Path Final - Integument TS Flashcards
Butler's Integument * = not in yellow or in long notes
What is the typical transit time of a single keratinocyte?
one month
What structure provides intracellular adhesion between keratinocytes?
desmosomes
What structure provides attachment of epidermis to basement membrane?
hemidesmosomes
What are the 3 components of the basement membrane zone?
hemidesmosomes
lamina lucida
lamina densa
What pathogens are able to penetrate the skin?
Hookworm larvae
Shistosoma
What 2 pathogens penetrate through hair follicle opening?
demodex, staph
What cells in the skin produce pro-inflammatory cytokines and present antigens to T-lymphos?
Langerhans cells
What part of the skin adaptive immunity kills virus infected cells and neoplastic cells?
CD8-T cells
What part of the skin adaptive immunity activates macrophages to eliminate intracellular bacteria?
CD4 TH1 cells
What part of the skin adaptive immunity activates B cells, mast cells, and eosinophils to produce immunoglobulins?
CD4 TH2 cells
What part of the skin innate immune system express adhesion molecules and trigger kinin, coagulation, and complement systems which facilitates leukocyte migration?
endothelial cells
What part of the innate immune system of the skin initiates the toll signaling pathway and promotes expression of pro-inflammatory mediators?
Macrophages and dendritic cells
What part of the skin adaptive immune system produces cytokines and growth factors which modulate adaptive immune responses?
keratinocytes
What is the term for the diffuse thickining of the stratum spinosum?
acanthosis
What is the term for loss of desmosomal function and occurs in diseases like pemphigus?
acantholysis
What is the term for intracellular edema that occurs with injury and infection?
ballooning degeneration
What is the term for INTERcellular edema in the skin?
Spongiosis
What is the term for INTRAcellular edema in the basal layer of the skin only? What disease is it common in?
hydropic degeneration
common in cutaneous lupus
What are the 7 steps in order for regeneration and repair of the skin? What is their time frames?
- Blood clot (0-12 hrs)
- inflammation (12-24 hours)
- re-epitheliazation (3-7 days)
- fibroplasia(3-7 days)
- angiogenesis (3-7 days)
- wound contraction(>7 days)
- tissue remodeling (weeks to months)
What are macrophages secreting during inflammatory phase of skin repair?
collagenase
What are keratinocytes doing during re-epitheliazation phase of skin repair?
migrate and proliferate
produce proteases
re-establish BM zone
What 5 things happen during the fibroplasia phase of skin repair?
cytokines and growth factors released
fibroblasts migrate and proliferate
fibroblasts produce proteolytic enzymes
fibroblasts produce extracellular matrix proteins
What phases does granulation tissue result from in skin repair?
fibroplasia and angiogenesis
What is the term for transformation of squamous epithelial cells into the keratin layers of the stratum corneum, hair, and nails?
cornification
What are 2 primary cornification disorders?
primary seborrhea - cocker spaniel
icthyosis
What nutritional disorder can cause secondary cornification?
vitamin A deficiency
What is the term for epidermal hyperplasia in response to chronic stimuli?
acanthosis
What is the term for premature keratinization of epidermal cells?
dyskeratosis
What are the 3 causes of dyskeratosis?
zinc responsive dermatosis
actinic keratosis
SCC
What 2 immune mediated disorders cause apoptosis of the epidermis?
lupus erythematosus
erythema multiforme
What is the difference between erosion and ulceration of the epidermis?
erosion - necrosis of superficial epidermis
ulceration - necrosis of full epidermis and partial dermis
What 2 etiologic agents can cause spongiosis?
Staph or Malessezia
What are the 3 causes of hydropic degeneration?
lupus erythematosus
dermatomyositis
drug eruptions
What are 2 viruses that can cause ballooning degeneration?
pox viruses
FMD virus
What disease does acantholysis occur in superficial epidermis?
pemphigus foliaceus
What disease does acantholysis occur in the deep epidermis resulting in suprabasilar vesicles and clefts with tombstoning ulceration?
pemphigus vulgaris
What protein is involved in pemphigus foliaceus? pemphigus vulgaris?
foliaceus - desmoglein 1
vulgaris - desmoglein 1 + 3
What 2 skin infections can cause acantholysis with subsequent neutrophilic enzymatic destruction?
bacterial pyoderma
dermatophytosis
What are vesicles that are greater than 1 cm in width?
bulla
What viral infections can cause vesicles/bulla?
herpes, pox, morbillivirus, rhabdo, picorna
What is the term used to describe complete seperation of the epidermis from the dermis such as in bullous pemphigoid?
subepidermal vesicle
What 3 conditions can result in pustules being formed by eosinophil accumulation in the epidermis?
ectoparasite bite
pemphigoid rxn
feline eosinophilic dz
What 2 diseases/infections cause exocytosis of lymphocytes?
lupus erythematosus
malessezia sp.
What are the 2 pathways of hyperpigmentation and what are the causes of each?
increased production of melanin - chronic dermatitis, hyperadrenocorticocism
increased melanocytes - lentigo, melanocytic neoplasia
What nutritional deficiency can cause hypopigmentation?
copper deficiency
What is the histologic feature that refers to melanin within macrophages?
pigmentary incontinence
What is the laymans term for exuberant granulation tissue that may occur on distal limbs of horses?
proud flesh
What 2 conditions can cause collagen dysplasia?
Ehlers-Danlos syndrome
cutaneous asthenia
What is the term for chronic exposure to the sun that causes increased numbers of elastic fibers in superficial dermis?
solar elastosis
What can trigger amyloid depostion in the dermis? What species can it be seen in?
monoclonal gammopathy of plasma cell tumors or by dermatomyositis, seen rarely in dogs and horses
What is the term for mucin or hyaluron (glycosaminoglycan) accumulation in the skin? What diseases can cause it?
cutaneous myxedema
seen with hypothyroidism, mucinosis of shar pei
What is the cause of dystrophic calcification of the skin?
cushings - calcinosis cutis
What type of calcification of the skin is caused by hypercalcemia?
metastatic
What cell types characterize chronic dermatitis?
mononuclear leukocytes
What are the 4 alterations of growth in the dermis?
- atrophy
- fibrosis (granulation)
- collagen dysplasia
- solar elastosis
What are the 3 abnormal deposits in the dermis?
amyloid, mucin, calcium
What is the term for abnormal development of follicles and hair shafts that frequently causes alopecia?
follicular dysplasia
What is the scientific name for ingrown hair?
furunculosis
What is the term for inflammation of the apocrine glands of the adnexa?
hidradenitis
What are the 2 species most commonly affected by vasculitis?
dogs and horses
What are the 3 classical examples of vasculitis?
type 3 hypersensitivity - SLE
endotheliotropic infections - rickettsia, herpes, FIP
bacterial embolism - erysipelothrix
What is the term for inflammation of sub Q adipose tissue?
panniculitis
What are 2 causes of non-genetic congenital alopecia and hypotrichosis?
maternal iodine deficiency
in utero pestivirus (BVD, CSF)
What are some causes of panniculitis?
infections, immune, injury, nutritional, pancreatic dz, idiopathic
What are some causes of vasculitis??
infection, immune, toxins, DIC, idiopathic
What are 3 rare diseases that can cause congenital collagen dysplasia disorders?
hyperelastosis cutis
dermatosparaxis
cutaneous asthenia
What is a congenital disorder that causes development of cutaneous blisters in response to minor mechanical trauma?
epidermolysis bullosa (red foot dz)
What is the term for failure of the epidermis to develop completely?
epitheliogeneisis imperfecta (aplasia cutis)
What species can get congenital hypertrichosis? What are the other names for this condition?
sheep - excessive fleece
aka border dz (pesitivirus), hairy shaker dz
What species and breed can get congenital dermatosis vegetans?
landrace pigs
What is the cause of Type 1 photosensitization?
ingestion of certain plants/drugs like hypericum perforatum, fagopyrum esculentum, phenothiazine
What causes Type 2 photosensitization?
porphyrin metabolism
What causes Type 3 photosensitization?
most common - liver dz –> reduced ability to exrete phylloerythirn
What are the 3 immune mediated disorders that are aggravated by UV radiation?
lupus erythematosus
dermatomyositis
photoactivated vasculitis in horse
Which toxin can cause peripheral vasoconstriction and endothelial damage leading to ischemic necrosis of the extremities?
Ergot poisoning
What common pasture plant can become infected with fungus and cause skin problems?
Tall fescue
What supplement leads to competitive replacement of sulfur in keratin and causes poor hair coat and alopecia?
selenium
What toxin is a legume and can cause immune mediated chemical injury of the skin?
hairy vetch
Whats the veterinary word for “hot spots”?
pyotraumatic dermatitis
What is the veterinary word for skin fold dermatitis?
intertrigo
What self inflicted skin injury happens in cats around dorsal neck?
feline ulcerative dermatitis syndrome
What are the classifications of thermal burns?
First degree - epidermis only
2nd degree - epidermis and part of dermis
3rd degree - full thickness necrosis of skin
What stage of hair growth are thyroid hormones responsible for?
anagen
What are the causes of hyperestrogenism in both male and female dogs?
female - ovarian cysts or tumors
males - fxnal sertoli cell tumor
What type of hypersensitivites cause urticaria?
Type 1 and 3
What is the term for a genetic predisposition to inflammatory and pruritic allergic skin dz?
atopy
What hypersensitivity and antibody is involved in atopic dermatitis?
type 1
IgE
What causes “sweet itch” in horses?
Cullicoides spp