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口服环孢素治疗猫皮肤病:23例回顾性分析

The use of oral cyclosporin to treat feline dermatoses: a retrospective analysis of 23 cases.

作者信息

Vercelli A, Raviri G, Cornegliani L

机构信息

Ambulatorio Veterinario Associato, C/so Traiano 99/D, Torino, Italy.

出版信息

Vet Dermatol. 2006 Jun;17(3):201-6. doi: 10.1111/j.1365-3164.2006.00514.x.

Abstract

Limited information is available regarding the use of cyclosporin A (CsA) for the treatment of feline dermatoses. The aim of this retrospective study was therefore to describe the efficacy of CsA for the therapy of eosinophilic granuloma (EG), eosinophilic plaque, indolent ulcer, linear granulomas, idiopathic pruritus and stomatitis. A computer search for feline dermatological cases treated with CsA between 1999 and 2004 was performed. Based on history, clinical signs and laboratory diagnostic tests, it was then possible to divide cases into three groups and to select 23 cats. Seven cats had one or more of the following conditions: EG, eosinophilic plaque, indolent ulcer and/or linear granuloma (group A); eight cats had idiopathic pruritus (group B) and eight cats had plasmacytic stomatitis (group C). Doses ranged from 5.8 to 13.3 mg kg(-1) oral CsA. All cats were monitored, with complete serum blood analysis and physical examination, monthly for a minimum of 6 months. Response to therapy was scored (severity of lesions and pruritus) with a 0-10 visual analogue scale at each visit (day 0, day, 30, day 60, day 90). All cats in groups A and B were cured and were maintained on alternate day therapy. In group C, 4/8 patients went into remission, while remaining cats have a fair to good improvement. Routine haematological and biochemical examination failed to reveal abnormalities related to CsA administration.

摘要

关于环孢素A(CsA)用于治疗猫皮肤病的信息有限。因此,这项回顾性研究的目的是描述CsA治疗嗜酸性肉芽肿(EG)、嗜酸性斑块、顽固性溃疡、线性肉芽肿、特发性瘙痒和口腔炎的疗效。对1999年至2004年间接受CsA治疗的猫皮肤病病例进行了计算机检索。根据病史、临床症状和实验室诊断测试,随后将病例分为三组,并挑选出23只猫。7只猫患有以下一种或多种疾病:EG、嗜酸性斑块、顽固性溃疡和/或线性肉芽肿(A组);8只猫患有特发性瘙痒(B组),8只猫患有浆细胞性口腔炎(C组)。口服CsA的剂量范围为5.8至13.3mg kg(-1)。对所有猫进行监测,每月进行一次全血清血液分析和体格检查,至少持续6个月。每次就诊(第0天、第30天、第60天、第90天)时,使用0至10的视觉模拟量表对治疗反应(病变和瘙痒的严重程度)进行评分。A组和B组的所有猫均治愈,并采用隔日疗法维持治疗。C组中,4/8的患者病情缓解,其余猫的病情有中等至明显改善。常规血液学和生化检查未发现与CsA给药相关的异常。

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