Sunday 11 June 2017

Delayed continuous vascular permeability | DNB Based MCQ

NIME Next Batch PGI Quest in Delhi from 10 August to 20 August


Delayed continuous vascular permeability is due to

A. Endothelial contraction 
B. Retraction by endothelial venules and capillaries 
C. Direct endothelial injury 
D. Angiogenesis

Ans. C. (Direct endothelial injury)
1. Delayed prolonged increase in vascular permeability is a curious but relatively common type of increased vascular permeability that begins after a delay of 2—12 hours, lasts for several hours or even days, and involves venules as well as capillaries.
2. Such leakage is caused, for example, by mild to moderate thermal injury, X-Ray irradiation or ultraviolet radiation, and certain bacterial toxins.
3. Late-appearing sunburn is a good example of a delayed reaction.

4. The mechanism of such leakage is unclear. It may result from the direct effect of the injurious agent leading to delayed endothelial cell damage (perhaps by apoptosis), or the effect of cytokines causing endothelial retraction, as described ear-