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Pathological clacification

Pathological clacification


PATHOLOGICAL CALCIFICATION

  • Abnormal deposition of calcium salts in tissues is referred as pathological calcification.
  • It starts in mitochondria or microsomal vesicles except for kidney where it starts at basement membrane.

Two types-

  1. Dystrophic calcification-

  • Deposition of calcium salts in dead and degenerated tissues.
  • Normal calcium level.

It occurs due to 2 types of causes-

a) Calcification in dead tissue-

  1. Caseous necrosis in Tuberculosis is the most common site for dystrophic calcification.
  2. Gamna- gandy bodies in chronic venous congestion of spleen.
  3. Infarcts
  4. Congenital toxoplasmosis.

b) Calcification in degenerated tissues-

  1. Artheromas
  2. Monckeberg’s sclerosis
  3. Goitre
  4. Psammona bodies

2. Metastatic calcification-

  • Deposition of calcium salts in normal tissues associated with deranged calcium metabolism & hypercalcaemia.

It is caused by two types-

a) Excessive mobilization of calcium from the bone-

  1. Hyperparathyroidism
  2. Hypercalcaemia

b) Excessive absorption of calcium from gut-

  1. Hypervitaminosis D
  2. Williams syndrome
  3. Vitamin A toxicity
  • Site of metastatic calcification are- lungs (most common), kidney, stomach, blood vessels, cornea.

Exam Important

  • Pathological calcification starts in mitochondria or microsomal vesicles except for kidney where it starts at basement membrane.
  • Dystrophic calcification– Deposition of calcium salts in dead and degenerated tissues and has normal calcium level.
  • Calcification in degenerated tissues- Artheromas
  • Metastatic calcification– Deposition of calcium salts in normal tissues associated with deranged calcium metabolism & hypercalcaemia.

Mestatic calcification- Excessive absorption of calcium from gut-

  1. Hypervitaminosis D
  2. Williams syndrome
  3. Vitamin A toxicity
  • Site of metastatic calcification are- lungs (most common), kidney, stomach, blood vessels, cornea
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