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case 26 Solution Part 3

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The answer to the given question is “Syphilitic aneurysm“

Histological Appearance:

Plasma cell infiltrates are characteristic in all 3 stages of Syphilis (Primary, Secondary & Tertiary)

H&E stain does not stain the organism. For that we use a special silver stain

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AIIMS.NOV

A 5 year old child presents with perivascular IgA deposition and neutrophilic collection. There is erythematous rash on the lower limbs and non- blanching purpura. The likely diagnosis in the child is:
Anonymous Quiz
66%
Henoch-Schonlein Purpura
15%
Wegner’s granulomatosis
5%
Giant cell Vasculitis
13%
Kawasaki’s disease
AIIMS, DNB

Hypersensitivity vasculitis most commonly involves:
Anonymous Quiz
20%
Arterioles
35%
Post-capillary venules
21%
Capillaries
24%
Medium sized arteries
AI. PG Ques

Pathogenesis of all of the following is granulomatous, except:
Anonymous Quiz
9%
Wegener’s granulomatosis
38%
Buerger’s disease
30%
Microscopic polyangiitis
22%
Takayasu’s arteritis
Forwarded from K. C.
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case 26 Solution Last Part

@medic_altimesMT

The answer to the given question is “Syphilitic aneurysm“

Also known as ‘Luetic Aneurysm’

Seen in Tertiary stage of Syphilis

Causative agent: Treponema pallidum (spirochete)

Diagnosis:

On Plain Radiograph:

Linear Calcification (Dystrophic Calcification) in the aortic wall

Thoracic Aortography:

For Definitive Diagnosis

Syphilitic Fusiform Dilation of Ascending & Saccular Aneurysm of Descending Thoracic Aorta
AIIMS.MAY

A patient presents with respiratory symptoms, i.e. cough, hemoptysis and glomerulonephritis. His c-ANCA levels in serum were found to be raised. The most likely diagnosis is:
Anonymous Quiz
37%
Goodpasture’s syndrome
10%
Classic polyarteritis nodosa
49%
Wegener’s granulomatosis
4%
Kawasaki’s syndrome
AIIMS.MAY

The mechanism of the development of Acute Rheumatic Fever is which of the following?
Anonymous Quiz
53%
Cross reactivity with exogenous antigen
8%
Innocent bystander effect
30%
Due to toxin secretion by streptococci
9%
Release of pyrogenic cytokines
AIIMS.MAY

Ritonavir inhibits metabolism of the following drugs except:
Anonymous Quiz
18%
Amiodarone
33%
Phenobarbitone
28%
Cisapride
21%
Midazolam
2025/07/07 18:43:13
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