%0 Journal Article %T Discordance of Twin Placentas for Multifocal Eosinophilic/T %A Erik W Nohr %A James R Wright %J Pediatric and Developmental Pathology %@ 1615-5742 %D 2019 %R 10.1177/1093526618783256 %X Eosinophilic/T-cell chorionic vasculitis (ETCV) is an idiopathic placental lesion characterized by chorionic vasculitis composed predominantly of eosinophils and CD3+ T lymphocytes. It usually presents as a unifocal lesion, but a subset have multifocal involvement. We report 4 Di-Di and 2 Di-Mo twins sharing fused placental discs with discordant circulatory involvement by multifocal ETCV. The findings are difficult to explain by sampling alone. The limitation of ETCV to 1 fetus¡¯s vascular territory in monozygotic twin pregnancies is difficult to explain but could provide insights into the fetal immune system and the etiology of ETCV %K eosinophilic/T-cell chorionic vasculitis %K inflammation %K monochorionic %K multifocal %K placenta %K twin pregnancy %U https://journals.sagepub.com/doi/full/10.1177/1093526618783256