Pathology Semester 2 Flashcards
What does VITAMIN D stand for?
Vascular, Inflammatory, Trauma, Autoimmune, Metabolic and hormonal, Idiopathic, Neoplastic, Developmental and Degenerative
What are the layers in skin histologically?
Basal lamina and basal layer of cells. Melanocytes in epidermis. Stratum spinosum with Langerhans cells, stratum granulosum at top with superficial keratin. Superficial and deep dermis, then hypodermis.
2 glands associated with hair follicle?
sebaceous and apocrine
3 phases of hair growth?
Anagen and catagen and telogen
acantholysis v acanthosis
loss of keratinocyte adhesion, increase in thickness of stratum spinosum
ballooning degeneration
intracellular oedema
bullae
collection of fluid
folliculitis v furunculosis
inflm of mural, luminal or perifollicular follicle. perifollicular inflammation due to hair follicle rupture - a pyogranulomatous reaction
hyperkeratosis
increase in keratin thickness. can be with (para) or without (ortho) keratotic.
pigmentary incontinence
melanin granules and melanophages in dermis.
seborrhoea
increase scale formation with or without greasiness
spongiosis
epidermal intercellular oedema
vesicle v pustule
fluid filled blister <1cm. Pustule is cavity filled with inflammatory cells.
Vascular GROSS skin lesions
multifocal, target shaped, deep red colour due to infarctions
Vasculitis skin lesions CAUSE
Endotheliotropic organisms (R. rickettsia), immune complex deposition, septic emboli (E. rhusopathiae).
Predilection sites for vasculitis lesions
ears, lips, tail
HISTO of vasculitis skin
karyorrhectic cell debris and fibrinoid necrosis of vessel wall with fibrin and haemorrhage. If chronic, faded vessel outline.
3 types of vasculitis
neutrophilic, lymphoplasmacytic, eosinophilic
Types of superficial bacterial pyoderma?
impetigo, exudative epidermitis, dermatophilosis
impetigo synonym, severity and gross
superficial pustular dermatitis, least severity, erythematous papule (pustules)
exudative epidermitis synonym, organism, patho
greasy pig, S. hyicus, exotoxin cleaves btw stratum corneum and granulosum.
dermatophilosis synonym, organism
rain scald, D. congolensis, continuous invasion, inflammation and regeneration
Deep pyoderma organisms
staph spp, strept spp, corynebacterium spp, pseudomonas spp
Deep pyoderma GROSS
papules and pustules, crusts and coalescing ulcers with alopecia. dark red nodules with fistulae. lymphadenopathy, fever and epidermal acanthosis.
deep pyoderma HISTO
neutrophilic folliculitis and furunculosis
Abscess and cellulitis GROSS
focal, non-specific suppurative inflammation of deep dermis, assoc with fever and LNadenopathy. can progress to necrotising fasciitis
Abscess and cellulitis HISTO
circumscribed core of necrotic material and degenerative Np with granulation tissue. Cellulitis poorly circumscribed extensive suppurative or pyogranulomatous inflammation with oedema, haemorrhages and thrombosis
Cutaneous bacterial granulomas organisms and type of inflm
Actinomyces and Nocardia spp also Mycobacterium bovis and tuberculosis - pyogranulomatous dermatitis and panniculitis
Gross of cutaneous bacterial granulomas
fibrotic and ulcerative nodules with draining fistulae
3 viral family causes of inflammatory dermatitis - diff btw the inclusion bodies?
pox and herpes and papilloma. Pox is intracytoplasmic, Herpes is Intranuclear. papilloma proliferative squamous disease.
general viral infection histo
spongiosis and eosinophilic cellular inclusion
2 pox virus skin organisms, gross
Orf parapoxvirus, Cowpox orthopoxvirus. cause vesicular and proliferative lesions
cowpox
felids, face and forepaws, ulcers, papules and pustules, fibrinonecrotic exudate
orf
‘CPD’ - lambs and kids. from lips, muzzle and sometimes legs. mf-to-c raised, flat, grey crusts
feline herpes cause and gross and histo
Felid herpes virus 1. nasal planum and face skin, recurring crusts and ulcers. ulcerative and necrotising dermatitis, mixed dermal infiltration
cutaneous fungal infections
Malessezia, dermatophytosis
WHWT skin condition common
M. pachydermatitis. face, ears, neck, legs. erythema, alopecia, greasiness, lichenification and hyperpigmentation. Histo parakeratotic hyperkeratosis, epidermal hyperplasia with spongiosis. yeasts in aggregates in stratum corneum.
dermatophytosis
Ringworm, Microsproum or Trichophytan. Non-pruritic. Fungi cause furunculosis and folliculitis.
Kerion
mycotic pyogranuloma
Histo of dermatophytosis
ortho and parakeratotic hyperkeratosis and acanthosis, with luminal folliculitis and furunculosis.
subcutaneous fungal dermatitis
eumycotic mycetoma (disease name). tumour-like lesion with tumefaction, fistula and grains in discharge. caused
eumycotic mycetoma organism and histo
Actinomyces spp. Focal chronic suppuration with numerous granules of fungal hyphae with prominent fibrosis
systemic fungal dermatitis
haematogenous dissemination of… Cryptococcus, Blastomyces or Coccidiodes spp
2 skin-affecting protozoa
Leishmania and Besnoitiosis
2 forms of leishmania
alopecic (Th1 response) and nodular (Th2 response)
GROSS leishmania
head, limbs and dorsal midline - nodules, alopecia, ulcers or pustules.
leishmania histo
hyperkeratotic nodular to diffuse superificial and deep granulomatous dermatitis, with variable plasma cells
Parasites affecting skin
myiasis, sarcoptic mange, demodectic mange
Myiasis inflm type and organisms
eosinophilic and lymphocytic. Cuterebra spp (rabbit, rodent, cats). Hypoderma bovis/lineatum (cattle). Lucilia calliphora (sheep).
Sarcoptic mange gross and histo
inner pinna, head neck and legs. sever acanthosis, ortho and parakeratosis, spongiosis, leukocyte exocytosis and eosinophilic pustules
demodectic mange gross and histo
alopecia, sacling and comedones (squamous form). pustules, folliculitis, furunculosis (pustular form). ears, lips, eyes and extremitis. severe suppurative folliculitis and furunculosis
3 types of trauma/chemical damage to skin
physical (hot/cold/burn), chemical, actinic (direct solar effect)
which cells are present after a bruise has occurred?
haemosiderin laden macrophages
name the order of haemorrhages in size
petechiae, purpura, ecchymosis, haematoma
2 broad classes of ‘immune’ disease of skin
autoimmune (pathological self reaction) and hypersensitivity (exaggerated reaction to foreign matter)
MOA for hypersensitivity reaction?
IgE produced in response to antigens, if linked to membrane then eosinophils release lytic granules, causes histamine release, VD, oedema.
Urticaria Gross, Histo and Path
type 1 hypersensitivity, acute. oedematous skin lesions. localised or widespread. circumscribed erythematous oedematous lesions. non-specific and variable histo.
Atopic dermatitis gross, histo and path
intense pruritus, excoriations, papules, pustules, hyperpigmentation and lichenifiction secondary to trauma to self. perivascular to interstitial lymphoplasmacytic dermatitis with oedema, eosinophils, macrophages and some epidermal hyperplasia.
specific regions for insect allergy? histo
lumbosacral. eosinophil dominated dermal perivascular to diffuse dermatitis with lymphocytes and low M*
3 broad classes of autoimmune skin disease?
phemigo-complex disease, lupus erythematosus, erythema multiforme
phemigo-complex classes?
bullous phemigus, phemigus foliaceus, phemigus vulgaris
bullous phemigus target?
BPAG1 and 2
phemigus foliaceus target and gross?
desmoglein-1. skin only, starts from periocular and nasal skin, ears neck and ventral abdomen. erythematous maculae, pustules and erosions and crusts
phemigus foliaceus and histo?
acantholytic subcorneal or intragranular pustular dermatitis
phemigus vulgaris target? common or not? where are lesions?
Desmoglein-3. most severe and rare form. lesions on mucous membrane and mucocutaneous junctions, ulcerations and vesicles.
phemigus vulgaris histo?
spongiosis, vacoulation of suprabasilar layer, vesicles and bullae above basal layer. mild dermatitis.
types of lupus erythematous?
systemic, discoid
sytemic lupus erythematous (SLE) gross, histo and pth
skin around eyes, mouth, nostrils, genitalia and perineal area aswell as many organs. B cell hyperactivity, autoantibodies against nuclear contents. histo lichenoid interface dermatitis with hydropic degeneration of basal cells and lymphohistiocytic to plasmacytic infiltrate of dermo-epithelial junction.
discoid lupus gross, histo and path
skin only, photosensitised nasal dermatitis. nasal planum, eyrthema, depigmentation, scaling, crusting, alopecia, ulcers. Histo similar to SLE but more epidermal hyperplasia, denser infiltrate of lymphocytes.
erythema multiforme gross histo and path
uncommon, type 3+4 hypersensitivity. immune complexes in vessels and basal membrane. EM minor (symmetrical bilateral target lesions), EM major (widespread mucosal leisons, necrotising and vesiculobullous skin lesions and systemic illness). histo necrotic keratinocytes and satellitosis and epidermal necrosis.
3 vitamin responsible dermatoses?
vit A, Vit E, Vit B
Vit A hypovitaminosis
squamous epithelial hyperkeratosis (follicular keratosis)
Vit E hypovitaminosis
panniculitis due to steatonecrosis (lack of antioxidant protectant)
Vit B hypovitaminosis
dry sebborhoea with alopecia
Skin related mineral deficiency?
zinc. important in pigs and ruminants for DNA/RNA repair
zinc skin deficiency gross and histo
symmetrical and bilateral on distal legs and around eyes, ears and tail. erythematous maculae, papules covered in dark thick crust. histo acanthosis and epithelial hyperplasia with parakeratotic hyperkeratosis and prominent basal cell mitotic activity
dermatoses related to hormonal imbalances (3)
cushings, hyperoestrogenism, hypothyroidism
cushings synonym and gross/histo for skin
non pruritic, calcinosis cutis often. bilateral and symmetrical hypotrichosis and alopecia of trunk. skin thin and less elastic. hyperpigmented and comedones. cutaneous atrophy with orthokeratotic hyperkeratosis and follicular keratosis
'’red white blue’’ disease?
superficial necrolytic dermatitis (hepatocutaneous syndrome)… chronic hepatic disease. alternating parakeratotic hyperkeratosis (red), spongiosis and oedema spinous layer (white), and basal layer hyperplasia (blue). Assoc with glucagonoma and liver disease
hepatocutaneous syndrome gross/histo
symmetrical and bilateral on lips, periocular skin, pinna and distal extremities. histo erythema, erosion, ulcer and crust
general endocrinopathy skin histo
follicular atrophy, orthokeratotic hyperkeratosis, follicular keratosis with lumen distension. epidermal hyperpigmentation and dermal atrophy.
idiopathic skin diseases (2)
eosinophilic diseases and eosinophilic nodular diseases
two classes of eosinophilic diseases?
feline and equine
feline eosinophilic diseases?
eosinophilic plaques, granulomas and indolent ulcer.
eosinophilic plaque (feline)
pruritic lesions of haired skin of inguinal/axillary and lateral thigh areas. diffuse and perivascular eosinophilic dermatitis with epidermal acanthosis and spongiosis
eosinophilic granuloma (feline)
raised, pink pruritic nodular lesions on both haired and oral mucosa. diffuse eosinophilic inflm with granulomas centred around degenerated collagen bundles with degenerate degranulating eosinophils (flame figures)
indolent ulcer
uni or bilateral ulcerated-plaque lesion on UPPER lip only. non painful and non pruritic
2 equine eosinophilic skin diseases
Eosinophilic granuloma and multisystemic eosinophilic epitheliotropic disease (MEED)
nodular eosinophilic diseases of equines? (3)
Collagenolytic granuloma, axillary nodular necrosis, unilateral papular dermatosis. mainly all have coagulative necrosis and eosinophilia
3 types of tumour of skin (broad classes)?
epithelial, mesenchymal, round cell
non-neoplastic lesion of skin
epidermal cyst (lamellar keratin lined by continuous squamous epithelium).
2 main aet assoc with epithelial tumours (skin)
UV and viral
2 broad types of epithelial tumour (skin)
papilloma and squamous cell carcinoma
papillomatosis types (2)
cutaneous and fibro
cutaneous papilloma gross and histo
filiform exophytic and hyperkeratotic epidermal projections with thin dermal stalks. histo solitary benign and exophytic proliferations, mature fibrovascular stalk. Koilocytes present (eccentric pyknotic nuclear and peripheral clear halo due to ballooning degeneration in keratinocytes). sometimes intranuclear inclusions.
fibropapillomas and assoc cause
plaque-like lesions with predominent dermal proliferation . aet = feline fibropapilloma and equine sarcoids)
idiopathic squamous papilloma (skin)
gross similar to squamous papilloma but no cytopathic effects, higher prev in older animals
squamous cell carcinoma in skin
locally invasive and destructive. UV-light involved and also viral papillomatosis. single expansile hyperplastic ulcerated or nodular skin lesions. mainly on head. Invasive islands/cords of neoplastic cells within dermis. Anisocytosis, anisokaryosis and high mitotic index. keratin pearls present. inflm and desmoplasia. neutrophilic pustules due to abnormal keratin formation and necrosis.
3 types of cutaneous adnexa tumours
follicular tumours, sebaceous gland tumours, ceruminous gland tumours
follicular tumours types
infundibular keratinising acanthoma, tricholemmoma, pilomatricoma, trichoepithelioma, trichoblastoma
3 classifications of sebacious gland tumours
adenoma, epithelioma, adenocarcinoma
ceruminous gland tumour location, species and gross
ulcerative, nodular, pedunculated masses with yellow cut surface in ear canal of cats mainly.
4 types of skin mesenchymal tumour
fibrous tissue, haemangiopericytoma, vascular tissue, muscle tissue
fibroma/fibrosarcoma
skin and subcutis of cats and dogs. often reoccur. solitary palpable masses, soft to firm, grey to white. poorly demarcated with central necrosis. Histo bands of fibrous tissue with high mitotic index, fibroblasts interlaced with multinucleated cells.
cats fibroma/fibrosarcoma
viral or vaccination related
post-vaccinal fibrosarcoma
locally invasive spindle cell sarcoma at injection site. time between injection and development is extremely variable. histo lymphocytic infiltration and multinucleate giant cells at periphery of neoplasia.
equine sarcoid
type of fibrous tissue tumour. locally aggressive fibroblastic skin tumour in horses. factors are bovine papilloma virus 1/2, genetic and trauma. does not metastasise but reoccur following surgery.
equine sarcoid gross
variable. verrucous to occult. biphasic tumour both epidermal and dermal component although CT is mainly proliferative tissue involved.
equine sarcoid histo
resemble fibroma/fibrosarcoma
haemangiopericytoma
common in boxer, GSD, springer spaniel. rarely ulcerative. whirling histology
epitheliotropic cutaneous lyphoma (mycosis fungoides)
pautrier’s microabscesses.
non-epitheliotropic cutaneous lymphoma (NECL)
more aggressive, systemic involvement.
lipoma
benign tumour of adipose tissue. encapsulated with fibrous tissue
melanoma
common in dark pigmented skin. occur often on face, trunk, gums, palate, lips. common metastasis site is to the mouth.
calcinosis cutis
mineralisation of dermal collagen and BM of adnexa. occurs in cushings commonly
calcinosis circumscripta
‘tumoural calcinosis’… solitary, dermal lesions of young large dogs or horses. localised bony prominences or repeated trauma. chalky white lakes stain with von kossa surrounded by inflm and fibrosis. in chronic lesions osseous or cartilagenous metaplasia can occur.
anopthalmia
absence of eye
micropthalmia
reduced size of eye
cyclopia
central eye instead of two
synopthalmia
fusion of two eyes into one
dermoid/choristoma
ectodermal skin on cornea
coloboma
failure of optic fissure to close
retinal dysplasia
imperfect retinal development
aphakia
absence of lens
Veratum calcifornicum assoc with what eye conditon
cyclopia. Day 14-15 gestation of ewe.
blepharitis is…
inflm of eyelid
tarsal inflammation 2 types
internal hordeolum (purulent) or chalazion (granulomatous)
lacrimal gland inflammation
dacryoadenitis
inflm of zeis/moll glands
external hordeolum (purulent)
Bacterial/Viral causes of conjunctivitis
IBR/FHV/Chlamydiophyla psitacci/Mycoplasma felis
IBR/FHV eye gross
serous to purulent with possible fibrin conjunctivitis
Mycoplasma eye gross and histo
pseudo-dyphteric fibrin. histo erosions and presence of coccoid bacteria
Chlamidyophila eye gross and histo
unilateral usually. Np, M* Lymphocytes and inclusion bodies
FHV/IBR eye condition often assoc w/
keratitis and upper resp disease
3 examples of non-infectious conjuncitivitis
dissication, allergy, idiopathic
eosinophilic conjunctivitis gross and histo
ulcerative marginal blepharitis. histo hyperplasia/squamous metaplasia of epithelium/eosinophils and lymphocytes
Parasitic conjunctivitis
larval Draschia megastoma, Habronema microstoma via Musca fly vector. in horses. medial canthus, ulcerative, oozing, viable larvae. Histo granulomatous inflm with eosinophils and larvae.
keratitis definition
inflm of cornea
non-infectious keratitis causes
trauma, sunlight, tear film lack
how can trauma cause keratitis
trauma -> stromal imbibition -> ulcer -> secondary bacs (streps) -> neovascularization -> restitutio ad integrum
pannus keratitis histo
lymphocytes, plasma cells, M*, granulation tissue and epithelium is intact.
cheratitis sicca
hyperplasia of corneal epithelium, squamous metaplsia of conjunctiva.
descemeocele
hernation of descemets membrane
anterior staphyloma
protrusion of uvea through ulcer
Infectious keratitis causes
FHV1, Moraxella bovis, Aspergillus, Alternaria, Penicillium
Mycotic keratitis common if on what treatment
long term AB/corticosteroids
FHV1/Moraxella bovis gross
ulcerative keratitis
mycotic keratitis gross
deep ulcerative with purulent exudate, keratomalacia
FHV1 keratitis histo
eosinophilic intranuclear inclusions
mycotic keratitis histo
fungal hyphae within corneal stroma, neurophils
moraxella bovis keratitis histo
stromal oedema and neovascularisation
2 diseases of the lens?
cataracts and lens luxation
how is a cataract formed?
imbalance between nutrition of lens and enzymatic activity, loses hydration, denatures lens fibrous proteins
histo of a cataract?
Morganian globules and ‘bladder cells’
lens luxation aetiology
tumour compression or increase in pressure