Category:Tongue - Pathology

Introduction

See anatomy and physiology of the tongue

Erosive & Ulcerative Pathology

Ulcerative glossitis

Vesicular Pathology

Neutrophilic Inflammation

Liquefactive necrosis

Granulomatous and pyogranulomatous Inflammation

Actinobacillosis

Eosinophilic Inflammation

Fibrinous/Diptheritic Inflammation

• Severe damage to epithelium produces exudation of fibrin -with formation of dry white fibrinous deposit - diptheritic membrane.
• Usually associated with organism fusobacterium necrophorum found everywhere in environment (but strict anaerobe).
• Produces lesions that damage epithelium due to toxin that damages vessels.
• Often a secondary invader but can be a primary pathogen.

Calf diptheria

• Caused by Fusiformis.

Clinical

• Seen in animals kept in cold, damp, muddy conditions.
• Usually associated with poor general health.

• Animals usually less than 6 months old, in groups and poorly kept.
• Lesions affect tongue, inside of mouth and larynx.
• Usually die fairly acutely as exudate blocks airway.

• May occur in young lambs secondary to orf (parapox) virus infection that can spread from lips to the inside of the mouth.

(These lesions then become secondarily infected with Fusiformis.)

• Involvement of the pharynx and larynx may result in dyspnoea and the development of pneumonia.
• May lead to death.

Macroscopically

• Grossly, there is a firm swelling visible on the outer aspect of the cheek
• On the mucosal surface there is a deep, irregular ulcer, covered by a thick diphtheritic membrane.

Microscopically

• There is complete loss of the surface epithelium:
  • a mass of necrotic debris
  • polymorphs and fibrin is found overlying severely inflamed subepithelial tissues in which bacterial colonies may be seen and around which there may be marked fibrosis in an attempt to “wall off” the lesion.

Haemorrhagic Inflammation

• Complete loss of integrity of epithelium. Uncommon.
• Characteristic of “Blue Tongue”, a Reovirus infection of sheep - (v. rare – doesn’t occur in UK !).
• Epithelium lost and haemorrhage produces blue / black discoloration of the tongue, hence the name.

Tongue Lymphoma

Tongue Lymphoma - a recognised entity (Courtesy of Alun Williams (RVC))

See also Tongue Trauma Clinical Page

Fungal

• Fungal infections are relatively rare but do occur.
• The best known is infection with the yeast Candida albicans which causes thrush.