Vascular wall changes

Feature Hyaline Arteriolosclerosis Hyperplastic Arteriolosclerosis Fibrinoid Necrosis
Main Cause Chronic HT, Diabetes, Aging Malignant HT Malignant HT, Vasculitis (immune)
Key Histology Homogeneous, pink, glassy thickening, narrow lumen "Onion-skin" layers, smooth muscle proliferation, very narrow lumen Eosinophilic fibrin, inflammation, "smudged" wall
Severity/Context Chronic damage (e.g., benign nephrosclerosis, lacunar infarcts) Acute, severe, rapid damage (malignant nephrosclerosis, hypertensive emergency) Acute, severe damage (e.g., malignant nephrosclerosis, active vasculitis)
Vessel Type Arterioles, small arteries Arterioles, small arteries Arterioles, capillaries, venules

Pasted image 20250518102625.png