KROK 1 2021 – Question 26 · KROK (Medicine) · Pathomorphology

Autopsy of the body of a woman revealed the following morphologic changes: stenosis of the atrioventricular opening, mitral insufficiency. Histologically there are focal cardiosclerosis and «blooming» Aschoff nodules in the myocardium. What is the most likely diagnosis?

  1. A. Scleroderma
  2. B. Dermatomyositis
  3. C. Systemic lupus erythematosus
  4. D. Rheumatism
  5. E. Polyarteritis nodosa
Hint

Match two findings, a characteristic proliferative nodule in the myocardium and a chronic combined mitral valve defect, to the one systemic disease in the list that is known to damage the heart in this way.

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