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Pathology General f9567480

Vegetations in libman sacendocarditis are ?

A
Large and fragile
B
Small way along the line of closure of valve
C
Small or medium sized on either or both sides of valve
D
Small bland vegetations
High-Yield Explanation
Ans. is 'c' i.e., Small or medium sized on either or both sides of valve SLE, mitral and tricuspid valvulitis with small, sterile vegetations, called Libman-Sacks endocarditis is occasionally encountered. o The lesions are small single or multiple, sterile, granular pink vegetations ranging from 1 to 4 mm in diameter. The lesions may be located on the undersurfaces of the atrioventricular valves, on the valvular endocardium, on the cords, or on the mural endocardium of atria or ventricles. o An intense valvulitis may be present, characterized by fibrinoid necrosis of the valve substance that is often contiguous with the vegetation. o Subsequent fibrosis and serious deformity can result that resemble chronic RHD and require surgery.

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