Demyelinating Disease Flashcards

1
Q
A

Multiple sclerosis pattern of plaque deposition

Classically periventricular and perivenular

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2
Q

In PML, affected oligodendrocytes will also express. . .

A

. . . TP53 and Ki67

Making them look malignant! They can even have a dysplasia-like atypia in addition to the classic JC morphology, shown here

SV40 clinches the diagnosis

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3
Q
A

Amyloid angiopathy

Confirm with Congo red

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4
Q

Perivenular dymelination DDx

A

MS
NMO
ADEM

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5
Q

Acute vs chronic demyelinating lesions on histology

A

Acute lesions have much larger infiltrates of macrophages and lymphocytes

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6
Q

The presence of eosinophils in the inflammatory infiltrate of a demyelinating lesion suggests. . .

A

NMO

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