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Histology - MOD2 - Inflammation
pgs 100-105
21
Histology
Professional
10/11/2010

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Term
acute inflammation classic signs
Definition
heat (vascular dilation)

Redness (vascular dilation)

Swelling (exudate)

Pain

Loss of function
Term
acute inflammation consists of
Definition
vsodilatio
increased permeability of vessels
leukocyte margination (diapedesis)
phagocytosis
Term
transudate
Definition
low protein (mostly albumin) ultrafiltrate of blood plasma

it is a fluid

results from hydrostatic alterations aross vascular wall
Term
exudate
Definition
escape of fluids

proteins and cells from vascular channels leave vessels

inflammatory response
Term
accumulation of a transudate (non-inflammatory) or an exudate (inflammatory) =
Definition
edema
Term
hallmark of acute inflammation
Definition
neutrophils
Term
chronic inflammation
Definition
2nd week and beyond following injury

consists of...

continued recruitment of monocytes
local proliferation of macs, fibroblasts and small blood vessels
influx of lymphocytes, plasma cells and eosinophils
Term
hallmark of chronic inflammation
Definition
lymphocytes
Term
chronic infla simultaneously involves ...
Definition
active inflammation, tissue destruction and tissue repair
Term
mast cells
Definition
release histamine when activated by initial damage to tissue site

histamine widens spaces btwn endothelial cells of capillaries making them leaky

NOT derived from basophils (even though they have similar structure and function)

NOT present in circulating blood (prominent around smaller blood vessels and epithelia exposed to ext. environment)

surface receptors for IgE
Term
mast cells characterized by
Definition
heparin (glycoprotein - metachromatic staining)

histamine and other inflammation mediators (SRS-A)
Term
neutrophils
Definition
50-70% of WBCs = largest percentage

attracted to pathogens and damaged cells/tissues

this activity is called chemotaxis

love opsonized pathogens

have surface receptors for IgG and complement

produce 3 different cytoplasmic granules (azurophilic, neutrophilic/specific, tertiary)

contain abundant glycogen - anaerobic

short lived (3-4 days)

form pus
Term
macrophages
Definition
derived from circulating monocytes

possess surface receptors for Igs and complement

can be attracted to sites of inflammation

activated macs become large and rounded = epithelioid (look like epithelial cells)

may fuse to create giant multi-nucleated cells (Langhan's cells)

professional APCs
Term
lymphocytes
Definition
you know this goddammit
Term
eosinohils
Definition
seen within connective tissues, rarely in circulation

involved in limited phagocytic activity (antigen-antibody complexes only) and in attacking parasites (only worms)

have receptors for IgE (not on neutrophils) and complement

attack larger parasites (worms) by release of granules whole, next to parasite

produce two different types of granules
1. primary nonspecific (lysosome)
2. secondary/specific (hydrolytic enzymes histaminase, major basic [alkaline] protein)

may play role in would healing (regulate ECM)
Term
basophils
Definition
have receptors for IgE

fast granule release (hypersensitivity)

respond to T-lymphocyte signals --> slow granule release --> cutaneous hypersensitivity

produce cytoplasmic granules containing...
heparin
histamine
eosinophil chemotaxic factor (ECF-A)
Term
wound healing (4th day and beyond)
Definition
repair begins early

necrotic debris phagocytosed

fibroblasts and vascular endothelial cells proliferate at site of injury (3-5 days) ---> granulation tissue
Term
granulation tissue
Definition
tissue that was targeted during inflammation

edematous

contactile (myofibroblasts)

end result = scar = fibrocytes, dense collagen/elastic fibers, ECM and few blood vessels
Term
wound healing
Definition
granulation tissue

primary union (clean incision)

secondary union (large tissue defect)
Term
remodeling
Definition
eventually granulation tissue is eliminated

tensile strength of tissue increases VERY SLOWLY, may never exceed 70-90% of its original strength

end result = scar = fibrocytes, dense collagen/elastic fibers, ECM and few blood vessels
Term
scar
Definition
fibrocytes, dense collagen/elastic fibers, ECM and few blood vessels
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