What is characterized by hilar lymphadenopathy and peripheral granulomatous lesions that can calcify?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

The condition characterized by hilar lymphadenopathy and peripheral granulomatous lesions that can calcify is known as the Ghon complex, which is most commonly associated with pulmonary tuberculosis. In this setting, the Ghon complex typically refers to the combination of a primary lesion in the lung (often a Ghon focus) and the accompanying hilar lymphadenopathy.

The primary lesion, which forms in response to the initial infection with Mycobacterium tuberculosis, is often found in the lower lobes of the lungs and can develop into a calcified nodule. The associated hilar lymphadenopathy arises when the drainage of the lymphatic fluid from the lung to the lymph nodes is involved in the inflammatory process. Over time, these lesions can undergo calcification, leading to the characteristic appearance seen in patients with a history of tuberculosis.

This pathological finding encapsulates the body's granulomatous response to the infectious agent, which is a common mechanism in infections like tuberculosis, and serves as a hallmark of the disease's chronic stage. It is important in radiographic imaging as well, where you may see these calcified nodes and lesions.

The other choices do not present the same clinical features. Honeycomb lung relates to end-stage pulmonary fibrosis, megaloblastic anemia refers

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy