exam 3 integument part 2 Flashcards
true or false
Edema – Erythema – +/- pustules, crust, vesicles are all forms of late dermatitis
false
early
true or false
Scaling – Change in oiliness – Ulceration – Alopecia – Lichenification – Pigmentary change – Fibrosis/scarring are features of late dermatitis
true
“pus in the skin” – usually bacterial infection involved • Superficial – epidermis and hair follicles – Disease examples • Canine superficial spreading pyoderma / Bacterial folliculitis • Impetigo (superficial pustular dermatitis) • Greasy pig disease • Dermatophilosis • Deep – deep dermis – Disease examples • Bacterial furunculosis • Abscesses
pyoderma
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a superficial pyoderma with bacterial folliculitis
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Dog with chin acne, a deep pyoderma with bacterial furunculosis
Pores (follicular openings) • Hematogenous spread • Direct entry through damaged skin
how bacteria gets in
predisposing factors of supporative dermitits
Disorders of keratinization (seborrhea) – Endocrine disease – Chronic dermatitis – allergy, parasites, etc… • Immunodeficiency • Anatomic predisposition
why is supporative dermitits more common in dogs
Thin stratum corneum, lack of lipid seal of hair follicles, high skin pH
(Superficial pustular dermatitis) • Nonfollicular pustules which develop into crusts • Prepubescent puppies – healthy otherwise • Adults – look for underlying disease
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Impetigo
puppy bellies can get ____
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Impetigo
Skin fold pyoderma • Pathogenesis: closely apposed skin surfaces → frictional trauma → moisture → opportunistic bacterial infections
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Intertrigo
Pathogenesis: – Self trauma bacterial infection – Underlying pruritis – especially flea allergy dermatitis! • Gross: Moist, alopecic, slightly raised, red well-circumscribed lesions ulceration/crusting
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Pyotraumatic Dermatitis (“Hot Spots”) • Very common in dogs
Fatal in neonatal pigs • Caused by Staphylococcus hyicus • Gross: erythema pustules crusts • Predisposing factors – other skin lesions, poor nutrition/husbandry, lacerations
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Greasy Pig Disease (Exudative Epidermitis)
train tracks gram positive filamentous bacteria which subdivide longitudinally and transversely • Lesions on back or distal extremities • Stimulate neutrophilic exocytosis: pustules exudate matting of hair/wool alopecia • Predisposing factors – Wet weather in humid climates (“rain rot”) – prolonged wetting of skin/hair/wool allows penetration of epidermis by “zoospores
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Dermatophilosis • Caused by Dermatophilus congolensis
‘lumpy wool’ in sheep
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Dermatophilosis
Usually secondary condition • Bacterial infection of superficial follicles and adjacent skin • Gross: scaling, erythematous macules (often circular ring shaped), papules, pustules, crusts, epidermal collarettes, alopecia
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Canine superficial spreading pyoderma
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Folliculitis and furunculosis,
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Demodicosis • Cause: Demodex spp. mite
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MDx: multifocal exudative dermatitis. Generalized demodicosis with pyoderma in an adult dog
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MDx: neutrophilic dermatitis/folliculitis with intrafollicular mites and bacteria.
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Dermatophytosis • Cause: Epidermophyton, Microsporum, and Trichophyton spp. (keratinophilic fungi) • Contagious – acquired by contact with scales shed from infected animals • Colonize keratin, do not need to invade tissue to cause disease • Self-limiting in healthy animals, can become chronic/generalized in immunocompromised animals • Predisposing factors – Young or immunosuppressed – Hot/humid environments
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Dermatophytosis
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Pemphigus foliaceous
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Pemphigus foliaceous
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Proliferative dermatitis with “ballooning degeneration” & intracytoplasmic inclusion bodies Comment: Consistent with swine-pox infection
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swine-pox
Sequence of lesions: macule → papule → vesicle → umbilicated pustule → crust → scar • Poxviruses have a gene whose product is similar to epidermal growth factor → epidermal hyperplasia • Many cutaneous lesions only, some systemic and fatal • Some are foreign animal diseases
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pox virus
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Lamb with contagious ecthyma, early papular to vesicular phase
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orf
think???????
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Viruses!! • Early herpesvirus • Early poxvirus • Vesicular diseases – FMD, VSV, SVD, VES
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VSV
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herpesvirus
what virus
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FHV1
virus?
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BHV2
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vesiculo-ulcerative mammillitis also due to a strain of BHV-2
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Granulomatous Dermatitis
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Idiopathic Sterile Granuloma and Pyogranuloma Syndrome