Pathology of Hemolymphatics Flashcards
<p>Where in the body does hematopoiesis occur?</p>
<p>bone marrow, liver, spleen</p>
What is hematopoiesis?
the proliferation and orderly differentiation of hematoloogic cell lineages from pleuripotent stem cells and progenitors
What are some positive regulators of hematopoesis?
erythropoietin, thrombopoietin, and cytokines (GM-CSF)
What are some negative regualtors of hematopoiesis?
inflammation, hormones, drugs, toxins, and infectious agents
What are the steps of erythroid maturation?
rubriblast to prorubricyte to rubricyte to metarubricyte
What are the steps of myeloid maturation?
myeloblast to promyelocyte to myelocyte to metamyelocyte to seg and band
What is physiologic hyperplasia?
the increased demand for RBCs, granulocytes, and platelets
What are some peripheral manifestations in bone marrow?
leukocytosis, regenerative anemia, and extramedullary hematopoiesis
What is leukocytosis?
increased white blood cell count
What are the causes for hypoplasia, aplasia, and atrophy in bone marrow?
decreased demand, increased destruction, and genetic
What are some causes/processes for increased destruction of bone marrow?
immune-mediated, infiltrative disease, paraneoplastic, and exogenous
What is an example of an infiltrative disease that causes increased destriction to bone marrow?
myelophthisis - replacement of BM by non-native issue/cells leading to pancytopenia
What are some examples of paraneoplastic syndromes?
anemia, neutropenia, thrombocytopenia
What type of exogenous agents cause increased destruction in bone marrow?
infectious (parvovirus, FeLv, FIV, EIA, Ehrlichia) and chemical (antimicrobials, chemotherapeutics, phenylbutazone, bracken fern, and estrogen)
What are some categories of bone marrow neoplasias?
lymphoproliferative disease, myeloproliferative disease, and metastatic
What are some examples of neoplasias that arise from lymphoproliferative disease?
lymphoma, leukemia, plasma cell tumor, multiple myeloma
What are some examples of neoplasias that arise from myeloproliferative disorders?
progenitor-derived neoplasms with bone marrow and hematologic involvement
What causes serous atrophy of fat?
any animal that is undergoing a negative energy balance for a long amount of time (starvation or cancer related)
What is myelofibrosis?
when bone marrow stroma and parenchyma is replaced by fibrous connective tissue
What is the structure of the thymus?
multilobular with capsule, cortex, and medulla
What is the function of the thymus?
it is the site of T cell production and maturation
What lymphatics are associated with the thymys?
only efferent
What does the cortex of the thymus do?
produces immunocompetent naïve T-cells which are then sent to the medulla
What are epithelial reticular cells?
isolates of naïve T cells from antigen exposure
What do tingible-body macrophages do?
break down deleted T-cells
What does the medulla of the thymus contain?
immunocompetent naïve T-cells
What are Hassall’s corpuscles?
confined epithelial cells
What can cause hypoplasia of the thymus?
SCID in arabian foals and mice
What does SCID stand for?
severe combined immunodeficiency
What causes SCID in arabian foals?
there is a defect in DNA protein kinase (premature stop codon)
What is the pathogenesis of hypoplasia of the thymus?
enzyme defect to inadequate gene rearrangement to no T or B receptor to apoptosis of lymphocyte precursors to few functional T and B cells to poor adaptive immune response to death by 5 months of age
What does thymic atrophy occur in response to?
environmental toxin or systemic disease
What is thymic atrophy not to be confused with?
involution
What is thymitis?
inflammation of the thymus
What does circovirus infection in pigs cause?
pyogranulomatous thymitis
What is a thymoma composed of?
neoplastic thymic epithelial cells and non-neoplastic T-lymphocytes
Where are thymomas typically located?
in the cranioventral thorax and may impinge on nearby structures (esophagus, trachea, and vessels)
Do thymomas typically occur to older or younger animals?
older animals
Where are thymic lymphomas located?
in the mediastinum
Microscopically, what do thymic lymphomas look like?
sheets of neoplastic lymphocytes
What is the structure of the spleen?
capsule, smooth muscle trabecula, vessels, and NO lymphatics
What is the flow of blood through the spleen?
trabecular artery to central artery (PALS) to penicillar artery to sheathed arteriole (macrophages) to capillary to sinuses (red pulp)
What is the red pulp made up of?
sinuses and splenic cords
What are the sinuses of the red pulp?
discontinuous endothelium
What are the splenic cords of the red pulp?
reticular fibers and macrophages, T and B cells, plasma cells, and extramedullar hematopoiesis