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Pathology of Skin
and Appendages
I. Generl Considerations
Functions
Economic Importance
epidermis
 Stratum basale, spinosum, granulosum,
cornium
 Keratiocytes 85%
 Melanocytes (5-8%)
 Langerhan’s cells (5%)
 Merkel cells (tactile cells)
 Indeterminate dendritic cells
Dermis
 Collagens
 Glycosaminoglycans
 Cutaneous vasculature
 Hair follicles
 Simple – horse and cattle
 Compound – sheep, goat, dogs, and cats
 Sebaceous glands
 Sweat glands
 Arrector pilli muscle
Subcutis
 Adipose tissue supported by fibrous
tissue, containing blood vessels
II. Dermatohistopatholgy
A. Epidermal Changes
 Hyperkeratosis
 Orthokertosis – anuclear – hyperkeratosis
 Parakeratosis – nucleus
 Diffuse
 Ectoparasitism
 Zinc-responsive
 Vit. A responsive
 Thallotoxicosis
 Dermatophilosis-Dermatiphilis congolensis
 Dermatophytosis-Epidermophyton, Microsporum, and
Trichophyton
 Focal
 Idiopathic seborrheic dermatis of dogs and horses
Cont…..
 Hyperkeratosis
 decreased synthesis of epidermis –
 seborrheic and other exfoliative skin disorders
 Dyskaratosis
 Premature And Faulty Keratinization Of Individual
Cells
 Dyskaryotic cells are eosinophilic, swollen, with
dark-staining nuclei
 Hypergranulosis and hypogranulosis
 Increased or decreased thickness of stratum
granulosum
Cont…….
 Acanthosis (hyperplasia)
Stratum spinosum
 Irregular (uneven, elongated, pointed rete ridges)
 Regular
 Papillated
 Psuedo-carcinomatous or pseudoepitheliomatous
(extremely irregular hyperplasia)
Associated with Chronic inflammatory processes
Cont……
Congenital and
Hereditary Diseases of
Skin
 Epitheliogenesis Imperfecta
 Discontinuities of squamous epithelium
of skin and oral mucous membrane
 Ichthyosis
 Fish scale like lesions (hyperkeratosis)
mostly genetic skin disorders
 Hereditary zinc deficiency
 Less Absorption of zinc (parakeratosis)
 Congenital Hypotrichosis
 Partial or complete absence of hair
(alopecia)
 Genetic (more frequent in cattle)
 Non genetic
 Iodine deficiency
 Adenohypophyseal hypoplasia
 Hypertrichosis
calves and lambs
 Episodes of repeated maternal hyperthermia
 Congenital hypertrichosis of horse
 Pituitary tumors in old horses
 Epidermolysis bullosa
 Group of inherited disorders causing blisters
following minor injury in many species of
animals
 Familial Canine Dermatomyositis
 Autosomal dominant in Colie and
Shetland dogs
 Lesions (alopecia and crusting) start
at the age of few months
 Hereditary Collagen Dysplasia
 Complex disorders of CT, which
results in a decrease in tensile
strength of affected tissue (fragility
and hyperextensibility
 Many species are affected
III. Disorders of Epidermal
Differentiation
A. Seborrheic skin disease / ` Primary
idiopathic Seborrhea – altered
keratinization – dandruff, scaling, crusting
 Hormonal imbalances
 Hypothyroidism
 Hyperadenocorticism
 Sex hormonal imbalances
Cont…..
Filagrin + colesterol + other lipids + keratin = keratinization
Granulosa
Spinosum - Keratin
 Ectoparasitism
 Endoparasitism
 Dermatophilosis
 Hypersensitivities
 Abnormal lipid metabolism – malabsorption, pancreatic and liver
diseases, diabetes mallitus
 Dietary def. of fatty acids, protein, vitamin A, zinc
 Chronic catabolic states
 Environmental factors – hot and dry conditions
1. Seborrhoea sicca – focal or diffuse flaking (non-adherent)
2. Seborrhoea oleosa – flaking + liquid production
3. Seborrheic dermatitis – scaling, greasiness, and inflammation
 Leukoderma and leukotrichia
 Hereditary Hypopigmentation
 Piebaldism -- autosomal dominant disorder
(hypomelanosis)
 Albinism – inability to synthesize tyrosinase,
melanosome failure, autodegradation
 Chediac-Higashi syndrome – (autosomal recessive
disorder) melanin not passed to keratinocytes
 Acquired Hypopigmentation
 Damage to epidermal melanin unit by various insults
 Horses – harness
 Dogs – immune mediated diseases
 Copper deficiency
VI. Physiochemical Diseases of Skin
 Physical Injury to Skin
 Mechanical, Frictional, Traumatic, and Psychogenic
 Callosities - hyperkeratosis
 Hygroma – acquired bursa over bony prominences
 Decubitus ulcers – ischemic necrosis – prolonged recumbancy
 Psycogenic – cats – neurodermatitis (feline hyperesthesia)
 Injection-site reaction – nodules – ulcers or fistulae
 Acral lick dermatitis – hyperplastic disorder
 Udder and tail
 Cold injuries – vascular injury - anoxia
Pressure, Vibration, Electricity, High and low ambient temperature,
humidity, visible light, ultraviolet light, infra red, ionizing radiation, and chemicals
Thermal injuries
Dry heat - Desiccation and carbonization
Boiling or coagulation
 First degree – epidermis – erythemia, edema –
no vesicles – no injury to epithelium
 Second degree – coagulative effects on
epithelium, marked dermal edema, vescles and
bullae
 Third degree – full thickness is affected
 Forth degree – subcutaneous tissue is also
affected
Chemical injuries
 Primary contact irritant dermatitis – acids, alkalies, tar,
paints, kerosene, turpentine, antiseptics, insecticides,
feces, urine
 Thallotoxicosis – rodenticide – combining with
sulfdydral groups – thallium replaces potassium –
commissures or nasal cleft – erythemia, ulceration,
alopecia
 mercury
 Arsenic
 Iodine
 Selenium
 Chlorenated naphthalenes
 ergotism
VII. Actinic Diseases of Skin
 Direct effect of solar radiation
 Short wave ultravoilet radiation 290-320 nm (UV-B)
 < 290 (UV-A) absorbed by ozone layer
 > 320 (UV-C) long wave – photodynamic agents
 Short term effects - cytokines from keratinocytes
 Erythema (direct damage to endothelium),
 Hyperplasia
 Melanosis
 Depress immune reaction
 Long term effects
 Degeneration, mutagenesis
•Solar dermatitis – sun burn – cats and goats
•Solar elastosis – cancer - humans
•Solar kertosis – preneoplastic hyperplasia - dogs
 Enhanced susceptibility of skin to actinic
radiation - exacerbated form of sunburn,
caused by the activation of photodynamic
chemicals
 Action spectrum  reactive oxygen species
Photosensitization
 Primary Type I–exogenous pigments
 Hypericin, fagopyrin, furocoumarin (dianthrone
Derivatives-from plants- a laxative agent)
 Phenothiazine
 Secondary Type II – Aberrant endogenous
pigments act as photodynamic agent
 Bovine congenital erythropoietic porphyria – def.
of uroporphyrinogen III cosynthetase, a key
enzyme in heme synthesis –
osteohemochromatosis
 Bovine erythropoietic protoporphyria – def. of
ferrochelatase – protoporphyrin IX
 Type III - phylloerythrin degradation product
of chlorophyll – failure of liver to eliminate
phylloerythrin
Photosensitization
VIII. Nutritional Diseases
of Skin
 Protein-Calorie Deficiency
 Loss of adipose tissue, dull, dry, and brittle
hair coat, alopecia
 Fatty acid Deficiency
 General dietary def., malabsorption, liver
disease
 Diffuse scaling and alopecia
 Hypovitaminosis and Vitamin-Responsive
Dermatoses (Vit. A and E)
 Mineral deficiency – Iodine, cobalt,
copper, and zinc (wool and hair coat,
component of metalloenzymes, cofactor,
regulate DNA and RNA metabolism) -
hyperkeratosis
contagious pustular
dermatitis
Orf is an exanthemas
disease caused by a parapox
virus and occurring primarily
in sheep and goats
Papules and Pustules
lips and muzzle
Inter digital spaces, Udder --
--may result in Mastitis
Contagious Ecthyma

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Pathology of Skin and Appendages

  • 4.
  • 5.
  • 6. epidermis  Stratum basale, spinosum, granulosum, cornium  Keratiocytes 85%  Melanocytes (5-8%)  Langerhan’s cells (5%)  Merkel cells (tactile cells)  Indeterminate dendritic cells
  • 7. Dermis  Collagens  Glycosaminoglycans  Cutaneous vasculature  Hair follicles  Simple – horse and cattle  Compound – sheep, goat, dogs, and cats  Sebaceous glands  Sweat glands  Arrector pilli muscle
  • 8. Subcutis  Adipose tissue supported by fibrous tissue, containing blood vessels
  • 10. A. Epidermal Changes  Hyperkeratosis  Orthokertosis – anuclear – hyperkeratosis  Parakeratosis – nucleus  Diffuse  Ectoparasitism  Zinc-responsive  Vit. A responsive  Thallotoxicosis  Dermatophilosis-Dermatiphilis congolensis  Dermatophytosis-Epidermophyton, Microsporum, and Trichophyton  Focal  Idiopathic seborrheic dermatis of dogs and horses Cont…..
  • 11.  Hyperkeratosis  decreased synthesis of epidermis –  seborrheic and other exfoliative skin disorders  Dyskaratosis  Premature And Faulty Keratinization Of Individual Cells  Dyskaryotic cells are eosinophilic, swollen, with dark-staining nuclei  Hypergranulosis and hypogranulosis  Increased or decreased thickness of stratum granulosum Cont…….
  • 12.  Acanthosis (hyperplasia) Stratum spinosum  Irregular (uneven, elongated, pointed rete ridges)  Regular  Papillated  Psuedo-carcinomatous or pseudoepitheliomatous (extremely irregular hyperplasia) Associated with Chronic inflammatory processes Cont……
  • 14.  Epitheliogenesis Imperfecta  Discontinuities of squamous epithelium of skin and oral mucous membrane  Ichthyosis  Fish scale like lesions (hyperkeratosis) mostly genetic skin disorders  Hereditary zinc deficiency  Less Absorption of zinc (parakeratosis)  Congenital Hypotrichosis  Partial or complete absence of hair (alopecia)  Genetic (more frequent in cattle)  Non genetic  Iodine deficiency  Adenohypophyseal hypoplasia
  • 15.  Hypertrichosis calves and lambs  Episodes of repeated maternal hyperthermia  Congenital hypertrichosis of horse  Pituitary tumors in old horses  Epidermolysis bullosa  Group of inherited disorders causing blisters following minor injury in many species of animals
  • 16.  Familial Canine Dermatomyositis  Autosomal dominant in Colie and Shetland dogs  Lesions (alopecia and crusting) start at the age of few months  Hereditary Collagen Dysplasia  Complex disorders of CT, which results in a decrease in tensile strength of affected tissue (fragility and hyperextensibility  Many species are affected
  • 17. III. Disorders of Epidermal Differentiation A. Seborrheic skin disease / ` Primary idiopathic Seborrhea – altered keratinization – dandruff, scaling, crusting  Hormonal imbalances  Hypothyroidism  Hyperadenocorticism  Sex hormonal imbalances Cont….. Filagrin + colesterol + other lipids + keratin = keratinization Granulosa Spinosum - Keratin
  • 18.  Ectoparasitism  Endoparasitism  Dermatophilosis  Hypersensitivities  Abnormal lipid metabolism – malabsorption, pancreatic and liver diseases, diabetes mallitus  Dietary def. of fatty acids, protein, vitamin A, zinc  Chronic catabolic states  Environmental factors – hot and dry conditions 1. Seborrhoea sicca – focal or diffuse flaking (non-adherent) 2. Seborrhoea oleosa – flaking + liquid production 3. Seborrheic dermatitis – scaling, greasiness, and inflammation
  • 19.  Leukoderma and leukotrichia  Hereditary Hypopigmentation  Piebaldism -- autosomal dominant disorder (hypomelanosis)  Albinism – inability to synthesize tyrosinase, melanosome failure, autodegradation  Chediac-Higashi syndrome – (autosomal recessive disorder) melanin not passed to keratinocytes  Acquired Hypopigmentation  Damage to epidermal melanin unit by various insults  Horses – harness  Dogs – immune mediated diseases  Copper deficiency
  • 20. VI. Physiochemical Diseases of Skin  Physical Injury to Skin  Mechanical, Frictional, Traumatic, and Psychogenic  Callosities - hyperkeratosis  Hygroma – acquired bursa over bony prominences  Decubitus ulcers – ischemic necrosis – prolonged recumbancy  Psycogenic – cats – neurodermatitis (feline hyperesthesia)  Injection-site reaction – nodules – ulcers or fistulae  Acral lick dermatitis – hyperplastic disorder  Udder and tail  Cold injuries – vascular injury - anoxia Pressure, Vibration, Electricity, High and low ambient temperature, humidity, visible light, ultraviolet light, infra red, ionizing radiation, and chemicals
  • 21. Thermal injuries Dry heat - Desiccation and carbonization Boiling or coagulation  First degree – epidermis – erythemia, edema – no vesicles – no injury to epithelium  Second degree – coagulative effects on epithelium, marked dermal edema, vescles and bullae  Third degree – full thickness is affected  Forth degree – subcutaneous tissue is also affected
  • 22. Chemical injuries  Primary contact irritant dermatitis – acids, alkalies, tar, paints, kerosene, turpentine, antiseptics, insecticides, feces, urine  Thallotoxicosis – rodenticide – combining with sulfdydral groups – thallium replaces potassium – commissures or nasal cleft – erythemia, ulceration, alopecia  mercury  Arsenic  Iodine  Selenium  Chlorenated naphthalenes  ergotism
  • 23. VII. Actinic Diseases of Skin  Direct effect of solar radiation  Short wave ultravoilet radiation 290-320 nm (UV-B)  < 290 (UV-A) absorbed by ozone layer  > 320 (UV-C) long wave – photodynamic agents  Short term effects - cytokines from keratinocytes  Erythema (direct damage to endothelium),  Hyperplasia  Melanosis  Depress immune reaction  Long term effects  Degeneration, mutagenesis •Solar dermatitis – sun burn – cats and goats •Solar elastosis – cancer - humans •Solar kertosis – preneoplastic hyperplasia - dogs
  • 24.  Enhanced susceptibility of skin to actinic radiation - exacerbated form of sunburn, caused by the activation of photodynamic chemicals  Action spectrum  reactive oxygen species Photosensitization
  • 25.  Primary Type I–exogenous pigments  Hypericin, fagopyrin, furocoumarin (dianthrone Derivatives-from plants- a laxative agent)  Phenothiazine  Secondary Type II – Aberrant endogenous pigments act as photodynamic agent  Bovine congenital erythropoietic porphyria – def. of uroporphyrinogen III cosynthetase, a key enzyme in heme synthesis – osteohemochromatosis  Bovine erythropoietic protoporphyria – def. of ferrochelatase – protoporphyrin IX  Type III - phylloerythrin degradation product of chlorophyll – failure of liver to eliminate phylloerythrin
  • 27. VIII. Nutritional Diseases of Skin  Protein-Calorie Deficiency  Loss of adipose tissue, dull, dry, and brittle hair coat, alopecia  Fatty acid Deficiency  General dietary def., malabsorption, liver disease  Diffuse scaling and alopecia
  • 28.  Hypovitaminosis and Vitamin-Responsive Dermatoses (Vit. A and E)  Mineral deficiency – Iodine, cobalt, copper, and zinc (wool and hair coat, component of metalloenzymes, cofactor, regulate DNA and RNA metabolism) - hyperkeratosis
  • 29. contagious pustular dermatitis Orf is an exanthemas disease caused by a parapox virus and occurring primarily in sheep and goats Papules and Pustules lips and muzzle Inter digital spaces, Udder -- --may result in Mastitis Contagious Ecthyma