Difference between revisions of "Category:Lymph Nodes"

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==Role of the Lymph Node in Inflammation==
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==Role of the [[Lymph Node in Inflammation]]==
 
''Back to [[Inflammation - Pathology]]
 
''Back to [[Inflammation - Pathology]]
*  Antigenic material is transported in phagocytes via the tissue lymphatics to the local lymph node.
 
* In the subcapsular sinusoids of the lymph node, antigens are exposed to the reticular cell macrophages.
 
** These macrophages form a meshwork around the subcapsular, cortical and medullary sinusoids.
 
** These reticular cells present the antigen to the appropriate lymphocyte population.
 
*** To B-cells in the follicular centres
 
*** To T-cells in the parafollicular areas.
 
* When stimulated by antigen presentation, the respective areas undergo an increase in size by hperplasia.
 
** The lymphocytes produced later leave the lymph node to seek out the source of the antigen in the damaged portion.
 
* Bacteria surviving the initial local inflammatory reaction also travel to the lymph node.
 
** Travel either in macrophages or as a bacteraemia/septicaemia.
 
**  In the lymph node, many bacteria are trapped, degraded and killed, or  exposed to antibody produced by plasma cells in the medullary area.
 
** Bacteria set up an acute inflammatory response in the lymph node.
 
*** If they are pyogenic, baceria can produce abscessation in the lymph node.
 
**** E. g. Strangles.
 
***** An upper respiratory tract pathogen in the horse.
 
***** Abscesses in the cervical lymph nodes burst to the exterior.
 
***** Abscesses in the retropharyngeal node burst into the pharynx
 
***** Infection is usually localised to the head and neck, but can spread to cause abscessation elsewhere in the body.
 
 
===Bacteraemia===
 
 
* Bacteria may continue through the lymph nodes and circulate in the blood.
 
* These are generally cleared from the blood by other organs containing phagocytes.
 
** E.g. the [[Liver - Anatomy & Physiology|liver]], [[Spleen - Anatomy & Physiology|spleen]] and lungs.
 
* There are species differences in the ability to remove bacteria.
 
** In most species, the majority of clearance is carried out by the [[Liver - Anatomy & Physiology|liver]] and spleen.
 
** However, in the pig, the lung removes 60-80% of such bacteria.
 
 
===Septicaemia===
 
* Septicaemia is a condition where there are highly pathogenic bacteria circulating and rapidly multiplying in the blood.
 
** Accompanied by severe signs of clinical illness due to the liberation of bacterial toxins.
 
*** High fever
 
*** Rapid respiration
 
*** Shock
 
** Can result in the death of the animal.
 
====Gross Appearance====
 
* The lymph nodes, [[Liver - Anatomy & Physiology|liver]] and spleen are very hyperaemic and swollen.
 
 
====Histological Appearance====
 
* Capillaries in tissues taken immediately after death show bacteria in their lumens.
 
  
 
==Diseases Involving Reactive Nodes==
 
==Diseases Involving Reactive Nodes==

Revision as of 12:36, 4 August 2010

Category:Lymph Node Responses in Disease


Role of the Lymph Node in Inflammation

Back to Inflammation - Pathology

Diseases Involving Reactive Nodes

Parasitic Diseases

bovine parasitic bronchitis

ostertagiasis

fascioliasis

Bacterial Diseases

clostridial

Diseases Involving Both Reactive Nodes and Lymphadenitis

Tuberculosis - Cattle

viz. brucellosis and Johne's disease

  • chronicity is caused by persistence of intacellular bacteria in lymph node macrophages
  • Type IV hypersensitivity, but does not result in visible necrosis as in TB

Johne's disease

Actinobacillosis

Actinomycosis

Equine strangles

  • acute inflammation
  • produce pyogenic or necrotic foci in the drainage nodes
  • involves submaxillary nodes

Streptococcal adenitis or head gland disease

  • dogs
  • acute inflammation as in above

Diseases Parasitising the Lymphocytes

  • organism grows in the lymphocytes and ruptures them
  • if large infecting dose
- may be rapidly fatal since animal may no tb e able to mount an immunological attack
  • if smaller infecting dose
- loss of mature lymphocytes causes a dramatic stimulation of the remaining lymphocyte precursors
- node hyperplasia follows
- competition between lymphocytolysis by the organism and lymphocyte production by the nodes
- clinically
- may be swelling of the node at one stage and reduction in size at another

canine distemper

  • virus

swine fever

  • virus

bovine east coast fever

  • protozoan

Leishmaniasis in the dog

Other Lymphadenopathy

Lymph node pigmentation

  • Lungs
- anthracosis
- carbon derived from soot finds its way to the local nodes in macrophages
  • Skin
- dermatopathic lymphadenopathy or melanic reticulosis
- in pigmented animals, especially black dogs
- chronic inflammatory skin conditions lead to melanin deposition in hyperplastic nodules
- also occurs in nodes draining skin melanomas where the pigment may be the result of skin ulceration or secondary tumour deposit
- these two should not be confused since the prognosis is very different following surgery

Emphysema

  • interstitial emphysema
- common in cases of dyspnoea
- more commonly affects bovine lung
- due to well developed pulmonary lobulation and hence much loose interstitial lung tissue
  • collection of gas bubbles in bronchial and mediastinal lymph nodes
- gas travels to these nodes after gaining entry to the many lymphatic vessels present in the interstitial tissue

Neoplasia

  • Primary tumours
    • Lymphosarcoma (lymphoma)
- of lymphoid cells with lymph node enlargement
- smooth, pale hemogenous but may have areas of necrosis
- may cause pseudo-hyperparathyroidism
  • Secondary tumours
- nodes often involved in the spread of tumours by extension or metastasis
- usually carcinomas

Haemal Lymph Nodes

  • ruminants only
  • small; dark red/brown
  • develop during foetal life
- lymph node primordia which lose their lymph vessles
- receive all cells and antigen from the BLOOD
  • functional significance unclear
  • probably respond to blood-borne antigen

Pages in category "Lymph Nodes"

The following 5 pages are in this category, out of 5 total.