KROK 1 Stomatology 2016 – Question 134 · KROK (Dentistry)

An autopsy is performed on the body of a 58-year-old woman, who suffered from diabetes mellitus. On histological examination of kidneys the following was revealed: segmental homogenous oxyphilic deposits are detected in the glomeruli; arteriole walls are diffusely thickened, homogenous, oxyphilic. Diagnose the morphologic changes that occurred in the renal glomeruli and vessels:

  1. A. Mucoid degeneration
  2. B. Hyaline droplet degeneration
  3. C. Hyalinosis
  4. D. Fibrinoid degeneration
  5. E. Amyloidosis
Hint

Consider which stromal-vascular change is typical of diabetic microangiopathy, and distinguish deposits in vessel walls from intracellular protein changes and from Congo red-positive material.

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