Accumulation of fluid in the extra cellular space that is rich in proteins and inflammatory cells due to increased vascular permeability
In acute inflammation inflammatory mediators act on blood vessel and increased blood flow to site of inflammation this leads to increased hydrostatic pressure in the blood vessels. Inflammatory mediators act on endothelium and leads to increased vascular permeability by contracting and retracting the endothelium. Direct injury to endothelium also leads to increased vascular permeability. This increase vascular permeability leads to leakage of protein rich fluid in to extracellular space
Exudate contains all proteins in the plasma which include complements, cytokines, immunoglobulin, and fibrinogen. Exudate rich in inflammatory cells like neutrophils, lymphocyte, and macrophage.
Aim of exudate formation is to bring inflammatory cells and proteins into site of inflammation
Exudation helps to combats with injuries agent by
Diluting it
Restriction of spread by forming fibrin mess
Facilitate the phagocytosis by opsonization with immunoglobulin and complement
Neutralizing toxins
Disadvantage of exudate formation is pain, swelling and dysfunction of tissue.
E.g. -
- Inflammation of brain tissue leads to swelling of brain tissue leading to increase intracranial pressure may result herniation of tonsils
- Pneumonia leads to dysfunction of gas exchange