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NECROSIS
NECROSIS
LESSON PLAN
• Definition
• Causes of necrosis
• Types of necrosis
• Denaturation of cellular proteins
• Leakage of cellular contents thropugh damaged membranes
• Local inflammation
• Enzymatic digestion of lethally injured cells.
DEFINITION
•Ischemia
•Physical agents
•Chemical agents
• Immunological injury
CAUSES OF NECROSIS
• Denaturation of intracellular proteins.
• Enzymatic digestion of the cell.
PATHOGENESIS OF NECROSIS
MORPHOLOGY
• Increased eosinophilia of cytoplasm
• Glassy homogeneous appearance
• Cytoplasm is vacuolated
• Calcification of dead cells.
• Appearance of myelin figures
• 1.KARYOLYSIS
• 2. PYKNOSIS
• 3.KARYORRHEXIS
NUCLEAR CHANGES
TYPES OF NECROSIS
• Coagulative necrosis
• Liquefactive necrosis
• Caseous necrosis
• Fat necrosis
• Fibrinoid necrosis
COAGULATIVE NECROSIS
• Preservation of general tissue architecture
• Affected tissue is firm
• Denaturation of structural proteins and enzymatic digestion of
cells.
• Example – Heart, kidney,spleen.
• The tissue becomes liquid
viscous mass
• Material is creamy yellow
in color
• Seen in brain, abscess.
LIQUEFACTIVE NECROSIS
WET GANGRENE
• In moist tissue like mouth,
bowel, lung, cervix
• Diabetic foot
• Bed sores
• In moist tissues like mouth, bowel, lung, cervix
• D
i
a
b
e
t
i
c
WET GANGRENE INTESTINE
DRY GANGRENE
• Toes and feet due to arteriosclerosis
• Thromboangitis obliterans
• Raynaud disease Trauma
DRY GANGRENE
• Wet gangrene caused by
gram positive anaerobic
bacteria
• Seen in muscle and in
colon
• Type of coagulative
necrosis
• Seen in tuberculous
infections
• Tissue is cheesy white in appearance
• The tissue architecture is preserved
CASEOUS NECROSIS
• Seen in pancreas, breast
• Grossly visible
chalky white areas.
• Presence of shadowy
outlines of necrotic cells.
FAT NECROSIS
FIBRINOID NECROSIS
• Deposition of fibrin like
material
• Seen in immunologic cell
injury, hypertension ,peptic
ulcer.
References
• Robbins and Cotran Pathologic
Basis of Disease, 10th Ed
Presentation1 powerpoint necrosis form of cell death

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