KROK 1 2023 – Question 96 · KROK (Medicine) · Pathomorphology
A 38-year-old patient died with multiple thromboembolisms of various organs. In the cardiac tissue, macrophage granulomas were detected in the valvular and parietal endocardium with endocardial damage and deposition of thrombotic masses. Macrophage granulomas were detected in the myocardium, as well. These pathological changes are characteristic of the following disease:
- A. Atherosclerosis
- B. Essential hypertension
- C. Infectious myocarditis
- D. Systemic lupus erythematosus
- E. Rheumatism
Hint
Focus on the disease whose characteristic cardiac lesion is a granuloma of macrophages around damaged connective tissue, with wart-like thrombotic deposits on the damaged endocardium.
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