Chronic Inflammation Flashcards
What is the purpose of inflammation in general?
Remove cause of injury
Remove necrosis
Initiate repair
What are the following points characteristic of?
Slow onset
Macrophages/Lymphocytes/Plasma cells
Severe, progressive
Subtle signs
Chronic Inflammation
What are the following points characteristic of?
Fast onset
Neutrophils
Mild, self limiting
Prominent signs
Acute inflammation
What are the possible outcomes of acute inflammation?
Resolution
Suppuration
Organisation
Progression to chronic inflammation
What are the dominant cells in chronic inflammation?
Lymphocytes
Plasma cells
Macrophages
When does acute to chronic inflammation occur most commonly?
In suppurative acute inflammation
Granulation and fibrous tissue form and recurrent acute inflammations can lead to chronic conditions
What does ‘caseating’ mean?
Necrosis with conversion of damaged tissue into a soft substance
The macroscopic view of chronic inflammation is dependant on the disease. What are features of the microscopic view?
Cellular infiltrate of lymphs/plasma cells and macros
Exudation if fluid is not prominent
Production of new fibrous tissue
What is the general role of macrophages in chronic inflammation?
They increase inflammation and stimulate the immune system
What is the more specific role of macrophages in chronic inflammation?
Release cytokines which signal monocytes
What is leucocyte extravasion?
Monocytes enter damaged tissue from endothelium of blood vessel
What are some other roles of macrophages?
Release proteases after they decried damaged tissue
Induce cells to re-epithelialise the sound and create granulation tissue
Can hold and contain viable organisms if they cannot kill them
Produce factors that induce angiogenesis in granulation tissue
Which cell type deposits collagen in the formation of granulation tissue?
Fibroblasts
What is fibrosis?
Formation of excess fibrous connective tissue during repair of damaged tissue
What is a fibroma?
The same as fibrosis but only arises from 1 cell line