Seckerdieck Florian, Mueller Ralf S
Small Animal Medicine Clinic, Centre of Clinical Veterinary Medicine, LMU Munich, Munich, Germany.
Vet Rec. 2018 Apr 14;182(15):434. doi: 10.1136/vr.104420. Epub 2018 Feb 1.
Bacterial pyoderma is common in small animal practice. Usually there is an associated underlying disease, but little is known about the prevalence of underlying diseases in dogs with recurrent pyoderma. The aim of this study was to analyse the frequency of the different underlying diseases in dogs with recurrent pyoderma. In total, 157 animals with recurrent pyoderma were identified in hospital records from 2008 to 2013 and the data analysed for primary diseases. The time between recurrences, the type of clinical signs and the age at pyoderma onset were also evaluated. At least one primary disease was found in 107 dogs. Allergies were the primary cause in 63 dogs, environmental allergy was the most frequent (n=45) and was often associated with other allergies, followed by hypothyroidism (n=12) and hyperadrenocorticism (n=6). Sixteen dogs with recurrent pyoderma suffered from demodicosis. In young dogs with recurrent pyoderma an allergy work-up combined with deep skin scrapings should lead to a diagnosis of the underlying disease in most of the cases. In dogs in which pyoderma began in middle or old age, hormonal testing and ruling out a possible flea infestation should be the first steps.
细菌性脓皮病在小动物临床实践中很常见。通常存在相关的潜在疾病，但对于复发性脓皮病犬潜在疾病的患病率了解甚少。本研究的目的是分析复发性脓皮病犬不同潜在疾病的发生频率。从2008年至2013年的医院记录中总共识别出157只复发性脓皮病动物，并对其原发性疾病数据进行分析。还评估了复发间隔时间、临床症状类型以及脓皮病发病时的年龄。在107只犬中发现了至少一种原发性疾病。过敏是63只犬的主要病因，环境过敏最为常见（n = 45），且常与其他过敏相关，其次是甲状腺功能减退（n = 12）和肾上腺皮质功能亢进（n = 6）。16只复发性脓皮病犬患有蠕形螨病。对于复发性脓皮病的幼犬，过敏检查结合深部皮肤刮片在大多数情况下应能诊断出潜在疾病。对于脓皮病始于中年或老年的犬，激素检测和排除可能的跳蚤感染应是首要步骤。
