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Pocket Companion to Robbins & Cotran Pathologic Basis of Disease E-Book

Pocket Companion to Robbins & Cotran Pathologic Basis of Disease E-Book

Richard N Mitchell | Vinay Kumar | Nelson Fausto | Abul K. Abbas | Jon C. Aster

(2016)

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Abstract

This pocket companion offers rapid, portable access to the most important pathology facts and concepts from Robbins and Cotran Pathologic Basis of Disease, 9th Edition. It distills the key concepts and principles of pathology into a condensed, at-a-glance format, making it the perfect reference for quick review anytime!

  • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
  • Access key concepts and principles of pathology in a condensed, at-a-glance format.
  • Locate additional information with abundant page references to the parent text.
  • Review for in-course exams and the USMLE Step 1 with content that highlights the most important material in the current edition Robbins and Cotran Pathologic Basis of Disease.
  • Easily find information with help from a format that closely follows the Table of Contents from the current edition of the parent text.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
POCKET COMPANION TO ROBBINS AND COTRAN PATHOLOGIC BASIS OF DISEASE i
POCKET COMPANION TO ROBBINS AND COTRAN PATHOLOGIC BASIS OF DISEASE iii
Copyright iv
Contributors v
Preface ix
Contents xi
General Pathology 1
1 - The Cell as a Unit of Health and Disease 3
The Genome (p. 1) 3
Histone Organization (p. 3) 5
MicroRNA and Long Noncoding RNA (p. 4) 5
Cellular Housekeeping (p. 6) 8
Plasma Membrane: Protection and Nutrient Acquisition (p. 7) 9
Passive Membrane Diffusion (p. 9) 9
Carriers and Channels (p. 9) 11
Receptor-Mediated and Fluid-Phase Uptake (Fig. 1-6) (p. 9) 11
Cytoskeleton and Cell-Cell Interactions (p. 10) 13
Biosynthetic Machinery: Endoplasmic Reticulum and Golgi (p. 12) 15
Waste Disposal: Lysosomes and Proteasomes (p. 13) 16
Cellular Metabolism and Mitochondrial Function (p. 14) 19
Energy Generation (p. 14) 19
Intermediate Metabolism (p. 14) 21
Cell Death (p. 15) 21
Cellular Activation (p. 15) 21
Cell Signaling (p. 15) 21
Signal Transduction Pathways (p. 16) 22
Modular Signaling Proteins: Hubs and Nodes (p. 18) 25
Transcription Factors (p. 18) 25
Growth Factors and Receptors (p. 18) 25
Interaction With the Extracellular Matrix (p. 20) 28
Maintaining Cell Populations (p. 25) 32
Stem Cells (p. 26) 35
2 - Cellular Responses to Stress and Toxic Insults: Adaptation, Injury, and Death 37
Introduction (p. 31) 37
Overview (p. 32) 37
Causes of Cell Injury (p. 39) 39
Morphologic Alterations in Cell Injury (p. 40) 40
Reversible Injury (p. 40) 40
Necrosis (p. 41) 40
Mechanisms of Cell Injury (p. 44) 41
Depletion of Adenosine Triphosphate (p. 45) 43
Mitochondrial Damage (p. 46) 43
Influx of Intracellular Calcium and Loss of Calcium Homeostasis (p. 46) 43
Accumulation of Oxygen-Derived Free Radicals (Oxidative Stress) (p. 47) 43
Defects in Membrane Permeability (p. 49) 44
Damage to DNA and Proteins (p. 50) 44
Examples of Cell Injury and Necrosis (p. 50) 45
Ischemic and Hypoxic Injury (p. 50) 45
Ischemia-Reperfusion Injury (p. 51) 45
Chemical (Toxic) Injury (p. 51) 47
Apoptosis (p. 52) 47
Causes of Apoptosis (p. 52) 47
Physiologic Causes (p. 52) 47
Pathologic Causes (p. 53) 47
Morphologic and Biochemical Changes in Apoptosis (p. 53) 48
Mechanisms of Apoptosis (p. 53) (Fig. 2-5) 48
Intrinsic (Mitochondrial) Pathway (p. 53) (Fig. 2-6) 48
Extrinsic (Death Receptor-Initiated) Pathway (p. 56) 50
Execution Phase (p. 56) 51
Apoptosis in Health and Disease (p. 57) 51
Growth Factor Deprivation (p. 57) 51
DNA Damage (p. 57) 51
Protein Misfolding (p. 57) 51
TNF Family Receptors (p. 58) 51
Cytotoxic T Lymphocytes (p. 58) 51
Disorders Associated With Dysregulated Apoptosis (p. 58) 53
Necroptosis (p. 58) 53
Autophagy (p. 60) 53
Intracellular Accumulations (p. 61) 56
Lipids (p. 62) 56
Steatosis (Fatty Change) (p. 62) 56
Cholesterol and Cholesterol Esters (p. 62) 56
Proteins (p. 63) 56
Hyaline Change (p. 63) 57
Glycogen (p. 63) 57
Pigments (p. 63) 57
Pathologic Calcification (p. 65) 58
Dystrophic Calcification (p. 65) 58
Metastatic Calcification (p. 65) 58
Cellular Aging (p. 66) 58
3 - Inflammation and Repair 62
Overview of Inflammation (p. 69) 62
Historical Highlights (p. 71) 62
Causes of Inflammation (p. 71) 62
Recognition of Microbes and Damaged Cells (p. 72) 63
Acute Inflammation (p. 73) 63
Reactions of Blood Vessels in Acute Inflammation (p. 73) 65
Changes in Vascular Flow and Caliber (p. 73) 65
Increased Vascular Permeability (Vascular Leakage, p.74) 65
Responses of Lymphatic Vessels and Lymph Nodes (p. 74) 66
Leukocyte Recruitment to Sites of Inflammation (p. 75) 67
Leukocyte Adhesion to Endothelium (p. 75) 67
Leukocyte Migration Through Endothelium (p. 76) 69
Chemotaxis of Leukocytes (p. 77) 69
Phagocytosis and Clearance of the Offending Agents (p. 78) 70
Phagocytosis (p. 78) 70
Phagocytic Receptors (p. 78) 70
Engulfment (p. 78) 70
Intracellular Destruction of Microbes and Debris (p. 79) 70
Neutrophil Extracellular Traps (NETs; p. 81) 72
Leukocyte-Mediated Tissue Injury (p. 81) 72
Other Functional Responses of Activated Leukocytes (p. 82) 73
Termination of the Acute Inflammatory Response (p. 82) 73
Mediators of Inflammation (p. 82) 73
Vasoactive Amines: Histamine and Serotonin (p. 83) 74
Arachidonic Acid Metabolites (p. 83) 75
Prostaglandins (p. 84) 75
Pharmacologic Inhibitors of Prostaglandins and Leukotrienes (p. 85) 77
Cytokines and Chemokines (p. 86 and see Chapter 6) 77
Tumor Necrosis Factor and Interleukin-1 (p. 86) 77
Chemokines (p. 87) 78
Other Cytokines in Acute Inflammation (p. 88) 80
Complement System (p. 88; Fig. 3-7) 80
Other Mediators of Inflammation (p. 89) 82
Platelet-Activating Factor (p. 89) 82
Products of Coagulation (p. 89) 82
Kinins (p. 89) 82
Neuropeptides (p. 89) 82
Morphologic Patterns of Acute Inflammation (p. 90) 82
Serous Inflammation (p. 90) 83
Fibrinous Inflammation (p. 90) 83
Purulent (Suppurative) Inflammation and Abscess (p. 91) 83
Ulcers (p. 91) 83
Outcomes of Acute Inflammation (p. 92) 83
Summary of Acute Inflammation (p. 93) 83
Chronic Inflammation (p. 93) 84
Causes of Chronic Inflammation (p. 93) 84
Morphologic Features (p. 93) 84
Cells and Mediators in Chronic Inflammation (p. 94) 84
Role of Macrophages (p. 94) 84
Role of Lymphocytes (p. 96) 86
Other Cells in Chronic Inflammation (p. 96) 86
Granulomatous Inflammation (p. 97) 86
Systemic Effects of Inflammation (p. 99) 88
Tissue Repair (p. 100) 89
Overview of Tissue Repair (p. 100) 89
Cell and Tissue Regeneration (p. 101) 89
Cell Proliferation: Signals and Control Mechanisms (p. 101) 89
Mechanisms of Tissue Regeneration (p. 101) 90
Liver Regeneration (p. 102) 90
Repair by Connective Tissue Deposition (p. 102) 91
Steps in Scar Formation (p. 103; Fig. 3-11) 91
Angiogenesis (p. 104) 92
Signaling in Angiogenesis 92
Deposition of Connective Tissue (p. 105) 92
Remodeling of Connective Tissue (p. 105) 93
Factors That Influence Tissue Repair (p. 105) 94
Selected Clinical Examples of Tissue Repair and Fibrosis (p. 106) 94
Healing by First Intention (or Primary Union; p. 106) 94
Healing by Second Intention (or Secondary Union; p. 107) 95
Wound Strength (p. 108) 95
Fibrosis in Parenchymal Organs (p. 109) 95
Abnormalities in Tissue Repair (p. 109) 95
4 - Hemodynamic Disorders, Thromboembolic Disease, and Shock 96
Edema and Effusions (p. 113) 96
Morphology (p. 115) 97
Clinical Features (p. 115) 98
Hyperemia and Congestion (p. 115) 98
Morphology (p. 116) 98
Hemostasis, Hemorrhagic Disorders, and Thrombosis (p. 116) 98
Hemostasis (p. 116) 99
Platelets (p. 117) 99
Coagulation Cascade (p. 1118) 101
Factors That Limit Coagulation (p. 120) 101
Endothelium (p. 121) 104
Hemorrhagic Disorders (p. 121) 105
Thrombosis (p. 122) 105
Morphology (p. 125) 107
Fate of the Thrombus (p. 125) 107
Clinical Features (p. 126) 108
Venous Thrombosis (Phlebothrombosis) 108
Arterial and Cardiac Thrombosis 108
Disseminated Intravascular Coagulation (p. 127) 108
Embolism (p. 127) 108
Pulmonary Embolism (p. 127) 109
Systemic Thromboembolism (p. 127) 109
Fat and Marrow Embolism (p. 128) 109
Air Embolism (p. 128) 110
Amniotic Fluid Embolism (p. 129) 110
Infarction (p. 129) 110
Morphology (p. 129) 111
Shock (p. 131) 111
Pathogenesis of Septic Shock (p. 131) 112
Stages of Shock (p. 133) 114
Morphology (p. 134) 114
Clinical Consequences (p. 134) 114
5 - Genetic Disorders 115
Genes and Human Diseases (p. 137) 115
Mutations (p. 138) 115
Point Mutations in Coding Sequences 115
Mutations Within Noncoding Regions 116
Frameshift Mutations 116
Trinucleotide Repeat Mutations 116
Mendelian Disorders (p. 140) 116
Transmission Patterns of Single-Gene Disorders (p. 140) 116
Autosomal Dominant Disorders (p. 140) (Table 5-1) 116
Autosomal Recessive Disorders (p. 141) (Table 5-2) 117
X-Linked Disorders (p. 142) (Table 5-3) 117
Biochemical and Molecular Basis of Single-Gene (Mendelian) Disorders (p. 142) 118
Enzyme Defects and Their Consequences (p. 142) 121
Defects in Receptors and Transport Systems (p. 143) 121
Alterations in Structure, Function, or Quantity of Nonenzyme Proteins (p. 144) 121
Genetically Determined Adverse Reactions to Drugs (p. 144) 121
Disorders Associated With Defects in Structural Proteins (p. 144) 121
Marfan Syndrome (p. 144) 121
Morphology (p. 145) 121
Clinical Features (p. 145) 122
Ehlers-Danlos Syndrome (p. 145) 122
Disorders Associated With Defects in Receptor Proteins (p. 147) 123
Familial Hypercholesterolemia (p. 147) 123
Normal Cholesterol Transport and Metabolism (Fig. 5-1) 123
Disorders Associated With Defects in Enzymes (p. 149) 124
Lysosomal Storage Diseases (p. 149) 124
Tay-Sachs Disease (p. 151) 125
Morphology (p. 151) 125
Niemann-Pick Disease, Types A and B (p. 152) 125
Niemann-Pick Disease, Type C (p. 153) 125
Gaucher Disease (p. 153) 127
Mucopolysaccharidoses (p. 154) 127
Glycogen Storage Diseases (Glycogenoses) (p. 155) 128
Disorders Associated With Defects in Proteins That Regulate Cell Growth (p. 157) 128
Complex Multigenic Disorders (p. 158) 128
Chromosomal Disorders (p. 158) 129
Numerical Disorders 130
Structural Abnormalities of Chromosomes (p. 159) (Fig. 5-3) 130
Cytogenetic Disorders Involving Autosomes (p. 161) 131
Trisomy 21 (Down Syndrome) (p. 161) 131
Other Trisomies (p. 163) 132
Chromosome 22q11.2 Deletion Syndrome (p. 163) 132
Cytogenetic Disorders Involving Sex Chromosomes (p. 164) 133
Klinefelter Syndrome (p. 165) 134
Turner Syndrome (p. 166) 135
Hermaphroditism and Pseudohermaphroditism (p. 167) 135
Single-Gene Disorders With Nonclassic Inheritance (p. 168) 136
Diseases Caused by Trinucleotide Repeat Mutations (p. 168) (Table 5-7) 136
Fragile X Syndrome and Fragile X Tremor/Ataxia (p. 169) 136
Fragile X Tremor/Ataxia (p. 171) 139
Mutations in Mitochondrial Genes—Leber Hereditary Optic Neuropathy (p. 171) 139
Genomic Imprinting (p. 172) 140
Prader-Willi Syndrome and Angelman Syndrome (p. 172) 140
Gonadal Mosaicism (p. 174) 140
Molecular Genetic Diagnosis (p. 174) 140
Diagnostic Methods and Indications for Testing (p. 174) 141
Indications for Analysis of Inherited Genetic Alterations (p. 174) 141
Indications for Analysis of Acquired Genetic Alterations (p. 175) 141
Polymerase Chain Reaction and Detection of DNA Sequence Alterations (p. 175) 141
Molecular Analysis of Genomic Alterations (p. 176) 142
Fluorescence in Situ Hybridization (p. 177) 142
Multiplex Ligation-Dependent Probe Amplification (p. 177) 142
Southern Blotting (p. 177) 142
Cytogenomic Array Technology (p. 177) 143
Polymorphic Markers and Molecular Diagnosis (p. 178) 143
Polymorphisms and Genome-Wide Analyses (p. 179) 143
Epigenetic Alterations (p. 180) 143
RNA Analysis (p. 180) 144
Next-Generation Sequencing (p. 180) 144
Bioinformatics 144
Clinical Applications of Next-Generation Sequencing DNA Sequencing 144
6 - Diseases of the Immune System 145
Hypersensitivity: Immunologically Mediated Tissue Injury (p. 200) 146
Classification of Hypersensitivity Diseases (p. 200) 146
Immediate (Type I) Hypersensitivity (p. 201) 146
Sensitization and Activation of Mast Cells (p. 202) 147
Mediators of Immediate Hypersensitivity (p. 203) 148
Systemic Anaphylaxis (p. 204) 149
Local Immediate Hypersensitivity Reactions (p. 205) 149
Antibody-Mediated (Type II) Hypersensitivity (p. 205) 149
Immune Complex-Mediated (Type III) Hypersensitivity (p. 207) 150
Morphology (p. 208) 152
Local Immune Complex Disease (Arthus Reaction) (p. 208) 153
T Cell–Mediated (Type IV) Hypersensitivity (p. 208) 153
CD4+ T Cell–Mediated Inflammation (p. 208) 153
Activation of CD4+ T Cells 153
Responses of Differentiated Effector T Cells 153
Clinical Examples of CD4+ T Cell–Mediated Inflammatory Reactions 153
Reactions of CD8+ T Cells: Cell-Mediated Cytotoxicity (p. 211) 156
Autoimmune Diseases (p. 211) 156
Immunologic Tolerance (p. 212) 157
Central Tolerance (p. 212) 157
Peripheral Tolerance (p. 213) 157
Mechanisms of Autoimmunity: General Principles (p. 214) 158
Role of Susceptibility Genes (p. 215) 158
Role of Infections 159
General Features of Autoimmune Disease (p. 217) 159
Systemic Lupus Erythematosus (p. 218) 159
Spectrum of Autoantibodies in Systemic Lupus Erythematosus (p. 218) 159
Etiology and Pathogenesis of Systemic Lupus Erythematosus (p. 219) 161
A Model for the Pathogenesis of Systemic Lupus Erythematosus (p. 221) 161
Mechanisms of Tissue Injury (p. 221) 161
Morphology (p. 222). Although any organ can be involved, the most characteristic tissues affected are skin, blood vessels, kidne... 161
Clinical Features (p. 225). The clinical manifestations of SLE are protean. It can present insidiously as a systemic, chronic, r... 162
Chronic Discoid Lupus Erythematosus (p. 225) 162
Drug-Induced Lupus Erythematosus (p. 226) 163
Rheumatoid Arthritis (see Chapter 26) 163
Sjögren Syndrome (p. 226) 163
Morphology (p. 227) 163
Clinical Features (p. 227) 163
Systemic Sclerosis (Scleroderma) (p. 228) 164
Etiology and Pathogenesis (p. 228) 164
Inflammatory Myopathies (see Chapter 27) 165
Mixed Connective Tissue Disease (p. 231) 165
Polyarteritis Nodosa and Other Vasculitides (see Chapter 11) 165
IgG4-Related Disease (p. 231) 165
Rejection of Transplant Tissues (p. 231) 166
Mechanisms of Recognition and Rejection of Allografts (p. 231) 166
Hyperacute Rejection (p. 233) 167
Acute Rejection (p. 233) 168
Chronic Rejection (p. 234) 168
Transplantation of Hematopoietic Stem Cells (p. 236) 168
Graft-Versus-Host Disease 168
Immunodeficiency 169
Immunodeficiency Syndromes (p. 237) 169
Defects in Innate Immunity (p. 237) (Table 6-7) 169
Defects in Leukocyte Function (p. 237) 169
Defects Affecting the Complement System (p. 238) 169
Defects in Lymphocyte Maturation (p. 238) (Fig. 6-5) 170
Severe Combined Immunodeficiency Disease (p. 239) 170
X-Linked Agammaglobulinemia (Bruton Agammaglobulinemia) (p. 240) 172
DiGeorge Syndrome (Thymic Hypoplasia) (p. 241) 173
Defects in Lymphocyte Activation and Function (p. 241) 173
Hyper-IgM Syndrome (p. 241) 173
Common Variable Immunodeficiency (p. 241) 173
Isolated Immunoglobulin A Deficiency (p. 242) 174
X-Linked Lymphoproliferative Syndrome (p. 242) 174
Immunodeficiencies Associated With Systemic Diseases (p. 242) 174
Wiskott-Aldrich Syndrome (p. 242) 174
Ataxia Telangiectasia (p. 242) 174
Secondary Immunodeficiencies (p. 243) 175
Acquired Immunodeficiency Syndrome (p. 243) 175
Epidemiology (p. 236) 175
Etiology: The Properties of Human Immunodeficiency Virus (p. 245) 176
Pathogenesis of Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome (p. 245) 176
Life Cycle of Human Immunodeficiency Virus (p. 246) 176
Mechanisms of T-Cell Depletion in Human Immunodeficiency Virus Infection (p. 248) 177
Human Immunodeficiency Virus Infection of Non-T Cells (p. 249) 177
Pathogenesis of Central Nervous System Involvement (p. 250) 178
Natural History of Human Immunodeficiency Virus Infection (p. 250) 178
Clinical Features of Acquired Immunodeficiency Syndrome (p. 252) 179
Opportunistic Infections (p. 252) 179
Tumors (p. 253) 180
Central Nervous System Disease (p. 255) 180
Amyloidosis (p. 256) 181
Properties of Amyloid Proteins (p. 257) 181
Pathogenesis and Classification of Amyloidosis (p. 258) 183
Morphology (p. 260) 183
Clinical Features (p. 262) 184
7 - Neoplasia 185
Nomenclature (p. 266) 185
Characteristics of Benign and Malignant Neoplasms (p. 267) 187
Differentiation and Anaplasia (p. 268) 187
Metaplasia and Dysplasia (p. 270) 188
Local Invasion (p. 271) 190
Metastasis (p. 272) 190
Pathways of Spread (p. 273) 190
Epidemiology (p. 275) 190
The Global Impact of Cancer (p. 275) 190
Environmental Factors (p. 276) 192
Age (p. 278) 192
Acquired Predisposing Conditions (p.278) 192
Chronic Inflammation (p. 279) 192
Precursor Lesions (p. 279) 192
Immunodeficiency States (p. 279) 193
Genetic Predisposition and Interactions Between Environmental and Inherited Factors (p. 279) 194
Molecular Basis of Cancer: Role of Genetic and Epigenetic Alterations (p. 280) 194
Cellular and Molecular Hallmarks of Cancer (p. 282) 196
Self-Sufficiency in Growth Signals: Oncogenes (p. 283) 196
Proto-Oncogenes, Oncogenes, and Oncoproteins (p. 284) 197
Growth Factors (p. 285) 198
Growth Factor Receptors (p. 285) 198
Downstream Components of the Receptor Tyrosine Kinase Signaling Pathway (p. 286) 199
RAS Mutations (p. 286) 200
Oncogenic B-RAF and PI3K Mutations (p. 286) 200
Alterations in Nonreceptor Tyrosine Kinases (p. 287) 200
Transcription Factors (p. 288) 200
MYC Oncogene (p.288). The MYC oncogene is most commonly involved in human tumors; the proto-oncogene is rapidly induced when qui... 200
Cyclins and Cyclin-Dependent Kinases (p. 288) 200
Insensitivity to Growth Inhibition: Tumor Suppressor Genes (p. 290) 201
Rb: Governor of Proliferation (p. 292) 202
TP53: Guardian of the Genome (p. 293) 202
Adenomatous Polyposis Coli: Gatekeeper of Colonic Neoplasia (p. 296) 202
CDKN2A (p. 297) 203
TGF-β Pathway (p. 298) 203
PTEN (p. 298) 203
NF1 (p. 298) 203
NF2 (p. 298) 203
WT1 (p. 298) 204
PATCHED (p. 298) 204
von Hippel-Lindau (p. 299) 204
Serine-Threonine Kinase 11 (p. 299) 204
Growth-Promoting Metabolic Alterations: The Warburg Effect (p. 300) 204
Autophagy (p.301) 206
Evasion of Programmed Cell Death (Apoptosis) (p. 301) 206
Limitless Replicative Potential: The Stem Cell-Like Properties of Cancer Cells (p. 303) 206
Angiogenesis (p. 305) 208
Invasion and Metastasis (p. 306) 208
Invasion of Extracellular Matrix (p. 306) 208
Vascular Dissemination and Homing of Tumor Cells (p. 308) 210
Molecular Genetics of Metastasis Development (p. 309) 210
Role of Stromal Elements in Metastasis (p. 309) 210
Evasion of Host Defense (p. 310) 210
Tumor Antigens (p. 310) 211
Antitumor Effector Mechanisms (p. 312) 211
Immune Surveillance and Escape (p. 312) 211
Genomic Instability (p. 314) 212
Hereditary Nonpolyposis Colon Cancer Syndrome (p. 314) 212
Xeroderma Pigmentosum (p. 314) 212
Diseases With Defects in DNA Repair by Homologous Recombination (p. 314) 212
Cancers Resulting From Mutations Induced by Regulated Genomic Instability: Lymphoid Neoplasms (p. 315) 213
Cancer-Enabling Inflammation (p. 315) 213
Dysregulation of Cancer-Associated Genes (p. 316) 213
Chromosomal Changes (p. 316) 213
Deletions (p. 317) 214
Gene Amplification (p. 318) 214
Chromothrypsis (p. 318) 214
Epigenetic Changes (p. 319) 214
Noncoding RNAs and Cancer (p. 320) 214
Molecular Basis of Multistep Carcinogenesis (p. 320) 214
Carcinogenic Agents and Their Cellular Interactions (p. 321) 216
Steps Involved in Chemical Carcinogenesis (p. 322) 216
Molecular Targets of Chemical Carcinogens (p. 323) 216
Promotion of Chemical Carcinogenesis (p. 324) 217
Radiation Carcinogenesis (p. 324) 217
Ultraviolet Rays (p. 324) 217
Ionizing Radiation (p. 325) 217
Microbial Carcinogenesis (p. 325) 217
Oncogenic RNA Viruses (p. 325) 217
Oncogenic DNA Viruses (p. 326) 218
Human Papillomavirus (p. 326) 218
Epstein-Barr Virus (p. 327) 218
Hepatitis B and C Viruses (p. 328) 219
Helicobacter Pylori (p. 329) 219
Clinical Aspects of Neoplasia (p. 329) 219
Local and Hormonal Effects (p. 330) 219
Cancer Cachexia (p. 330) 220
Paraneoplastic Syndromes (p. 330) 220
Grading and Staging of Tumors (p. 332) 220
Laboratory Diagnosis of Cancer (p. 332) 222
Histologic and Cytologic Methods (p. 332) 222
Immunohistochemistry (p. 334) 222
Flow Cytometry (p. 334) 222
Circulating Tumor Cells (p. 334) 222
Molecular and Cytogenetic Diagnostics (p. 334) 222
Molecular Profiles of Tumors: The Future of Cancer Diagnostics (p. 335) 223
Tumor Markers (p. 337) 223
8 - Infectious Diseases 225
General Principles of Microbial Pathogenesis (p. 341) 225
How Microorganisms Cause Disease (p. 342) 225
Routes of Entry of Microbes (p. 342) 225
Spread and Dissemination of Microbes Within the Body (p. 344) 226
Release From the Body and Transmission of Microbes (p. 345) 226
Host-Pathogen Interactions (p. 345) 226
Host Defenses Against Infection (p. 345) 226
Immune Evasion by Microbes (p. 345) 227
Injurious Effects of Host Immunity (p. 347) 228
Infections in People With Immunodeficiencies (p. 347) 228
Host Damage (p. 348) 229
Mechanisms of Viral Injury (p. 348) (Fig. 8-2) 229
Mechanisms of Bacterial Injury (p. 349) 229
Bacterial Virulence (p. 349) 229
Bacterial Adherence to Host Cells (p. 349) 230
Virulence of Intracellular Bacteria (p. 350) 230
Bacterial Toxins (p. 350) 231
Sexually Transmitted Infections (p. 351, and see Chapters 21 and 22) (Table 8-2) 231
Spectrum of Inflammatory Responses to Infection (p. 351) 231
Suppurative (Purulent) Inflammation (p. 352) 231
Mononuclear and Granulomatous Inflammation (p. 352) 232
Cytopathic-Cytoproliferative Reaction (p. 353) 233
Tissue Necrosis (p. 353) 233
Chronic Inflammation and Scarring (p. 353) 233
Special Techniques for Diagnosing Infectious Agents (p. 353) 233
Viral Infections (p. 354; Table 8-4) 234
Acute (Transient) Infections (p. 354) 235
Measles (p. 355) 235
Mumps (p. 355) 235
Poliovirus Infection (p. 356) 235
West Nile Virus (p. 356) 236
Viral Hemorrhagic Fever (p. 357) 236
Latent Infections (Herpesvirus Infections) (p. 357) 236
Herpes Simplex Viruses (p. 357) 236
Varicella-Zoster Virus (p. 358) 237
Cytomegalovirus (p. 359) 237
Chronic Productive Infections (p. 360) 237
Transforming Viral Infections (p. 360) 238
Epstein-Barr Virus (p. 360) 238
Bacterial Infections (p. 362; Table 8-5) 238
Staphylococcal Infections (p. 362) 238
Streptococcal and Enterococcal Infections (p. 364) 239
Diphtheria (p. 365) 240
Listeriosis (p. 366) 240
Anthrax (p. 366) 241
Nocardia (p. 367) 241
Gram-Negative Bacterial Infections (p. 367) 241
Neisserial Infections (p. 368) 241
Pertussis (p. 368) 242
Pseudomonas Infection (p. 369) 242
Plague (p. 370) 242
Chancroid (Soft Chancre) (p. 370) 243
Granuloma Inguinale (p. 370) 243
Mycobacteria (p. 371) 243
Tuberculosis (p. 371) 243
Mycobacterium Avium Complex (p. 376) 246
Leprosy (p. 377) 246
Spirochetes (p. 378) 247
Syphilis (p. 378) 247
Lyme Disease (p. 381) 248
Anaerobic Bacteria (p. 382) 248
Abscesses Caused by Anaerobes (p. 382) 248
Clostridial Infections (p. 382) 249
Obligate Intracellular Bacteria (p. 383) 249
Chlamydial Infections (p. 383) 249
Rickettsial Infections (p. 384) 250
Fungal Infections (p. 385) 250
Yeast (p. 386) 251
Candidiasis (p. 386) 251
Cryptococcosis (p. 387) 251
Molds (p. 388) 252
Aspergillosis (p. 388) 252
Zygomycosis (Mucormycosis) (p. 389) 252
Dimorphic Fungi (p. 390) 253
Parasitic Infections (p. 390; Table 8-6) 253
Protozoa (p. 390) 253
Malaria (p. 390) 253
Babesiosis (p. 392) 255
Leishmaniasis (p. 392) 255
African Trypanosomiasis (p. 394) 256
Chagas Disease (p. 394) 256
Metazoa (p. 395) 257
Strongyloidiasis (p. 395) 257
Tapeworms (Cestodes): Cysticercosis and Hydatid Disease (p. 395) 257
Trichinosis (p. 396) 257
Schistosomiasis (p. 397) 258
Lymphatic Filariasis (p. 398) 258
Onchocerciasis (p. 399) 259
Emerging Infectious Diseases (p. 400) 259
Agents of Bioterrorism (p. 401) 260
9 - Environmental and 261
Environmental Effects on Global Disease Burden (p. 404) 261
Health Effects of Climate Change (p. 405) 262
Toxicity of Chemical and Physical Agents (p. 406) 262
Environmental Pollution (p. 407) 263
Air Pollution (p. 407) 263
Outdoor Air Pollution (p. 407) 263
Indoor Air Pollution (p. 409) 264
Metals as Environmental Pollutants (p. 410) 264
Lead (p. 410) 264
Mercury (p. 412) 264
Arsenic (p. 412) 265
Cadmium (p. 413) 265
Occupational Health Risks: Industrial and Agricultural Exposures (p. 413) 265
Effects of Tobacco (p. 414) 266
Smoking and Lung Cancer (p. 415) 267
Smoking and Other Diseases (p. 416) 267
Effects of Alcohol (p. 417) 267
Injury by Therapeutic Drugs and Drugs of Abuse (p. 419) 270
Injury by Therapeutic Drugs (Adverse Drug Reactions) (p. 419) 270
Anticoagulants (p. 420) 270
Menopausal Hormone Therapy (p. 421) 270
Oral Contraceptives (p. 421) 270
Anabolic Steroids (p. 422) 271
Acetaminophen (p. 422) 272
Aspirin (Acetylsalicylic Acid) (p. 422) 272
Injury by Nontherapeutic Agents (Drug Abuse) (p. 423) 272
Cocaine (p. 423) 272
Opiates (p. 424) 273
Amphetamines and Related Drugs (p. 424) 274
Marijuana (p. 425) 274
Other Drugs (p. 425) 274
Injury by Physical Agents (p. 426) 274
Mechanical Trauma (p. 426) 274
Thermal Injury (p. 426) 274
Thermal Burns (p. 426) 274
Hyperthermia (p. 427) 275
Hypothermia (p. 427) 275
Electrical Injury (p. 427) 276
Injury Produced by Ionizing Radiation (p. 428) 276
Radiation Units (p. 428) 276
Main Determinants of the Biologic Effects of Ionizing Radiation (p. 428) 276
Total Body Irradiation (p. 430) 277
Acute Effects on Hematopoietic and Lymphoid Systems (p. 430) 277
Fibrosis (p. 430) 277
DNA Damage and Carcinogenesis (p. 430) 277
Cancer Risks From Exposures to Radiation (p. 431) 279
Nutritional Diseases (p. 432) 279
Dietary Insufficiency (p. 432) 279
Protein-Energy Malnutrition (p. 433) 279
Marasmus and Kwashiorkor (p. 433) 279
Protein-Energy Malnutrition in the Developed World (p. 434) 280
Cachexia (p. 435) 280
Anorexia Nervosa and Bulimia (p. 435) 280
Vitamin Deficiencies (p. 435) 281
Vitamin A (p. 436) 282
Function (p. 436) 282
Vitamin A Deficiency (p. 437) 283
Vitamin A Toxicity (p. 438) 283
Vitamin D (p. 438) 283
Metabolism of Vitamin D (p. 438) 283
Function (p. 438) 283
Effects of Vitamin D on Calcium and Phosphorus Homeostasis (p. 439) 285
Deficiency States (p. 440) 285
Nonskeletal Effects of Vitamin D (p. 441) 285
Vitamin D Toxicity (p. 442) 285
Vitamin C (Ascorbic Acid) (p. 442) 285
Function (p. 443) 286
Deficiency States (p. 443) 286
Vitamin C Excess (p. 443) 286
Obesity (p. 444) 286
Leptin (p. 444) 286
Adiponectin (p. 446) 288
Gut Hormones (p. 446) 288
Actions of Adipocytes (p. 446) 288
Regulation of Adipocyte Numbers (p. 447) 288
Other Emerging Factors Associated With Obesity: Role of the Gut Microbiome (p. 447) 288
General Consequences of Obesity (p. 447) 288
Obesity and Cancer (p. 448) 289
Diet, Cancer, and Atherosclerosis (p. 448) 289
Diet and Cancer (p. 448) 289
Diet and Atherosclerosis (p. 449) 289
10 - Diseases of Infancy and Childhood 290
Congenital Anomalies (p. 452) 290
DEFINITIONS (p. 452) 290
Causes of Anomalies (p. 454) 291
Genetic Causes (p. 454) 291
Environmental Influences (p. 454) 291
Multifactorial Inheritance (p. 455) 293
Pathogenesis (p. 455) 293
Prematurity and Fetal Growth Restriction (p. 456) 295
Fetal Growth Restriction (p. 456) 295
Neonatal Respiratory Distress Syndrome (p. 457) 296
Pathogenesis (p. 457) (Fig. 10-3) 296
Morphology (p. 458) 297
Clinical Features (p. 458) 297
Necrotizing Enterocolitis (p. 459) 298
Perinatal Infections (p. 459) 298
Transcervical (Ascending) Infections (p. 459) 298
Transplacental (Hematologic) Infections (p. 460) 298
Sepsis (p. 460) 299
Fetal Hydrops (p. 461) 299
Immune Hydrops (p. 461) 300
Etiology and Pathogenesis (p. 461; Fig. 10-4) 300
Nonimmune Hydrops (p. 462) 301
Morphology (p. 462) 301
Inborn Errors of Metabolism and Other Genetic Disorders (p. 464) 301
Phenylketonuria (p. 464) 301
Galactosemia (p. 465) 302
Cystic Fibrosis (Mucoviscidosis) (p. 466) 302
Cystic Fibrosis Gene: Normal Structure and Function (p. 466) 304
Cystic Fibrosis Gene: Mutational Spectra and Genotype-Phenotype Correlation (p. 467) 304
Genetic and Environmental Modifiers (p. 469) 304
Morphology (p. 469) 306
Clinical Features (p. 470) 306
Sudden Infant Death Syndrome (p. 471) 306
Morphology (p. 472) 307
Pathogenesis (p. 472) 307
Tumors and Tumorlike Lesions of Infancy and Childhood (p. 473) 308
Benign Tumors and Tumorlike Lesions (p. 473) 308
Malignant Tumors (p. 475) 309
Incidence and Types (p. 475) 309
Neuroblastic Tumors (p. 475) 310
Morphology (p. 476) 310
Clinical Course and Prognostic Features (p. 477) 310
Wilms Tumor (p. 479) 310
Pathogenesis and Genetics (p. 479) 310
Morphology (p. 480) 311
Clinical Features (p. 481) 311
Systemic Pathology: Diseases of Organ Systems 313
11 - Blood Vessels 315
Vascular Structure and Function (p. 483) 315
Vascular Anomalies (p. 485) 315
Vascular Wall Response to Injury (p. 485) 316
Endothelial Cells (p. 485) 316
Endothelial Dysfunction (p. 486) 316
Vascular Smooth Muscle Cells (p. 486) 317
Intimal Thickening: A Stereotyped Response to Vascular Injury (p. 486) 317
Hypertensive Vascular Disease (p. 487) 317
Blood Pressure Regulation (p. 488) 317
Pathogenesis of Hypertension (p. 490) 319
Mechanisms of Essential Hypertension (p. 490) 319
Pathogenesis of Secondary Hypertension (p. 490) 320
Vascular Pathology in Hypertension (p. 490) 320
Arteriosclerosis (p. 491) 320
Atherosclerosis (p. 491) 320
Epidemiology (p. 491) 321
Constitutional Risk Factors (p. 492) 321
Modifiable Major Risk Factors (p. 492) 321
Additional Risk Factors (p. 493) 321
Pathogenesis of Atherosclerosis (p. 494) 322
Endothelial Injury (p. 494) 322
Hemodynamic Disturbances (p. 495) 322
Lipids (p. 495) 322
Inflammation (p. 496) 322
Infection (p. 496) 323
Smooth Muscle Proliferation and Matrix Synthesis (p. 496) 323
Morphology (p. 496) 324
Consequences of Atherosclerotic Disease (p. 499) 324
Atherosclerotic Stenosis (p. 500) 324
Acute Plaque Change (p. 500) 324
Thrombosis (p. 501) 326
Vasoconstriction (p. 501) 326
Vessel Wall Weakening 326
Aneurysms and Dissection (p. 501) 326
Pathogenesis of Aneurysms (p. 501) 327
Abdominal Aortic Aneurysm (p. 502) 327
Thoracic Aortic Aneurysm (p. 503) 328
Aortic Dissection (p. 504) 328
Pathogenesis (p. 504) 328
Morphology (p. 504) 328
Clinical Features (p. 505) 329
Vasculitis (p. 505) 329
Noninfectious Vasculitis (p. 506) 329
Immune Complex–Associated Vasculitis (p. 506) 329
Antineutrophil Cytoplasmic Antibodies (p. 507) 329
Antiendothelial Cell Antibodies (p. 507) 331
Giant Cell (Temporal) Arteritis (p. 507) 331
Morphology (p. 508) 331
Clinical Features (p. 508) 331
Takayasu Arteritis (p. 508) 331
Morphology (p. 509) 331
Clinical Features (p. 509) 331
Polyarteritis Nodosa (p. 509) 332
Morphology (p. 509) 332
Index 825
A 825
B 830
C 832
D 839
E 840
F 843
G 844
H 846
I 850
J 852
K 853
L 853
M 855
N 859
O 861
P 862
Q 867
R 867
S 869
T 873
U 875
V 876
W 877
X 878
Y 878
Z 878