Suárez-Bonnet A, García-González B, Ramírez G A, Peñafiel-Verdú C, Jaber J R
Department of Pathobiology and Population Science, The Royal Veterinary College, University of London, United Kingdom.
Bridge Pathology Ltd. United Kingdom.
Iran J Vet Res. 2019 Summer;20(3):221-224.
Paraneoplastic pemphigus is an autoimmune blistering skin disease associated with concurrent neoplasia that is rarely observed in veterinary medicine.
This case report presents a ten-year-old female Labrador Retriever dog with generalized seborrhea and alopecic, crusting and ulcerative lesions in the periocular and perioral regions, the lips and the groins.
FINDINGS/TREATMENT AND OUTCOME: Hematology analysis showed a marked increase in the number of lymphocytes, while the rest of the values were normal. Skin biopsies were collected and the histological findings were consistent with pemphigus in association with an epitheliotropic lymphoma. Immunohistochemical analysis was performed. There was deposition of immunoglobulin G (IgG) in the basement membrane and in the intercellular space that corresponded with an immunostaining pattern characteristic of pemphigus erythematosus (PE). The lymphoma was positive to CD3 cells and was classified as a T-cell epitheliotropic lymphoma.
To our knowledge, this is the first case of PE and cutaneous lymphoma coexisting in a dog, expanding the list of associations between immune-mediated diseases and cancer in dogs, and providing support to the eventual connection between autoimmunity and neoplasia in this species.
副肿瘤性天疱疮是一种与并发肿瘤相关的自身免疫性水疱性皮肤病,在兽医学中很少见。
本病例报告介绍了一只10岁雌性拉布拉多猎犬,患有全身性皮脂溢,眼周、口周、唇部和腹股沟区域出现脱毛、结痂和溃疡性病变。
检查结果/治疗及结果:血液学分析显示淋巴细胞数量显著增加,其余指标正常。采集皮肤活检样本,组织学检查结果与天疱疮合并亲上皮性淋巴瘤一致。进行了免疫组织化学分析。免疫球蛋白G(IgG)在基底膜和细胞间间隙沉积,与红斑性天疱疮(PE)的免疫染色模式相符。淋巴瘤对CD3细胞呈阳性,被分类为T细胞亲上皮性淋巴瘤。
据我们所知,这是首例犬同时发生PE和皮肤淋巴瘤的病例,扩展了犬免疫介导性疾病与癌症之间的关联列表,并为该物种自身免疫与肿瘤形成之间的最终联系提供了支持。