I am not knowledgeable about Ripple, but it is described as a lending system in this article.
Then why do they compare it to an exchange?
Because an exchange is always, to some extend, a lending system. Two people exchanging stuff have to accept the idea that one of them will have to "pay" first and wait a bit until the other one pays his part. It can never be simultaneous. So there has to be some trust at some point. In a centralized exchange, this is more or less solved since the central server acts as an intermediary, but it does not solve the fundamental problem, it just moves the risk to the third party.
Bitcoin-otc is a decentralized way of dealing with this, basically using a reputation system.
Ripple goes beyond that and generalizes the whole concept by allowing debts to be transferred. It's more or less like the existing debt-based money but it is decentralized.
I think they are right when they say that Ripple is both a complement to bitcoin (since it can do what bicoin-otc does) and a competitor (since it proposes to replace a commodity based money with a debt-based money).