3 - Responses Of The Skin To Injury Flashcards
Skin patterns imply
The Pathogenesis and cause
Hyperkeratosis
Increased thickness of the stratum corneum
Hyperkeratosis can be due to
Non specific reaction to chronic stimuli
Is there a nucleus with othokeratotic
Lacks nuclei
Examples of causes of orthokeratotic
Seborrhea, icthyosis, vitamin A deficiency
What could cause parakeratosis
Zinc responsive dermatitis, superficial neuroleptic dermatitis
Epidermal hyperplasia
Increase thickness of the epidermis due to an increase number of cells
Epidermal hyperplasia occur where
Stratum spinosum - Acanthosis
Rete Pegs
Down growths of epidermis into the dermis
Where is rete peg normal
High friction - foot pads, gingiva
Where is another place you can find rete pegs
Chronic irritation
Epidermal dysplasia
Abnormal development of the epidermis
Disorganization of any of the layers of the epidermis
Epidermal dysplasia
Epidermal dysplasia is most often in what cells
Basal cells
Epidermal dysplasia is often what type of lesions
Pre neoplasticism
Epidermal atrophy
Decrease in number and size of the cells within the epidermis
Possible caues for epidermal atrophy
Hyperadrenocorticism, partial ischemia, severe malnutrition
What are some distinct Pathogenesis, but histologically identical
Dyskeratosis, apoptosis, necrosis
If dykeratosis/apoptosis/necrosis is confined to the basal layer
Discoid lupus/ muscocutaneous pyoderma
If dykeratosis/apoptosis/necrosis is multifola at all layers
Erythema multiforme
If dykeratosis/apoptosis/necrosis diffuse / full thickness
Toxic dermal necrolysis, thermal injury q
Edema
Fluid balance
Acantholysis
Loss of cell adhesion
Widening of intercellular spaces due to worsening edema lead to
Spongiosis
Los of cells due to worsening edema leads to
Ballooning degeneration
Ballooning degeneration is what type of edema
Intracellular
Spongiosis is what type of edema
Intercellular edema
Loss of interest-cellular junctions resulting in separation of cells
Acantholysis
What do you think of when u see Acantholysis cells
Immune mediated process
Immune mediated process related to Acantholysis cells
Pemphigus
What are neutrophilic enzyme destruction that can h cause Acantholysis cells
Superficial bacterial folliculitis, and ring worms
Where can you look for Acantholysis cells
Vesicles and crusts
Which cell are r typically disassociated from others Acantholysis or Apoptotic
Acantholysis
What type of pemphigus is asooocaited with Superfifical
Pephigus folicaceous
Pemphigus folicaceous forms pustules where
Beneath the stratum corneum
Pemphigus vulgaris is characterized by
Suprabasilar cleft
Bulbous pemphigoid / thermal burns are characterized by
Completely separating from the dermis?
Exocytosis
Inflammatory cells walking through the epidermis
Crust
Form as pustules dry up or are pushed off by the hyperplastic epidermis
Hyperpigmentation is most commonly due to
Increased production of melanin by existing melanocytes
Hyperpigmentation can also occur due to proliferation of
Melanocytes
Lentigo
Black spots around the eyes
Pigmentary incontinence
Loss of melanin from pigmented cells in the basal layer
What is damaged in Pigmentary incontiene
Basal cells or melanocytes
In pigmentary incontience the pigment is phagocytes by
Macrophages in the Superfifical dermis
Dermal atrophy
Decrease in the quantity of collagen fibrils and fibroblast in teh dermis
Flame figures
Hyper - eosinophilic
Hyper - eosinphilic collagen degradation
Surrounded by eosinphils and major basic protein
Examples of eosinphilic degradation
Feline eosinphilic granulosum complex, canine eosinphilic granulomas, equine modular necrobiosis, habronemiasia, mast cell tumors
Mineralization
Calcinosis cutis - mineralization of the collagen
Calcinosis Cutis occurs in dogs with
Hyperadrenocortisicsm
Mineralization nodules
Calcinosis circumscribed
Hemidesmosomes attach where
To the basement membrane
Neutrophilic pustules
Bacterial and pemphigus
Eosinphilic pustules
Ectoparasites and pemphigus
Crust form as
Pustules dry up
2 examples of alterations in epidermal pigmentation
Hyperpigmentation and pigmentary incontinence
2 examples of hyperpigmentation caues
Chronic inflammatory disease and endocrine dermatoses
Pigmentary incontience is a feature what specific disease
Discoid Lupus and VKH
What can cause dermal atrophy
Hyperadrenocorticism
Responses of the dermis to injury
Alteration in growth, collagen degradation, dermal deposits, inflammation in the dermis
Mucin is in
Shar Pei or hypothyroidism
Perivascular dermatitis
Inflammatory cells are centered around teh blood vessel
Vasculitis
Inflammation is targeting the walls of the blood vessels
FIP and Sepsis can cause
Vasculitis
Interface dermatitis
Superficial dermal inflammation in the cells surrounding the dermo - epidermal junction
Interface dermatitis causes basal cells to be
Vacuolated and necrotic
Which pigmentation thing is seen with interface dermatitis
Pigmentary incontience
Lichenoid
Band beneath the epidermis
Nodular to diffuse dermatitis is usually
Infectious
Responses of the adnexa to injury
Alterations in growth and inflammation of the adnexa
2 alterations in growth of the adnexa
Atrophy and hypertrophic
Adnexa atrophy is indicative of
Endocrine or ischemia
Adnexa hypertrophy is indicative of
Chronic irritation
Inflammation of the adnexa can affected
Follicles and glands
Folliculitis overtime turn to
Furunculosis
Furunculosis
Inflammation associated with follicular rupture
Sebaceous amenities
Immune mediated reaction targeting teh sebaceous glands
Sebaceous adenitis is seen in
Akitas , standard poodles, vizlas
Pannuculus atrophy
Chronic negative energy balance
Panniculus hypertrophy
Obesity
Panniculitis