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眼皮肤黑素细胞增多症:犬的太田痣

Oculodermal Melanocytosis: Nevus of Ota in a Dog.

作者信息

Giannikaki Stamatina, Sturgess Kit, Scurrell Emma, Cebrian Prado, Escanilla Natalia, Lowe Robert C

机构信息

1 Optivet Referrals, Havant, Hampshire, UK.

2 Vet Freedom Ltd, Brockenhurst, Hampshire, UK.

出版信息

Vet Pathol. 2019 May;56(3):460-464. doi: 10.1177/0300985818823667. Epub 2019 Jan 27.

Abstract

This report describes the clinical presentation, diagnosis, and histopathologic features of oculodermal melanocytosis in a young dog. A 3-year-old male neutered Labrador Retriever presented with conjunctival and scleral hyperpigmentation of the right eye, with concurrent ipsilateral cutaneous hyperpigmentation involving the right side of the face. Initial skin and conjunctival biopsies revealed an accumulation of histologically benign melanocytes within the dermis and conjunctival stroma, respectively. Enucleation was elected 19 months later by the referring veterinarian due to the progression of ocular pigmentation with concurrent marked corneal lipidosis and the suspicion of a scleral mass. On gross and histopathologic examination of the globe, there was marked panuveal melanocytosis with extension into the sclera, bulbar conjunctiva, and connective tissue surrounding the optic nerve, as well as sharply demarcated ipsilateral hyperpigmentation of the facial skin. The findings are characteristic of oculodermal melanocytosis (nevus of Ota), a dermal melanocytic hamartoma presenting as cutaneous facial hyperpigmentation that corresponds to the distribution of the ophthalmic and maxillary branches of the trigeminal nerve, often with ipsilateral ocular involvement.

摘要

本报告描述了一只幼犬眼皮肤黑素细胞增多症的临床表现、诊断及组织病理学特征。一只3岁已绝育的雄性拉布拉多猎犬右眼出现结膜和巩膜色素沉着,同侧面部皮肤也有色素沉着。最初的皮肤和结膜活检分别显示真皮层和结膜基质内有组织学上良性的黑素细胞聚集。19个月后,转诊兽医因眼部色素沉着进展并伴有明显的角膜脂质沉着以及怀疑有巩膜肿物而选择进行眼球摘除术。对眼球进行大体和组织病理学检查发现,葡萄膜有明显的黑素细胞增多,并延伸至巩膜、球结膜和视神经周围的结缔组织,同侧面部皮肤色素沉着界限清晰。这些发现是眼皮肤黑素细胞增多症(太田痣)的特征,这是一种真皮黑素细胞错构瘤,表现为面部皮肤色素沉着,与三叉神经眼支和上颌支的分布相对应,常伴有同侧眼部受累。

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