Abstract
Hyperplasia is the commonest form of histological abnormality which occurs in the carotid body, with the exception of chronic carotid glomitis (see Chapter 6). It is associated with a diversity of diseases, including pulmonary emphysema, bronchial asthma and systemic hypertension, but the underlying cause of hyperplasia in all of them is probably hypoxaemia. Hyperplasia may be suspected on naked-eye examination at necropsy but it has to be confirmed by microscopy. Unequivocal proof that glomic cells have proliferated is obtained by using morphometric techniques to determine the total number of cells present and comparing this figure with that from normal organs, as outlined in Chapter 3. This is a very time-consuming procedure suitable only for research projects on a limited number of cases. A less arduous and more rapid technique is a differential count of the various types of cell present, which may suggest rather than prove the existence of hyperplasia. Even a purely qualitative examination of the characteristic histological changes of carotid body hyperplasia may suggest the condition to the practised eye.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aherne WA, Dunnill MS (1982) Morphometry. Edward Arnold, London, p 163
Arias-Stella J, Valcarcel J (1973) The human carotid body at high altitudes. Pathol Microbiol 39: 292–297
Arias-Stella J, Valcarcel J (1976) Chief cell hyperplasia in the human carotid body at high altitudes. Physiologic and pathologic significance. Hum Pathol 7: 361–376
Bencini A (1970) Reduction of reflex bronchotropic impulses as a result of carotid body surgery. Int Surg 54: 415–423
Bencini C, Pulera N (1991) The carotid bodies in bronchial asthma. Histopathology 18: 195–200
Bradley C, Fleetham J, Anthonisen N (1979) Ventilatory control in patients with hypoxaemia due to obstructive lung disease. Am Rev Respir Dis 120: 21–30
Edwards C, Heath D, Harris P (1971) The carotid body in emphysema and left ventricular hypertrophy. J Pathol 104: 1–13
Eyzaguirre C, Zapata P (1984) Perspectives in carotid body research. J Appl Physiol 57: 931–957
Fitch R, Smith P, Heath D (1985) A quantitative study of nerve axons in carotid body hyperplasia. Arch Pathol Lab Med 109: 234–237
Flenley D (1986) Long term oxygen therapy and the pulmonary circulation. In: Heath D (ed) Aspects of hypoxia. Liverpool University Press, Liverpool, pp 45–59
Flenley D, Franklin D, Millar J (1970) The hypoxic drive to breathing in chronic bronchitis and emphysema. Clin Sci 38: 503–518
Habeck J-O (1986) Morphological findings at the carotid bodies of humans suffering from different types of systemic hypertension or severe lung diseases. Anat Anz Jena 162: 17–27
Habeck J-O, Waller H, Protze J (1983) Pathological alterations of the arterial vessels of the carotid bodies in hypertensive humans. Dt Gesundh-Wesen 38: 1970–1972
Harris P, Heath D (1986) The influence of hypertensive pulmonary vascular disease on the natural history of patients with congenital cardiac shunts. In: The human pulmonary circulation, 3rd edit. Churchill Livingstone, Edinburgh, pp 308–328
Heath D, Edwards C, Harris P (1970) Post-mortem size and structure of the human carotid body. Its relation to pulmonary disease and cardiac hypertrophy. Thorax 25: 129–140
Heath D, Smith P, Jago R (1982) Hyperplasia of the carotid body. J Pathol 138: 115–127
Heath D, Smith P, Jago R (1984) Dark cell proliferation in carotid body hyperplasia. J Pathol 142: 39–49
Hurst G, Heath D, Smith P (1985) Histological changes associated with ageing of the human carotid body. J Pathol 147: 181–187
Jago R, Smith P, Heath D (1984) Electron microscopy of carotid body hyperplasia. Arch Pathol Lab Med 108: 717–722
Khan Q, Heath D, Smith P (1988a) Anatomical variations in human carotid bodies. J Clin Pathol 41: 1196–1199
Khan Q, Heath D, Smith P, Norboo T (1988b) The histology of the carotid bodies in highlanders from Ladakh. Int J Biometeorol 32: 254–259
Lack EE (1977) Carotid body hypertrophy in patients with cystic fibrosis and cyanotic congenital heart disease. Hum Pathol 8: 39–51
Lack EE, Perez-Atayde AR, Young JB (1985) Carotid body hyperplasia in cystic fibrosis and cyanotic heart disease. A combined morphometric, ultrastructural, and biochemical study. Am J Pathol 119: 301–314
McDonald DM, Mitchell RA (1975) The innervation of glomus cells, ganglion cells and blood vessels in the rat carotid body: a quantitative ultrastructural analysis. J Neurocytol 4: 177–230
Smith P, Jago R, Heath D (1982) Anatomical variation and quantitative histology of the normal and enlarged carotid body. J Pathol 137: 287–304
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag London Limited
About this chapter
Cite this chapter
Heath, D., Smith, P. (1992). Carotid Body Hyperplasia. In: Diseases of the Human Carotid Body. Springer, London. https://doi.org/10.1007/978-1-4471-1874-9_10
Download citation
DOI: https://doi.org/10.1007/978-1-4471-1874-9_10
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1876-3
Online ISBN: 978-1-4471-1874-9
eBook Packages: Springer Book Archive