KROK 1 2014 – Question 23 · 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?

  1. A. Actinomycosis
  2. B. Tuberculosis
  3. C. Tumor metastasis
  4. D. Hodgkin’s disease
  5. E. Syphilis
Hint

Focus on the kind of necrosis in the centre of the cell clusters and the cells arranged around it, then ask which chronic infection pairs them.

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