Difference between revisions of "Skin Other - Pathology"

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#REDIRECT[[:Category:Integumentary System - Pathology]]
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|linkpage =Integumentary System - Pathology
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|linktext =Integumentary System
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|maplink = Integumentary System (Content Map) - Pathology
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==Epidermal growth or differentiation disorders==
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===Seborrheic disease complex===
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*Abnormal cornification or function of sebaceous glands
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*Large amounts of free fatty acids and cholesterol
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*Decreased amounts of diester waxes in surface lipids
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*Bacterial population changes to pathogenic [[Staphylococcus spp.|coagulase positive staphylococci]]
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*Chronic disease affecting mainly dogs, sometimes cats and horses
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*Dry form - white to grey scales
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*Greasy form - scaly, excess brown to yellow lipids sticking to skin and hair
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===Primary idiopathic seborrhea===
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*Abnormal cornification
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*Epidermal turnover reduced to about 2/3 of normal
 +
*Microscopically:  
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**Hyperkeratosis distending follicular ostia causing papillary appearance
 +
**Parakeratosis at edges of follicular ostia
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**Congested, oedematous dermal papillae
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**Spongiotic epidermis with leukocytes
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===Secondary seborrhea===
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*Develops secondarily to many types of disease (''e.g.'' [[Parasitic skin infections - Pathology|ectoparasites]], [[Mycotic skin infections - Pathology|fungal infections]], [[Endocrine effects on the skin - Pathology|endocrine disease]], internal disease or allergy)
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*Microscopically:
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**Hyperkeratosis and/or parakeratosis of follicles and epidermis
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**Lesions relevant to the other disease
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===Sebaceous adenitis===
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*Inflammation of sebaceous glands, alopecia, hyperkeratosis
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*Possibly immune-mediated
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*Mainly affects dogs
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**Long haired show multifocal, serpiginous and annular lesions
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*Microscopically:
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**Inflammation of sebaceous glands
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**Possibly orthokeratotic hyperkeratosis
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**Chronic lesions are deprived of sebaceous glands and contain mild inflammation and fibrosis at follicular isthmus
 +
 
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==Pigmentation disorders==
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===Hypopigmentation===
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*Leukoderma or vitiligo - loss of pigment in the skin
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*Leukotrichia - loss of pigment of the hair
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*Hypopigmentation or incomplete albinism - generalised reduction of pigment in skin or hair
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*Albinism - inherited lack of pigment
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*Dilution - reduced pigmentation
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*Can be localised or generalised, idiopathic or asociated with other diseases
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*Examples of hereditary conditions: Maltese dilution of cats, Chediak-Higashi syndrome, leukoderma and leukotrichia of Dobermans, Arabian fading syndrome
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*Asociated with some immune-mediated disorders, ''e.g.'' [[Skin Immunologic - Pathology#Lupus|discoid lupus erythematosu
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===Hyperpigmentation===
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==Eosinophilic infiltration==
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===Eosinophilic plaques===
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===Eosinophilic granulomas===
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===Eosinophilic folliculitis and furunculosis===
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==Sterile granulomatous disorders==
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===Juvenile pyoderma===
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===Equine generalised granulomatous disease===

Revision as of 11:59, 31 October 2008



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()Map INTEGUMENTARY SYSTEM (Map)



Epidermal growth or differentiation disorders

Seborrheic disease complex

  • Abnormal cornification or function of sebaceous glands
  • Large amounts of free fatty acids and cholesterol
  • Decreased amounts of diester waxes in surface lipids
  • Bacterial population changes to pathogenic coagulase positive staphylococci
  • Chronic disease affecting mainly dogs, sometimes cats and horses
  • Dry form - white to grey scales
  • Greasy form - scaly, excess brown to yellow lipids sticking to skin and hair

Primary idiopathic seborrhea

  • Abnormal cornification
  • Epidermal turnover reduced to about 2/3 of normal
  • Microscopically:
    • Hyperkeratosis distending follicular ostia causing papillary appearance
    • Parakeratosis at edges of follicular ostia
    • Congested, oedematous dermal papillae
    • Spongiotic epidermis with leukocytes

Secondary seborrhea

  • Develops secondarily to many types of disease (e.g. ectoparasites, fungal infections, endocrine disease, internal disease or allergy)
  • Microscopically:
    • Hyperkeratosis and/or parakeratosis of follicles and epidermis
    • Lesions relevant to the other disease

Sebaceous adenitis

  • Inflammation of sebaceous glands, alopecia, hyperkeratosis
  • Possibly immune-mediated
  • Mainly affects dogs
    • Long haired show multifocal, serpiginous and annular lesions
  • Microscopically:
    • Inflammation of sebaceous glands
    • Possibly orthokeratotic hyperkeratosis
    • Chronic lesions are deprived of sebaceous glands and contain mild inflammation and fibrosis at follicular isthmus

Pigmentation disorders

Hypopigmentation

  • Leukoderma or vitiligo - loss of pigment in the skin
  • Leukotrichia - loss of pigment of the hair
  • Hypopigmentation or incomplete albinism - generalised reduction of pigment in skin or hair
  • Albinism - inherited lack of pigment
  • Dilution - reduced pigmentation
  • Can be localised or generalised, idiopathic or asociated with other diseases
  • Examples of hereditary conditions: Maltese dilution of cats, Chediak-Higashi syndrome, leukoderma and leukotrichia of Dobermans, Arabian fading syndrome
  • Asociated with some immune-mediated disorders, e.g. [[Skin Immunologic - Pathology#Lupus|discoid lupus erythematosu

Hyperpigmentation

Eosinophilic infiltration

Eosinophilic plaques

Eosinophilic granulomas

Eosinophilic folliculitis and furunculosis

Sterile granulomatous disorders

Juvenile pyoderma

Equine generalised granulomatous disease