Case Series


Bone metaplasia with functional bone marrow in arterial calcification of two autopsied patients

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1 General Pathology Discipline, Federal University of Triângulo Mineiro (UFTM), Uberaba, Minas Gerais, Brazil

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Mara Lúcia da Fonseca Ferraz

General Pathology Discipline, Federal University of Triângulo Mineiro, Avenida Frei Paulino, n. 30, Bairro Abadia, CEP: 38025-180, Uberaba, Minas Gerais,

Brazil

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Article ID: 101105Z01MG2020

doi: 10.5348/101105Z01MO2020CS

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How to cite this article

Oliveira MS, Torquato BGS, dos Reis Monteiro MLG, Rezende IPB, Dutra JNS, da Fonseca Ferraz ML. Bone metaplasia with functional bone marrow in arterial calcification of two autopsied patients. Int J Case Rep Images 2020;11:101105Z01MG2020.

ABSTRACT


Osteoid metaplasia with functioning marrow is a rare pathological process in arterial calcifications, associated to the asymptomatic development of atherosclerotic plaques. Objective: To describe morphological aspects of bone metaplasia in arterial calcifications and its pathogenesis in two cases. Macroscopic examination of iliac arteries was performed and fragments of approximately 2 cm of the right and left iliac arteries were collected for microscopic analysis of atherosclerosis. These fragments were processed histologically and stained with hematoxylin and eosin (HE). A pronounced atherosclerosis, characterized by diffuse atheroma plaques and foci of calcifications, was evidenced. In both cases, in intima layer of atherosclerotic plaque in right iliac artery, a dilatation, and the presence of bone metaplasia with bone trabeculae, calcifications, and functioning bone marrow with red blood cells and megakaryocytes were observed. Due to the rarity of this lesion, its description allows better characterization of morphological data and pathogenesis.

Keywords: Autopsy, Bone marrow, Calcinosis, Iliac artery

SUPPORTING INFORMATION


Acknowledgments

Financial Support: Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), and Fundação de Ensino e Pesquisa de Uberaba (FUNEPU).

Author Contributions

Mariana Silva Oliveira - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Bianca Gonçalves Silva Torquato - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Maria Luiza Gonçalvesdos Reis Monteiro - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Ian Pedro Borges Rezende - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Júlia Neves Silva Dutra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Mara Lúcia da Fonseca Ferraz - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Mariana Silva Oliveira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.