ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
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A 48-year-old man died of a pulmonary-heart failure. An autopsy revealed pneumosclerosis, emphysema of lungs, and hypertrophy of a right ventricle of heart. In both lungs, mainly under pleura, there were plural foci, 1 cm in diameter. Histological investigation of the foci showed a necrosis zone in the centre and a wall of epithelioid cells, lymphocytes with some macrophages and plasmocytes on periphery. Giant Pirogov-Langhans cells were also defined. The small numbers of vascular capillaries were present on a periphery of the foci. What is the most likely disease?
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Gematogenic tuberculosis.
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Actinomycosis of lungs.
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Sarcoidosis (Boeckâs disease)
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Syphilis.
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Explanation:
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