Chronic Inflammation in Pathology

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12 Questions

What is a common outcome of acute inflammation if the causative agent persists or recurs?

Chronic inflammation

Which type of chronic inflammation is characterized by a specific microscopic feature, regardless of the cause?

Non-specific chronic inflammation

What is the term for a type of chronic specific inflammation characterized by a collection of epitheliod cells, lymphocytes, plasma cells, and giant cells?

Granuloma

What is the characteristic feature of Langhans giant cells?

Nuclei arranged in a horse-shoe pattern

What is the main difference between chronic and acute inflammation?

Duration of inflammation

What is the term for a type of giant cell that forms in response to a foreign body?

Foreign body giant cell

What is the primary function of neutrophils in acute inflammation?

Phagocytosis of microorganisms

Which type of granuloma is associated with unknown causes?

Sarcoidosis

What type of cells are involved in chronic inflammation?

Lymphocytes and plasma cells

What is the characteristic cell of allergic and parasitic inflammation?

Eosinophil

What is the process by which giant cells are formed?

Fusion of histiocytes and monocytes

What is the primary function of histiocytes in inflammation?

Phagocytosis of microorganisms

Study Notes

Chronic Inflammation

  • Chronic inflammation occurs when the causative agent persists or recurs, or if the body's resistance is low.
  • It can also start as a chronic condition from the beginning, e.g. Tuberculosis.

Characters of Chronic Inflammation

  • Vasodilation
  • Fluid exudate
  • Tissue necrosis and Fibrosis

Types of Chronic Inflammation

Non-Specific Chronic Inflammation

  • Usually follows acute inflammation, forming chronic abscesses and chronic pyelonephritis.
  • Characterized by chronic inflammatory cells, fibrosis, and vascular thickening, regardless of the cause.

Specific Chronic Inflammation (Granuloma)

  • Definition: A collection of epithelioid cells (specialized macrophages), lymphocytes, plasma cells, and giant cells.
  • Types of granuloma:
    • Infective granuloma (e.g. Bilharziasis, Tuberculosis, Histoplasmosis, Leprosy)
    • Foreign body granuloma
    • Unknown cause (e.g. Sarcoidosis)
    • Giant cell types: Langhans giant cells, Foreign body giant cell

Cells Involved in Inflammation

Acute Inflammation

  • Neutrophils (leukocytes)
  • Histiocyte
  • Monocyte

Chronic Inflammation

  • B-lymphocyte
  • T-lymphocyte
  • B-lymphocytes forming plasma cells that produce immunoglobulins
  • Eosinophils (seen in allergic and parasitic inflammation)
  • Basophils (seen in allergic reactions)
  • Mast cells

Functions of Cells

  • Neutrophils: Phagocytosis of microorganisms in acute inflammation
  • Eosinophils: Seen in allergic and parasitic inflammation
  • Giant cells: Formed by fusions of histiocytes and monocytes or repeated nuclear division without cytoplasmic division.

Learn about the causes and characteristics of chronic inflammation, including its relationship to acute inflammation and the role of the causative organism.

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