Morris Joanne, Etheridge Marcia
Department of Laboratory Animal Science, GlaxoSmithKline, 709 Swedeland Road UW 2630, King of Prussia, PA 19406, USA.
J Med Primatol. 2008 Feb;37 Suppl 1:56-9. doi: 10.1111/j.1600-0684.2007.00256.x.
A 2-year-old male cynomolgus monkey (Macaca fascicularis) presented with vesicular dermatitis exhibiting freshly ruptured blisters, crusts, and papules on the extremities and face.
Complete blood count, serum chemistry, skin biopsy, skin scrape, and culture of a fresh blister were initially submitted for diagnostics.
Skin biopsy of the affected area revealed a non-suppurative eosinophilic dermatitis with mild thickening of the epidermis. Serum chemistry showed a marked eosinophilia (1.74 x 10(3)/microl, 17.4%). All other results were within normal limits. Initial differentials included contact dermatitis, immune-mediated disease such as pemphigus or psoriasis. Repeated blood work and skin biopsies were collected as well as serum for allergen-specific IgE latex and food allergy testing. Herpes B virus was added to the differential list after an oral lesion was noted upon repeated physical examination and samples were collected for testing. Repeat blood work maintained a marked eosinophilia and food allergy testing was within normal limits. Serum IgE for latex was equivocal and a follow-up latex sensitivity test was performed and was within normal limits. Repeated skin biopsies were consistent with acute eosinophilic spongiotic dermatitis with vesicles most likely due to contact dermatitis. No therapy was initiated during the diagnostic period and no etiology was confirmed.
Over time the dermatitis and eosinophilia resolved spontaneously. The animal is currently free of any lesions and maintains an eosinophil count within normal limits.
一只2岁雄性食蟹猴(猕猴属)出现水疱性皮炎,其四肢和面部有新破裂的水疱、结痂和丘疹。
最初送检全血细胞计数、血清生化检查、皮肤活检、皮肤刮片以及新鲜水疱培养物以进行诊断。
患部皮肤活检显示为非化脓性嗜酸性粒细胞性皮炎,表皮轻度增厚。血清生化检查显示明显的嗜酸性粒细胞增多(1.74×10³/微升,17.4%)。所有其他结果均在正常范围内。初步鉴别诊断包括接触性皮炎、免疫介导性疾病,如天疱疮或银屑病。多次采集血液样本和皮肤活检组织,以及用于过敏原特异性IgE乳胶和食物过敏检测的血清。在反复体格检查发现口腔病变并采集样本进行检测后,将B型疱疹病毒列入鉴别诊断清单。多次血液检查仍显示明显的嗜酸性粒细胞增多,食物过敏检测结果在正常范围内。乳胶特异性血清IgE结果不明确,进行了后续乳胶敏感性试验,结果在正常范围内。反复的皮肤活检结果与急性嗜酸性粒细胞海绵状皮炎一致,水疱很可能是由接触性皮炎引起的。在诊断期间未开始治疗,也未确诊病因。
随着时间推移,皮炎和嗜酸性粒细胞增多症自发消退。该动物目前无任何病变,嗜酸性粒细胞计数维持在正常范围内。