Difference between revisions of "Skin Environmental - Pathology"

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==Chemical damage==
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#REDIRECT[[:Category:Integumentary System - Environmental Pathology]]
===[[Contact Dermatitis]]===
 
 
 
===[[Ergot Poisoning]]===
 
 
 
 
 
 
 
===[[Fescue Poisoning]]===
 
 
 
 
 
===[[Selenium Poisoning]]===
 
 
 
 
 
==Physical damage==
 
 
 
===[[Acral Lick Dermatitis]]===
 
 
 
===[[Callus]]===
 
 
 
===[[Feline Psychogenic Alopecia]]===
 
 
 
 
 
 
 
===Injection site reaction===
 
*May be caused by subcutaneous injections
 
*Granulomatous nodules form with central necrotic and foreign material
 
*Macrophages and multinucleated giant cells around the centre
 
*Surrounded by granulation tissue, perivascular lymphocytes that may form lymphoid follicles, eosinophils
 
*Cats may develop fibrosarcomas secondary to vaccination
 
*Dogs, especially poodles, may develop lymphoplasmacytic panniculitis and perivasculitis, vasculitis and follicular atrophy secondary to killed rabies vaccine
 
 
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
 
 
===Intertrigo===
 
*Also called '''skin fold dermatitis'''
 
*Develops due to irritation and bacteria in areas of skin friction and moisture (tears, saliva, glandular secretions, urine)
 
*Areas affected are commonly facial fold in brachycephalic breeds, [[Lips|lip]] fold, body fold, vulvular fold (obese females), tail fold (corkscrew tails)
 
*Cows with large, pendolous udder may become affected in area between thigh and udder
 
**In severe cases, skin and subcutis may slough
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
 
 
===Pyotraumatic dermatitis===
 
*Also called '''acute moist dermatitis''' or ''''hot spot''''
 
*Common in dogs, especially self-inflicted due to pain and itching
 
*Usual causes: [[Skin Immunologic - Pathology|allergies]], irritants, matted hair, [[Parasitic skin infections - Pathology|parasites]]
 
*Lesions tend to be worse in hot and humid weather
 
*Grossly:
 
**Hairless, red and moist lesion
 
**Fluid exudate
 
**Edges are circumscribed and red
 
*Microscopically:
 
**Superficial erosive to ulcerative exudative dermatitis
 
**May be deeper suppurative folliculitis
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
 
 
===Radiation damage===
 
*Cells sensitive to radiation include [[Skin Glossary - Pathology|anagen]] hair follicles, germinal basal cells, melanocytes and endothelial cells
 
*Early changes:
 
**Erythema, epidermal blisters and oedema, erosions and ulceration
 
**Healed by scarring, hyperpigmentation with lower doses and hypopigmentation with higher doses
 
**Temporary or permanent alopecia
 
*Chronic changes:
 
**Scarring, altered pigmentation, alopecia
 
**Epidermal and adnexal atrophy
 
**Degeneration of vascular and elastic tissue
 
**Fibrosis of dermal and subcutaneous tissue
 
**Ulceration
 
**In severe damage, squamous cell carcinoma may develop
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
 
 
===Low temperature damage===
 
*Prolonged cold can cause ice crystal formation and vascular injury resultic in damage to tissue due to increased intracellular salt concentration
 
*Slow chilling can cause vasoconstriction, cellular damage -> secondary vasodilation and increased permeability -> oedema
 
*Severe and persistent cold causes vasoconstriction, increase in blood viscosity and tissue anoxia
 
*Lesions may occur in wet or hypoglycaemic neonates or animals recently moved from warm to cold environment
 
*Areas affected are extremities
 
*Lesions consist of [[Necrosis - Pathology#Gangrene|gangrene]] and necrotic tissue
 
 
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
 
 
===High temperature damage===
 
*May result from excessive heat, liquids, flames, friction, lightning, electricity
 
*Partial or full thickness burns (first, second and third degree burns)
 
*Full thickness burns:
 
**Total destruction of skin and adnexa
 
**Has to be repaired by grafting
 
**Life threatening
 
*Partial thickness burns:
 
**Some structures preserved -> regeneration may occur
 
**Grossly:
 
***Erythema (capillary dilation)
 
***Oedema (increased permeability of capillaries)
 
***Vesicles
 
**Microscopically:
 
***[[Necrosis - Pathology#Coagulation Necrosis|Coagulation necrosis]] of epidermis
 
***Subepidermal vesiculation
 
***Necrosis of adnexa
 
***Degenerated subepidermal collagen
 
***May involve large numbers of [[Neutrophils|neutrophils]] if secondary ifection is present
 
 
 
 
 
[[Category:Integumentary System - Physical Damage]]
 
 
 
==Sunlight damage==
 
*Transient erythema may develop into sunburn erythema (warmth, swelling, pain)
 
*Diffusion of inflammatory mediators (''e.g.'' cytokines) from damaged keratinocytes and endothelial cells
 
*Photooxidation of existing melanin -> pigment darkening
 
*Melanogenesis
 
*Immune responses of skin are reduced by UV light
 
 
 
 
 
[[Category:Integumentary System - Sunlight Damage]]
 
 
 
 
 
===Solar dermatosis and neoplasia===
 
*Caused by chronic sunlight damage
 
*Damaged tissue generates free radicals than may damage nucleis acids and proteins
 
*If damage repaired prior to mitosis - no lasting effect
 
*If mitosis occurs before repair, post-mitotic repair is prone to faults and DNA mutations may result in neoplasia
 
 
 
 
 
[[Category:Integumentary System - Sunlight Damage]]
 
 
 
 
 
===Solar dermatitis===
 
*Particularly in white animals and where little or no hair is present
 
*Grossly:
 
**[[Skin Glossary - Pathology|Erythema, scaling and crusting]]
 
**-> Wrinkled nand thickened skin
 
** Squamous cell carcinoma or haemangiosarcoma/haemangioma may develop
 
*Microscopically:
 
**Dyskeratotic cells
 
**Intercellular oedema
 
**Vacuolated keratinocytes
 
**Followed by [[Skin Glossary - Pathology|hyperkeratosis, parakeratosis and acanthosis]]
 
**Endothelial swelling
 
**Haemorrhage
 
**Hyperplasia
 
**Dermal fibrosis
 
**Dogs may develop actinic [[Skin Glossary - Pathology|comedones]]
 
 
 
[[Category:Integumentary System - Sunlight Damage]]
 
 
 
===[[Photosensitisation]]===
 
 
 
===Photoenhanced dermatoses===
 
*Many [[Skin Immunologic - Pathology|immune-mediated]] cutaneous disease are made worse by sunlight
 
**Lupus erythematosus
 
**Dermatomyositis
 
**Pemphigus erythematosus
 
*Vasculitis in extremities, especially white-haired horses
 
*Grossly:
 
**Erythematous, well circumscribed crusted lesions or hyperkeratotic [[Skin Glossary - Pathology|plaques]]
 
*Microscopically:
 
**Vasculitis of superficial dermal vessels
 
**Thrombi may be seen
 
 
 
[[Category:Integumentary System - Sunlight Damage]]
 

Latest revision as of 16:14, 21 February 2011