Lymph Nodes & Lymphatics Flashcards
lymph nodes
Secondary lymphoid organ – site of production of antibody and cell- mediated immunity
anatomy of lymph node
- cortex (outside)
- paracortex
- medulla
- primary and secondary follicles
secondary follicle
- Ag arrives in afferent lymph vessel into subcap sinus and captured and processed by macs and DC
- B cell and APC interaction activate and migrate to secondary follicle and initiate germinal center reaction
B lymphocytes that recognize the antigen for which they are expressing receptors are activated and proliferate
what does the paracortex contain?
mainly T cells, fewer macs and DCs
what does the medulla contain?
- macrophages! lymphs, plasma cells
antibody secreting plasma cells
medulla contains:
paracortex contains:
cortex contains:
medulla: plasma cells and macrophages
paracortex: T cells
cortex: B cells
how do the majority of lymphocytes enter the lymph node?
- through high endothelial venuses (HEV)
- afferent lymphatic vessels in capsule and drain to sinuses
where do the lymphatics exit the lymph node?
hilus, efferent lymph vessels
all lymph nodes receive (afferent/efferent) lymphatic areas from specific areas of the body
afferent
what is a lymphocenter?
group of nodes present in the same location and drains from same region
what is lymphangiectasia?
rare digestive disorder that causes abnormal lymph vessels in the small intestine. This prevents the small intestine from absorbing nutrients properly.
what are common pathologies associated with the lymph system?
- intestinal lymphagiectasia/lymphangitis
- lymphangiosarcoma
- chylothorax
intestinal lymphangiectasia
- most common cause of PLE
- yorkies and norwegian lundehunds
- chronic D+, wasting, hypoproteinemia, lymphopenia, hypocalcemia, hypocholesterolemia
- peripheral edema, ascites, hydrothorax
what is the most common cause of protein-losing enteropathy?
intestinal lymphangiectasia
what is another cause of intestinal lymphangiectasia?
lymphatic obstruction and increased lymphatic pressure due to inflammation, neoplasia and granulomatous infiltrates
intestinal lipogranulomatous lymphangitis?
- discrete form of lymphangiectasia
- can occur as a mass in the distal jejunum or ileum
- transmural granulomatous inflammation reacting to lipid rich fluid
MACROPHAGES REACTING TO FLUID: GRANULOMATOUS INFLAMMATION FORMS WHITE MASSES
what is lymphangiosarcoma?
neoplasia of lymphatic endothelium
pretty uncommon, not well-defined mass and thus hard to remove
a 3 y/o pittie mix presents for edema mass/swelling on the cervical trunk and hind limbs. what is your suspicion?
lymphangiosarcoma
chylothorax causes and clinical signs
causes: idiopathic, neoplasia, trauma, CHF
clinical signs: difficulty breathing, coughing, difficulty on ausculation, atelectasis
what clinical finding can be seen with chylothorax? why?
lymphopenia due to loss of lymphocytes in blood
MALT
mucosal-associated lymphoid tissue
BALT
bronchus associated lymphoid tissue
GALT
gut associated lymphoid tissue
what are other locations of lymph nodules other than mucosa, bronchi, gut?
tonsils, nasal cavity, conjunctiva, urinary bladder
lymph nodes in the cecum and colon (peyer’s patches) are overlaid by FAE w numerous M cells