Mason Kenneth, Ruutu Merja
Dermcare-Vet Pty Ltd, Slacks Creek, Queensland, Australia.
School of Veterinary Science, University of Queensland, Brisbane, Queensland, Australia.
Vet Dermatol. 2023 Apr;34(2):115-124. doi: 10.1111/vde.13143. Epub 2023 Jan 12.
Pruritus is a common clinical sign in dogs for which owners seek veterinary attention. Its diagnosis and treatment are often a source of frustration for the owner and veterinarian. Contact dermatitis is rarely considered, even when lesions are located only on the skin. This report describes the immediate reaction to grass leaf material after skin exposure, with similarities to human protein contact dermatitis.
HYPOTHESIS/OBJECTIVE: To describe the history, clinical findings, diagnostic methods, and characteristics of an undescribed canine pruritic dermatitis that is clinically distinct from canine atopic dermatitis and contact dermatitis.
Eighteen pet dogs living in Australia were referred for unresolved pruritic dermatitis.
Retrospective analysis of clinical records from patients with pruritic dermatitis after contacting grass leaves. Findings on skin testing, isolation, challenge, and description of skin lesions are described.
Dogs had an inflammatory and pruritic dermatitis affecting the ventral chest, anterior-medial thighs and distal limb, areas that had been in contact with grass, which dogs instinctively avoided. Erythema and erythematous macules and papules were characteristic in the affected skin, inducing coat loss, and thickened pigmented skin. Isolating the dogs from grass resolved their clinical signs and pruritus returned within hours of contact with causative grass.
A literature review revealed that this canine dermatitis was similar to human protein contact dermatitis. The impact may be enormous for the treatment of dogs having this disease because the treatment path differs from the therapeutic options of common canine pruritic skin disorders, including the possibility of cure by avoidance.
瘙痒是犬类常见的临床症状,其主人常因此寻求兽医帮助。瘙痒的诊断和治疗往往让主人和兽医都感到沮丧。即使病变仅位于皮肤,接触性皮炎也很少被考虑。本报告描述了皮肤接触草叶材料后的即时反应,与人类蛋白质接触性皮炎相似。
假设/目的:描述一种未被描述的犬瘙痒性皮炎的病史、临床发现、诊断方法和特征,该皮炎在临床上与犬特应性皮炎和接触性皮炎不同。
18只生活在澳大利亚的宠物犬因未解决的瘙痒性皮炎被转诊。
对接触草叶后出现瘙痒性皮炎患者的临床记录进行回顾性分析。描述了皮肤试验、隔离、激发试验和皮肤病变的情况。
犬出现炎症性和瘙痒性皮炎,影响胸部腹侧、大腿前内侧和四肢远端,这些部位曾接触过草,犬会本能地避开。受影响皮肤的特征是红斑、红斑性斑疹和丘疹,导致脱毛,皮肤色素沉着增厚。将犬与草隔离可缓解其临床症状,接触致病草叶数小时内瘙痒会再次出现。
文献综述显示,这种犬皮炎与人类蛋白质接触性皮炎相似。对于患有这种疾病的犬的治疗,其影响可能巨大,因为治疗方法与常见犬瘙痒性皮肤病的治疗选择不同,包括通过避免接触有可能治愈。