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52 Cards in this Set

  • Front
  • Back

Components of the skin

Dermis, epidermis, subcutis, hair follicle, salivary glands, sebaceous glands

Components of the epidermis

Superficial to deep: Stratum corneum, stratum granulosum, stratum spinosum, stratum basale, basementmembrane

Erythema

Gross lesion of skin; Reddening of the skin


Macule

Gross lesion of skin; circumscribed, flat discoloration of skin UP to 1 cm




Causes: hemorrhage, hyperemia or increased/decreased pigmentation




Example: freckle

PuraPura

Macule caused by hemorrhage

Papule

Gross lesion of skin: Solid circumscribed elevation of skin UP to 1 cm ( height)

Plaques

Larger, usually flat topped elevations formed by COALESCING papules




red/blue= acute


yellow/brown= chronic

Nodule

Gross lesion of skin: Circumscribed elevation usually GREATER than 1 cm in height, solid and rooted in dermis or subcutis




May be cystic inflammatory or neoplastic

Wheals

(urticaria, hives)


Gross lesion of skin: white to pink, mesa-like elevation produced by EDEMA in dermis




May coalesce to form plaques and are TRANSIENT




Example: acute allergic reaction

Vesicle

(Blisters) (similar larger lesion: Bleb/bullae)


Gross lesion of skin: Small elevation of epidermis caused by a pocket filled with CLEAR SERUM ( in or immediately beneath epidermis)




Causes: viruses, chemicals, burns and autoimmune

Pustule

Gross lesion of skin: Superficial Abscess. Vesicle that contains neutrophils AND serum.


Vesicles can become pustules (pustule= vesicle+bacteria)

Scales

Gross lesion of skin: flakes of imperfectly cornified superficial epidermis




Seen focally in chronic dermatitis

Crusts

Gross lesion of skin: scabs, made of dried accumulations of serum, blood, pus, epithelial and bacterial debris

Ulcer

Gross lesion of skin: loss of EPIDERMIS to and into the dermis

Erosion

loss of part of epidermis ( not straight through to dermis; hard to visualize grossly )

Change in pigmentation

Related to melanin in epidermis (hypo/hyper pigmentation)



Lichenification

Gross lesion of skin: irregular SKIN THICKENING (acanthosis, hyperkeratosis) and hyperpigmentation.




Cause: hyperpigmentation

Verruca

Gross lesion of skin: an elevated rough, WARTY lesion

Scar

Gross lesion of skin: fibrous tissue replacing normal tissue injured by disease or injury.




in skin often alopecic and DEpigmented

AcanTHOSIS

Microscopic lesion of skin: thickening due to HYPERPLASIA of epidermis ( stratum spinosum)




Response to chronic irritation

Pustule

Microscopic lesion of skin: superficial abscess. Vesicle that contains neutrophils AND serum.




Same descriptive gross lesion term

Hyperkeratosis

Microscopic lesion of skin: Exccessive thickness or hyperplasia of STRATUM CORNEUM.




Seen in mild, chronic irritation


Focal: Callus or Generalized



Orthokeratosis

Hyperkeratosis of "normal appearing" keratin layers ( no nuclei)

Parakeratosis

Retention of cell nuclei with in keratin

AcanthoLYSIS

Microscopic lesion of skin: Loss of cohesion between epidermal cells due to DEGENERATION of desmosomes




Can see acantholytic cells floating

Spongiosis

Microscopic lesion of skin: intracellular edema in the epidermis. Leads to vesicle formation

Ballooning degeneration

Intracellular edema or hydropic degeneration of epidermal cells.




Can coalesce and form vesicle




Often seen in pox disease

Types of cutaneous inflammation

Perivascular


Vascular


Interface


Hyperplastic


Luminal Folliculitis


Furunculosis


Epidermal Pustule


Nodular/diffuse

Acute Dermatitis GROSS

erythema


Vesicle


Pustules


Wheals


Exudation= serous, fibrinous,purulent


Crusts


Ulcers

Acute Dermatitis MICRO

Spongiosis, Ballooning degeneration


Vesicles, Pustles, Exocytosis (neutrophils)


Dermal edema, Vascular dilations


Necrosis, Fibrin, Thrombosis, acute inflammatory infiltrates-fibrin,neutrophils

Resolution of Acute Dermatitis

Complete resolution


Scarring


Progress to chronic?

Chronic Dermatitis GROSS

Scaling


Crusts


Epidermal thickening-hyperplasia, lichenification, pigmentary changes, fibrosis

Chronic Dermatitis MICRO

Acanthosis, hyperkeratosis, fibrosis, chronic (mononuclear) cellular infiltrates-macrophages, plasma cells, lymphocytes

Resolution of Chronic Dermatitis

Persistent chronic inflammation


lichenification


Fibrosis and scarring



Causes of Dermatitis

Bacteria


Viral


Fungal


Parasitic


Endogenous





Bacteria

superficial pyodermas


deep pyodermas


bacterial granulomatous demrmatitis


systemic or toxic reactions


bacterial digital infections of horses/ruminants

Examples of Bacterial cause

deep pyoderma--> staph in hair follicle


Dermatophilus congolensis ( rain rot, laminated crusts and hyperkeratosis)


Papilomatous digital derm

Papillomatous digital dermatitis

painful disease of feet in cattle


multi bacterial involved (treponema)


interdigital space plantar surface hind foot


caused by prolonged period in wet dirty environment


severe epidermal hyperplasia ( stage wart like growths!)

Viral

Canine distemper virus


herpes virus


papillomavirus


swine pox

Mechanism of injury in POX

1) Balloonning degeneration


2) reticular degeneration and inclusion bodies


3) Macule formed


4) Papule formed


5) Vesicle formed


6) Pustule/papule formed


7) Hyperplasia and old pustule


8) Hyperplasia and crust



Fungal- cutaneous

hair, stratum corneum, claws=

Dermatophytes, Candida, Malassezia


Fungal- Subcutaneous

Pythiosis

Fungal- Systemic

Blastomycosis, cryptococcosis

Parasitic

Athropods


helminths


filaria

Arthropods

Fleas


Mites= demodex and sarcoptes

Helminths

Habronema


Hook worm

Filaria

Stephanofilaria

inflammation of derm WITHOUT pathogens

Photodynamic dermatitis

Photodynamic dermatitis

Photosensitizers
porphyria
Hepatogenous

Photosensitizers

Primary cause of photodynamic derm


they are EXOGENOUS substances such as plants and drugs

Porphyria

Metabolic disorder of porphyrin metabolism


Endogenous cause of photodynamic derm.

Hepatogenous

Feed contians chlorophyll--> turned into phylloerythrin in the RUMEN--> liver dysfunction= enters circulation --> skin = photoactivation= FREE RADICALS!= photodynamic dermatitis