{"id":15585,"date":"2024-03-07T12:33:49","date_gmt":"2024-03-07T11:33:49","guid":{"rendered":"https:\/\/sesc.cat\/?p=15585"},"modified":"2024-03-07T12:43:46","modified_gmt":"2024-03-07T11:43:46","slug":"chronic-vascular-lesions-in-a-pig-kidney","status":"publish","type":"post","link":"https:\/\/sesc.cat\/en\/chronic-vascular-lesions-in-a-pig-kidney\/","title":{"rendered":"Chronic vascular lesions in a pig kidney"},"content":{"rendered":"<p>We received an inquiry regarding a 6 month-old, hybrid breed, swine carcass that showed multifocal whitish areas lesions in both kidneys.\u00a0<!--more-->Samples from both kidneys and renal lymph nodes were submitted to the SESC for their diagnosis, in which a<strong> chronic interstitial nephritis<\/strong> was initially considered due to their macroscopic appearance.<\/p>\n<p>When the samples were received, the appearance of the lesions indeed consisted of multifocal white areas and rugosity\/irregularity of the renal surface. However, the distribution and shape of the lesions was peculiar, as they were preferentially centred around the corticomedullary junction and displayed lineal shape.<\/p>\n<p>When the histopathological study of the samples was performed, the lesions did not correspond to inflammatory infiltrates within the renal interstitium as initially considered. They consisted of <strong>small and medium calibre arteries <\/strong>that were markedly thickened and distorted. They displayed a wide range of <strong>degenerative\/proliferative <\/strong>alterations, and to a lesser extent, inflammation, which included hyperplasia of all tunica, vacuolization of smooth muscle cells, obliteration of the vascular lumen with recanalization phenomena, fibrosis of the adventitial layer with occasional mononuclear inflammation, and hyperplasia of the <em>vasa vasorum<\/em>. This constellation of vascular alterations is classified as a diagnosis of <strong>severe generalized arteriosclerosis <\/strong>with mild periarteritis. Additionally, scant glomeruli displayed fibrinoid degeneration.<\/p>\n<p>At the histologic study the lymph node did not present lesions within the lymphoid tissue itself, but the arteries present within the histologic section displayed the same alterations as those observed in the kidney. For this reason, it is highly probable that the observed alterations were systemic in nature and that they were present in other organs. However, this could not be confirmed as other viscera were not submitted.<\/p>\n<p>Regarding the etiopathology of this lesions, it must be noted that they are not frequent lesions in swine, and that they consist of a chronification of a intense vascular damage centred in muscular arteries, which most probably was necrotizing and\/or proliferative in nature. In other words, we observed a scarring of old vascular lesions. For this reason, the most probable explanation is that this consisted in the <strong>chronification <\/strong>of a <strong>porcine dermatitis and nephropathy <\/strong>atypical case (with almost absence of glomerular alteration). (AC)<\/p>\n<div id=\"attachment_15567\" style=\"width: 694px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15567\" class=\"size-large wp-image-15567\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-1-684x600.jpg\" alt=\"Rony\u00f3 de porc. S\u2019observa una superf\u00edcie rugosa i irregular amb \u00e0rees multifocals blanquinoses. \" width=\"684\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-1-684x600.jpg 684w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-1-300x263.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-1-768x674.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-1.jpg 1440w\" sizes=\"auto, (max-width: 684px) 100vw, 684px\" \/><p id=\"caption-attachment-15567\" class=\"wp-caption-text\">Kidney from a pig. An irregular and rugous surface with multifocal white areas can be observed.<\/p><\/div>\n<div id=\"attachment_15570\" style=\"width: 715px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15570\" class=\"size-large wp-image-15570\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2-705x600.jpg\" alt=\"Rony\u00f3 de porc. A la secci\u00f3 s\u2019observen m\u00faltiples lesions blanquinoses, molt centrades a la regi\u00f3 corticomedular, habitualment presentant morfologia lineal (fletxa). \" width=\"705\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2-705x600.jpg 705w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2-300x255.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2-768x653.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2-1536x1307.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-2.jpg 1977w\" sizes=\"auto, (max-width: 705px) 100vw, 705px\" \/><p id=\"caption-attachment-15570\" class=\"wp-caption-text\">Kidney from a pig. At cut section, multiple white lesions can be observed mostly centred around the corticomedullary junction, often presenting linear morphology (arrows).<\/p><\/div>\n<div id=\"attachment_15573\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15573\" class=\"size-large wp-image-15573\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-3-800x552.jpg\" alt=\"Imatge histol\u00f2gica a pocs augments, on s\u2019observa que les \u00e0rees blanquinoses es corresponen amb alteracions vasculars (afectant arteries musculars de calibre petit i mitj\u00e0) que en fan augmentar de manera marcada la seva mida. El patr\u00f3 vascular es veu representat a grans augments per la afectaci\u00f3 de la uni\u00f3 corticomedul\u00b7lar, doncs \u00e9s on es troba la xarxa de distribuci\u00f3 arterial (art\u00e8ries arcuates i ramificaci\u00f3 en arteries interlobel\u00b7lars). \" width=\"800\" height=\"552\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-3-800x552.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-3-300x207.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-3-768x529.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-3.jpg 1288w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-15573\" class=\"wp-caption-text\">Histologic picture at low magnification, which showed that the white areas corresponded to vascular alterations (affecting muscular arteries of low and medium calibre) which markedly increased their size.<\/p><\/div>\n<div id=\"attachment_15576\" style=\"width: 683px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15576\" class=\"size-large wp-image-15576\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4-673x600.jpg\" alt=\"Una de les art\u00e8ries, on es pot observar una marcada expansi\u00f3 de totes les t\u00faniques (hiperpl\u00e0sia \u2013 hipertrofia), amb proliferaci\u00f3 de vasa vasorum, vacuolitzaci\u00f3 de les c\u00e8l\u00b7lules de m\u00fascul llis, fibrosis de la t\u00fanica advent\u00edcia, i infiltrats inflamatoris mononuclears. \" width=\"673\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4-673x600.jpg 673w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4-300x268.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4-768x685.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4-1536x1370.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-4.jpg 1732w\" sizes=\"auto, (max-width: 673px) 100vw, 673px\" \/><p id=\"caption-attachment-15576\" class=\"wp-caption-text\">One of the arteries, in which it could be observed a marked expansion of all the tunica (hyperplasia-hypertrophy), with proliferation of <em>vasa vasorum<\/em>, vacuolization of the smooth muscle cells, fibrosis of the adventitial layer and mononuclear infiltrates.<\/p><\/div>\n<div id=\"attachment_15579\" style=\"width: 657px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15579\" class=\"size-large wp-image-15579\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-5-647x600.jpg\" alt=\"Art\u00e8ria que presenta canvis similars a la observada anteriorment, no obstant, en aquesta ocasi\u00f3 la llum central s\u2019ha substitu\u00eft per diferents canalicles vasculars de menor mida. Aix\u00f2 \u00e9s indicatiu de recanalitzaci\u00f3 arterial, \u00e9s a dir, neoformaci\u00f3 de llums vasculars posteriors a un proc\u00e9s de trombosi. \" width=\"647\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-5-647x600.jpg 647w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-5-300x278.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-5-768x712.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-5.jpg 1229w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><p id=\"caption-attachment-15579\" class=\"wp-caption-text\">Artery which showed similar changes as those mentioned earlier, however in this case the central lumen was substituted by different vascular canaliculi of lesser size. This is indicative of arterial recanalization, i.e. lumen neoformation posterior to a thrombosis.<\/p><\/div>\n<div id=\"attachment_15582\" style=\"width: 760px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15582\" class=\"size-large wp-image-15582\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6-750x600.jpg\" alt=\"Lesi\u00f3 similar a una arteria muscular a la c\u00e0psula del limfonode. Tot i que no es van estudiar altres v\u00edsceres, l\u2019aparici\u00f3 de lesions a rony\u00f3 i limfonode indiquen que probablement consisteix en una lesi\u00f3 sist\u00e8mica. \" width=\"750\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6-750x600.jpg 750w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6-300x240.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6-768x614.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6-1536x1229.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/03\/SESC-018-24-6.jpg 1951w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><p id=\"caption-attachment-15582\" class=\"wp-caption-text\">Similar lesion in a muscular artery in the capsule of the lymph node. Although other viscera were not studied, the appearance of these lesions in both the kidneys and lymph nodes suggest a systemic disease.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>We received an inquiry regarding a 6 month-old, hybrid breed, swine carcass that showed multifocal whitish areas lesions in both kidneys.\u00a0<\/p>\n","protected":false},"author":3,"featured_media":15565,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[229,179],"tags":[407],"class_list":["post-15585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kidney-porcine-2","category-porcine-2","tag-kidney-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/15585","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/comments?post=15585"}],"version-history":[{"count":0,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/15585\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media\/15565"}],"wp:attachment":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media?parent=15585"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/categories?post=15585"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/tags?post=15585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}