Cardiovascular & Respiratory Pathology · NEET PG Preparation Pathology

A 45-year-old male with a history of untreated streptococcal pharyngitis several weeks ago presents with migratory polyarthritis, subcutaneous nodule…

Practice question from Cardiovascular & Respiratory Pathology (NEET PG Preparation Pathology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-67A5DB

A 45-year-old male with a history of untreated streptococcal pharyngitis several weeks ago presents with migratory polyarthritis, subcutaneous nodules, and a new-summit systolic murmur. Endocardial biopsy demonstrates characteristic focal inflammatory lesions consisting of a zone of fibrinoid necrosis surrounded by lymphocytes, plasma cells, and plump macrophages with abundant basophilic cytoplasm. What is the classic name for these macrophages?

  1. A.Langhans giant cells
  2. B.Aschoff cells
  3. C.Schaumann bodies
  4. D.Anitschkow cellsCorrect answer

Solution

Aschoff bodies are the pathognomonic granulomatous lesions of rheumatic fever found in the heart. The characteristic modified macrophages with abundant cytoplasm and central chromatin condensed into a wavy, caterpillar-like ribbon are called Anitschkow cells.

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