Canine atopic dermatitis: systemic immunomodulatory protocol based on clinical phenotype / Dermatite atópica canina: protocolos imunomodulatórios sistêmicos baseados no fenótipo clínico

Canine atopic dermatitis (cAD) is a multifactorial allergic disease associated with immune dysfunction and abnormal skin barrier. Several immunological mediators play a role in its pathogenesis. Such molecules are produced by the activation of T helper lymphocytes (Th) through polarization to Th1 and/or Th2, which contributes to different lesion patterns. Acute lesions are mediated by an activation of the Th2 cytokine axis, which clinically induces erythema and pruritus. Conversely, in chronic injuries a mixed immune response of Th1/Th2 cytokines occurs, leading to hyperpigmented and lichenified skin. The clinical understanding of these patterns and the mode of action of immunomodulators are crucial for the best clinical management of the atopic patient. In this context, this review discussed the role of the immune response and the immunomodulatory drugs in dogs with atopic dermatitis and suggested a therapeutic protocol based on clinical phenotype. Based on the evidences showed in this review, it is considered appropriate to use immunomodulatory drugs that target cytokine spectrum related with the clinical phenotype of cAD.

A dermatite atópica canina (DAC) é uma doença alérgica multifatorial associada à disfunção imune e barreira cutânea anormal. Vários mediadores imunológicos desempenham um papel na sua patogênese. Tais moléculas são produzidas pela ativação de linfócitos T auxiliares (Th) por meio da polarização para Th1 e/ou Th2, o que contribui para diferentes padrões de lesão. Lesões agudas são mediadas pela ativação do eixo de citocinas Th2, que clinicamente induz eritema e prurido. Por outro lado, nas lesões crônicas ocorre uma resposta imune mista de citocinas Th1/Th2, levando à pele hiperpigmentada e liquenificada. O entendimento clínico desses padrões e o modo de ação dos imunomoduladores são cruciais para o melhor manejo clínico do paciente atópico. Esta revisão visa discutir o papel da resposta imune e das drogas imunomoduladoras em cães com dermatite atópica e sugerir um protocolo terapêutico baseado no fenótipo clínico. Baseado nas evidências apresentadas nessa revisão, é considerado apropriado utilizar drogas imunomoduladoras que abrangem o espectro de citocinas relacionadas ao fenótipo clínico da DAC.

Teste cutâneo de puntura para seleção de imunógenos em dermatite atópica canina / Skin prick test for selection of imungens in canine atopic dermatitis

Dermatite atópica canina é uma doença comum na clínica de pequenos animais e interfere negativamente na qualidade de vida dos cães afetados pelo seu caráter inflamatório e crônico, apresentando predisposição genética. Caracteriza-se, clinicamente, por eritema e prurido cutâneo, considerada de caráter multifatorial. Testes intradérmicos podem ser utilizados para diferenciação de hipersensibilidade à picada de pulgas, hipersensibilidade alimentar e dermatite de contato, além de infecções oportunistas como as causadas por bactérias e fungos que podem confundir o diagnóstico definitivo. Este trabalho tem o objetivo de apresentar as estratégias para diagnóstico e tratamento da dermatite atópica, tendo em vista a etiopatogenia, fisiopatologia, informações sob o ponto de vista clínico, fatores ambientais, testes utilizados para a confirmação do diagnóstico e opções terapêuticas.(AU)

Atopic Canine dermatitis is a common disease in the small animal clinic and interferes negatively in the quality of life of dogs affected by its inflammatory and chronic character, presenting genetic predisposition. It is clinically characterized by erythema and cutaneous itching, considered multifactorial in nature. Intradermal tests can be used to differentiate hypersensitivity to flea bites, food hypersensitivity and contact dermatitis, as well as opportunistic infections such as those caused by bacteria and fungi that may confuse the definitive diagnosis. The present work aims to present the strategies for diagnosis and treatment of atopic dermatitis, in view of etiopathogenesis, pathophysiology, clinical information, environmental factors, tests used to confirm the diagnosis and therapeutic options.(AU)

Rinoscopia como auxiliar no diagnóstico de criptococose felina: Relato de caso / Rhinoscopy as aid in the diagnosis of feline cryptococosis: case report

Criptococose é uma micose sistêmica não contagiosa que acomete, principalmente, felinos. O agente etiológico é uma levedura do gênero Cryptococcus sp., e a sua transmissão ocorre por via aerógena, com a inalação dos esporos que se alojam, principalmente, na cavidade nasal e pulmão. A forma nasal é a mais comum em felinos e as suas manifestações clínicas incluem edema nasofacial, eritema e secreção nasal. O diagnóstico pode ser realizado por meio de cultivo micológico, citologia, histologia e reação em cadeia polimerase. Neste artigo, é apresentado o relato de caso de um felino diagnosticado com criptococose, no qual o diagnóstico de triagem foi realizado por meio de rinoscopia. No atendimento inicial, o animal apresentava hiporexia, reflexo de deglutição constante, engasgos, odor acentuado em região nasal e crepitações pulmonares com evolução de três meses. O diagnóstico foi realizado com o emprego de rinoscopia, que identificou massa interna na região da mucosa nasofaríngea, com posterior biópsia e exame anatomopatológico. Após a confirmação diagnóstica, o paciente foi medicado com itraconazol 10 mg/kg SID, por 5 meses, e teve a resolução de todos os sinais clínicos apresentados. A criptococose deve ser considerada como diagnóstico, diferencial de alterações do sistema respiratório em felinos e a rinoscopia pode ser um recurso diagnóstico importante para auxiliar na conclusão e reconhecimento da enfermidade.(AU)

Cryptococcosis is a non-contagious systemic mycosis that primarily affects felines. Its etiological agent is a yeast of the genus Cryptococcus sp., and its transmission occurs through the air, by inhalation of spores that primarily lodge in the nasal cavity and lungs. The nasal form is the most common in felines and clinical manifestations include nasofacial edema, erythema and nasal discharge. Diagnosis can be made by means of mycological culture, cytology, histology and polymerase chain reaction. This article presents a case of a feline diagnosed with cryptococcosis, in which the screening diagnosis was performed by means of rhinoscopy. In the initial care, the animal presented hyporexia, constant swallowing reflex, choking, accentuated odor in the nasal region and pulmonary crackles with evolution of three months. The diagnosis was made using rhinoscopy, which identified an internal mass in the nasopharyngeal mucosa, and subsequent biopsy and anatomopathological examination. After diagnostic confirmation, the patient was medicated with itraconazole 10 mg/kg SID for 5 months and had resolution of all clinical signs presented. Cryptococcosis should be considered as a differential diagnosis of alterations in the respiratory system in cats and rhinoscopy can be an important diagnostic tool to assist in the conclusion and recognition of this disease.(AU)

Isoxazolinas no tratamento da demodicidose canina ­ Revisão de literatura / Isoxazolines in the treatment of canine demodicosis ­ literature review / Isoxazolinas en el tratamiento de la demodicosis canina ­ revisión de la literatura

A demodicidose canina é uma dermatopatia parasitária inflamatória comum na rotina clínica. Ela é causada pela proliferação exacerbada do ácaro Demodex spp., e a espécie mais frequentemente encontrada e que causa a doença clínica é o Demodex canis. A doença pode ser classificada conforme a distribuição das lesões e a idade em que elas surgem. Os sinais clínicos mais comuns incluem alopecia, eritema, hiperpigmentação e descamação, e o diagnóstico mais preconizado é o exame parasitológico do raspado cutâneo. Diversos protocolos terapêuticos para a demodicidose canina têm sido estudados, e por muito tempo utilizou-se o amitraz, sendo ao longo dos anos substituído por fármacos da classe das lactonas macrocíclicas, pela praticidade de sua administração. Contudo, mais recentemente, as isoxazolinas (fluralaner, afoxolaner e sarolaner) foram descobertas como miticidas, e nos últimos anos têm demonstrado excelentes resultados. O presente trabalho tem como objetivo realizar uma revisão de literatura sobre as isoxazolinas no tratamento da demodicidose canina.(AU)

Canine demodicosis is an inflammatory parasitic skin disease common in clinical routine. It is caused by the exacerbated proliferation of the Demodex spp., and the most frequently encountered species that causes clinical disease is Demodex canis. The disease can be classified according to the distribution of lesions and the age at which they appear. The most common clinical signs include alopecia, erythema, hyperpigmentation and desquamation, and the most recommended diagnosis is the parasitological examination of the skin scraping. Several therapeutic protocols for canine demodicosis have been studied, and for a long time the main therapeutic of this disease was amitraz, being replaced over the years by drugs of the macrocyclic lactone class due to the practicality of its administration. However, more recently the isoxazolines (fluralaner, afoxolaner and sarolaner) were discovered as miticides, and in recent years they have shown excellent efficacy results, coming to revolutionize the therapy of canine demodicosis. The present study aims to review the literature on isoxazolines in the treatment of canine demodicosis.(AU)

La demodicosis canina es una enfermedad inflamatoria parasitaria de la piel común en la rutina clínica. Es causada por la proliferación exacerbada de Demodex spp., y la especie más frecuente que causa enfermedad clínica es Demodex canis. La enfermedad se puede clasificar según la distribución de las lesiones y la edad en que aparecen. Los signos clínicos más frecuentes incluyen alopecia, eritema, hiperpigmentación y descamación, y el diagnóstico más recomendado es el examen parasitológico del raspado cutáneo. Se han estudiado varios protocolos terapéuticos para la demodicosis canina, y durante mucho tiempo la principal terapéutica de esta enfermedad fue el amitraz, siendo reemplazada con el paso de los años por fármacos de la clase de las lactonas macrocíclicas debido a la practicidad de su administración. Sin embargo, más recientemente se descubrieron las isoxazolinas (fluralaner, afoxolaner y sarolaner) como acaricidas, y en los últimos años han mostrado excelentes resultados de eficacia, llegando a revolucionar la terapia de la demodicosis canina. El presente estudio tiene como objetivo revisar la literatura sobre las isoxazolinas en el tratamiento de la demodicosis canina.(AU)

Superficial necrolytic dermatitis in a dog

Background: Superficial necrolytic dermatitis (SND), hepatocutaneous syndrome (HCS), metabolic epidermal necrosis (MEN), and necrolytic migratory erythema (NME) are useful terms to describe a disease that likely has a multifactorial etiopathogenesis. SND is a rare and fatal disease characterized by skin lesions and liver disease. Common skin lesions include hyperkeratosis, fissures, erosion, ulceration, crusting, exudation from the paws, face, perianal regions, and pressure points. This case report aimed to report the case of a bitch that developed the rare Superficial Necrolytic Dermatitis disease, emphasizing the clinical signs of the disease, and the importance of complementary exams such as abdominal ultrasound and skin biopsy for the definitive diagnosis. Case: A 9-year-old, mixed-breed, neutered female was referred for clinical examination with 5 months history of hyperkeratosis and ulceration of the paw pads, presenting pain, lameness and weight loss. Abdominal ultrasound revealed a liver with heterogeneous echotexture, mixed echogenicity, irregular and poorly delimited margins with hypoechoic nodules throughout like honeycombs. The gallbladder was visualized with a moderately thick layer. Histological analysis confirmed the diagnosis of SND. Skin biopsies showed an increase in thickness of the epidermis due to irregular hyperplasia and proliferation of keratinocytes in the basal layer of the epidermis, pallor of the spinous layer of the epidermis and important parakeratosis. Due to the progression of the disease, significant worsening of the patient's clinical condition and pain, associated with the impossibility of cure, the animal was submitted to euthanasia. A necropsy was performed to allow assessment of the liver and pancreas. The biopsies showed a severe proliferative chronic hepatitis, steatosis and cholestasis associated with pancreatitis and necrotic multifocal proliferative fibrinopurulent areas in the pancreas. Discussion: Clinical signs such as lethargy, inappetence, weight loss, as well as the dermatological signs presented by this bitch are nonspecific clinical signs and require a deeper clinical, pathological and histopathological diagnostic investigation to reach the diagnosis of this disease. The definitive diagnosis is made on the basis of a characteristic honeycomb pattern in the liver or associated with a neoplastic finding in the pancreas on ultrasound examination and confirmed by histopathological evaluation of skin biopsies. Palliative treatment with corticosteroid anti-inflammatories, improvement in feed quality, with higher nutritional and protein intake and intravenous amino acid supplementation are suggested by some authors as treatment alternatives. However, not all owners can afford a costly lifetime treatment. With the progressive worsening of the condition, many owners opt for euthanasia as a way to shorten the suffering of the animal. This decision is not an easy one to make. Despite the poor prognosis of the disease, treatment options should be tried by veterinarians and owners prior to the option of euthanasia. However, new affordable nutritional and pharmacological strategies to treat or control the disease are needed in order to improve quality of life of SND patients.

Dermatose actínica em cão: relato de caso / Actinic dermatosis in dogs: a cse report

O trabalho tem o objetivo de relatar um caso de Dermatose Actínica em cadela adulta, 8 anos apresentando pele eritematosa. Na avaliação clínica a cadela apresentou os parâmetros normais da espécie, porém devido às lesões observadas foram solicitados exames citológico e parasitológico de pele, que demonstraram a presença de bactérias (cocos), neutrófilos degenerados e fungos dermatófitos além de demodicidose. O tratamento consistiu do uso de inúmeras drogas como itraconazol, amoxicilina com clavulonato de potássio, predinisolona, Sarolaner e imunomoduladores, além de tratamento tópico com cetoconazol shampoo e creme. Geralmente, as piodermites profundas que atingem o folículo de cães e formam feridas ulceradas, causam uma inflamação crônica na pele, por conta de raios-ultravioletas do sol, ou predisposição familiar ou hipersensibilidade microbiana, ou por outras doenças e, normalmente, são reincidentes e não permitem a cura. Entretanto, nesse caso específico, o tratamento permitiu a melhora do animal (~80%).(AU)

The aim of this paper is to report a case of Actinic Dermatosis in an 8-year-old female adult female with erythematous skin. In the clinical evaluation, the animal presented normal parameters for the species, but, due to the lesions observed, cytological and parasitological skin tests were requested, which showed the presence of bacteria (cocci), degenerated neutrophils, and dermatophyte fungi, and demodicidosis. Treatment consisted of the use of numerous drugs such as itraconazole, amoxicillin with potassium clavulonate, predinisolone, Sarolaner, and immunomodulators; in addition to topical treatment with ketoconazole shampoo and cream. Generally, deep pyoderma that reach the follicle of dogs and form ulcerated wounds, cause a chronic inflammation of the skin, due to the sun's ultraviolet rays, or familial predisposition or microbial hypersensitivity, or due to other diseases and, usually, they are recurrent and do not allow healing. However, in this specific case, the treatment allowed the animal to improve (~80%).(AU)

Marek's disease in roosters in the Potiguar semi-arid region

Background: Marek's disease (MD) is a transmissible disease in chickens caused by Gallid alphaherpesvirus 2 (GaHV-2). The infection is characterized by lymphocyte cellular infiltrates in peripheral nerves and other organs and tissues, including the skin; which can lead to dysfunction causing progressive asymmetric paresis and complete spastic paralysis of body extremities. Dermatitis and cardiac myositis caused by GaHV-2 in free-range chickens has rarely been described in Brazil. This reports the occurrence of the disease with a confirmatory molecular diagnosis in free-range poultry showing signs of dermatitis, poor performance, and cachexia and no mortality in the semi-arid Potiguar region. Cases: Twenty roosters of the Shamo lineage, among a brood of 42 birds, had a history of progressive weight loss and skin lesions. Two birds with poor body condition, erythema, and scaling of the skin in the head and cervical regions were sent for clinical care. All birds were between 12 and 18 months of age and were vaccinated against Newcastle disease and Fowlpox with only a few receiving vaccines against MD and Gumboro disease. According to the owner's report, some birds were previously kept outdoors, and when they were transferred to a small shed with little air circulation, they began to develop clinical signs after approximately 15 days. The first signs of the disease were also reported to have appeared 2.5 months before clinical care and, in the meantime, several treatments were instituted without success. Owing to the general condition of the animals and inconclusive clinical suspicion, the birds were subjected to euthanasia and necropsy. Tissue samples were collected for histopathological and polymerase chain reaction analyses to search for the GaHV-2 DNA meq gene. The main clinicopathological findings were erythema (47%, 20/42) and desquamation of skin and mild, prominent white multifocal areas in the heart. Histopathology revealed infiltration of pleomorphic lymphoblastic cells in the skin, heart, and sciatic nerve. The amplification of the L-meq and meq oncoprotein genes in these organs and in the liver, confirmed the infection by GaHV-2, consistent with that of a field strain. Discussion: MD was confirmed based on the macroscopic and histological lesions, and with the detection of GaHV-2 DNA in the affected tissues. The unusual clinical presentation represented an initial challenge for diagnosis. The clinical history was important to lead to the suspicion of MD, as roosters initiated clinical signs 15 days after they were transferred to a small shed with poor air circulation. This probably favored the high viral concentration and disease transmission among susceptible birds in the brood because the feather follicle is the primary site of viral replication for transmission; and desquamation of infected epithelial cells favor airborne horizontal transmission to susceptible chickens. The roosters had not been vaccinated against MD, which probably favored the infection, as vaccination is known to be a fundamental approach for MD control for effective growth of the poultry industry. Clinical findings and lesions, together with viral molecular detection, were fundamental for the diagnosis, a premise for the application of adequate prevention and control measures for the disease in breeding. This is the first report of MD with a confirmatory molecular diagnosis in northeastern Brazil.

Primary erythrocytosis in a bitch - clinical and laboratorial aspects

Background: Primary erythrocytosis is a rare myeloproliferative disorder in dogs and cats characterized by an autonomous proliferation of erythroid precursors in the bone marrow, with low to normal serum erythropoietin concentration, resulting in elevated red blood cell count, hematocrit and hemoglobin concentration. Clinical signs are associated with increased blood volume and viscosity, and may include erythema, hyperemic mucous membranes and neurological signs such as seizures and ataxia. In veterinary medicine, the diagnosis should be made by exclusion of secondary or relative causes, after complementary exams. This report aims to describe a case of primary erythrocytosis in a bitch. Case: A 4-year-old mixed-breed bitch was referred to the Veterinary Medical Teaching Hospital from UFRGS with 3 convulsive episodes related by the owner. A previous abdominal ultrasonography revealed splenomegaly and the electrocardiogram showed no abnormalities. No alterations were observed at the physical examination. The laboratorial blood tests demonstrated a persistent erythrocytosis, with high hematocrit, hemoglobin and red blood cells count, thrombocytopenia and neutropenia, and total plasmatic protein within the reference interval. The bone marrow cytology revealed reduced cellularity, normal myeloid:erythroid ratio, erythroid hyperplasia, mild myeloid hyperplasia and moderate myelofibrosis. The serum erythropoietin measurement was within the reference range, and the blood gas analysis detected a slight decrease in partial oxygen pressure. Therefore, no evidence of secondary conditions was observed and the diagnosis of primary erythrocytosis could be made. Discussion: Since there is no definitive method, the diagnosis of primary erythrocytosis could be based on the exclusion of all secondary and relative causes of erythrocytosis. The absence of clinical signs of dehydration and high serum albumin levels were findings that conduced for the exclusion of the relative form of the disturbance. The echocardiography and the abdominal ultrasonography ruled out any cardiopulmonary condition or kidney neoplasm, the most common causes of absolute secondary erythrocytosis. The persistently high hematocrit levels and red blood cell counts are significant for the suspicion of primary erythrocytosis, although thrombocytopenia and neutropenia are not commonly reported. The clinical signs of seizure were correlated with increased blood viscosity and reduced blood flow at the central nervous system. The blood gas analysis discarded the occurrence of systemic hypoxia, and the normal levels of erythropoietin gives higher evidence of the occurrence of an autonomous proliferation of the erythroid precursors within the bone marrow. The bone marrow cytology confirmed erythroid hyperplasia and the reduced cellularity that could be attributed to myelofibrosis. Myelofibrosis was described in humans with polycythemia vera, but there are no reports in veterinary, and this occurrence must be elucidated. An identical mutation in the JAK2 gene was observed in humans with polycythemia vera and dogs with primary erythrocytosis, and occurs in more than 50% of humans with myelofibrosis. Further investigations are necessary for veterinary medicine. In conclusion, the systematic approach of all organic systems and the assessment of complementary exams are necessary for the diagnostic of primary erythrocytosis in dogs. This condition should be considered in the differential diagnosis of any erythrocytosis, considering the guarded prognosis of this hematologic disorder.

Eritema multiforme e suas características clínico-patológicas em um equino no Brasil / Erythema multiforme and its clinicopathological features in a horse in Brazil

Background: Erythema multiforme (EM) is an immune-mediated skin disease which may manifest as cutaneous or mucocutaneous lesions. It is uncommon in horses. EM lesions have a symmetrical bilateral distribution; they are usually urticarial, necrotizing, and, less commonly, ulcerative. In equines, the trigger is usually unknown, and cases are often classified as idiopathic. Diagnosis is based on a thorough history and physical and histopathological examination of lesions. According to the clinical presentation and histopathological characteristics of the cutaneous lesions, this case is the first report to describe diagnosis and treatment of a horse with EM in Brazil. Case: A Quarter Horse filly was followed clinically for 12 months after sudden onset of skin lesions at 18 months of age. The initial lesions were non-alopecic papules with a symmetrical bilateral distribution. Six months after onset, the skin lesions maintained the original distribution pattern; however, they had progressed to papules and plaques with varying annular, arciform, serpiginous, targetoid, or alopecic appearance. At 8 months, the same distribution pattern and appearance remained, but the lesions had become more severe and extensive, with involvement of the labial commissures and perineal region, without any erosions/ulcerations, scaling/crusting, pain, or pruritus. At 12 months, new nodular lesions were found on the medial and lateral surfaces of the hind limbs, neck, bilateral trunk, and root of the tail. The lesions were firm, non-pruritic, and non-tender on palpation. Swabs were obtained from the papular lesions. Skin specimens were also obtained with a 6-mm punch and via incisional biopsy and histological sections were made. Bacterial and fungal cultures were negative. Appropriate stains did not identify fungal structures, were negative for acid-fast bacilli, and did not reveal any metachromatic granules in the sampled cell population. The histopathological findings were characteristic of immune-mediated disease, with a vacuolar interface dermatitis affecting the hair follicles more than the epidermis, necrotic keratinocytes, lymphocyte satellitosis, leukocytoclastic mixed vasculitis of the mid-dermis and deep dermis, and variable granulation tissue, consistent with erythema multiforme and leukocytoclastic vasculitis. Immunosuppressive therapy with corticosteroids and oral supplementation with omega-3 and omega-6 fatty acids and vitamin E were prescribed. After institution of therapy, no new lesions developed, the existing lesions remained stable (though permanent), and hair regrew in the previously alopecic areas. All physiological parameters remained normal throughout the follow-up period. Discussion: Erythema multiforme is rarely reported in horses. According to our literature review, this is the first description of EM in horses in Brazil. EM should be included in the differential diagnosis of horses that present with plaques in a diverse, geographic distribution and a negative initial dermatological screening examination. Further clinical investigation is warranted, with special attention to potential antigenic triggers. A thorough drug and dietary history and close attention to comorbidities are essential, as the suppression of potential culprit factors has important prognostic value and contributes to the elucidation of EM triggers.(AU)

Lúpus eritematoso sistêmico associado a manifestações neurológicas em cadela da raça Border Collie / Systemic lupus erythematosus associated with neurological manifestations in a Border Collie bitch

Background: Systemic lupus erythematosus (SLE) is an immune-mediated and multisystemic disorder which etiology is believed to be multifactorial. Its clinical signs vary accordingly to affected organs, cutaneous lesions being the most frequently observed. There are few reports of SLE in dogs with neurological manifestations. Therefore, the aim of this report is to describe a case of SLE in a dog with indicative signs of nervous system involvement. Case: A 6-year-old Border Collie bitch was referred to the Veterinary Hospital (HVU) of the University of Uberaba (UNIUBE) with a history of cluster seizures, inappetence and urinary incontinence. Erythema and flaking of nasal plan were noted on physical examination, and splenomegaly on abdominal palpation. Thrombocytopenia and slightly increased ALT were found on blood tests. Ehrlichiosis was suspected and doxycycline was prescribed along with phenobarbital for the control of seizures. In the follow-up visit, the dog was still presenting urinary incontinence, thrombocytopenia and splenomegaly. Also, an ulcer on the nasal mucocutaneous junction was observed. The patient went through a neurological examination which indicated thalamocortical lesion. Cerebrospinal fluid samples were obtained for cytology, culture and canine distemper test, and serology tests for leishmaniasis, toxoplasmosis and neosporosis were done. No alterations were found in these exams. The histopathology of the nasal lesion was proceeded and showed results consistent with lupus erythematosus. It was prescribed a 15-day course of prednisolone at immunosuppressive dose. The patient showed clinical improvement with this treatment. Azathioprine was started along with gradual removal of prednisolone. After twenty days of discontinuation of this drug, the dog presented epileptic seizures, urinary incontinence, thrombocytopenia, increased ALT and worsened nasal lesion. Prednisolone at immunosuppressive dose was reintroduced and the dose of phenobarbital, increased. One week past this, the patient showed inappetence and an extensive hematoma in the thoracic region. Lab exams confirmed drug-induced acute pancreatitis. All medications were interrupted, the patient was hospitalized, and treatment for pancreatitis was initiated, but the dog passed away. Discussion: For involving multiple body systems and for presenting varied clinical signs, diagnosing SLE can be challenging in clinical routine. The dog from this report was a Border Collie; this breed is considered to be predisposed to this disease. The animal had a history of being exposed to solar radiation for a large part of the day, had dyspigmentation of nasal plan and had no application of sunscreen, predisposing the occurrence of SLE. Neurological signs are uncommon in SLE, but the seizures and the urinary incontinence were the main reasons for the dog's guardian to look for medical assistance. The suspicion for SLE was raised due to cutaneous manifestations and persistent thrombocytopenia along with splenomegaly. Histopathological findings are essential for diagnosing SLE, as well as antinuclear antibody tests. Nonetheless, due to financial limitations, this last test was not performed. Azathioprine is an immunomodulating drug largely used along with glucocorticoids when treating SLE; however, this medication is prone to induce side effects as the ones presented by the dog from this report. Therefore, it is concluded that SLE should be considered as a differential diagnosis in patients showing cutaneous, hematological, systemic and neurological manifestations, considering the variety of signs caused by this disorder.(AU)

Celulite juvenil canina – relato de caso / Canine juvenile cellulite - case report

A celulite canina juvenil é uma afecção rara, que acomete, em sua maioria, filhotes entre três semanas e seis meses de idade, cuja patogênese não está completamente elucidada; entretanto, pressupõe-se estar relacionada à falha imunológica e a reações à vacina polivalente, podendo ocorrer predisposição racial. Como manifestações clínicas, o cão apresenta pápulas, pústulas, alopecia, edema, eritema, crostas e cicatrizes, especialmente em pálpebras, lábios e focinhos, sendo também acometido o pavilhão auricular. Além dessas alterações dermatológicas, nota-se linfoadenomegalia regional. O diagnóstico se baseia em exclusão de dermatopatias que mimetizam o quadro clínico, e o tratamento precisa ser realizado de forma precoce e adequada, normalmente se utilizando doses altas de glicocorticoides. Quando iniciada a terapia precoce, o prognóstico é bom, embora as cicatrizes possam ser permanentes. No presente estudo, foi relatado um caso de filhote fêma mestiça de poodle, que começou a apresentar sinais de otite purulenta, lesões edemaciadas, crostosas e supurativas em região periocular, perilabial, mentoniana, pápulas e pústula em pavilhão auricular, linfoadenomegalia de linfonodos submandibulares e poplíteos, sendo que os sintomas começaram após aplicação da vacina polivalente canina. Foi iniciado tratamento à base de glicocorticoide e, devido à resposta rápida à terapia, foi iniciado desmame da medicação, quando a paciente teve quadro de recidiva, que se resolveu após reajustes terapêuticos.

Canine juvenile cellulitis is a rare condition that affects, in its majority, puppies between three weeks and six months of age, whose pathogenesis has not been completely elucidated; however, it is assumed to be related to immunological failure and reactions to the polyvalent vaccine, which may lead to racial predisposition. As clinical manifestations, the dog presents papules, pustules, alopecia, edema, erythema, crusts and scars, especially on the eyelids, lips and snouts, and the ear pinna is also affected. In addition to these dermatological changes, regional lymphadenomegaly is noted. Diagnosis is based on the exclusion of dermatopathies that mimic the clinical picture, and treatment needs to be carried out early and properly, usually using high doses of glucocorticoids. When therapy is started early, the prognosis is good, although scarring may be permanent. In the present study, a case of a crossbred female poodle pup was reported, which began to show signs of purulent otitis, swollen, crusty and suppurative lesions in the periocular, perilabial, mental region, papules and pustules in the pinna, lymphadenomegaly of submandibular lymph nodes and poplites, and the symptoms started after application of the polyvalent canine vaccine. Glucocorticoid-based treatment was started and, due to the rapid response to therapy, weaning from the medication was started, when the patient had a relapse, which resolved after therapeutic adjustments

Celulite juvenil canina relato de caso / Canine juvenile cellulite - case report

A celulite canina juvenil é uma afecção rara, que acomete, em sua maioria, filhotes entre três semanas e seis meses de idade, cuja patogênese não está completamente elucidada; entretanto, pressupõe-se estar relacionada à falha imunológica e a reações à vacina polivalente, podendo ocorrer predisposição racial. Como manifestações clínicas, o cão apresenta pápulas, pústulas, alopecia, edema, eritema, crostas e cicatrizes, especialmente em pálpebras, lábios e focinhos, sendo também acometido o pavilhão auricular. Além dessas alterações dermatológicas, nota-se linfoadenomegalia regional. O diagnóstico se baseia em exclusão de dermatopatias que mimetizam o quadro clínico, e o tratamento precisa ser realizado de forma precoce e adequada, normalmente se utilizando doses altas de glicocorticoides. Quando iniciada a terapia precoce, o prognóstico é bom, embora as cicatrizes possam ser permanentes. No presente estudo, foi relatado um caso de filhote fêma mestiça de poodle, que começou a apresentar sinais de otite purulenta, lesões edemaciadas, crostosas e supurativas em região periocular, perilabial, mentoniana, pápulas e pústula em pavilhão auricular, linfoadenomegalia de linfonodos submandibulares e poplíteos, sendo que os sintomas começaram após aplicação da vacina polivalente canina. Foi iniciado tratamento à base de glicocorticoide e, devido à resposta rápida à terapia, foi iniciado desmame da medicação, quando a paciente teve quadro de recidiva, que se resolveu após reajustes terapêuticos.(AU)

Canine juvenile cellulitis is a rare condition that affects, in its majority, puppies between three weeks and six months of age, whose pathogenesis has not been completely elucidated; however, it is assumed to be related to immunological failure and reactions to the polyvalent vaccine, which may lead to racial predisposition. As clinical manifestations, the dog presents papules, pustules, alopecia, edema, erythema, crusts and scars, especially on the eyelids, lips and snouts, and the ear pinna is also affected. In addition to these dermatological changes, regional lymphadenomegaly is noted. Diagnosis is based on the exclusion of dermatopathies that mimic the clinical picture, and treatment needs to be carried out early and properly, usually using high doses of glucocorticoids. When therapy is started early, the prognosis is good, although scarring may be permanent. In the present study, a case of a crossbred female poodle pup was reported, which began to show signs of purulent otitis, swollen, crusty and suppurative lesions in the periocular, perilabial, mental region, papules and pustules in the pinna, lymphadenomegaly of submandibular lymph nodes and poplites, and the symptoms started after application of the polyvalent canine vaccine. Glucocorticoid-based treatment was started and, due to the rapid response to therapy, weaning from the medication was started, when the patient had a relapse, which resolved after therapeutic adjustments(AU)

Treatment of discoid lupus erythematosus in a dog with human intravenous immunoglobulin

Background: Discoid lupus erythematosus (DLE) is a common canine autoimmune skin disease, in which systemic manifestations are absent. Skin Lesions are usually present on the nasal planum, and characterised by erythema, depigmentation, erosion, ulceration, and crusting. The diagnosis is based on histopathological results, which should demonstrate lymphoplasmacytic lichenoid-interface dermatitis. Human intravenous immunoglobulin (hIVIg) has been used in veterinary medicine to treat cutaneous diseases including erythema multiforme, PF, and severe adverse cutaneous drug reactions. In human medicine, it has been effective to treat DLE. This report firstly describes the clinical response to hIVIg in a dog with DLE resistant to common immunosuppressive drugs. Case: A 5-year-old, intact female Shih Tzu presented with a 1-month history of slowly progressive black crusting on the nasal planum, chin, and claw. Based on the results of a dermatologic examination, superficial pyoderma was diagnosed. The skin lesions did not improve during and after anti-infective treatment. After removing the crusts, a skin biopsy was obtained from the muzzle. Histopathology of lesional skin biopsy specimens revealed lymphoplasmacytic interface dermatitis at the dermoepidermal junction. Microscopic examination also revealed vacuolar changes and pigmentary incontinence of the basal layer as a lichenoid tissue reaction. No mites or fungi were detected on the skin section. The absence of acantholytic cells excluded pemphigus foliaceus, which is also characterised by the lesions of the nasal planum. Based on the distribution of the lesions, histopathology and exclusion of other dermatoses, the dog was diagnosed with DLE. The skin lesions temporarily improved after treatment with prednisolone (2 mg/kg PO q12h). However, after tapering the dose of prednisolone, new black crusts developed on the nasal planum and claw. Although the dog was successively treated with other immunosuppressive drugs, including azathioprine, cyclosporin with dexamethasone, and mycophenolate mofetil, black crusts still remained. Due to the low efficacy of these immunosuppressive drugs, hIVIg was administered at 0.5 g/kg once daily for 4 days, for a total dose of 2 g/kg. During hIVIg administration, the crusted lesions gradually improved. After the hIVIg administration, the dog was treated with prednisolone (1 mg/kg PO q12h). The lesions were almost in complete remission at 21 days after an additional application of prednisolone. The skin lesions did not recur, and the treatment was eventually discontinued after 6 weeks of additional prednisolone application. Discussion: The standard treatment of canine DLE includes glucocorticoids, and second-line immunosuppressive drugs, such as azathioprine and cyclosporine, are usually added in cases resistant to steroids. This case suggests that hIVIg may be beneficial as an adjunctive treatment option for canine DLE, especially when the application of standard immunosuppressive drugs is limited due to adverse effects or low efficacy. There is evidence from several studies that the steroid-sparing effect of hIVIg is significant in human patients. In the current case, the effective dose of prednisolone was reduced to 2 mg/kg/day after hIVIg administration, and prednisolone therapy was finally discontinued completely. The hIVIg appears to lower the daily steroid dose requirement in this dog.

Reação imunológica decorrente a transfusão de concentrado de plaquetas em cão / Immunological reaction due to transfusion of platelet concentrate in dog

A transfusão de hemocomponente na medicina veterinária vem aumentando nos últimos anos, com isso aumenta-se também o potencial de reações transfusionais, que eventualmente podem ser fatais. Neste estudo, um cão de 3 meses de idade, fêmea, Sem Raça Definida com diagnóstico de hemoparasitose, realizado a partir de hemograma (anemia regenerativa com visualização de mórula de Ehrlichia canis em leucócitos e trombocitopenia de 80 mil plaquetas/dL) e ultrassonografia (hepatoesplenomegalia), foi encaminhado ao banco de sangue para ser submetido a transfusão de concentrado de plaquetas (CP), visto que apresentava petéquias, sufusões abdominais e havia sofrido alguns episódios de epistaxe. Após exame físico da paciente que se apresentava com parâmetros normais para a espécie, iniciou-se a transfusão do CP pela veia cefálica. Aos 30 minutos do início do procedimento documentou-se sialorréia intensa e eritema cutânea. A transfusão foi interrompida. Aplicou-se 0,5 mg/Kg de dexametasona por via intravenosa, 0,044 mg/Kg de atropina e 0,2 mg/Kg de prometazina ambos por via subcutânea, e em 40 minutos ocorreu normalização dos parâmetros clínicos. A transfusão de concentrado de plaquetas é um procedimento terapêutico e profilático importante no tratamento e prevenção de hemorragias, quando por deficiência numérica ou qualitativa das plaquetas. No entanto, riscos inerentes ao processo devem ser considerados, e expostos ao tutor. Contudo, descrevemos neste relato reação adversa em cão jovem (hipersensibilidade tipo 1) revertida com o uso imediato de corticosteróide associado a um antagonista colinérgico e anti-histaminico.

The transfusion of blood components in veterinary medicine has been increasing in recent years, thereby increasing the potential for transfusion reactions, which can eventually be fatal. In this study, a 3-month-old, female, Non-Breed dog diagnosed with hemoparasitosis, carried out using a complete blood count (regenerative anemia with visualization of Ehrlichia canis morula in leukocytes and thrombocytopenia of 80 thousand platelets/dL) and ultrasonography (hepatosplenomegaly), was referred to the blood bank to undergo a transfusion of platelet concentrate (PC), since she had petechiae, abdominal suffusions and had suffered some episodes of epistaxis. After physical examination of the patient who presented with normal parameters for the species, began the transfusion of PC through the cephalic vein. At 30 minutes from the beginning of the procedure, intense sialorrhea and skin erythema were documented. The transfusion was stopped, and 0.5 mg / kg of dexamethasone was applied intravenously, 0.044 mg / kg of atropine and 0.2 mg / kg of promethazine both subcutaneously. 40 minutes latter occurred normalization of clinical parameters. Platelet concentrate transfusion is an important therapeutic and prophylactic procedure in the treatment and prevention of bleeding, when due to numerical or qualitative platelet deficiency. However, risks inherent to the process must be considered, and exposed to the tutor. In this report, we describe an adverse reaction in a young dog (type 1 hypersensitivity) reversed with the immediate use of corticosteroids associated with a cholinergic and antihistamine antagonist.

Eosinophilic folliculitis in a dog

Background: Canine eosinophilic folliculitis is a dermatological disease of acute onset with development of erosive to ulcerative papular lesions, especially on the nasal bridge, that may cause severe skin abnormalities leading to discomfort and pain to the patient. The aim of this report was to characterize a case of a canine eosinophilic folliculitis with papular, ulcerative and crusting dermatitis on the nasal bridge, papules on eyelid and pinna, with confirmed diagnosis based on aspiration cytology, history and response to immunosuppressive therapy with glucocorticoid. Case: An 1-year-old intact Daschund was attended showing an acute onset (over 4 h) of generalized urticarial reaction and nonpruriginous lesion at the muzzle with mild serosanguineous exudate, which persisted for 96 h when the dog was evaluated. It was observed a papular and ulcerative dermatitis with serosanguineous exudate and hematic crusts at nasal bridge, papules measuring 2 mm in diameter in the medial and lateral canthus of the left eyelid, ulcerative papule with hematic crust in the border of left ear pinna, multifocal papules on the skin, dyskeratosis and generalized hair loss. The patient was anesthetized for blood sampling (CBC and serum biochemistry), lesions fine-needle aspiration, scraping and imprint for cytological examination, bacterial culture and nasal turbinates radiography. Fragments for histopathological evaluation were also collected. Erythrogram and platelet evaluation were unremarkable. Leukogram revealed leukocytosis (neutrophilia, lymphocytosis, monocytosis and eosinophilia). Serum biochemistry revealed hyperalbuminemia and discrete hyperproteinemia; values of alanine aminotransferase, creatinine and globulins were within normal range. In cytological examination, intense cellularity was observed with predominance of eosinophils (60%), neutrophils (35%), macrophages performing cytophagocytosis (5%) and degenerated cells. There was no bacterial growth within 48 h after incubation of nasal bridge lesion swab. There were no abnormalities identified at radiographic evaluation of nasal turbinates. As the patient was already with antibiotic therapy and steroidal anti-inflammatory, it was opted to maintain it, since interruption between the day of examination and laboratory results could cause more prejudice than benefit, corticosteroid dose, however, was readjusted (prednisone 2 mg/kg/per os/every 24h). After 1 week of treatment the owner reported significant improvement of clinical signs without any further complaint. Discussion: Typically, type I hypersensitivity reactions such as insect bites do not exceed clinical signs of erythema, local edema and pruritus, with spontaneous remission of clinical signs within few hours after exposure to the antigen. Eosinophilic folliculitis, however, may cause more severe clinical alterations, such as pain, apathy and hyporexia. Nasal bridge is the predominant site described to be affected in cases of eosinophilic folliculitis, being auricular pinna, thorax and limbs considered atypical presentations which can delay proper diagnosis, since in endemic regions for diseases such as visceral leishmaniasis, infectious etiology may be listed first. Differential diagnosis also includes superficial pyoderma, juvenile cellulitis, pemphigus foliaceus and pharmacodermia. The case described in this report emphasize the importance of an accurate diagnosis as well as an early and adequate treatment in order to promote satisfactory response. Also, highlights inadequate use of antimicrobials as a direct consequence of lack of laboratorial investigation.

Reação imunológica decorrente a transfusão de concentrado de plaquetas em cão / Immunological reaction due to transfusion of platelet concentrate in dog

A transfusão de hemocomponente na medicina veterinária vem aumentando nos últimos anos, com isso aumenta-se também o potencial de reações transfusionais, que eventualmente podem ser fatais. Neste estudo, um cão de 3 meses de idade, fêmea, Sem Raça Definida com diagnóstico de hemoparasitose, realizado a partir de hemograma (anemia regenerativa com visualização de mórula de Ehrlichia canis em leucócitos e trombocitopenia de 80 mil plaquetas/dL) e ultrassonografia (hepatoesplenomegalia), foi encaminhado ao banco de sangue para ser submetido a transfusão de concentrado de plaquetas (CP), visto que apresentava petéquias, sufusões abdominais e havia sofrido alguns episódios de epistaxe. Após exame físico da paciente que se apresentava com parâmetros normais para a espécie, iniciou-se a transfusão do CP pela veia cefálica. Aos 30 minutos do início do procedimento documentou-se sialorréia intensa e eritema cutânea. A transfusão foi interrompida. Aplicou-se 0,5 mg/Kg de dexametasona por via intravenosa, 0,044 mg/Kg de atropina e 0,2 mg/Kg de prometazina ambos por via subcutânea, e em 40 minutos ocorreu normalização dos parâmetros clínicos. A transfusão de concentrado de plaquetas é um procedimento terapêutico e profilático importante no tratamento e prevenção de hemorragias, quando por deficiência numérica ou qualitativa das plaquetas. No entanto, riscos inerentes ao processo devem ser considerados, e expostos ao tutor. Contudo, descrevemos neste relato reação adversa em cão jovem (hipersensibilidade tipo 1) revertida com o uso imediato de corticosteróide associado a um antagonista colinérgico e anti-histaminico.(AU)

The transfusion of blood components in veterinary medicine has been increasing in recent years, thereby increasing the potential for transfusion reactions, which can eventually be fatal. In this study, a 3-month-old, female, Non-Breed dog diagnosed with hemoparasitosis, carried out using a complete blood count (regenerative anemia with visualization of Ehrlichia canis morula in leukocytes and thrombocytopenia of 80 thousand platelets/dL) and ultrasonography (hepatosplenomegaly), was referred to the blood bank to undergo a transfusion of platelet concentrate (PC), since she had petechiae, abdominal suffusions and had suffered some episodes of epistaxis. After physical examination of the patient who presented with normal parameters for the species, began the transfusion of PC through the cephalic vein. At 30 minutes from the beginning of the procedure, intense sialorrhea and skin erythema were documented. The transfusion was stopped, and 0.5 mg / kg of dexamethasone was applied intravenously, 0.044 mg / kg of atropine and 0.2 mg / kg of promethazine both subcutaneously. 40 minutes latter occurred normalization of clinical parameters. Platelet concentrate transfusion is an important therapeutic and prophylactic procedure in the treatment and prevention of bleeding, when due to numerical or qualitative platelet deficiency. However, risks inherent to the process must be considered, and exposed to the tutor. In this report, we describe an adverse reaction in a young dog (type 1 hypersensitivity) reversed with the immediate use of corticosteroids associated with a cholinergic and antihistamine antagonist.(AU)

Dermatite associada ao consumo de farelo de arroz desengordurado em bovinos na região sul do Estado do Rio Grande do Sul / Dermatitis associated with the intake of defatted rice bran by cattle in the Southern region of the state of Rio Grande do Sul

Background: Dermatitis associated with defatted rice bran (DRB) seems to be an underdiagnosed disease in Brazilian confined herds, characterized by localized skin lesions that develop mainly on hind limbs, and can affect any animal category. In this context, the goal of the present study was to describe an outbreak of dermatitis associated with the consumption of defatted rice bran on a property in the State of Rio Grande do Sul, demonstrating the clinical, hematological and epidemiological characteristics of the animals, as well as alternatives for the definitive diagnosis. Cases: Clinical and epidemiological data were obtained by anamnesis with the technician responsible for the property. Aberdeen Angus and crossbred males, with 24 to 36 months of age, with an average of 413 kg, from a property in the interior of the state of Rio Grande do Sul were analyzed. From a batch of 45 cattle, from 24 to 36 months of age, 20 presented lesions on hind limbs 8-17 days after supplementation of a commercial feed containing defatted rice bran. To assist in the diagnosis, blood samples were drawn into vacuum tubes with 10% EDTA, for a complete blood count with the investigation of hemoparasites, and without anticoagulant, for liver function tests. In addition, lesion tissue samples were also collected for bacteriological, mycological and histopathological examination and the ration offered to the animals, for intradermal tests. There were no significant hematological and biochemical changes in animals that developed DRB dermatitis, except when they have an associated secondary infection. The fungal research was negative. The bacterial culture revealed a growth of Staphylococcus aureus, possibly due to secondary infection resulting from the lesions. In histopathological examination, lesions were characterized by areas of alopecia, thickening of the epidermis, forming dry, thick crusts, and some ulcerative and serosanguineous lesions. Histologically, lesions were characterized by marked hyperkeratosis, ulceration, and in the superficial dermis, intense inflammatory infiltrate of eosinophils and lymphocytes. Histologic changes, although not pathognomonic, are typically described in this disease. The intradermal test was performed to contribute to the diagnosis of the disease, where a significant increase in volume was found between measurements on animals that developed the disease. It is believed that the disease is produced due to a food hypersensitivity as a consequence of the high protein level in DRB. The results of the intradermal test indicate that the animals developed hypersensitivity and reaction to proteins, and further research is required to determine the protein fraction leading to hypersensitivity reactions. Discussion: In the present study, acute lesions in hind limbs in a significant number of animals of the same batch in a short period of time after supplementation with a diet containing defatted rice bran, enabled a clinical diagnosis suggestive of dermatitis associated with DRB consumption. Through epidemiological data, reactive intradermal test, associated with the findings of the histopathological exam, which showed characteristic lesions of the disease (alopecia, erythema, epidermis thickening, with the formation of thick crusts, usually on hind limbs in the region of the hoof coronary band, progressing to pastern and fetlock), it was possible to establish the clinical-pathological diagnosis of dermatitis associated with the consumption of defatted rice bran.

Hepatogenous photosensitization in steer by Brachiaria decumbens

Background: Although the etiology of hepatogenous photosensitization has not yet been fully elucidated, it is known that hepatotoxic substances (saponins) present in grasses of the genus Brachiaria spp. are responsible for intoxication of ruminants and horses, causing great economic losses in the whole world. Since this grass is the source of food for the herd in Brazil, and other countries of the world, the aim of this paper is to describe the epidemiological, clinical, laboratory and anatomopathological aspects of a steer with this disease. Case: A 3-year-old Nellore steer was referred to veterinary care at a property in Bahia, with a 3-week history of swelling, loss of cutaneous tissue in the ear and scrotum region, and dry faeces. The animal was raised in pasture with Brachiaria decumbens along with five animals of different age and sex; however, it was the only one to present symptoms. Although the animal had been treated at the farm, there was no clinical improvement. On clinical examination, the steer was apathetic with jaundiced mucous membranes, nasal and ocular discharge, epiphora, and ulcers on the labial and gum commissure. The steer had leukocytosis with neutrophilia, anemia, and hyperfibrinogemia. The body condition score (BCS) was 2 (BCS ranges from 1 to 5), and the skin lesions observed were bedsores, necrosis and scabs in several regions. The increase in liver enzymes (GGT, AST) indicated hepatic impairment, suggesting a case of hepatogenous photosensitization. The therapeutic protocol instituted was enteral hydration, electrolyte replacement, topical application of ointment in the injured areas. In addition, it was recommended to maintain the animal in the shade, supply of good quality grass, and a new clinical evaluation in seven days. On new examination, it was observed that there was no satisfactory clinical improvement of the animal, and persistence of laboratory changes. Despite the poor prognosis, treatment was continued for another month with the same recommendations. However, in view of the severe clinical condition and unfavorable prognosis, the animal was submitted euthanasia. Necropsy revealed extensive areas of bedsores, erythema, severe jaundice in the mucous membranes, eyeballs and opaque corneas. The liver had an enlarged volume with bulging edges and a greenish color. The kidneys had a pale brownish color, with an irregular and mottled subcapsular surface, with blackened and depressed spots. Histologically, the cytoplasm of the hepatocytes was finely vacuolated, sometimes refringent and with an abundant presence of bile pigment. It was also observed in the middle of the liver parenchyma, multiple foci of accumulation of macrophages filled with vacuoles of different sizes containing saponins and crystals of saponins inside bile ducts. Furthermore, it was possible to observe hypertrophy and hyperplasia of Kupffer cells, disarrangement of hepatocytes with individual necrosis of hepatocytes. Discussion: The diagnosis of hepatogenous photosensitization was based on history, clinical, laboratory and anatomopathological findings. Serum biochemistry was important to measure hepatic impairment and possible secondary lesions, which were confirmed by the necropsy. Although hepatogenous photosensitization is less common in adult cattle, it must be considered in the differential diagnosis of skin lesions, reduced appetite, and jaundice. Since it was a sporadic case, individual predisposition is probably a preponderant factor.

Ultrasound and endoscopic findings in dogs with lymphangiectasia / [Conclusões ultrassonográfica e endoscópica em cães com linfangiectasia ]

Lymphangiectasia is a heterogenous inflammatory bowel disease characterized by lymphatic vessel dilation, chronic diarrhea and protein loss such as serum albumin and globulin. The most common cause of lymphangiectasia is considered to be the congenital malformation of the lymphatics. The study was conducted between 2012-2015 on 76 dogs suffering from intestinal disorders and manifesting digestive symptoms such as diarrhea or weight loss. In order to assess the origin of disorder, physical examination, biochemistry profile, ultrasound and endoscopic examinations were performed. Ultrasound examination tried to assess the changes of intestines' echogenicity, changes in wall thickness, wall layering and presence of striations or / and speckles (hyperechoic structures along intestinal mucosal layer). Endoscopic examination findings included dilated lacteals (59.2%) and erythema (21.1%). Although increased friability was observed in 33 dogs, it was not considered in the study due to limitations represented by the evaluation of the endoscopic images only. The study proved that an extremely significant statistical correlation exists between the presence of speckles and dilated lacteals in dogs with lymphangiectasia (P<0.05). Up to now, there is no other study to make an association between the white spots observed in ultrasound examination and dilated lacteals revealed after endoscopy in dogs with intestinal lymphangiectasia.(AU)

A linfangiectasia é uma doença inflamatória intestinal heterogênea, caracterizada por dilatação dos vasos linfáticos, diarreia crônica e perda de proteínas, como albumina sérica e globulina. A causa mais comum de linfangiectasia é considerada a malformação congênita dos linfáticos. O presente estudo foi realizado entre 2012 e 2015, em 76 cães que sofrem de distúrbios intestinais e manifestam sintomas digestivos, como diarreia ou perda de peso. Para avaliar a origem do distúrbio, foram realizados exame físico, perfil bioquímico, ultrassonográfico e endoscópico. O exame ultrassonográfico tentou avaliar as alterações da ecogenicidade do intestino, as alterações na espessura da parede, a estratificação e a presença de estrias e / ou de manchas (estruturas hiperecoicas ao longo da camada mucosa intestinal). Os resultados do exame endoscópico incluíram lacteais dilatadas (59,2%) e eritema (21,1%). Embora tenha sido observada maior friabilidade em 33 cães, ela não foi considerada no estudo devido às limitações representadas pela avaliação apenas das imagens endoscópicas. O estudo demonstrou que existe uma correlação estatística extremamente significativa entre a presença de manchas e lacteais dilatadas em cães com linfangiectasia (P <0,05). Até o momento, não há outro estudo para associar as manchas brancas observadas no exame ultrassonográfico e lacteais dilatadas reveladas após endoscopia em cães com linfangiectasia intestinal.(AU)

Skin burn by termal nattress - a therapeutic approach

Background: Burns are caused by a direct or indirect action of heat on an organism, compromising the functional integrityof the skin. Hypothermia is a common intercurrence in animals during the transoperative period; thermal mattresses areused to maintain the animal’s body temperature, but inappropriate use can cause the patient’s skin to burn. In humans, burnsare quite common; however, in veterinary medicine, they are infrequent. The aim of this study was to describe a case ofaccidental burn in a canine caused by a thermal mattress, emphasizing wound treatment and analgesia used.Case: A 12-year-old male canine without defined breed weighing 15 kg underwent an emergency exploratory laparotomydue to rupture of a spleen mass and presented with intercurrence hypothermia during the anesthesia procedure, which wascontrolled using a thermal mattress. Ten days after the surgical procedure, he developed a skin lesion with erythema, suffusion, and necrosis, evolving skin displacement along the entire back with a lot of pain which was possibly caused by theuse of a thermal mattress in the transoperative procedure. The intuited analgesic treatment involved the use of numerousand different drugs, including Methadone (0.3 mg/kg, QID, SC), Dipyrone (25 mg/kg, TID, IV), and Ketamine (0.5 mg/kg,TID, SC) (during hospitalization), as well as Tramadol (4 mg/kg, TID, PO) and Dipyrone (25 mg/kg, TID, PO) after medicalrelease as support therapy. For the wound treatment, calcium alginate was initially used daily and subsequently changedfor daily application of dermisana oil. The patient followed up weekly for approximately two months for wound monitoring as well as adjustments to the drug therapy. The would almost completely healed, but the patient showed a significantworsening in the general clinical condition correlated with the neoplasm that he had, and the owner and clinical staff ofthe veterinary hospital opted for euthanasia...