Clinique Vétérinaire Saint-Bernard, 598 avenue de Dunkerque F-59160 Lomme, France (C. Muller, E. Gaguère, A. Muller); LAPVSO, 11 bis allée des Vitarelles F-31100 Toulouse, France (J.-C. Husson, F. Degorce-Rubiales).
Can Vet J. 2022 Oct;63(10):1027-1031.
A 4-month-old male beagle dog was presented for a 15-day history of firm cutaneous nodules. Histopathological examination of skin biopsies revealed calcinosis cutis. However, re-evaluation 40 d later confirmed spontaneous resolution of the lesions without specific treatment. Two weeks before development of the skin lesions, this dog had been hospitalized and treated for acute renal and hepatic disease attributed to leptospirosis, with both PCR and serology positive for Calcinosis cutis secondary to a systemic disease (leptospirosis, blastomycosis) has been rarely reported. In this case, the suspected pathogenesis included organic stress (cortisol hypersecretion) and abnormal calcium/phosphorus metabolism during acute renal failure. To our knowledge, this is the third published case of cutis calcinosis associated with leptospirosis in dogs. Key clinical message: Previous leptospirosis should be considered in a dog with calcinosis cutis. The cutaneous lesions appeared after acute leptospirosis and regressed spontaneously.
一只 4 月龄雄性比格犬因 15 天的坚实性皮肤结节就诊。皮肤活检的组织病理学检查显示钙沉积。然而,40 天后重新评估确认病变自发消退,未进行特异性治疗。在皮肤病变出现前两周,该犬因急性肾和肝疾病住院治疗,病因是钩端螺旋体病,PCR 和血清学均为阳性。继发于系统性疾病(钩端螺旋体病、芽生菌病)的钙沉积症很少见。在本例中,疑似发病机制包括急性肾衰竭期间的有机应激(皮质醇分泌过多)和异常钙/磷代谢。据我们所知,这是第三例与狗的钩端螺旋体病相关的皮肤钙沉积症。关键临床信息:患有钙沉积症的狗应考虑以前的钩端螺旋体病。皮肤病变出现在急性钩端螺旋体病之后,自发消退。