chronic inflammation Flashcards
What are giant cells?
multinucleate cells via fusion of macrophages
What are langhans giant cells?
giant cells type that has nuclei arranged in horseshoe shaped pattern
how are polymorphs in acute inflammation removed?
by macrophages
what are skip lesions?
inflammation that skip parts of the bowel
common causes of cirrhosis
alcohol
fatty liver disease
infection
immunological
complications of liver cirrhosis
portal hypertension
liver failure
hepatocellular carcinoma
What are some drug causes of Chronic peptic ulcer?
NSAID
Alcohol
Cigarettes
steroids
What are some other examples of granulomatous infections?
leprosy
Syphilis
chronic fungal infections
“cat-scratch” disease
What are some unknown causes of granulomatous inflammation
Sarcoidosis
Wegener’s granulomatosis
crohn’s disease
what are the 2 main types of inflammatory bowel disease
Crohn’s disease
Ulcerative colitis
What are the 2 types of granulomas?
Foreign body granulomas - particles poorly soluble
Immune granulomas - cell mediated
What are the categories of causes for granulomatous inflammation?
Mildly irritant foreign body
Infections
unknown causes
What are the causes of Chronic peptic ulcer?
Helicobacter pylori
hyperacidity
What are the general effects of chronic inflammation?
Fibrosis
Impaired function
Atrophy
Stimulation of immune response
what are the outcomes of tuberculosis?
Arrest(Stopped progression)
Erosion into bronchus
Tuberculous empyema (collection of pus)
Erosion into blood stream
What are the types of giant cells (3)
Langhans giant cell
Foreign body type
Touton type giant cell
What are touton type giant cell?
multinucleated giant cell seen in lesions with high lipid content
What cells involved in chronic inflammation?
macrophages
lymphocytes
plasma cells
fibroblasts
What class of cytokines do macrophages produce?
IL
TNF
What factors does macrophages release to control other cells (3)
EGF (epidermal growth factor)
FGF (Fibroblast growth factor)
PDGF (platelet-derived growth factor)
What gender more affected by rheumatoid arthritis?
3:1
female:male
What histological feature is missing in gallbladder?
Muscularis mucosa
Submucosa
thyrotoxicosis (graves disease)?
autoimmune disease
enlarged thyroid
increased t4/t3 and reduced TSH
What immunological condition can lead to liver cirrhosis?
Primary biliary cholangitis