Yoshida M, Barata K, Ando-Lu J, Takahashi M, Maekawa A
Department of Pathology, Sasaki Institute, Tokyo.
Toxicol Pathol. 1996 Jul-Aug;24(4):498-501. doi: 10.1177/019262339602400413.
A case of superficial necrolytic dermatitis in a young laboratory beagle dog with diabetes mellitus was investigated. Macroscopically, the skin lesion was restricted to paws showing erosion and swelling of the interdigital areas. The most predominant histopathological feature was upper-epidermal vacuolation of keratinocytes. In the pancreas, the number and size of islets were found to be markedly reduced, and only glucagon-positive cells were detected. In the liver, severe and widespread vacuolation of hepatocytes was observed. Blood biochemical assays showed that the serum glucose and plasma glucagon levels were increased. In addition, levels of individual amino acids varied markedly, although the total amino acid concentration was within the normal range. From these results, it was suggested that the skin lesion in this case was primarily caused by hyperglucagonemia in diabetes mellitus.
对一只患有糖尿病的年轻实验用比格犬的浅表坏死性皮肤炎病例进行了调查。宏观上,皮肤病变局限于爪子,表现为指间区域的糜烂和肿胀。最主要的组织病理学特征是角质形成细胞的表皮上层空泡化。在胰腺中,发现胰岛的数量和大小明显减少,仅检测到胰高血糖素阳性细胞。在肝脏中,观察到肝细胞严重且广泛的空泡化。血液生化检测显示血清葡萄糖和血浆胰高血糖素水平升高。此外,尽管总氨基酸浓度在正常范围内,但个别氨基酸水平有显著变化。根据这些结果,提示该病例的皮肤病变主要由糖尿病中的高胰高血糖素血症引起。