KROK 1 Stomatology 2016 – Question 198 · KROK (Dentistry)
A 30-year-old man addressed a doctor with complaints of enlarged submandibular lymph nodes. Anamnesis states that the patient previously had been treated for acute apical periodontitis of the 36th and 46th teeth. Histologically the following could be detected in the removed lymph node: hyperemia, edema, increased amount of plasmocytes and plasmablasts in the medullary area and germinal centers of follicles. What can cause such changes in lymph nodes?
- A. Immunodeficiency state
- B. Lymphoma
- C. Granulomatous inflammation
- D. Antigenic stimulation
- E. Metastasis of a malignant tumor
Hint
Connect the odontogenic infection draining to these nodes with the cells that are proliferating in the follicles and medullary cords.
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