Outcomes of Acute and Chronic Inflammation

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Questions and Answers

Which factor is NOT considered to affect the outcome of acute inflammation?

  • Host responsiveness
  • Duration of symptoms (correct)
  • The nature of injury
  • Intensity of injury

When does complete resolution of acute inflammation typically occur?

  • When there is extensive tissue destruction
  • When there is abundant fibrin exudation
  • When tissue regeneration is not possible
  • When the injury is limited or short-lived (correct)

What is the process called when inflammatory exudates are resolved by fibrosis?

  • Reintegration
  • Integration
  • Reconstruction
  • Organization (correct)

What type of tissues typically heal via connective tissue replacement or fibrosis?

<p>Tissues that are incapable of regeneration (A)</p> Signup and view all the answers

Which outcome of acute inflammation is likely when the parenchymal cells can regenerate?

<p>Complete resolution (C)</p> Signup and view all the answers

What are foreign body granulomas primarily incited by?

<p>Particulates that cannot be readily phagocytosed (D)</p> Signup and view all the answers

Which of the following diseases is not listed as an infectious cause of granulomatous inflammation?

<p>Systemic lupus erythematosus (A)</p> Signup and view all the answers

Which type of granuloma is characterized by central caseous necrosis?

<p>Immune granuloma (B)</p> Signup and view all the answers

What is the primary role of IFN-γ in immune granuloma formation?

<p>Promoting macrophage transformation into epithelioid cells (D)</p> Signup and view all the answers

What is a common systemic effect associated with inflammation known as?

<p>Acute phase response (A)</p> Signup and view all the answers

Which cytokine is primarily responsible for stimulating the production of fever-inducing prostaglandins in the hypothalamus?

<p>IL-1 (A)</p> Signup and view all the answers

What is the effect of aspirin in the context of an acute phase response?

<p>Blocks prostaglandin synthesis to reduce fever (A)</p> Signup and view all the answers

What primarily leads to the transition from acute to chronic inflammation?

<p>Interference with healing or persistence of the injurious agent (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of chronic inflammation?

<p>Temporary reduction of tissue damage (D)</p> Signup and view all the answers

What is a common cause of chronic inflammation related to autoimmunity?

<p>Prolonged exposure to environmental allergens (A)</p> Signup and view all the answers

Which morphological feature is indicative of granulomatous inflammation?

<p>Presence of epithelioid macrophages (B)</p> Signup and view all the answers

Which of the following factors is a potential source of chronic inflammation?

<p>Continuous exposure to exogenous toxic substances (D)</p> Signup and view all the answers

What best describes chronic non-specific inflammation?

<p>A general inflammatory response without a defined cause (D)</p> Signup and view all the answers

In chronic inflammation, angiogenesis refers to:

<p>The development of new blood vessels (A)</p> Signup and view all the answers

Which of the following describes the role of macrophages in chronic inflammation?

<p>They contribute to tissue destruction and repair simultaneously (C)</p> Signup and view all the answers

Flashcards

Complete Resolution of Acute Inflammation

Complete restoration of the site of acute inflammation to normal, involving the removal of cellular debris and microbes by macrophages, and resorption of edema fluid by lymphatics.

Healing by Connective Tissue Replacement (Fibrosis)

The outcome of acute inflammation when there is substantial tissue destruction, tissues incapable of regeneration or abundant fibrin exudation.

Organization of Inflammatory Exudates

The process of resolution of inflammatory exudates by fibrosis, where connective tissue grows into the area of damage or exudate, converting it into a mass of fibrous tissue.

Non-specific Chronic Inflammation

A type of chronic inflammation characterized by the accumulation of macrophages and lymphocytes.

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Granulomatous Inflammation

A specific type of chronic inflammation characterized by the formation of granulomas, which are collections of macrophages and other cells that surround a central core of foreign material.

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Chronic Inflammation

Prolonged inflammation lasting weeks or months, involving simultaneous inflammation, tissue destruction, and healing processes.

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Chronic Non-specific Inflammation

A type of chronic inflammation where the accumulation of macrophages and lymphocytes is the dominant feature, without the formation of granulomas.

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Progression to Chronic Inflammation

The process of switching from acute inflammation to chronic inflammation, often triggered by persistent stimuli or a failure to resolve the initial inflammatory response.

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Chronic Inflammation due to Persistent Stimuli

Chronic inflammation arising from repeated bouts of acute inflammation, or sustained exposure to a persistent irritant.

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Chronic Inflammation due to Persistent Infection

Chronic inflammation arising from a persistent infectious agent, such as certain bacteria or viruses, that continuously triggers the immune response.

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Chronic Inflammation due to Hypersensitivity

Chronic inflammation arising from hypersensitivity reactions, such as autoimmune diseases, where the immune system attacks the body's own tissues.

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Chronic Inflammation due to Toxic Exposures

Chronic inflammation arising from prolonged exposure to harmful substances in the environment or within the body, like silica dust or high levels of lipids.

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What is an immune granuloma?

An immune response to persistent antigens, involving macrophage transformation to epithelioid cells and multinucleated giant cells, often with central caseous necrosis. The prototypical example is a tubercle formed by the tuberculosis bacillus.

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What are foreign body granulomas?

A buildup of macrophages and lymphocytes that form small, nodular structures to encapsulate foreign bodies, like sutures or talc, that cannot be easily phagocytosed by a single macrophage.

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Define granulomatous inflammation.

The formation of granulomas, which are collections of macrophages and other immune cells that wall off persistent antigens or foreign material. It's a common feature of chronic inflammation.

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What is the acute phase response?

A systemic response to inflammatory stimuli, involving fever, increased acute-phase protein production, and other systemic changes. It's the body's way of fighting serious infection or injury.

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How does the body manifest an acute phase response?

The systemic response to inflammation, including fever, changes in blood protein production, and altered immune function. It's essentially the body's overall reaction to an inflammatory event.

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What are pyrogens?

Substances that induce prostaglandin synthesis in the hypothalamus, leading to fever. They trigger the body's temperature control center to increase heat.

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What are acute-phase proteins?

A group of plasma proteins, mainly produced by the liver, that increase significantly in response to inflammation. They're part of the body's complex strategy to combat infection or injury.

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Study Notes

Outcomes of Acute Inflammation

  • Acute inflammation outcomes can be complete resolution, healing by connective tissue replacement, or progression to chronic inflammation
  • Acute inflammation outcome depends on injury nature, intensity, tissue involved and host response
  • Complete resolution occurs when injury is limited, tissue destruction is minimal and damaged cells can regenerate. This happens through removal of cellular debris, microbes, and edema fluid by macrophages and lymphatic drainage.
  • Healing by connective tissue replacement (fibrosis) happens when substantial tissue destruction occurs, or tissues unable to regenerate are injured (e.g., burns, serious infections)
  • Progression to chronic inflammation results from persistent injurious agents or interference with normal healing processes
  • Factors affecting outcome are injury nature, severity, tissue involved and host response

Outcomes of Chronic Inflammation

  • Chronic inflammation is a prolonged process characterized by inflammation, tissue destruction and healing simultaneously.
  • It can stem from persistent infection or an inciting stimulus or repeated acute inflammation attacks
  • Persistent infection by intracellular microbes, hypersensitivity diseases and prolonged exposure to toxic substances are among the causes of chronic inflammation

Granulomatous Inflammation

  • Granulomatous inflammation is a unique type of chronic inflammation, involving a focal accumulation of activated macrophages (granulomas)
  • Macrophages enlarge and flatten in this type, often surrounded by a collar of lymphocytes
  • It can be caused by infectious agents (tuberculosis, leprosy) or inflammatory agents (temporal arteritis) or inorganic materials (silica)
  • Often includes multinucleated giant cells and possible central necrosis, particularly of infectious origin

Systemic Effects of Inflammation

  • Systemic changes from inflammation (acute phase response or systemic inflammatory response syndrome (SIRS)) are characterized by the body's response to cytokines produced by bacterial products, or other inflammatory stimuli.
  • Fever, resulting from pyrogens that raise the hypothalamus' temperature set point, is a clinical manifestation.
  • Acute phase proteins (e.g., CRP, fibrinogen, SAA) have increased production, binding to microbial walls, and acting as opsonins
  • Increased inflammatory response can also lead to leukocytosis (excess white blood cells), increased erythrocyte sedimentation rate (ESR), and other symptoms.

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