Successful Lung Transplantation for Pulmonary Disease Associated With Erdheim– Chester Disease Kohei Hashimoto, MD, Kentaroh Miyoshi, MD, Hisao Mizutani,

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Successful Lung Transplantation for Pulmonary Disease Associated With Erdheim– Chester Disease Kohei Hashimoto, MD, Kentaroh Miyoshi, MD, Hisao Mizutani, MD, Shinji Otani, MD, Seiichiro Sugimoto, MD, Masaomi Yamane, MD, Takahiro Oto, MD The Annals of Thoracic Surgery Volume 104, Issue 1, Pages e13-e15 (July 2017) DOI: 10.1016/j.athoracsur.2017.02.020 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest computed tomography scan showing a diffuse lung injury causing a refractory pneumothorax. The Annals of Thoracic Surgery 2017 104, e13-e15DOI: (10.1016/j.athoracsur.2017.02.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Magnifying glass view showing thickened pleura and destructive changes in the lung parenchyma (hematoxylin and eosin). (B) High-power view of thickened pleura showing collagenous fibrosis and massive infiltration of aggressive histiocytes (hematoxylin and eosin) that are (C) CD68-positive and (D) CD1a-negative on immunohistochemistry staining. The Annals of Thoracic Surgery 2017 104, e13-e15DOI: (10.1016/j.athoracsur.2017.02.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Chest radiography 5 years after transplant showing no lung allograft infiltration. The Annals of Thoracic Surgery 2017 104, e13-e15DOI: (10.1016/j.athoracsur.2017.02.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions