Chronic Inflammation 1 Flashcards
Define chronic inflammation.
Inflammation in which the cell population is especially lymphocytes, plasma cells, macrophages. It involves tissue damage (necrosis) and loss of function. It is longer term in comparison with acute inflammation.
How can chronic inflammation arise?
Following ongoing acute inflammation.
Arises as primary pathology.
What are the clinical presentations of chronic inflammation?
Often no specific sore bit.
Malaise and weight loss.
Loss of function.
Describe organisation as an outcome of acute inflammation.
Granulation tissue formation leading to fibrosis and scar formation.
Describe the steps leading to granulation tissue formation.
Capillaries grow into inflammatory mass, access of plasma proteins, macrophages from blood and tissue, fibroblasts lay down collagen to repair damaged tissue, collagen replaces inflammatory exudate.
What is the function of granulation tissue?
Patches tissue defects.
Replaces dead or necrotic tissue.
Contracts and pulls skin together.
What is the products of granulation tissue?
Scar (fibrous tissue).
Give an example of where fibrosis is a problem.
Adhesions between loops of bowl following peritonitis.
What is acne an example of?
Chronic inflammation.
Give more examples of chronic inflammation.
Cholecystitis, peptic ulcers, osteomyelitis.
Give examples of things that cause primary chronic inflammation.
Autoimmune diseases, material resistant to digestion, exogenous substances, endogenous substances.
What is autoimmune disease?
Autoantibodies directed against own cell and tissue components (autoantigens), they destroy tissues/organs/cells and can cause chronic inflammation.
Give examples of materials resistant to digestion that would cause primary chronic inflammation.
Mycobacteria, Brucella, viruses, cell walls resistant to enzymes.
Give examples of exogenous substances that would cause primary chronic inflammation.
Sutures, metal and plastic, e.g. joint replacement, mineral crystals, glass
Give examples of endogenous substances that would cause primary chronic inflammation.
Necrotic tissue, keratin, hair (all not easily phagocytosed).