Hyaline arteriosclerosis is seen in:: (A) Malignant HTN, (B) Benign HTN, (C) PAN, (D) SLE
Answer is B. Ans: b (Benign HTN) Ref: Robbins, 7th ed, p. 1006The histological features of Benign/Malignant HTN & DM in kidney are extremely important.Try to learn these by heart!Renal changes in HTNBENIGNMALIGNANTG/A: Grain leatherB/L symmetrical, shrunkenkidneyFlea bittenNormal/ShrunkenM/E: Fibroelastic hyperplasiaHyaline arteriosclerosisIntimal sclerosisHyperplastic arteriolitisOnion skin appearanceChanges in DM* Most common pathological change- Thickening of glomerular Bm* Most common pattern of involvement- Diffuse glomerular sclerosis* Pathognomonic lesion is- Nodular glomerulosclerosisOrKimmelsteil Wilson lesionOrIntercapillary glomerulosclerosis.