KROK 1 2013 – Question 42 · KROK (Medicine) · Pathomorphology
A male patient is 28 years old. Histological study of a cervical lymph node revealed a change of its pattern due to the proliferation of epithelioid, lymphoid cells and macrophages having nuclei in form of a horseshoe. In the center of some cell clusters there were non-structured light-pink areas with fragments of nuclei. What disease are these changes typical for?
- A. Syphilis
- B. Actinomycosis
- C. Tuberculosis
- D. Hodgkin’s disease
- E. Tumor metastasis
Hint
Think about the type of necrosis found in the centre of an epithelioid-cell cluster with horseshoe-nucleated giant cells, and which chronic infection produces that picture.
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