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#REDIRECT[[:Category:Integumentary System - Parasitic Infections]]
 
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{{toplink
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|backcolour = FFCCCC
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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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|pagetype =Pathology
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|sublink1 = Skin Infectious - Pathology
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|subtext1 = SKIN INFECTIOUS
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}}
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<br>
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==Mites==
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===Demodicosis===
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*[[Suborder: Astigmata, astigmatid mites|''Demodex'']] are normal inhabitants of hair follicles and sebaceous glands
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*Have to have increased number of immature mites to classify as infestation
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*Host-specific
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*Occurs in dogs, cattle, sheep, goats, pigs, horses and cats
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*Transmits during nursing from dam to offspring
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*''Demodex canis'' in dogs:
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**Generalised or localised
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**Mainly young dogs affected or adults with other disease ([[Adrenal Glands - Pathology#Adrenal Hyperfunction|hyperadrenocorticism]], [[Thyroid Gland - Pathology#Hypothyroidism|hypothyroidism]])
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**Often inherited in pure bred
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**Grossly:
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***Localised: scaly, erythematous, macular, alopecic areas; usually face or front legs
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***Generalised: large, coalescing lesions, patches, erythema, alopecia, scales, crusts
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**Microscopically:
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***Localised: lymphoplasmacytic perifolliculitis with hyperkeratinisation, sebaceous adenitis, low pigment, intraluminal mites
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***Generalised: perifolliculitis and follicular hyperkeratosis, follicular pluggingf, bacterial proliferation, bacterial neutrophilic folliculitis
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****May cause folliculat rupture -> furunculosis, cellulitis, lymphadenitis and septicaemia
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===Scabies===
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*Caused by [[Suborder: Astigmata, astigmatid mites|''Sarcoptes scabiei'']]
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*Highly contagious
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*Mainly in pigs, dogs, also horses, cattle, sheep, goats and cats
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*Intense pruritus due hypersensitivity to mites borrowing through stratum corneum
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*Usually starts with external pinnae -> head -> neck -> generalised
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*Grossly:
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**Erythematous [[Skin Glossary - Pathology|macules, papules, crusts]]
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**If chronic -> [[Skin Glossary - Pathology|lichenified]], hairless
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*Microscopically:
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**Hyperplastic, spongiotic, superficial perivascular dermatitis
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**Crusting, eosinophil infiltration
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**Mites are not commonly seen, but eggs and feces may be found in stratumn corneum
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===Notoedric mites===
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*Rare but very contagious
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*Caused by [[Suborder: Astigmata, astigmatid mites|''Notoedres cati'']]
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*Grossly:
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**Erythematous papular rash -> scales, crusts, alopecia -> lichenification when chronic
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**Start on neck and ears -> head, face, paws -> generalised
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*Microscopically:
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**Epidermal hyperplasia, spongiosis, crusts
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**Superficial perivascular dermatitis
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**Eosinophils
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===Otodectic mites===
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*Caused by [[Suborder: Astigmata, astigmatid mites|''Otodectes cynotis'']]
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*In external ear canals of carnivores, occasionally elsewhere
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===Psoroptic mites===
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*Occurs in cattle, sheep, horses, goats, rabbits and other animals
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*Host-specific
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*[[Suborder: Astigmata, astigmatid mites#Psoroptes cuniculi|''Psoroptes cuniculi'']] in ear canals of rabbits, horses, goats and sheep
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*[[Suborder: Astigmata, astigmatid mites|''P.equi'']] at base of mane, ttail and forelock in horses
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*[[Suborder: Astigmata, astigmatid mites|''P.ovis'']] in sheep ('''sheep scab''')and cattle
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**Thickened skin and dry scales and crusts
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**Starts at withers and spreads due to self trauma
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**Microscopically:
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***Spongiotic, hyperplastic or exudative superficial perivascular dermatitis
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***Eosinophils
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===Chorioptic mites===
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*Host-specific
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*In cattle, horses, goats
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*Caused by [[Suborder: Astigmata, astigmatid mites|''Chorioptes'' spp.]]
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*Grossly:
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**Erythematous, papular, crusty lesions
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**Hairless, thickened skin
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**Areas usually affected:
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***Horses: lower hind legs
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***Cattle: lower hind legs, scrotum, perineum, tail, udder, thigh
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***Sheep: lower hind legs and scrotum
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***Goats: lower hind legs, hindquarters, abdomen
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===Cheyletiellosis===
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*Caused by ''Cheyletiella'' sp.]]
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*Occurs in dogs, cats, rabbits, humans and wild animals
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*In dogs and cats: hyperkeratosis - dry, white, scaly dandruff along back
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*May be asymptomatic
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*Grossly:
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**Focal, multifocal or generalised red papules or crusts
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*Microscopically:
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**Superficial perivascular dermatitis
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**Eosinophils
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===Trombiculidiasis===
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*Harvest mite infestation (chiggers) - [[Suborder: Astigmata, astigmatid mites|''Trombicula'' sp.]]
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*Form tunnels in epidermis by injecting saliva - eat digested tissue fluid
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*Intense pruritus
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*Grossly:
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**Small, red [[Skin Glossary - Pathology|papules or crusts]]
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**Orange to red larvae
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**On skin close to plants or the ground
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*Microscopically:
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**Hyperplastic, superficial perivascular dermatitis
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**[[Eosinophils - WikiBlood|Eosinophils]], [[Mast Cells - WikiBlood|mast cells]]
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**Intraepidermal mites
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==Ticks==
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*Local reaction depends on host hypersensitivity and [[Suborder: Metastigmata, ticks|tick's]] secretions
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*Grossly:
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**Focal erosions, erythema, crusted ulcers, sometimes alopecia and nodules
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*Microscopically:
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**Epidermal and dermal necrosis
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**Perivascular of diffuse inflammation and necrotic margins
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**Eosinophils, macrophages and lymphocytes in exudate
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**May form granulomas containing collagenous fibres and lymphoid follicles within dermis
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==Lice==
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*Infestation is called '''pediculosis'''
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*May cause anaemia (sucking lice), weakness, discomfort and damage to hair or wool
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*More common in low temperatures when hair is longer
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*Host-specific
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*Spread by direct contact
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*Most lesions are due to self-inflicted trauma
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*Grossly:
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**Papules, crusts, secondary excoriations
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**Eggs and lice visible in lesions
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==Fleas==
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*Occurs in cats and dogs mainly
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*Irritation caused by enzymes, anticoagulants and histamine-like substances
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*[[Skin Immunologic - Pathology|Hypersensitivity]] to flea saliva may develop
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*Young or small animals may suffer from aneamia
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*Lesions normally in dorsolumbosacral region, caudomedial thighs, ventral abdomen, flank, neck (cats) 
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*Grossly:
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**Red papules and secondary excoriations
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==[[Insecta|Flies]]==
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*Bites may cause irritation, anaemia, toxicity or hypersensitivity
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*Grossly:
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**Wheals and papules around puncture wound
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**Hair loss, scales, crusts, erythema
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*Microscopically:
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**Superficial perivascular dermatitis
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**Eosinophilic folliculitis, +/- furunculosis
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**Intraepidermal pustules
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**Eosinophils and necrosis
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===Myiasis===
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*Infection by dipterous flies in moist body areas (''eg.'' perineum)
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*Commonly affects sheep - [[Bacterial skin infections - Pathology#Ovine fleece rot|ovine fleece rot]]
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*Grossly:
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**Matted hair or wool, may be in wounds
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**Multiple holes or ulcers
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**Malodour
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*May result in death due to septicaemia or toxaemia
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*'''Cuterebra myiasis'''
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**Caused by ''Cuterebra'' sp
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**Young animals come into contact with eggs on stones or plants
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**Nodules with larvae in subcutis + respiration openings to surface
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*'''Hypoderma myiasis'''
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**Caused by ''Hypoderma lineatum'' or ''H. bovis''
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**Mainly affects cattle
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**Skin of legs is penetrated -> migration through [[Oesophagus - Anatomy & Physiology|oesophagus]] or vertebral canal to subcutis of back
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**Cause subcutaneous nodules with respiration openings
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**Larvae in cavity with fibrin and eosinophils surrounded by granulation tissue with eosinophil clusters
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*'''Screwworm myiasis'''
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**Occurs in Africa, Asia, Central and South America
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**Larvaae are deposited in wounds
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**Penetrate and liquify tissue
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==Helminths==
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===Hookworms===
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*Caused by [[Ancylostomatoidea|''Ancylostoma'' or ''Uncinaria'']]
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*Grossly:
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**Red papules -> lichenified alopecic areas
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**Mainly of dog feet
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**Foot pads may soften with keratinised area separation
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**Possible secondary bacterial dermatitis and [[Skin Glossary - Pathology|paronychia]]
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*Microscopically:
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**Hyperplastic spongiotic perivascular dermatitis
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**Eosinophils
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**Crusts
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**Migration tracts
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===Cutaneous habronemiasis===
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*In horses (also calles '''summer sores''')
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*Caused by ''Habronema'' sp. or ''Draschia'' sp. - spread by [[Insecta|house flies or stable flies]]
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*In traumatised or moist soft skin
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*Grossly:
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**Single or multiple tomorous masses that proliferate and ulcerate
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**Red to brown, on section have small gritty yellow to white foci
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*Microscopically:
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**Nodular dermatitis
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**Eosinophils, epithelioid macrophages, multinucleated giant cells
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**Larvae and necrotic tissue
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**Granulation tissue with neutrophils along ulcerated surface
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===Onchocerciasis===
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*Caused by [[Onchocerca spp.|''Onchocerca'' spp.]]
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*Affects horses, cattle, donkeys, mules, sheep, goats
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*Transmitted by [[Insecta|Simulidae and Ceratopogonidae]]
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*Hypersensitivity varies with individuals, may occur without any inflammation
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*Grossly:
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**Adult parasites within connective tissue nodules
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**Microfilaria in dermis, especially ventral midline
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**Patchy alopecia, erythema, scaling, crusting, change in pigmentation
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**Circular areas of dermatitis on forehead appears in some horses
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**May also involve keratitis, uveitis and conjunctivitis
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*Microscopically:
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**Normal to superficial to deep perivascular dermatitis
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**Eosinophils, lymphocytes, microfilariae
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===Stephanofilariasis===
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*Caused by [[Stephanofilaria spp.|''Stephanofilaria stilesi'']]
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*Occurs in cattle, buffalo, goats
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*Transmitted by [[Insecta|flies]]
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*Affects ventral midline (other species affect different areas of body)
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*Grossly:
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**Foci extending to large areas
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**Errect hairs, epidermal haemorrhage, serum exudate -> crusts
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*Microscopically:
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**Superficial and deep perivascular dermatitis
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**Eosinophils, adult and microfilarial parasites
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**[[Skin Glossary - Pathology|Epidermal hyperkeratosis, parakeratosis, acanthosis]], eosinophilic microabscesses and crusts
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==Protozoa==
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*Cutaneous infection may become a part of systemic infection
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*Mostly caused by [[Protozoa|''Leishmania'']]
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*Transmitted by [[Insecta|sandflies]]
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*Occurs in dogs, cats and rodents (also humans)
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*Grossly in dog:
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**Generalised alopecia
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**Silvery white scales
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**Nodules and ulcers if more severe
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**Mainly on muzzle, ears and eyes where flies feed
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*Microscopically:
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**[[Skin Glossary - Pathology|Hyperkeratosis, parakeratosis, crusts]]
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**Granulomatous nodules in dermis
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**Macrophages, some lymphocytes and plasma cells - periadnexal pattern, may affect sebaceous glands
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**Organisms may be found extra or intracellularly
 
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