microscopy, Electron, Scanning ,COVID-19 ,Humans ,Lung Injury ,Middle Aged ,Parenchymal Tissue - Abstract
Vaccine-induced immune thrombotic thrombocytopenia (VITT) is a rare new syndrome occurring after the ChAdOx1 nCoV-19 vaccine immunization. Patients with VITT are characterized by a variable clinical presentation, likewise also the outcome of these patients is very variable. Here we report the lung ultrastructural findings in the course of VITT of a 58-year-old male patient. Alveoli were mainly dilated, irregular in shape, and occupied by a reticular network of fibrin, while interalveolar septa appeared thickened. The proliferation of small capillaries gave rise to plexiform structures and pulmonary capillary hemangiomatosis-like features. Near the alveoli occupied by a dense fibrin network, the medium-sized arteries showed a modified wall and an intraluminal thrombus. This scenario looks quite similar to that found during COVID-19, where the lungs suffer from the attack of the antigen-antibodies complexes and the virus respectively. In both diseases, the final outcome is a severe inflammation, activation of the haemostatic system and fibrinolysis.
- Published
- 2022