Brounts S H, Rashmir-Raven A M, Black S S
Animal Health Center, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA.
Vet Dermatol. 2001 Aug;12(4):219-24. doi: 10.1046/j.0959-4493.2001.00256.x.
This case report describes a distinctive deep cutaneous lesion in a 1-year-old Quarter Horse filly with hyperelastosis cutis. The horse had a typical clinical presentation of hyperelastic skin associated with a 6-month history of cutaneous wounds that developed following minor cutaneous trauma. Punch biopsies of skin from the affected horse were thinner than similar biopsies from an age- and breed-matched control. Significant microscopic lesions were not seen in cutaneous punch biopsies stained with haematoxylin and eosin and Masson's trichrome stains, but the ultrastructure of the dermis from the affected horse was characterized by variation in collagen fibre diameter and loose packing of collagen fibres within bundles. The horse was euthanized and necropsied, and full-thickness sections of skin were collected and examined microscopically. Affected skin was of normal thickness; however, the deep dermis contained a distinctive horizontal linear zone in which separation of collagen bundles resulted in the formation of large empty cleft-like spaces between the upper and lower regions of the deep dermis. We suggest the term 'zonal dermal separation' for this microscopic lesion. Incisional full-thickness skin biopsies should be taken in suspected cases of equine hyperelastosis cutis because punch biopsies may not obtain enough deep dermis to adequately represent pathological change in the skin of horses with this disorder.
本病例报告描述了一匹1岁的夸特马小母马患皮肤弹性过度症时出现的一种独特的深部皮肤病变。这匹马有典型的皮肤弹性过度临床表现,伴有6个月的皮肤创伤病史,这些创伤在轻微皮肤外伤后出现。患病马皮肤的打孔活检样本比年龄和品种匹配的对照马的类似活检样本更薄。用苏木精-伊红染色和马松三色染色的皮肤打孔活检样本中未发现明显的微观病变,但患病马真皮的超微结构特征是胶原纤维直径变化以及束内胶原纤维排列疏松。这匹马实施了安乐死并进行了尸检,收集了全层皮肤切片并进行显微镜检查。患病皮肤厚度正常;然而,深部真皮包含一个独特的水平线性区域,其中胶原束分离导致深部真皮上部和下部区域之间形成大的空裂隙样间隙。我们建议将这种微观病变称为“带状真皮分离”。对于疑似马皮肤弹性过度症的病例,应进行切口全层皮肤活检,因为打孔活检可能无法获取足够的深部真皮,以充分呈现患有这种疾病的马皮肤的病理变化。