Congenital and Neonatal Disease - Pathology

Introduction

• Changes in the patterns of growth and differentation result in growth disorders.
  • These changes may be in single cells, tissues or organs.
• There are two types of growth disorders.
  1. Malformations
     • Occur during gestation.
  2. Congenital
     • Detected at birth.
• Some growth disorders have a heriditary input.
  • Occur as a result of genetically transmitted disease.
• Some growth disorders occur as a sequl to a variety of insults to the foetus during gestation.
• Only a few malformations are readily accessible to surgical correction.

Causes of Malformations

• There are many causes of malformations in animals.
• If the insult occurs early in gestation and is sufficiently severe, it will result in foetal death, resorption and infertility.
• If the insult occurs late in gestation, the malformation will be more limited and the foetus usually survives.

Chromosomal Defects

• Although malformations can be caused by chromosomal abnormalitis, these often result in early abortion or resorption.

Viral Diseases

• Some viruses are able to cross the placenta and cause damage to foetal tissues.
• For example:
  • Border Disease Virus in lambs.
  • Cerebellar hypoplasia in kittens caused by parvovirus.

Toxins

• For example, toxic plants ingested by the dam during pregnancy.
  • Veratrum californicum
    • May produce cyclopia in lambs when ingested by the dam in early pregnancy.

Drugs

• Griseofulvin
  • Used to treat "ringworm" (dermatophytosis). ( for the treatment of dermatophytosis - 'ringworm' )
  • Can cause serious malformations in kittens if administered to a pregnant queen.
• Oestrogens and Actinomycin D have also been associated with malformations.

Ionising Radiation

• For example, X-rays.

Nutritional Deficiencies

Vitamin Deficiencies

• Vit. A and D deficiency can result in skeletal malformations.

Physical Factors

• For example, adhesions between foetal membranes or umbilical cord.
  • Can result in amputation of skeletal segments.
    • Especially around limbs.

Anoxia

• Lack of oxygen in gestation can result in malformations.

Malformations

Cyclops

• The presence of a single central eye as a result of facial deformity.

Skeletal Malformations

• There are numerous skeletal malformations.
• Include:
  • Absence of bones
  • Deformation
  • Shortening
  • Duplication
  • Hypoplasia

Skin Defects

• E.g. Epitheliogenesis imperfecta.

Muscular Defects

• E.g. defects in the thoracoabdominal walls resulting in exterioration of internal viscera.
  • Called "shistosoma".

Cardiac Defects

• There are several possible types of cardiac defects.
  • These include:
    • Patency between chambers
    • Persistent right aortic arch
    • Tetralogy of Fallot

Sexual Organ Malformation

• E.g.:
  • Hermaphrodites
  • Pseudohermaphrodites
  • Freemartinism in females calves.

Metabolic Diseases

• "Storage" diseases.
  • Vital enzymes are missing or defective within all cells.
• These diseases express themselves as storage of intermediate products within cells.
• Because neural tissue is a very sensitive tissue and cannot repair, these diseases usually express themselves as disease of the Central Nervous System.