Difference between revisions of "Skin Immunologic - Pathology"

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#REDIRECT[[:Category:Integumentary System - Immunologic Pathology]]
 
 
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|maplink = Integumentary System (Content Map) - Pathology
 
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==General==
 
 
 
*Classification:
 
**Hypersensitivity - response to normally harmless substances
 
**Auto-immune - antobodies or T-cells reactive against self-antigens
 
*Mostly involves mixture of types described below
 
 
 
 
 
 
 
==Autoimmune reactions==
 
 
 
===[[Bullous Pemphigoid]]===
 
 
 
 
 
 
 
===[[Canine Dermatomyositis]]===
 
*See also [[Muscles Developmental - Pathology#Canine dermatomyositis|Canine dermatomyositis]]
 
*Affects puppies of collies and shetland sheepdogs from 8 weeks of age
 
*Lesions - vesiculating dermatitis
 
**Face, lips, external ears, later distal extremities
 
*Microscopically: interface dermatitis and basal cell degeneration of epidermis and follicular wall, atrophy of follicles, epidermal vesicles and pustules, dermal scarring
 
 
 
 
 
[[Category:Integumentary System - Autoimmune Reactions]]
 
 
 
===[[Systemic Lupus Erythematosus]]===
 
 
 
*'''Systemic (SLE)'''
 
**Multiple organs involved
 
**Cats, dogs, horses
 
**Immune dysregulation:
 
***Damaged T-cell suppressor function, either primary deficiency or antibody mediated
 
***Cytokine dysregulation
 
***Resulting B-cell hyperactivity -> antibodies to self antigens -> antigen-antibody complexes deposited in various tissues -> Type III hypersensitivity
 
**Lesions localised or generalised
 
**Erythema, alopecia, depigmentation, crusting and scaling, ulceration
 
**Microscopically: lymphohistiocytic interface dermatitis, thickened basement membrane, vasculitis, subepidermal vesicles, basal cell degeneration
 
*'''Discoid'''
 
**Milder variant of systemic
 
**Depigmentation, erythema, scaling, erosions, ulceration, crusting
 
**Usually involves nasal planum, dorsum of muzzle, occasionally pinnae, lips, oral mucosa or periocular area
 
**Microscopically: lichenoid interface dermatitis, often with lymphocytes, plasma cells, basal cell degeneration, loss of pigment
 
 
 
[[Category:Integumentary System - Autoimmune Reactions]]
 
 
 
===[[Pemphigus]]===
 

Latest revision as of 16:58, 22 February 2011