Inflammatory Disease of Lymph Nodes Flashcards

1
Q

Where do all lymphoid cells originate?

A

In the Bone Marrow

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2
Q

What type of cells are found in the Superficial cortex/ Cortical Area?

A

Predominantly B cells - Humoral immunity:
antibody-mediated
response

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3
Q

Fill in the blanks. “ Primary follicles
become secondary
follicles when
stimulated by ___________.”

A

Antigens

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4
Q

Lymphoid follicles with
their germinal centres are found in which are of the lymph node?

A

Superficial cortex/ Cortical Area

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5
Q

What type of cells are found in the Deep Cortex / Paracortical Area?

A
  • Predominantly T-cells
    *Postcapillary venules and
    interdigitating cells
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6
Q

What is the name given to the site of lymphocytic migration from the blood into lymphocytic tissue?

A

Post-capillary Venules

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7
Q

What is the main site of Plasma Cell proliferation, differentiation and production of antibodies?

A

Medulla / Medullary Area

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8
Q

What type of cells are found in the Medulla/ Medullary Area?

A
  • Lymphocytes
  • Plasmacytoid
    lymphocytes
  • Plasmablasts and
    mature plasma cells in varying proportions
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9
Q

What type of cells are found in the Sinuses of lymph nodes?

A

Active macrophages & Histicoytes

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10
Q

What is the function of the sinuses of lymph nodes?

A

Transport lymph fluid from the
afferent lymphatics through the
lymphoid parenchyma into the
efferent lymphatics in the lymph
node hilus.

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11
Q

What is the main route for incoming lymphocytes?

A

Blood Vessels

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12
Q

What is lymphadenopathy?

A

Disease or swelling of the
lymph nodes.

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13
Q

What are the causes of lymphadenopathy?

A
  • M- alignancy
  • I - nfection
  • A - utoimmune
  • M - iscellaneous
  • I - atrogenic
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14
Q

What are the causes of Follicular Hyperplasia?

A
  • Rheumatoid arthritis
  • Syphilis
  • Toxoplasmosis
  • HIV infection
  • Castleman disease
    (giant lymph node hyperplasia)
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15
Q

What are the types of HIV - Associated Lymphadenopathy?

A
  • Explosive Follicular Hyperplasia(Pattern A- Acute)
  • Mixed (Pattern B- Chronic)
  • Follicular Involution
    (Pattern C- Burned-out pattern; Lymphocyte Depletion)
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16
Q

What are the characteristic features of Explosive follicular Hyperplasia - HIV Lymphadenitis?

A

*Early changes – Explosive follicular hyperplasia.

  • Serpentine/ dumbbell-shaped
  • Contains tingible-body macrophages, plasma cells
17
Q

What type of cells are proliferated in Castleman Disease?

A

B - Cells

18
Q

True or False?Castleman Disease is a Malignant lympoproliferative disorder.

A

FALSE!!! It is a non-malignant lymphoproliferative disorder

19
Q

What are the three histological subtypes of Castleman disease?

A
  1. Hyaline vascular - localized, mediastinal, self- limiting
  2. Plasma cell - Generalized, systemic symptoms (fever,
    increased ESR & gamma- globulins, anaemia.
  3. Mixed Hyaline vascular and Plasma Cell.
20
Q

What are the causes of Diffuse/ Paracortical Hyperplasia?

A
  • Postvaccinial lymphadenitis
  • Infectious mononucleosis
  • Herpes zoster lymphadenitis
  • Cytomegalovirus lymphadenitis
  • Dilantin hypersensitivity
21
Q

What are the clinical features associated with Postvaccinial lymphadenitis?

A
  • Increased immunoblasts– mottled appearance
  • Vascular proliferation
  • Sinusoidal congestion
  • Plasma cells, eosinophils, mast cells
22
Q

Infectious Mononucleosis is caused by what virus?

A

Epstein-Barr Virus (EBV)

23
Q

What type of cells are found in Infectious Mononucleosis?

A
  • Transformed cells (atypical lymphocytes)
  • Peripheral blood
  • Lymph node
  • Reed-Sternberg-like giant cells
24
Q

What are the drug interactions associated with Inflammatory diseases of the Lymph nodes?

A
  • Phenytoin (Dilantin)
  • Allopurinol
  • Atenolol
  • Penicillin (antibiotics)
  • Gold
25
Q

What is the name given to Sinus histiocytosis with massive
lymphadenopathy (SHML)?

A

Rosai-Dorfman disease

26
Q

Which pathology is associated with a ‘ ‘Bull neck ‘appearance?

A

Sinus histiocytosis with massive
lymphadenopathy (SHML) - Rosai-Dorfman disease

27
Q

True or False? Sinus histiocytosis with massive
lymphadenopathy (SHML) - Rosai-Dorfman disease is self limiting and associated with Increased Gamma - Globulins.

A

TRUE!!

28
Q

What are the histological features of Rosai-Dorfman disease?

A
  • Sinusoidal distention with histiocytes
  • Histiocytic engulfment of lymphocytes
    (Emperipolesis)
  • Medullary plasma cell infiltration
  • Capsular fibrosis
29
Q

What are the different types of Mixed (combination) Hyperplasia?

A
  • Toxoplasmosis lymphadenitis
  • Dermatopathic lymphadenitis
  • Histiocytic necrotizing lymphadenitis
    (Kikuchi-Fujimoto disease)
  • SLE
  • Granulomatous lymphadenitis
  • Necrotizing – Cat scratch, LGV, Yersinia
  • Non-necrotizing – Sarcoidosis
  • Mucocutaneous lymph node syndrome
    (Kawasaki disease)
30
Q

What is the definitive host for Toxoplasma gondii?

A

Cats or other warm-blooded animals.

31
Q

What is the characteristic triad of Toxoplasmosis lymphadenitis?

A
  1. Reactive
    follicular
    hyperplasia.
  2. Monocytoid B
    cell reaction (pale-
    staining areas
    around follicles).
  3. Epithelioid
    histiocytic
    aggregates
32
Q
A
33
Q
A