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用环孢素或泼尼松治疗的特应性皮炎(AD)犬的犬特应性皮炎范围和严重程度指数(CADESI)测试评估

The evaluation of Canine Atopic Dermatitis Extent and Severity Index (CADESI) test in dogs with atopic dermatitis (AD) treated with cyclosporine or prednisone.

作者信息

Taszkun I

机构信息

Sub-department of Clinical Diagnostics and Veterinary Dermatology, Department and Clinic of Internal Medicine, Faculty of Veterinary Medicine, University of Life Sciences in Lublin, Głeboka 30, 20-612 Lublin, Poland.

出版信息

Pol J Vet Sci. 2010;13(4):681-8. doi: 10.2478/v10181-010-0005-4.

Abstract

The purpose of this study was to assess the clinical state of dogs with atopic dermatitis (AD) by use of CADESI test in own modification during the first visit in the Dermatology Consult Room as well as during the treatment. The study was performed in two groups (I-E and II-C) of 20 dogs in each group. In dogs which were qualified to the I-E group, as antiallergic, anti-inflammatory and antipruritic treatment, prednisone (oral preparation Encorton--Polfa Pabianice) at dose 0.5 mg/kg b.w./day was administered, while in dogs qualified to the II-C group--cyclosporine (oral preparation Sandimmun Neoral--Novartis Pharma) at a dose of 5 mg/kg b.w./day; the treatment was continued for 6 weeks in both groups. During the study, skin lesions were assessed in 15 specified body areas using 4 parameters and 5-point scale. In group I-E and II-C the amount of received points in CADESI test was decreased by 82.26% and by 83% respectively, after the treatment. Statistical analyses of the results obtained revealed no statistically significant (P = 0.05) differences between means of I-E and II-C groups in consecutive examinations, which indicates comparable clinical efficacy of both drugs. Statistically significant differences (P = 0.05) of the parameters assessed were found after secondary dermatoses treatment, and after every two weeks of antipruritic and anti-inflammatory treatment.

摘要

本研究的目的是通过在皮肤科诊室首次就诊时以及治疗期间使用自行改良的CADESI试验,评估患有特应性皮炎(AD)的犬只的临床状态。该研究在两组(I-E组和II-C组)中进行,每组20只犬。对于符合I-E组标准的犬只,作为抗过敏、抗炎和止痒治疗,给予泼尼松(口服制剂Encorton--Polfa Pabianice),剂量为0.5 mg/kg体重/天,而对于符合II-C组标准的犬只,给予环孢素(口服制剂Sandimmun Neoral--Novartis Pharma),剂量为5 mg/kg体重/天;两组治疗均持续6周。在研究期间,使用4个参数和5分制对15个特定身体部位的皮肤病变进行评估。治疗后,I-E组和II-C组在CADESI试验中获得的分数分别下降了82.26%和83%。对所得结果的统计分析显示,在连续检查中,I-E组和II-C组的平均值之间没有统计学显著差异(P = 0.05),这表明两种药物的临床疗效相当。在继发性皮肤病治疗后以及每两周进行止痒和抗炎治疗后,发现所评估参数存在统计学显著差异(P = 0.05)。

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