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Pathological Features of Contagious Pustular Dermatitis (Orf) in Lambs

机译:羔羊传染性脓疱性皮炎(Orf)的病理特征

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Contagious pustular dermatitis is one of the most widespread viral diseases worldwide.It is a poxviral disease of sheep and goats, caused by a Parapoxvirus (Orf virus) affecting alsohumans, camels, cows, and many wild ruminants, and very rarely dogs (1). The disease wasclinically diagnosed from different field cases of sheep and goat in Bistri?a-N?s?ud County,Romania in 2009. Skin biopsies were used for histopathological diagnosis, using the standardtechniques. The slides were prepared and examined inside the Pathology Department ofUASVM Cluj-Napoca. Hematoxylin Eosin (HE) and Trichrom Masson (TM) coloured slideswere used to describe the histological features of the skin infection in lambs. Histologicalanalysis of skin samples was performed with an Olympus BX 41 optical microscope andimage processing was performed using the software CellB. Most significant gross lesion is thelayer of thick brown-gray crust that may be elevated 2-4 mm above the skin surface.Regression usually occurs without medication in 4 weeks. Papillomatous growths, resultingfrom continued epidermal proliferation, sometimes occurred. The lesions observed followingexamination, were typical for pox-virus infections, but more proliferative. We observedvacuolization and increase in volume of keratinocites from the external spinous layer of theepidermis, reticular degeneration (nuclear pyknosis and marked hydropic changes), markedepidermal proliferation (3-4 times the normal thickness, with pronounced elongation of reteridges), intradermal microabscesses and crust formation on the surface. Only in two caseseosinophilic intracitoplasmatic viral inclusions of different sized were observed, whichappeared simultaneously with the reticular degeneration, but they do not persist more than 3-4days, unlike other pox-virus infections. At the dermis, we noticed superficial edema,perivascularitis with abundant neutrophils (probably also due to secondary bacterialinfections), lymphocytes and macrophages. At the surface of the skin, a thick crusty layer wasformed, composed of orthokeratotic and parakeratotic keratin, proteinacous fluid, degeneratedneutrophils and cellular debris. Intraepidermal abscesses were also observed in some cases, asa complication of secondary bacterial infections. Of late, there have been an increasingnumber of reports of new species being affected by the disease, implying a dynamic hostpathogeninteraction (2). The causative agent, orf virus, has to be extensively investigated,owing to its zoonotic importance and ability to cross-infect other species sporadically.
机译:传染性脓疱性皮炎是全球最广泛的病毒性疾病之一,是绵羊和山羊的痘病毒病,由副痘病毒(Orf病毒)引起,也影响人,骆驼,牛和许多反刍动物,很少见狗(1) 。该疾病是在2009年从罗马尼亚Bistri?a-N?s?ud县的绵羊和山羊的不同田间病例中临床诊断出来的。采用标准技术,将皮肤活检用于组织病理学诊断。在UASVM Cluj-Napoca的病理科内部准备并检查了幻灯片。使用苏木精曙红(HE)和Trichrom Masson(TM)彩色载玻片描述羔羊皮肤感染的组织学特征。用Olympus BX 41光学显微镜进行皮肤样品的组织学分析,并使用CellB软件进行图像处理。最严重的肉眼病变是一层厚厚的棕灰色硬皮层,可以升高到皮肤表面以上2-4毫米。通常在4周内不用药物即可导致消退。由于持续的表皮增生而引起的乳头状生长有时会发生。检查后观察到的病变是痘病毒感染的典型症状,但具有增生性。我们观察到了表皮外棘层的排空和角质形成体积的增加,网状变性(核固缩和明显的水肿性变化),表皮增生(正常厚度的3-4倍,网纹明显延长),皮内微脓肿和结皮形成在表面上。仅在两个不同大小的嗜酸性嗜酸性胞浆内病毒包涵体中观察到,它们与网状变性同时出现,但与其他痘病毒感染不同,它们不会持续超过3-4天。在真皮处,我们发现浅表水肿,血管中膜炎伴大量中性粒细胞(可能也是由于继发性细菌感染所致),淋巴细胞和巨噬细胞。在皮肤表面形成了厚的硬皮层,由角膜塑形和角化副角蛋白,蛋白液,中性粒细胞变性和细胞碎片组成。在某些情况下,作为继发性细菌感染的并发症,也观察到了表皮内脓肿。最近,有越来越多的新物种受到该疾病影响的报道,这暗示着一种动态的宿主病原体相互作用(2)。由于其人畜共患的重要性以及偶发性交叉感染其他物种的能力,因此必须对致病因子orf病毒进行广泛研究。

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