Granuloma key word-FA. Flashcards

1
Q

Which cytokine maintains granulomas in TB?

A

TNF-alpha.

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2
Q

Which cytokine activates macrophages

to induce granuloma formation?

A

Interferon-gamma released by Th1 cells.

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3
Q

What do we give for the treatment of chronic granulomatous disease?

A

Interferon-gamma.

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4
Q

People with chronic granulomatous disease (NADPH

oxidase deficiency) have recurrent infections with _________________.

A

People with chronic granulomatous disease (NADPH

oxidase deficiency) have recurrent infections with certain catalase ⊕ organisms.

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5
Q

______________ is an intrauterine infection caused by listeria monocytogenes with a high fetal or neonatal mortality but a very low mortality for the mother.

A

Granulomatosis infantseptica.

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6
Q

How does Cord factor work in TB?

A

Cord factor creates a “serpentine cord”
appearance in virulent M tuberculosis strains;
activates macrophages (promoting granuloma
formation) and induces release of TNF-α.

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7
Q

Caseating granulomas with central necrosis

and Langhans giant cell are characteristic of primary/secondary tuberculosis.?

A

Secondary.

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8
Q

Chronic Granulomas are seen in?

A

Chronic Granulomas are gummas that are seen in tertiary syphilis.

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9
Q

Caseating Granulomas are seen in?

A

TB, Systemic Mycosis, Nocardia

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10
Q

Noncaseating granulomas are seen in

A

Brucella, sarcoidosis, Berryolosis (Exposure common in aerospace people)

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11
Q

Which fungus presents as formation of granulomatous nodules?

A

Blastomycosis.

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12
Q

Why would Asperigillus Fumigatus cause chronic granulomatous disease in a person?

A

Due to neutrophil dysfunction

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13
Q

Granulomatous infections are characterized by ________ calcification.

A

Dystrophic.

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14
Q

Why do we always test for Latent TB before starting Anti-TNF therapy?

A

Anti-TNF therapy can cause sequestering granulomas to break down————>disseminated disease.

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15
Q

Which parasitic infections results in granuloma formation?

A

Schistosomiasis.

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16
Q

Rheumatic Fever and granuloma formation?

A

Associated with Aschoff bodies (granuloma with

giant cells)——> On heart biopsy.

17
Q

Focal Granulomatous inflammation?

A

Giant Cell Arteritis.

18
Q

Granulomatous thickening and narrowing of

aortic arch and proximal great vessels?

A

Takayasu Arteritis.

19
Q

Necrotizing granulomas in lung and upper

airway?

A

> Granulomatosis with polyangiitis (Wegener)
Upper respiratory tract: perforation of nasal
septum, chronic sinusitis, otitis media,
mastoiditis.
Lower respiratory tract: hemoptysis, cough,
dyspnea

20
Q

Granulomatous inflammation of thyroid?

A

Subacute granulomatous thyroiditis (de Quervain)

Increased ESR, Jaw claudication

21
Q

IBS—>Noncaseating granulomas and lymphoid
aggregates. Th1 mediated.

Is it Crohn’s or UC?

A

Crohn’s disease.

22
Q

Polypoid lobulated capillary hemangioma, what is it called?

A

Pyogenic Granuloma?

23
Q

Xanthogranulomatous pyelonephritis (Orange Nodules)

A

characterized by widespread kidney damage due to granulomatous tissue containing foamy macrophages. Associated with Proteus infection.

24
Q

Pulmonary Langerhans cell histiocytosis (eosinophilic granuloma)—–> cause restrictive/obstructive lung disease?

A

RESTRICTIVE.