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两只患有皮肤亲上皮性T细胞淋巴瘤的犬对异维A酸和α干扰素的临床反应:病例报告

Clinical response to isotretinoin and interferon-α of two dogs with cutaneous epitheliotropic T-cell lymphoma: a case report.

作者信息

Lee Ga-Won, Song Su-Bin, Kang Min-Hee, Park Hee-Myung

机构信息

Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University, # 1 Hwayang-dong, Gwang-jin-gu, Seoul, 143-701, South Korea.

出版信息

BMC Vet Res. 2018 Dec 4;14(1):382. doi: 10.1186/s12917-018-1710-y.

Abstract

BACKGROUND

There is no specific therapy for cutaneous epitheliotropic T-cell lymphoma (CETL). The administration of retinoids in conjunction with interferon-α (IFN-α) in CETL has not been reported in dogs.

CASE PRESENTATION

Two dogs (Shih tzu and Miniature pinscher) presented with multiple nodular skin lesions. Histopathological examination revealed diffuse infiltrations of lymphocytes in the epidermis and dermis, with a CD3-positive immunophenotypic profile. Based on the clinical and histopathological examination, CETL was diagnosed. Both dogs were treated with isotretinoin in combination with IFN-α and showed clinical improvement with complete or partial remission. The disease in these dogs was well-controlled for more than 264 days of overall median survival time without any additional clinical signs after initiation of the treatment. In both the cases, the dogs were followed up for 27 months, and 10 months without any evidence of recurrence or metastasis, respectively.

CONCLUSIONS

We describe the clinical efficacy of isotretinoin combined with IFN-α in 2 dogs with CETL. Long-term management with isotretinoin combined with IFN-α was effective in treating CETL in these cases.

摘要

背景

皮肤亲表皮性T细胞淋巴瘤(CETL)尚无特异性治疗方法。在犬类中,维甲酸联合α干扰素(IFN-α)治疗CETL的情况尚未见报道。

病例介绍

两只犬(西施犬和迷你杜宾犬)出现多发性结节性皮肤病变。组织病理学检查显示表皮和真皮有淋巴细胞弥漫浸润,免疫表型为CD3阳性。根据临床和组织病理学检查,诊断为CETL。两只犬均接受异维甲酸联合IFN-α治疗,临床症状改善,达到完全或部分缓解。治疗开始后,这些犬的疾病得到良好控制,总中位生存时间超过264天,且无任何其他临床症状。在这两个病例中,两只犬分别随访了27个月和10个月,均无复发或转移迹象。

结论

我们描述了异维甲酸联合IFN-α对2只患有CETL的犬的临床疗效。在这些病例中,异维甲酸联合IFN-α的长期治疗对治疗CETL有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6662/6278019/3a2ea8e82373/12917_2018_1710_Fig1_HTML.jpg

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