KROK 1 2023 – Question 32 · KROK (Medicine) · Pathomorphology

Microscopy of the kidney biopsy material detected foci with granular eosinophilic masses in their center, surrounded by an infiltrate consisting of lymphocytes, epithelioid cells, and isolated Langhans cells. What pathological process corresponds with the described changes?

  1. A. Granulomatous inflammation
  2. B. Alterative inflammation
  3. C. Coagulative necrosis
  4. D. Proliferation and differentiation of macrophages
  5. E. Caseous necrosis
Hint

Look at the cells around the central eosinophilic mass, especially epithelioid cells and Langhans giant cells, and ask what kind of chronic productive reaction they form together.

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