Papillomas

Birds

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Papillomas, or warts as they are commonly called, are caused when a papillomavirus infects skin cells. Warts are a type of benign skin tumor and should be differentiated from papillomatosis, which are wartlike lesions that can occur on the surface of the cloaca or along the gastrointestinal tract in psittacine birds. Recent research suggests that papillomatosis is probably caused by a virus.

Several distinct papillomavirus have been documented in companion and aviary birds. It is probable that other variants of this virus will be identified in psittacine birds. These viruses tend to be highly host-specific and the papillomaviruses that infect companion birds are not known to infect humans or other unrelated species of birds.

Papillomas have been most frequently diagnosed in finches, waterfowl, cranes, herons and flamingos although the disease has also been confirmed in canaries and African grey parrots. Suspicious lesions have been identified in the skin of many types of psittacine birds.

Papillomas can take months to develop. The lesions can persist for months to years and then may spontaneously resolve. The predisposing factors for development of papillomas in companion birds are unknown.

What To Watch For

  • Wartlike growths on the feet and legs of finches

  • Wartlike growths at the commissure of the beak and on the head in canaries and African grey parrots

    Diagnosis

    Diagnosis is unnecessary unless the papilloma causes discomfort or difficulty standing, moving or eating. Diagnosis is usually made from microscopic examination of sample tissue (biopsy) from the mass.

    Treatment

    When necessary, papillomas can be removed with surgery or, in some cases, chemical cauterization. In mammals, autogenous vaccines are used but their effect in birds has been poorly documented.

    Home Care

  • Keep infected birds and those to which they have been exposed in isolation.

  • Thoroughly clean and disinfect enclosures, food bowls and non-porous toys and perches. Discard porous (wood, natural fibers, rope, etc.) objects that cannot be thoroughly cleaned and disinfected.

  • On a daily basis, monitor fecal output to insure proper food consumption and digestion.

  • Monitor weight daily.

    Preventive Care

  • Keep your bird out of direct or indirect contact with other birds.

  • Enjoy the bird you have. If you decide to add a new bird, it should be quarantined for at least 90 days and be examined by an avian veterinarian at the beginning and end of quarantine.

  • Quarantine any bird that has been taken from the home or aviary and exposed to other birds before placing it back in the home or aviary.

  • Papillomas, or warts as they are commonly called, are caused when a papillomavirus infects the outer most cells of the skin. The clinical problems associated with warts are primarily associated with skin. Once the papillomavirus takes over a cell, it causes the cell to undergo cancerous changes resulting in a thickening of the skin and development of a mass.

    While many papillomaviruses have a preference for the skin, in humans some papillomaviruses have been known to infect and cause cancerous changes in the mouth, gastrointestinal tract and reproductive tract. The papillomavirus associated with the formation of warts on the skin of birds is considered to be a type of benign tumor.

    Papillomas of the skin caused by a papillomavirus should be differentiated from papillomatosis, which is a wart-like lesion that can occur on the surface of the cloaca or along the gastrointestinal tract in psittacine birds. Recent research suggests that papillomatosis is probably caused by a virus.

    Papillomaviruses have been identified in a wide variety of animals, humans, many other mammals and birds. The most commonly affected species of birds include finches, waterfowl, cranes, herons and flamingos. Papillomaviruses tend to be highly host-specific and the papillomaviruses that infect companion birds are not known to infect humans or other unrelated species of birds. It is probable that other variants of this virus will be identified in psittacine birds.

    Warts in birds are similar in appearance to those in people. The skin lesions associated with papillomavirus appear similar to those caused by some avian poxvirus. Although a virus has yet to be demonstrated, papilloma-like lesions have been diagnosed microscopically in association with proliferative growths originating from skin overlying the toes, uropygial gland, mandible, neck, wing, eyelids and beak commissure from various psittacine species. A herpesvirus has been documented in wart-like growths on the feet of cockatoos and macaws. It is not known if this herpesvirus causes these skin changes or merely replicates in the damaged skin cells.

    The factors associated with papillomavirus transmission in birds are unconfirmed. It is probable that birds are exposed through direct contact with an infected bird or through contact with a contaminated surface (perch, enclosure, table, food bowls, etc). Papillomaviruses are considered to be relatively stable when outside of the host. Because the incubation period for papilloma development in birds is unknown, it is usually difficult to determine when, where, and how a bird may have been exposed to a papillomavirus. Cool, moist conditions and freezing will preserve the infectivity of most viruses.

    Diagnosis In-depth

    Papilloma should be considered in any bird with a proliferative skin mass, and any type of skin mass that continues to grow should be evaluated by an avian veterinarian.

    Confirming that a suspicious mass on the skin is a papilloma requires microscopic examination of a sample of tissue collected from the affected area. Confirmation that lesions with characteristic microscopic changes are caused by a papillomavirus requires electron microscopic demonstration of virus particles in affected cells.

    Currently, there is no test that can be used to confirm that a bird does not have papilloma.

    Therapy In-depth

    Generally, papillomas on the skin of birds do not need to be treated unless they are causing specific problems. Some lesions can be debilitating if they are damaged, allowing secondary infections to occur, if they inhibit a bird's ability to move or interfere with grasping or chewing food.

    Mild lesions can be observed for changes that would necessitate their removal. Severe lesions can be removed surgically to make a bird more comfortable.

    In some mammals, the use of autogenous vaccines, which are produced by grinding papillomas collected from the skin of an affected animal, have been shown to be effective in stimulating an immune response that results in cessation of warts. Autogenous vaccines have been used in some waterfowl and flamingos with mixed results. It has not been determined whether these vaccines would be effective in treating papillomavirus-induced skin lesions in companion birds.

    Follow-up Care

    Optimal treatment for your companion bird requires a combination of home and professional veterinary care. Follow-up can be critical, especially if your bird does not rapidly improve.

  • Make certain you administer all prescribed medications at the appropriate time intervals. Contact your veterinarian immediately if you are having difficulties treating your bird as prescribed. If you are having problems, it may be best to hospitalize your pet to assure that a proper course of treatment is administered.

  • Any bird suspected of having papillomavirus, that has been exposed to birds with papillomavirus or that is being treated for papillomavirus should be isolated from other birds to prevent transmission. The common practice of placing a hospital or "sick" room in the same building or airspace with a psittacine nursery is contrary to good medical practices.

  • As with most viruses, organic debris such as blood, soil, nesting material or feces would be expected to protect papillomavirus from disinfectants that do not contain detergents. Caretakers should always wear a dust mask when handling the waste of birds. To reduce dust, use a misting bottle filled with disinfectant to moisten excrement and feather debris before handling.

    Vaccination

    There is currently no vaccine available to help prevent the unrestricted spread of papillomavirus in birds. Autogenous vaccines made from the affected tissues of birds may be used if a flock problem is occurring.

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