Content uploaded by Jhon Fredy Correa Peñuela
Author content
All content in this area was uploaded by Jhon Fredy Correa Peñuela
Content may be subject to copyright.
http://vdi.sagepub.com/
Investigation
Journal of Veterinary Diagnostic
http://vdi.sagepub.com/content/3/1/47
The online version of this article can be found at:
DOI: 10.1177/104063879100300110
1991 3: 47J VET Diagn Invest
Ana L. Schild, Franklin Riet-Correa and Maria C. Mendez
Hereditary Lymphedema in Hereford Cattle
Published by:
http://www.sagepublications.com
On behalf of:
Official Publication of the American Association of Veterinary Laboratory Diagnosticians, Inc.
can be found at:Journal of Veterinary Diagnostic InvestigationAdditional services and information for
http://vdi.sagepub.com/cgi/alertsEmail Alerts:
http://vdi.sagepub.com/subscriptionsSubscriptions:
http://www.sagepub.com/journalsReprints.navReprints:
http://www.sagepub.com/journalsPermissions.navPermissions:
http://vdi.sagepub.com/content/3/1/47.refs.htmlCitations:
What is This?
- Jan 1, 1991Version of Record >>
by guest on October 14, 2011vdi.sagepub.comDownloaded from
J Vet Diagn Invest 3:47-51 (1991)
Hereditary lymphedema in Hereford cattle
Ana L. Schild, Franklin Riet-Correa, Maria C. Mkndez
Abstract.
Congenital lymphedema is described in
Hereford cattle.
The
disease was characterized by edema
of the hind limbs, sometimes forelimbs, tail, and prepuce. Lymphatic system lesions were hypoplasia and aplasia
of lymph vessels and prescapular, iliofemoral, and popliteal lymph nodes. Test matings demonstrated the
transmission of the disease by an autosomal dominant trait with variable expressivity and incomplete penetrance.
Congenital hereditary lymphedema is a disease of Hereford bull. Of the 300 calves born during 2 years,
the peripheral lymphatic system that affects many spe- 19 were affected with the disease. Ten of the affected
ties, including humans. The disease is characterized calves were males, 4 were females, and 5 were of un-
by edema usually involving the extremities, and, in the recorded sex. All were Hereford or Hereford cross-
case of dogs, other body regions? Two forms are de- breeds.
scribed in the Ayrshire breed:3,9 a generalized form The Hereford bull was transferred to another farm
affecting the whole body and a slight form affecting where he was used, with 3 other bulls (2 Hereford and
head, neck, limbs, and tail.31 Nelore), to service 80 cows during a 2-year period.
The objective of this report is to describe a congenital From 124 calves born during that period, 17 (9 males
hereditary lymphedema in Hereford cattle and their and 8 females) were affected with lymphedema.
crossbreeds, including the results of test matings with The male descendants of the affected bull were cas-
the Hereford bull suspected of transmitting the disease. trated and the females slaughtered. As a consequence,
Materials and methods
no more cases of lymphedema appeared after 1983 on
the 2 farms. The incriminated bull was transferred to
The epidemiologic studies of the disease were performed the experimental station of the Veterinary Faculty for
through periodic observation of 2 herds of cattle from 1981 genetic studies.
to 1987. Twelve affected. animals, 6 males and 6 females,
and 3 nonaffected Hereford calves from another herd were
Clinical signs.
The disease was observed by the
necropsied for pathologic studies. For observation of lym- owner in the affected calves at birth or some months
phatic vessels, Methylene blue dye in 5% solution was in- after parturition. It was characterized by edema af-
jected into the interdigital space of the hind and forelimbs fecting the limbs, tail, and prepuce to different degrees
of 11 animals l-4 hr before slaughter. Prescapular, iliofemo- (Fig. 1). In mild cases, slight edema appeared at the
ral, and popliteal lymph nodes were dissected and weighed. fetlock and distal metatarsal region of the hind limbs.
All organs and lymph node samples were fixed in 10% for- In severe cases, the swelling was observed in the hind
malin, embedded in paraffin, sectioned at 6 µm, and stained limbs below the femoral-tibia1 joint, in the forelimbs
with hematoxylin and eosin (HE). below the carpus, in the tail, and in the prepuce of
Twenty unrelated Hereford cows and 3 crossbreed cows, males. In these cases, the skin of the hind limbs showed
Charolais x Ibagé, were mated over a 4-yr period with the
Hereford bull suspected of transmitting the disease. The bull
transverse fissures, mainly in front of the stifle and in
was also mated with 9 of his daughters over a 3-yr period.
the posterior fetlock
Gross lesions.
In the 12 affected necropsied animals,
Results
5 showed edema of hind and forelimbs, tail, and pre-
Epidemiology.
Lymphedema was originally ob- puce, and the others had a moderate or slight edema
served on 2 farms in the municipality of Bagé, southern in the hind limbs and sometimes the forelimbs.
Brazil, where it affected only Hereford cattle and their The skin was thickened, mainly in the areas where
crossbreeds. the edema was most prominent. In the transverse fis-
In 1979 and 1980, the cows on the first farm were sures, when present, there was ulceration of the skin
inseminated with semen from nonHereford bulls. After and sometimes a brownish exudate or necrotic areas
the insemination period, the cows were mated with a associated with myiasis by Cochliomia hominivorax.
The subcutaneous tissue had translucent edema. There
was proliferation of subcutaneous fibrous tissue, and
From the Regional Diagnostic Laboratory, Faculty of Veterinary the muscles were swollen, pale, and hard.
Medicine, Pelotas University, 96100-Pelotas, RS, Brazil. Prescapular and iliofemoral lymph nodes were
Received for publication June 20, 1990. smaller than in the control animals. Both popliteal
47
by guest on October 14, 2011vdi.sagepub.comDownloaded from
Figure 1.
A1-year-old Hereford steer with edema of hind and forelimbs, prepuce, and tail. Note transverse fissures in the hind limbs.
lymph nodes were absent in 5 cases, whereas in 2 other
cases only the left node was developed. When present,
the lymph nodes were considerably reduced in size.
A clear fluid was present in the pleural and peritoneal
cavities in 4 calves with severe edema of the limbs,
tail, and prepuce, and in 1 calf in which clinically de-
tectable edema was restricted to the hind limbs. In
severe cases, there was also a slight edema of subcu-
taneous tissue of the head.
The superficial lymph vessels were absent in some
affected animals. In these cases the Methylene blue was
spread within the subcutaneous tissue of the fetlock.
Other affected cattle showed 1 or 2 thin vessels or a
uniquely enlarged irregular channel. The number of
lymphatic vessels observed in each limb of the affected
calves is shown in Table 1.
The weights of the prescapular, iliofemoral, and pop-
liteal lymph nodes from 11 affected calves and from 2
control calves are shown in Table 2. The affected calves
were grouped according to size.
Microscopic lesions.
The histologic lesions were
characterized by hypoplasia, edema, and eventually
sclerosis of the lymphatic sinuses. The lesions were
mainly confined to the peripheral and mesenteric lymph
nodes.
The prescapular, iliofemoral, and popliteal lymph
nodes were reduced in size, but their overall architec-
ture was maintained. The cortex was narrow with or
without active lymphoid follicles. As a consequence of
the edema, the cells of the external cortex and para-
cortical region were dissociated (Fig. 2), giving the nodes
a hypocellular appearance. The medulla was distended
as a consequence of edema, with the medullary cords
practically absent (Fig. 3). The lymphatic sinuses were
distended.
Collagen sclerosis was observed mainly on medullar
lymphatic sinuses, with conjunctive and fibrous tissue
proliferation forming irregular channels (Fig. 4).
A subacute lymphadenitis of the peripheral lymph
nodes in 1 animal was characterized by numerous im-
munoblasts and by the presence of active venules in
the paracortical zone. The medullar zone was full of
plasmocytes and plasmoblasts.
The efferent lymphatic vessels of the hilar region
were dilated, with endothelial proliferation forming
valvelike structures in some cases.
The subcutis was thickened by collagen fiber prolif-
eration.
Other organs did not have significant lesions.
Genetic studies.
The results of test matings between
the bull and his daughters or unrelated cows are shown
in Table 3. The 8 calves born with signs of the disease
Table 1. Distribution of lymphatic vessels in each limb of 11
calves with congenital lymphedema.*
Limb
No vessels
1
vessel
2 vessels
Right forelimb
38
0
Left forelimb
1
82
Right hind limb
9
1
1
Left hind limb
7
40
*Three control animals had 2 lymph vessels in each limb.
by guest on October 14, 2011vdi.sagepub.comDownloaded from
Hereditary lymphedema
49
Table 2.
Weights of lymph nodes from calves affected with lymphatic hypoplasia and from control calves.
showed retarded growth as compared with the nonaf-
fected animals, and 4 of the 8 died within the first year.
All affected calves were apathetic before death, with
signs of weakness. In 1 case, severe recurrent skin le-
sions were observed. In the summer, these lesions were
associated with myiasis by Cochliomia hominivorax.
Another calf showed intermittent diarrhea before death.
The macroscopic and histopathologic findings were
similar to those observed in the affected calves born
on the farms.
Discussion
The results of this study confirm the occurrence of
hereditary congenital lymphedema in Hereford cattle.
Of the 28 calves born from unrelated Hereford and
Charolais cows mated with the suspect bull, 4 (14.3%)
were affected (3 Herefords and 1 crossbreed), dem-
onstrating the transmission of the disease by an au-
tosomal dominant trait. However, the number of af-
fected calves was lower than expected from Mendelian
principles for a dominant trait (50%). This low number
could result from incomplete penetrance of the gene
or a variation of the expression of the gene, resulting
in the occurrence of subclinical cases of lymphatic hy-
poplasia. This variation in expression is evident in the
different degrees of edema observed, including 1 case
in which the edema was only detected during the nec-
ropsy. In humans, the presence of an apparent
“skipped” generation represented by individuals with
minimal lymphedema has been reported.4
Figure 2.
Photomicrograph of a section of popliteal lymph node from calf with congenital lymphedema. Note edema of subcapsular
and medullar sinuses, and narrow cortex with few small follicles. HE stain.
by guest on October 14, 2011vdi.sagepub.comDownloaded from
50
Schild, Riet-Correa, Méndez
Figure
3.
Photomicrograph of the medulla of popliteal lymph node from calf with congenital lymphedema. Note marked edema with
dissociated lymphocytes, plasmocytes, and plasmoblasts. HE stain.
Figure
4.
Photomicrograph of a section of popliteal lymph node from calf with congenital lymphedema. Note collagen sclerosis of the
medullar zone and lymphatic sinuses with fibrous tissue proliferation. HE stain.
by guest on October 14, 2011vdi.sagepub.comDownloaded from
Hereditary lymphedema
51
Table 3.
Results of matings of a Hereford bull suspected of car-
rying congenital lymphedema with his daughters and unrelated cows.
Hereditary congenital lymphedema has been pre-
viously described and is thought to be transmitted as
a recessive trait in Ayrshire cattle,3as an autosomal
dominant in dogs, 1,2 and as a dominant trait in hu-
mans.4
In the disease described here, the distribution of the
edema is very similar to that described in humans, in
which the edema affected mainly the lower extremities
and less frequently the upper extremities and genital
organs.4A similar distribution has been described in
dogs7in addition to instances of generalized edema.2,6,8
However, the Hereford lymphedema appears to be dif-
ferent from the disease observed in Ayrshire cattle. In
Ayrshires, mild cases with slight edema of the limbs
were observed, but more affected animals had marked
edema in the head, mainly in the ears and interman-
dibular space; calves with generalized edema were also
reported. 3,9 Transverse fissures of the skin appear to
be caused by the lack of elasticity resulting from edema
and subcutaneous fibrous tissue proliferation. These
lesions were more frequent in front of the stifle and in
the posterior fetlock, probably as a consequence of
joint flexion during movements. The gross and his-
tologic changes observed in peripheral lymph nodes,
such as reduced size, absence of follicles, narrow cor-
tex, and absence of popliteal lymph node, characterize
a hypoplasia of a segment restrictive of the lymphatic
system. Lesions of the lymphatic vessels, seen as ab-
sence of the superficial channels or presence of thin
channels, also characterize a hypoplasia. In some cases,
a uniquely enlarged lymph vessel was observed; this
change, also observed in lymphangiographies per-
formed in the affected animals,’ was probably due to
increased pressure of the lymph fluid as a consequence
of lymphatic hypoplasia. Aplasia and hypoplasia of the
lymphatic vessels have been observed in dogs and hu-
mans with hereditary lymphedema.2,5,7,8,10,12 Also, more
numerous and enlarged lymph vessels have been ob-
served in these species; such changes were interpreted
as hyperplasia of lymphatic channels.5,7,10
Acknowledgements
We are grateful for the collaboration of the farmers Mr.
Roberto Martins and Mr. Mario Ferreira and the assistance
of Dr. A. L. Parodi from Ecole Nationale Vétérinaire d’Al-
fort, France, in the histologic studies of the lymphatic system.
We also thank Dr. Severo Salles de Barros from Santa Maria
University for the preparation of the photomicrographs. This
work was supported by the CPATB/EMBRAPA-UFPel
agreement, and by Conselho National de Desenvolvimento
e Tecnológico (CNPq).
References
1. Carapeto LP: 1984, Estudo radiológico de hipoplasia linfática
hereditária em bovinos Hereford. Master’s Thesis, Pelotas Uni-
versity, Pelotas, RS, Brazil.
2. Davies AP, Hardy R, Larsen R, et al.: 1979, Primary lym-
phoedema in three dogs. J Am Vet Med Assoc 174: 1316-1320.
3. Donald HP, Deas DW, Wilson AL: 1952, Genetical analysis
of the incidence of dropsical calves in herds of Ayrshire cattle.
Br Vet J 108:227-245.
4. Esterly JR: 1965, Congenital hereditary lymphoedema. J Med
Genet 2:93-98.
5. Kinmonth SB: 1965, Lymphoedema of the lower limb. Proc
R Sot Med 58:1021-1023.
6. Ladds PW, Dennis SM, Leipold HW: 1971, Lethal congenital
edema in bulldog pups. J Am Vet Med Assoc 159:81-86.
7. Leighton RL, Suter PF: 1979, Primary lymphoedema of the
hindlimb in the dog. J Am Vet Med Assoc 175:369-374.
8. Luginbiihl H, Chacko SK, Patterson DF, Medway W: 1967,
Congenital hereditary lymphoedema in the dog. Part II. Patho-
logical studies. J Med Genet 4: 153-165.
9. Morris B, Blood DC, Sidman WR, et al.: 1954, Congenital
lymphatic oedema in Ayrshire calves. Aust J Exp Biol Med Sci
32:265-274.
10. Olszewski W, Machowski Z, Sokolowski J, et al.: 1972, Primary
lymphedema of lower extremities. I. Lymphangiographic and
histological studies of lymphatic vessels and lymph nodes in
primary lymphedema. Pol Med J 11: 1564-1572.
11. Patterson DF, Medway W, Luginbiihl H, Chacko S: 1967,
Congenital hereditary lymphoedema in the dog. Part I. Clinical
and genetic studies. J Med Genet 4: 145-152.
12. Singh SD, Yesikar SS, Aziz S, Munjal S: 1966, Congenital
lymphoedema. Report of a case with brief review of the liter-
ature. Indian J Pediatr 33:47-49.
by guest on October 14, 2011vdi.sagepub.comDownloaded from