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对提交至一家服务于英国和爱尔兰的商业诊断实验室的犬蠕形螨病病例的回顾性研究(2017 - 2018年):第1部分 - 征候、病变分布、治疗及并发疾病

A retrospective study of cases of canine demodicosis submitted to a commercial diagnostic laboratory servicing the United Kingdom and Ireland (2017-2018): Part 1 - Signalment, lesion distribution, treatments, and concurrent diseases.

作者信息

Kelly Pamela A, McKay Jennifer S, Maguire David, Jones Matthew, Roberts Larry, Powell Frank, Breathnach Rory

机构信息

University College Dublin Veterinary Hospital, School of Veterinary Medicine, Belfield, Dublin 4, Ireland; The Charles Institute of Dermatology, University College Dublin, Belfield, Dublin 4, Ireland.

IDEXX Laboratories, Grange House, Sandbeck Way, Wetherby LS22 7DN, United Kingdom.

出版信息

Res Vet Sci. 2022 Dec 31;153:99-104. doi: 10.1016/j.rvsc.2022.10.022. Epub 2022 Oct 30.

DOI:10.1016/j.rvsc.2022.10.022
PMID:36334408
Abstract

Canine demodicosis, due to an overpopulation of Demodex spp. mites, remains one of the most common dermatological diseases encountered in small animal practice. The aims of this study were to interrogate submitted histories and diagnostic report results from a large cohort of dogs (n = 508) diagnosed with demodicosis either through histological analysis or the finding of Demodex spp. mites on skin scrapings by a UKAS accredited commercial laboratory servicing the United Kingdom (UK) and Ireland in the years 2017 and 2018. The main findings revealed that short-coated breeds were more likely to develop juvenile-onset (JO) demodicosis, whereas medium- and long-coated breeds were more likely to develop adult-onset (AO) disease. Pododemodicosis was reported more commonly in adult, long-coated breeds. Skin scrapings were positive in only 83.3% of samples that had a corresponding positive biopsy result; this finding highlights the necessity to perform further diagnostic tests if demodicosis remains clinically suspected despite a negative skin scraping result. Concurrent underlying diseases, potentially associated with immunosuppression, were reported in 42/221 (19%) of dogs with AO demodicosis. Serum allergy and Sarcoptes ELISA assays were positive in individual animals in both the JO and AO groups; the clinical significance of these latter findings requires careful interpretation in dogs with confirmed demodicosis.

摘要

犬蠕形螨病是由蠕形螨属螨虫数量过多引起的,它仍然是小动物临床中最常见的皮肤病之一。本研究的目的是调查2017年和2018年期间,由一家为英国和爱尔兰服务的获得UKAS认可的商业实验室,通过组织学分析或在皮肤刮片中发现蠕形螨属螨虫,诊断为蠕形螨病的一大群犬(n = 508)的提交病史和诊断报告结果。主要研究结果显示,短毛品种更易发生幼年型(JO)蠕形螨病,而中长毛品种更易发生成年型(AO)疾病。爪部蠕形螨病在成年长毛品种中报告更为常见。在活检结果呈阳性的样本中,只有83.3%的皮肤刮片呈阳性;这一发现凸显了如果尽管皮肤刮片结果为阴性,但临床上仍怀疑患有蠕形螨病时,进行进一步诊断测试的必要性。在42/221(19%)患有AO蠕形螨病的犬中报告了可能与免疫抑制相关的并发基础疾病。JO组和AO组的个别动物血清过敏和疥螨ELISA检测均呈阳性;在确诊为蠕形螨病的犬中,这些结果的临床意义需要仔细解读。

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