Endocrine Pathology Flashcards
Kids that were born dead or died shortly after birth, weak with large neck “masses” some were hairless. What endocrine disorder would be at the top of your DDx?
Goiter
Characteristic lesions associated with Diabetes Mellitus
Cataracts (Dogs Only)
Microangiopathy
Hepatic Lipidosis
Lesions caused by infections
(Primary/Secondary) endocrine disorders involve decreased cellular activity or increased cellular activity of the endocrine gland.
Primary Endocrine Disorders
Endocrine function of goiter
Euthyroid or Hypothyroid
Endocrine function of Diabetes Mellitus
Hypoinsulinemia
Pathogenesis of Diabetic Nephropathy
- Chronic hyperglycemia
- Formation of glycosylated proteins
- Deposition into caplillary basement membranes
- Thickened basement membrane (“microangiopathy)
Pancreas: Morphological Diagnosis
Chronic Pancreatitis
Morphological Diagnosis
Thyroid Hyperplasia
Histological Appearance of
Adrenocortical Neoplasm
(Primary/Secondary) Endocrine disorders consist of a lesion of another organ that leads to decreased or increased cellular activity of the endocrine gland
Secondary Endocrine Disorder
Hypopituitarism causes what endocrine disorder?
Hypoadrenocortisim - Addison’s Disease
Cause of Primary Hyperparathyroidism
PTH producing Parathyroid Neoplasm
Insulin resistance can occur secondary to
Hyperadrenocorticism
Obesity
Pregnancy
Pathogenesis of cataracts due to DM
Excessive glucose taken up by epithelium of the lens → metabolized to sorbitol by aldose reductase → sorbitol osmotically draws water into the lens → cataract formation
Morphological Diagnosis
Adrenocortical Adenoma/Carcinoma
_____________________
Require histology to differentiate
Pathogenesis of Islet Cell Vacuolar Degeneration
- Insulin Resistance
- Long term overstimulation of Beta-Cells
- Intracellular accumulation of glycogen
- Vacuolar degeneration of beta cells
- Insulin deficiency and more severe diabetes mellitus
Endocrine disorder that causes hypertension and polymopathy (due to hypernatriemia and hypokalemia)
Hyperaldosteronism - Conn’s Syndrome
What dis?
Pheochromocytoma
__________________________
Would need to be differentiated from Adrenocortical Neoplasm with histopathology
Lesion assoicated with what endocrine disorder?
Steroid Hepatopathy
Hyperadrenocorticism - Cushing’s Disease
Histology of a pancreas from a cat with Diabetes mellitus due to:
Insulin Antagonism
In horses, most pituitary adenomas are from where, and some produce ACTH.
Pars intermedia
Lesions that may be associated with Hyperadrenocorticism
Adrenocortical Adenoma/Carcinoma
Steroid Hepatopathy
Calcinosis cutis
Pituitary Adenoma
Endocrine disease that causes nodular thyroid hyperplasia. Characterized by increased appetite with weight loss, PU, enlarged nodular thyroids and histologically abnormal follicles.
Hyperthyroidism
Histologic appearance of lesion associated with what endocrine disease?
Calcinosis cutis
Hyperadrenocorticism - Cushings Disease
Histologic appearance of what lesion associated with what endocrine disease?
Steroid Hepatopathy
Hyperadrenocorticism - Cushing’s Disease
Possible causes of hyperadrenocorticism
Adrenocortical adenoma/ carcinoma
ACTH secreting pituitary adenoma
Adrenocortical hyperplasia
Iatrogenic
Thyroid carcinomas can arise from what types of cells
Follicular Cells
C Cells
Why might you see this lesion with secondary hyperparathyroidism?
PTH stimulates increased resorption of bone
Chronic PTH stimulates bone marrow stromal cells to differentiate into fibroblasts
High P and low vitamin D > Low Ca > inability to properly mineralize growing bown due to low Ca and uremic acidosis
Morphological Diagnosis
Nodular Thyroid Hyperplasia
Endocrine function of thyroid carcinomas
Euthyroid
What stimulates the parathyroid gland
Nutritional imbalance - high P and/or low Ca
Renal Disease
Lack of UVs and inadequate vitamin D3
Histologic Appearance of
Pheochromocytoma
Lesion caused by what endocrine disorder?
Fibrous Osteodystrophy
Secondary Hyperparathyroidism
Pathogenesis of Islet Amyloidosis
- Long term overstimulation of Beta cells
- Beta cells produce IAPP (Islet Amyloid Polypeptide) along with insulin
- IAPP polymerizes to form amyloid
- Crowding of islet cells
- Islet cell atrophy
- Insulin deficiency and more severe diabetes mellitus
To differentiate between pheochromocytomas and adrenocortical neoplasms histology is required. However, grossly pheochromocytomas should have what kind of appearance.
Red and mottled