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Necrosis may be of two types: cystic or coagulation necrosis, cystic necrosis being more common.
- Coagulative necrosis – eg. Myocardial infarction, renal infarction.
- Liquefactive necrosis – eg. Infarct brain , Abscess.
- Caseous necrosis – eg. Tuberculosis.
- Fat necrosis – eg. Acute pancreatitis, traumatic fat necrosis of breast.
- Fibrinoid necrosis – eg.
There are many causes of necrosis including injury, infection, cancer, infarction, toxins and inflammation. Severe damage to one essential system in the cell leads to secondary damage to other systems, a so-called “cascade of effects”. Necrosis can arise from lack of proper care to a wound site.
- Coagulative necrosis.
- Liquefactive necrosis.
- Caseous necrosis.
- Fat necrosis.
- Fibroid necrosis.
- Gangrenous necrosis.
Coagulative necrosis occurs primarily in tissues such as the kidney, heart and adrenal glands. Severe ischemia most commonly causes necrosis of this form. Liquefactive necrosis (or colliquative necrosis), in contrast to coagulative necrosis, is characterized by the digestion of dead cells to form a viscous liquid mass.
- Caseous necrosis.
- Coagulative necrosis.
- Liquefactive necrosis.
- Myospherulosis.
- Necrosis.
Technically, necrosis refers to the entire process of irreversible cell death, while gangrene is a term used to refer to tissue death due to some form of interrupted blood supply. However, unlike gangrene, the term necrosis doesn’t automatically imply a problem as a result of inadequate blood supply.
Cell Injury. The two lung abscesses seen here are examples of liquefactive necrosis in which there is a liquid center in an area of tissue injury. One abscess appears in the upper lobe and one in the lower lobe.
- Pain.
- Redness of the skin.
- Swelling.
- Blisters.
- Fluid collection.
- Skin discolouration.
- Sensation.
- Numbness.
Necrosis is a highly pro-inflammatory form of cell death, and results in the release of ‘alarmins’ or ‘danger signals’ such as heat shock proteins, uric acid, ATP, DNA, and nuclear proteins that alert and activate the innate immune system [11; 87].
Necrosis, necroptosis, and inflammation. Traditionally, necrosis is considered the primary form of cell death caused by inflammation. Necrosis was historically viewed as an accidental subroutine, largely resulting from very harsh physicochemical stimuli, including abrupt changes in temperature, osmotic pressure, or pH.
Caseous necrosis or caseous degeneration (/ˈkeɪsiəs/) is a unique form of cell death in which the tissue maintains a cheese-like appearance. It is also a distinctive form of coagulative necrosis. The dead tissue appears as a soft and white proteinaceous dead cell mass.
Coagulative necrosis is the most common type and is due to ischemia in all tissues except the central nervous system. Liquefactive necrosis is seen primarily in the degradation of neural tissue, such as the brain and following bacterial infection.
The first is liquefactive necrosis, also known as colliquative necrosis, is characterized by partial or complete dissolution of dead tissue and transformation into a liquid, viscous mass. The loss of tissue and cellular profile occurs within hours in liquefactive necrosis.
Acute pancreatitis is characterized by the occurrence of necroinflammatory changes in the pancreas. Three types of necrosis may be distinguished: (1) interstitial tissue necrosis, which subsequently may also involve acinar and ductal cells, (2) ductal necrosis, and (3) acinar necrosis.
Fat necrosis is a condition that occurs when a person experiences an injury to an area of fatty tissue. This can result in the fat being replaced with the oily contents of fat cells. The term “necrosis” means the cells have died.
Necrosis occurs following ischemia (shortage of oxygen supply to the tissue due to restriction in blood supply). The only treatment available at present for necrosis is providing oxygen in a hyperbaric chamber. This pressurized oxidative environment is not without its risk.
Fibrinoid necrosis of arteries is associated with endothelial damage and is characterized by entry and accumulation of serum proteins followed by fibrin polymerization in the vessel wall. These materials form an intensely eosinophilic collar that obliterates cellular detail.
- Dry gangrene. All of your organs (such as your liver, heart, and muscles) need oxygen to function properly and survive. …
- Wet gangrene. Wet gangrene happens when your body tissues become infected with some type of bacteria. …
- Gas gangrene. Bacteria called Clostridia cause gas gangrene.
Liquefactive necrosis (or colliquative necrosis) is a type of necrosis which results in a transformation of the tissue into a liquid viscous mass.
Necrotic tissue is dead or devitalized tissue. This tissue cannot be salvaged and must be removed to allow wound healing to take place.
Depending on the extent of skin necrosis, it may heal within one to two weeks. More extensive areas may take up to 6 weeks of healing. Luckily, most people with some skin-flap necrosis after a face-lift heal uneventfully and the scar is usually still quite faint.
The affected area may also spread from the infection point quickly, sometimes spreading at a rate of an inch an hour. If NF progresses to show advanced symptoms, the patient will continue to have a very high fever (over 104 degrees Fahrenheit) or may become hypothermic (low temperature) and become dehydrated.
Miliary TB is a potentially fatal form of TB that results from massive lymphohematogenous dissemination of Mycobacterium tuberculosis bacilli. The epidemiology of miliary TB has been altered by the emergence of the human immunodeficiency virus (HIV) infection and widespread use of immunosuppressive drugs.
Both TB and sarcoidosis are granulomatous diseases; TB is characterized by caseating granulomas, whereas sarcoidosis is characterized by noncaseating granulomas.
The Ghon complex is a non-pathognomonic radiographic finding on a chest x-ray that is significant for pulmonary infection of tuberculosis. The location of the Ghon’s focus is usually subpleural and predominantly in the upper part of the lower lobe and lower part of the middle or upper lobe.