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Cirrhosis

Normal liver

 Stellate cells(perisinusoidal space) extracellular


matrix(collagen type 1,3,4 and glycoprotein,proteoglycan)

Injury
Kupffer’s cell,hepatocyteand sinusoidal Portal hypertension
endothelium

Produce cytokine, transforming


growth factor(TGF) Stellate cells have contractile (ที่หดตัวได้ )
property

Activate stellate cells Capillarization of sinusoid

Extracellular matrix Diminution (การลดลง) of


endothelial fenestrae (ช่อง
เปิ ดเล็ก)

fibrosis

Collagen deposition increases in the


space of Disse (space between
hapatocyte and sinusoid)
Fungal lung infection
Fungi

Mucous attack fungi

hemoptysis
Mast cells

Produce histamine Blood vessels dilate

Difficulty breathing

Blood permeability

Dead cells deposit on walls of


bronchus

Diapedesis(ออกจากหลอด
เลือด) of neutrophil

Neutrophil produces NO (nitric oxide), ROI (reactive Lysis of elastic walls of bronchus
oxygen intermediate) and proteolytic enzymes

Dilation of bronchus
(bronchiectasis)

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