KROK 1 2007 – Question 100 · KROK (Medicine) · Pathomorphology

Mucous membrane of the right palatine tonsil has a painless ulcer with smooth lacquer fundus and regular cartilaginous edges. Microscopically: inflammatory infiltration that consists of lymphocytes, plasmocytes, a small number of neutrophils and epithelioid cells; endovasculitis and perivasculitis. What disease is it?

  1. A. Syphilis
  2. B. Pharyngeal diphtheria
  3. C. Ulcerous necrotic Vincent’s angina
  4. D. Actinomycosis
  5. E. Tuberculosis
Hint

Consider which chronic infection produces a firm, painless, clean-based ulcer at the site of entry, with a plasma-cell-rich infiltrate and inflammation of the vessel walls.

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