{"id":35576,"date":"2023-02-14T01:27:20","date_gmt":"2023-02-14T04:27:20","guid":{"rendered":"https:\/\/med.estrategia.com\/portal\/?p=35576"},"modified":"2023-07-06T14:28:15","modified_gmt":"2023-07-06T17:28:15","slug":"resumo-de-necrose-classificacao-caracteristicas-patologicas-e-mais","status":"publish","type":"post","link":"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/doencas\/resumo-de-necrose-classificacao-caracteristicas-patologicas-e-mais\/","title":{"rendered":"Resumo de necrose: classifica\u00e7\u00e3o, caracter\u00edsticas patol\u00f3gicas e mais!"},"content":{"rendered":"<p class=\"wp-block-paragraph\">A <span id=\"urn:enhancement-24e71baf-158b-4ce9-ac93-c5029035c6cb\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> representa a les&atilde;o celular irrevers&iacute;vel e eventual morte celular devido a processos patol&oacute;gicos. Diferente da apoptose, ocorre por est&iacute;mulo nocivo vindo de fora da c&eacute;lula e est&aacute; quase sempre associada a respostas inflamat&oacute;rias agudas e cr&ocirc;nicas, al&eacute;m de processos degenerativos.&nbsp;<p class=\"wp-block-paragraph\">Existem os subtipos c<strong>oagulativa, liquefativa, caseosa, gangrenosa, gordurosa e fibrin&oacute;ide. <\/strong>Elas exibem diferentes apar&ecirc;ncias microsc&oacute;picas e macrosc&oacute;picas a depender do tecido e causa envolvida.&nbsp;<\/p><div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7d812b4c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/med.estrategia.com\/cursos\/\" style=\"background-color:#0ba4ae\" target=\"_blank\">Conhe&ccedil;a os cursos do Estrat&eacute;gia MED!<\/a><\/div>\n<\/div><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Navegue pelo conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/doencas\/resumo-de-necrose-classificacao-caracteristicas-patologicas-e-mais\/#Mecanismos-da-necrose\" >Mecanismos da necrose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/doencas\/resumo-de-necrose-classificacao-caracteristicas-patologicas-e-mais\/#Correlacao-clinica-da-necrose\" >Correla&ccedil;&atilde;o cl&iacute;nica da necrose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/doencas\/resumo-de-necrose-classificacao-caracteristicas-patologicas-e-mais\/#Tipos-de-necrose\" >Tipos de necrose<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-mecanismos-da-necrose\"><span class=\"ez-toc-section\" id=\"Mecanismos-da-necrose\"><\/span>Mecanismos da necrose<span class=\"ez-toc-section-end\"><\/span><\/h2><p class=\"wp-block-paragraph\">A <span id=\"urn:enhancement-d281e8f0-751d-4c62-93d8-56195ed574ab\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> &eacute; marcada por uma sequ&ecirc;ncia que inicia-se com a morte celular, seguida de aut&oacute;lise e heter&oacute;lise pela a&ccedil;&atilde;o de enzimas celulares, respectivamente, pr&oacute;prias e de outras c&eacute;lulas.<\/p><p class=\"wp-block-paragraph\">Inicialmente ocorre perda na integridade da membrana celular em resposta a algum agente nocivo, gerando gradiente de concentra&ccedil;&atilde;o para entrada de &iacute;ons e &aacute;gua para a c&eacute;lula, ocasionando hipertonia celular.&nbsp;<\/p><p class=\"wp-block-paragraph\">Posteriormente, ocorre libera&ccedil;&atilde;o de prote&iacute;nas lisossomais, como proteases, RNAase, DNAse e fosfatases, devido hipertonia nas organelas dentro da c&eacute;lula, incluindo no lisossomos, levando a digest&atilde;o e destrui&ccedil;&atilde;o no citoplasma (aut&oacute;lise) de estruturas celulares importantes, como DNA, RNA e prote&iacute;nas. Ambos os mecanismos levam &agrave; ruptura da <span id=\"urn:enhancement-f8df2c2e-765f-40a5-aa61-65005e5201f7\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/membrana-plasmatica\">membrana plasm&aacute;tica<\/span>, levando ao derramamento do conte&uacute;do intracelular no tecido circundante.&nbsp;<\/p><p>\n\n\n<div id=\"new-form\">\n\t<form id=\"forms_layout\">\n\t<input type=\"hidden\" id=\"chave_de\" name=\"chave_de\" value=\"01_EMED_LEADS_TOTAIS\" \/>\n\t\t<input type=\"hidden\" id=\"mid\" name=\"mid\" value=\"515009018\" \/>\n\t\t<input type=\"hidden\" id=\"Objetivo\" name=\"Objetivo\" value=\"Medicina\" \/>\n\t\t<input type=\"hidden\" id=\"Estado_de_Origem_do_IP\" name=\"Estado_de_Origem_do_IP\"  value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Cidade_de_Origem_do_IP\" name=\"Cidade_de_Origem_do_IP\" value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Modo_de_entrada\" name=\"Modo_de_entrada\" value=\"Portal\" \/>\n\t\t<input type=\"hidden\" id=\"Pagina_Origem\" name=\"Pagina_Origem\" value=\"\" \/>\n\n\t\t<div class=\"texto\">\n\t\t\t<h3 class=\"news\">Inscreva-se em nossa newsletter!<\/h3>\n\t\t\t<p>Receba not\u00edcias sobre resid\u00eancia m\u00e9dica, revalida\u00e7\u00e3o de diplomas e concursos m\u00e9dicos, al\u00e9m de materiais de estudo gratuitos e informa\u00e7\u00f5es relevantes do mundo da Medicina.<\/p>\n\t\t<\/div>\n\t\t<div class=\"campos\">\n\t\t\t<div class=\"first_name labels\">\n\t\t\t\t<input type=\"text\" class=\"input_labels\" id=\"first_name\" name=\"Nome_Completo\" placeholder=\"Nome\" required \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"email labels\">\n\t\t\t\t<input type=\"email\" class=\"input_labels\" id=\"email\" name=\"Email\" placeholder=\"E-mail\" required \/>\n\t\t\t<\/div>\n\t\t\t<button type=\"submit\" class=\"button_layout\">\n\t\t\t\t<div id=\"lblBotao\">Inscreva-se<\/div>\n\t\t\t\t<span id=\"divSpiner\" class=\"loader\" role=\"status\" style=\"display: none;\"><\/span>\t\n\t\t\t<\/button>\n\t\t<\/div><!-- \/campos -->\n\t\t\n\t\t<label class=\"container_checkbox\">Voc\u00ea concorda com a nossa\n\t\t\t<a class=\"politics_privacy_ahref\" target=\"_blank\" href=\"https:\/\/gratis.estrategiaconcursos.com.br\/politica-de-privacidade\/\">Pol\u00edtica de Privacidade<\/a> e aceita receber informa\u00e7\u00f5es adicionais do Estrat\u00e9gia Educacional.\n\t\t\t<input id=\"checkbox_layout\" type=\"checkbox\" checked=\"checked\" required \/>\n\t\t\t<span class=\"checkbox\"><\/span>\n\t\t<\/label>\n\t\t<div id=\"msg\"><\/div>\n\t\t<div id=\"error\" class=\"error\">\n\t\t<\/div>\n\t<\/form>\n<\/div><!-- \/new-form -->\n\n\n\n<\/p><p class=\"wp-block-paragraph\">Existem diversas causas externas que levam a morte celular podem ser divididas em alguns grandes grupos, como<strong> hip&oacute;xia<\/strong> (<span id=\"urn:enhancement-300b5785-d708-4bc4-879c-9b8afcacd60c\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/avcs\">AVC<\/span>, <span id=\"urn:enhancement-2dcc2970-9c73-4df5-8589-11cebacfbd3e\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/infarto-do-miocardio\">infarto do mioc&aacute;rdio<\/span>, choque circulat&oacute;rio),<strong> agentes biol&oacute;gicos <\/strong>(bact&eacute;rias, v&iacute;rus e fungos), les&otilde;es por<strong> agentes f&iacute;sicos<\/strong> (<span id=\"urn:enhancement-03b15916-587a-440c-95e3-3caacda099d7\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/politraumatismo\">trauma<\/span>, temperaturas extremas, exposi&ccedil;&atilde;o &agrave; radia&ccedil;&atilde;o ou choque el&eacute;trico), les&otilde;es por <strong>agentes qu&iacute;micos<\/strong> ( venenos, exposi&ccedil;&atilde;o ocupacional, toxicidade por drogas), al&eacute;m de <strong>respostas autoimunes<\/strong>.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-correlacao-clinica-da-necrose\"><span class=\"ez-toc-section\" id=\"Correlacao-clinica-da-necrose\"><\/span>Correla&ccedil;&atilde;o cl&iacute;nica da necrose<span class=\"ez-toc-section-end\"><\/span><\/h2><p class=\"wp-block-paragraph\">A <span id=\"urn:enhancement-fdf202c3-2b58-4c1a-99ca-329df91a8e1b\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> pode ser classificada de acordo com a morfologia atrav&eacute;s de suas apar&ecirc;ncias microsc&oacute;picas e macrosc&oacute;picas. O achado de <span id=\"urn:enhancement-7cb3d737-0f9e-4903-993f-722ee73804d1\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> ajuda a identificar o mecanismo de les&atilde;o celular e poss&iacute;veis est&iacute;mulos nocivos que os causam.&nbsp;<\/p><p class=\"wp-block-paragraph\">J&aacute; no caso da <span id=\"urn:enhancement-bf5f5a24-b07a-4444-bce5-9b7cfbded64f\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/isquemia\">isquemia<\/span> do cora&ccedil;&atilde;o, levando a les&atilde;o mioc&aacute;rdica, e da <span id=\"urn:enhancement-528eab3d-d2d1-4ff5-8aef-818964e12d41\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/isquemia\">isquemia<\/span> do c&eacute;rebro, levando a acidente vascular cerebral s&atilde;o diagnosticados atrav&eacute;s de m&eacute;todos indiretos laboratoriais ou de imagem, para confirmar a condi&ccedil;&atilde;o. No entanto, a <span id=\"urn:enhancement-20b40c57-d2ab-466c-b39f-0dc3c2e83a6b\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> ajuda a descrever o mecanismo patol&oacute;gico dessas doen&ccedil;as.&nbsp;&nbsp;<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tipos-de-necrose\"><\/span>Tipos de necrose<span class=\"ez-toc-section-end\"><\/span><\/h2><h3 class=\"wp-block-heading\" id=\"h-necrose-de-coagulacao\">Necrose de coagula&ccedil;&atilde;o<\/h3><p class=\"wp-block-paragraph\">A principal causa &eacute; a hip&oacute;xia, como ocorre nas isquemias arteriais ou venosas, exceto no c&eacute;rebro.&nbsp; Em rela&ccedil;&atilde;o &agrave;s caracter&iacute;sticas morfol&oacute;gicas, neste tipo de <span id=\"urn:enhancement-6c227088-8eb4-4c08-9cc8-946d9dac43cc\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> os contornos celulares ainda s&atilde;o vis&iacute;veis e o mas as c&eacute;lulas apresentam-se anucleadas e com o citoplasma corado mais intensamente pela eosina, devido &agrave; desnatura&ccedil;&atilde;o das prote&iacute;nas estruturais e das enzimas.&nbsp;<\/p><p class=\"wp-block-paragraph\">Macroscopicamente a &aacute;rea atingida &eacute; esbranqui&ccedil;ada e intumescida. Usualmente um tecido com <span id=\"urn:enhancement-1bcc0814-0d01-4c11-8cc1-b685c6e649f3\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> de coagula&ccedil;&atilde;o evolui para <span id=\"urn:enhancement-7b7fe528-f597-4426-8360-bd8622580ec4\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> liquefativa pela a&ccedil;&atilde;o das enzimas lisossomais de leuc&oacute;citos na tentativa de eliminar as c&eacute;lulas mortas no processo inflamat&oacute;rio desencadeado pela les&atilde;o celular.&nbsp;<\/p><p class=\"wp-block-paragraph\">Um exemplo <span id=\"urn:enhancement-2a5be55f-8b0a-4844-8a57-29189b4ff24a\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/medicos\">cl&iacute;nico<\/span>, a <span id=\"urn:enhancement-b09c37fe-b898-43b9-99a2-efec706c7bd2\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> tubular aguda observada atrav&eacute;s de bi&oacute;psia renal por demonstrar processo isqu&ecirc;mico por estenose de ramos da art&eacute;ria renal ou pode levar a suspeita diagn&oacute;stica de les&atilde;o renal por uso de medicamentos.&nbsp;<\/p><figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh6.googleusercontent.com\/EACEkNA9VbVCNMKeKHkCWkBYvsgYVdoUZWrDlbm1CStUfpuFG6OnROViFZtr24vd8HK95_uQFWJ4zZq7ABgmdDkrWwP4IKe4bTX32BV7WhDUhl3CAyouBhLHxVzs8KzScqUTISzEl0OXdRz-mgs2lQ\" alt=\"\"><figcaption class=\"wp-element-caption\">Necrose coagula&ccedil;&atilde;o no infarto renal. Cr&eacute;dito: <a href=\"http:\/\/depto.icb.ufmg.br\/dpat\/setores\/museu\/banco_imagens\/mod1\/mor_cel_som\/necro_coag\/pages\/2B10X-L74_jpg.htm\" target=\"_blank\" rel=\"noopener noreferrer\">UFMG&nbsp;<\/a><\/figcaption><\/figure><p class=\"wp-block-paragraph\">A <span id=\"urn:enhancement-e0530cf8-75ce-49be-88d0-48a8cd605a2d\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> gomosa &eacute; uma varia&ccedil;&atilde;o da <span id=\"urn:enhancement-4a5d3bd6-e8fe-4ffc-9ff5-b2edd6134e28\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> por coagula&ccedil;&atilde;o, no qual o tecido assume uma aspecto fluido e viscoso ou compacto e el&aacute;stico, como uma goma.&nbsp;<\/p><h3 class=\"wp-block-heading\" id=\"h-necrose-liquefativa\">Necrose liquefativa<\/h3><p class=\"wp-block-paragraph\">Nesse tipo, as c&eacute;lulas sofrem degenera&ccedil;&atilde;o por enzimas hidrol&iacute;ticas em resposta inflamat&oacute;ria mediada por c&eacute;lulas de defesa, perdendo sua estrutura por completo e se transformando em uma massa viscosa. Diferente do que ocorre na <span id=\"urn:enhancement-e29276c0-d34d-4bc9-b69d-cdb224a1108d\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> por coagula&ccedil;&atilde;o, a elimina&ccedil;&atilde;o do material necr&oacute;tico &eacute; r&aacute;pida, levando de algumas horas a poucos dias.&nbsp;<\/p><p class=\"wp-block-paragraph\">Macroscopicamente, a zona necrosada adquire consist&ecirc;ncia mole, pastosa ou mesmo liquefeita. Essa morfologia &eacute; t&iacute;pica das <span id=\"urn:enhancement-8547c9b6-d942-4c88-b15a-28b7ce2b5556\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/infeccoes\">infec&ccedil;&otilde;es<\/span> bacterianas, onde o ac&uacute;mulo desse material necr&oacute;tico &eacute; chamado de pus. Diferente das outras isquemias, a cerebral tamb&eacute;m &eacute; marcada por este tipo de <span id=\"urn:enhancement-db0075a4-9ec8-4899-8b7f-ee6b3cd94f96\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span>.&nbsp;<\/p><figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/MXlL5K3vTmXAd-lFpbUZIkjJUT1IrjTa0KFi6TsFrOxgF_sEestyzBWNLILg2Krkz8cJDOKC3pBOR9hWqcL-PIe0JLXhiCqMjhkWkwSZwnlJJQ1baZmTYSAZ4ZiqNytx5hMedKXwtOB9QuzeIwVXtg\" alt=\"\"><figcaption class=\"wp-element-caption\">Necrose de liquefa&ccedil;&atilde;o. Cr&eacute;dito: <a href=\"https:\/\/anatpat.unicamp.br\/lamdegn26.html\" target=\"_blank\" rel=\"noopener noreferrer\">Unicamp<\/a><\/figcaption><\/figure><h3 class=\"wp-block-heading\" id=\"h-necrose-caseosa\">Necrose caseosa<\/h3><p class=\"wp-block-paragraph\">O termo &eacute; devido ao aspecto macrosc&oacute;pico semelhante ao queijo, que se refere ao aspecto esbranqui&ccedil;ado da &aacute;rea necr&oacute;tica. Decorrente de mecanismos de agress&atilde;o envolvendo macr&oacute;fagos e linf&oacute;citos T, &eacute; respons&aacute;vel pela a cl&aacute;ssica les&atilde;o granulomatosa. Esst forma ocorre na <span id=\"urn:enhancement-0dcfdc6c-344a-4cb8-b622-3f45fa87b452\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/infeccoes\">infec&ccedil;&atilde;o<\/span> tuberculosa e a &aacute;rea necr&oacute;tica &eacute; chamada de granuloma.&nbsp;<\/p><figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh5.googleusercontent.com\/q_HXtEdUyBtp006NW8k8JUUYIeYOyEfsFOOFXgWx87t1sP11Xvi46quH_Ii_crqPwZZAKreD4cQ56-XPHKDGZGa6bEdSpclkjPfP6Fe4k703kYCUCbQlUBZHL27BiSCsQeMUSvtdoKWWBvsHKvuyvWk\" alt=\"\"><figcaption class=\"wp-element-caption\">Caracteriza&ccedil;&atilde;o histol&oacute;gica e imuno-histoqu&iacute;mica das les&otilde;es de tuberculose. Cr&eacute;dito: <a href=\"https:\/\/www.scielo.br\/j\/pvb\/a\/nDqJYfVKmvwLMYnQLWq5q7j\/?lang=pt#ModalHowcite\" target=\"_blank\" rel=\"noopener noreferrer\">Andreazza, D. et al. (2015). <\/a>&nbsp;&nbsp;&nbsp;<\/figcaption><\/figure><h3 class=\"wp-block-heading\" id=\"h-necrose-gordurosa-ou-esteatonecrose\">Necrose gordurosa ou esteatonecrose<\/h3><p class=\"wp-block-paragraph\">Esse tipo ocorre na pancreatite aguda necro-hemorr&aacute;gica. &Eacute; decorrente da libera&ccedil;&atilde;o de enzimas do p&acirc;ncreas ex&oacute;crino (digestivas) que leva &agrave; liquefa&ccedil;&atilde;o das c&eacute;lulas de gordura na cavidade peritoneal.&nbsp;<\/p><p class=\"wp-block-paragraph\">A a&ccedil;&atilde;o de lipases sobre os triglicer&iacute;deos em combina&ccedil;&atilde;o com o c&aacute;lcio s&atilde;o identificadas macrosc&oacute;picamente como &aacute;reas brancas calc&aacute;rias. Este processo &eacute; conhecido como saponifica&ccedil;&atilde;o. Sob um microsc&oacute;pio, &eacute; marcado por dep&oacute;sitos esbranqui&ccedil;ados ou manchas com aspecto em &ldquo;pingo de vela&rdquo; nos contornos das c&eacute;lulas de gordura necr&oacute;ticas. Este tipo tamb&eacute;m ocorre no tecido mam&aacute;rio ou em outros locais onde ocorra <span id=\"urn:enhancement-6051d49e-3641-4387-80a6-6620268e1e95\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/politraumatismo\">trauma<\/span> em tecido adiposo.&nbsp;<\/p><h3 class=\"wp-block-heading\" id=\"h-necrose-gangrenosa\">Necrose gangrenosa<\/h3><p class=\"wp-block-paragraph\">N&atilde;o &eacute; um padr&atilde;o morfol&oacute;gico de <span id=\"urn:enhancement-126540a4-b423-476b-b8da-9923aeef984f\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span>, mas sim a a&ccedil;&atilde;o de agentes externos sobre o tecido necrosado. Usado tamb&eacute;m como um termo <span id=\"urn:enhancement-e23d9c54-dee5-4005-b612-b7d0ad3dbf57\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/medicos\">cl&iacute;nico<\/span> para <span id=\"urn:enhancement-0985516f-eb85-46af-b6a3-a5af09107d54\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> <span id=\"urn:enhancement-eb9623fa-5a62-4c30-99ec-5f4e9dde34ab\" class=\"textannotation disambiguated wl-thing\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/isquemia\">isqu&ecirc;mica<\/span> dos membros. Possui dois tipos:&nbsp;<\/p><ul class=\"wp-block-list\">\n<li>Seca: ocorre desidrata&ccedil;&atilde;o do tecido necrosado, gerando aspecto de mumifica&ccedil;&atilde;o do tecido, comuns nas extremidades de dedos, nariz e orelhas.&nbsp;<\/li>\n\n\n\n<li>&Uacute;mida: isquemia com infec&ccedil;&atilde;o por bact&eacute;rias anaer&oacute;bicas que liberam enzimas que levam a necrose liquefativa.<\/li>\n\n\n\n<li>Gasosa: secund&aacute;ria a infec&ccedil;&atilde;o do tecido necrosado por <em>Clostridium<\/em>, bact&eacute;ria produtora de g&aacute;s.&nbsp;&nbsp;<\/li>\n<\/ul><h3 class=\"wp-block-heading\" id=\"h-necrose-fibrinoide\">Necrose fibrin&oacute;ide<\/h3><p class=\"wp-block-paragraph\">Ocorre principalmente na parede dos vasos sangu&iacute;neos em decorr&ecirc;ncia da deposi&ccedil;&atilde;o de imunocomplexos, causando rea&ccedil;&atilde;o inflamat&oacute;ria celular e vazamento de fibrina. Esta colora&ccedil;&atilde;o observada aparece como um material amorfo rosa brilhante.&nbsp;<\/p><p class=\"wp-block-paragraph\">Por exemplo, a bi&oacute;psia renal ou de les&otilde;es cut&acirc;neas demonstrando <span id=\"urn:enhancement-5fcc0ab7-3153-457d-9904-6821ce17b0a8\" class=\"textannotation disambiguated wl-thing wl-no-link\" itemid=\"https:\/\/data.wordlift.io\/wl106637\/entity\/necrose\">necrose<\/span> fibrin&oacute;ide em vasos, levanta a suspeita de vasculites ou outras condi&ccedil;&otilde;es reumatol&oacute;gicas e autoimunes.<\/p><figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/kaR8x5WL2VyyrAd36lijbBHRHKozFaL6yo20bGcRpuBNh8-m7S5oMs-ACcwJz4K3cOmA8wqLiqp8mQy_Imo-Rk3bD3efEO0iZ_xDLgN2IofCcr9sdOVui1Oq0VCTMtMzb_KGwNLHmhcZFOvlOW_9uTc\" alt=\"\"><figcaption class=\"wp-element-caption\">Cr&eacute;dito: <a href=\"https:\/\/anatpat.unicamp.br\/lamdegn7.html\" target=\"_blank\" rel=\"noopener noreferrer\">Unicamp<\/a>.&nbsp;<\/figcaption><\/figure><h3 class=\"wp-block-heading\">Veja tamb&eacute;m:<\/h3><ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/doencas\/resumo-de-isquemia-mesenterica-diagnostico-tratamento-e-mais\/\">Resumo de isquemia mesent&eacute;rica: diagn&oacute;stico, tratamento e mais!<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/med.estrategia.com\/portal\/entidade\/infarto-do-miocardio\/\">Infarto do mioc&aacute;rdio<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-tuberculose-quadro-clinico-diagnostico-e-tratamento\/\">ResuMED de tuberculose: quadro cl&iacute;nico, diagn&oacute;stico, tratamento e mais!<\/a><\/li>\n<\/ul><p class=\"wp-block-paragraph\"><strong><a id=\"cta\" class=\"cta-imagem\" href=\"https:\/\/med.estrategia.com\/cursos\/extensivo-de-residncia-mdica\/\" target=\"blank\">\n                <img decoding=\"async\" width=\"100%\" src=\"https:\/\/med.estrategia.com\/portal\/wp-content\/uploads\/2025\/08\/extensivo_rm.jpg\" alt=\"Extensivo RM\" title=\"extensivo_rm\">\n        <\/a><\/strong><\/p><h3 class=\"wp-block-heading\">Refer&ecirc;ncias bibliogr&aacute;ficas:<\/h3><ul class=\"wp-block-list\">\n<li>Carlos Castilho de Barros e Augusto Schneider. <strong>Necrose<\/strong>. Disciplina patologia geral. <a href=\"https:\/\/wp.ufpel.edu.br\/patogeralnutricao\/files\/2013\/05\/Necrose-cop.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">UFPEL<\/a>.<\/li>\n\n\n\n<li>Khalid N, Azimpouran M. <strong>Necrosis<\/strong>. [Updated 2022 Mar 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557627\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557627\/<\/a><\/li>\n\n\n\n<li>Cr&eacute;dito da imagem em destaque: <a href=\"https:\/\/www.pexels.com\/pt-br\/foto\/cientista-usando-microscopio-3938022\/\" target=\"_blank\" rel=\"noopener noreferrer\">Pexels<\/a><\/li>\n<\/ul><\/p>\n","protected":false},"excerpt":{"rendered":"A necrose representa a les&atilde;o celular irrevers&iacute;vel e eventual morte celular devido a processos patol&oacute;gicos. Diferente da apoptose,&hellip;\n","protected":false},"author":43,"featured_media":35581,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[304],"tags":[],"class_list":["post-35576","post","type-post","status-publish","format-standard","has-post-thumbnail","category-doencas"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Resumo de necrose: classifica\u00e7\u00e3o, caracter\u00edsticas patol\u00f3gicas e mais!<\/title>\n<meta name=\"description\" content=\"A necrose representa a les\u00e3o celular irrevers\u00edvel e eventual morte celular devido a processos patol\u00f3gicos, com isquemias e infec\u00e7\u00f5es.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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