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Bir köpekte nekrolitik migratuar eritem

Yıl 2016, , 83 - 88, 01.03.2016
https://doi.org/10.1501/Vetfak_0000002713

Öz

Bu çalışmada octreotide tedavisinin başarıyla sonuçlandığı, sirozlu bir köpekteki Nekrolitik Migratuar Eritem (NME) olgusu sunulmaktadır. Derinin histopatolojik incelemesi NME’i göstermiştir. Kan parametreleri, karaciğer biyopsi sonucu, karaciğer ve pankreasın ultrasonografik ve bilgisayarlı tomografik incelemeleri şiddetli siroz varlığına işaret etmiş, bununla beraber pankreasta herhangi bir kitle ya da tümör bulunamamıştır. Hastada görülen deri hastalığının, sekonder hipergliseminin eşlik ettiği kronik hepatopati (siroz) sonucu oluştuğu düşünülmüştür. Octreotide, yüksek protein diyeti, yağ asitleri ve çinko kullanılmış ve böylelikle semptomlarda geçici bir düzelme sağlanmıştır. Sonunda karaciğer yetmezliğine bağlı nörolojik semptomlar, tekrarlanan kusma, kilo kaybı ve belirgin ağrı görülmüş ve hasta ötanazi edilmiştir. Deri, pankreas ve karaciğer dokularının makroskobik ve mikroskobik değerlendirmelerini kapsayan postmortem muayene sonuçları tanımızı doğrulamıştır

Kaynakça

  • Allenspach K, Arnold P, Glaus T, Hauser B, Wolff C, Eberle C, Komminoth P (2000): Glucagon-producing neuroendocrine tumour associated with hypoaminoacidemia and skin lesions. J Small Anim Pract, 41, 402-406.
  • Bond R, McNeil PE, Evans H, Srebernik N (1995): Metabolic epidermal necrosis in two dogs with different underlying diseases. Vet Rec, 136, 466-71.
  • Byrne KP (1999): Metabolic epidermal necrosis- hepatocutaneous syndrome. Vet Clin N Am-Small 29, 1337-55.
  • Godfrey DR, Rest JR (2000): Suspected necrolytic migratory ervthema associated with chronic hepatopathy in a cat. J Small Anim Pract, 41, 324-28.
  • Griffing GT (2013): Hyperglucagonemia treatment & management. Erişim tarihi: 18.06.2014. Erişim adresi: http://www.emedicine.medscape.com/article/121575- treatment.
  • Gross TL, O'Brien TD, Davies AP, Long RE (1990): Glucagon-producing pancreatic endocrine tumors in two dogs with superficial necrolytic dermatitis. J Am Vet Med Assoc, 197, 1619-22.
  • Gross TL, Song MD, Havel PJ, Ihrke PJ (1993): Superficial Necrolytic Dermatitis (Necrolytic Migratory Erythema) in Dogs. Vet Pathol, 30, 75-81.
  • Henricks PM (1987): Dermatitis associated with the use of primidone in a dog. J Am Vet Med Assoc, 191, 237-8.
  • Hill PB, Auxilia ST, Munro E, Genovese, L, Silkstone MA, Kirby B (2000): Resolution of skin lesions and long- term survival in a dog with superficial necrolytic dermatitis and liver cirrhosis. J Small Anim Pract, 41, 519-523.
  • March PA, Hillier A, Weisbrode SE, Mattoon JS, Johnson SE, DiBartola SP, Brofman PJ (2004): Superficial Necrolytic Dermatitis in 11 Dogs with a History of Phenobarbital Administration (1995-2002). J Vet Intern Med, 18, 65-74.
  • Marsh KA, RuedisueliFL, Coe SL, Watson TGD (2000): Effects of zinc and linoleic acid supplementation on the skin and coat quality of dogs receiving a complete and balanced diet. Vet Dermatol, 11, 277-284.
  • Miller WH, Scott DW, Buerger RG, Shanley KJ, Paradis M, McMurdy MA, Angarano DW (1990): Necrolytic Migratory Erythema in Dogs: A Hepatocutaneous Syndrome. J Am Anim Hosp Assoc, 26, 573-580.
  • Oberkirchner U, Linder KE, Zadrozny L, Olivry T (2010): Successful treatment of canine necrolytic migratory erythema (superficial necrolytic dermatitis) due to metastatic glucagonoma with octreotide. Vet Dermatol, 21, 510-516.
  • Outerbridge CA (2010): Hepatocutaneous Syndrome. 112. In: SJ Ettinger, EC Feldman. (Eds), Textbook of Veterinary Internal medicine, 7th ed, Elsevier Saunders, St. Louis, Missiouri, USA.
  • Outerbridge CA, Marks SL, Rogers QR (2002): Plasma amino acid concentrations in 36 dogs with histologically confirmed superficial necrolytic dermatitis. Vet Dermatol, 13, 177-186.
  • Torres S, Johnson K, McKeever P, Hardy R (1997): Superficial necrolytic dermatitis and a pancreatic endocrine tumour in a dog. J Small Anim Pract, 38, 246- 50.
  • Torres SMF, Caywood DD, O’Brien TD, O’Leary TP, McKeever PJ (1997) : Resolution of Superficial Necrolytic Dermatitis Following Excision of a Glucagon-Secreting Pancreatic Neoplasm in a Dog. J Am Anim Hosp Assoc, 33, 313-319.
  • Walton DK, Center SA, Scott DW, Collins K (1986): Ulcerative Dermatosis Associated with Diabetes Mellitus in the Dog: A Report of Four Cases. J Am Anim Hosp Assoc, 22, 79-88.

Necrolytic migratory erythema in a dog

Yıl 2016, , 83 - 88, 01.03.2016
https://doi.org/10.1501/Vetfak_0000002713

Öz

We report here a case of Necrolytic Migratory Erythema (NME) seen in a dog with cirrhosis in which octreotide therapy succeeded. Histopathologic examination of skin revealed NME. Blood parameters and liver cytology result, USG and CT examination of liver and pancreas indicated a severe cirrhosis, however any mass or tumor couldn’t be found on pancreas at the time. In this case, the skin disease was believed to be due to a chronic hepatopathy (cirrhosis) associated with secondary hyperglucagonemia. Octreotide, high level of protein diet, fatty acids and zinc supplement were used, and this provided temporary relief of signs. Neurologic symptoms related to liver failure, profuse vomiting, weight loss and apparent pain were eventually observed and the patient was euthanized. Postmortem examination including gross necropsy and microscobic evaluation of skin, liver and pancreas tissues confirmed our diagnosis

Kaynakça

  • Allenspach K, Arnold P, Glaus T, Hauser B, Wolff C, Eberle C, Komminoth P (2000): Glucagon-producing neuroendocrine tumour associated with hypoaminoacidemia and skin lesions. J Small Anim Pract, 41, 402-406.
  • Bond R, McNeil PE, Evans H, Srebernik N (1995): Metabolic epidermal necrosis in two dogs with different underlying diseases. Vet Rec, 136, 466-71.
  • Byrne KP (1999): Metabolic epidermal necrosis- hepatocutaneous syndrome. Vet Clin N Am-Small 29, 1337-55.
  • Godfrey DR, Rest JR (2000): Suspected necrolytic migratory ervthema associated with chronic hepatopathy in a cat. J Small Anim Pract, 41, 324-28.
  • Griffing GT (2013): Hyperglucagonemia treatment & management. Erişim tarihi: 18.06.2014. Erişim adresi: http://www.emedicine.medscape.com/article/121575- treatment.
  • Gross TL, O'Brien TD, Davies AP, Long RE (1990): Glucagon-producing pancreatic endocrine tumors in two dogs with superficial necrolytic dermatitis. J Am Vet Med Assoc, 197, 1619-22.
  • Gross TL, Song MD, Havel PJ, Ihrke PJ (1993): Superficial Necrolytic Dermatitis (Necrolytic Migratory Erythema) in Dogs. Vet Pathol, 30, 75-81.
  • Henricks PM (1987): Dermatitis associated with the use of primidone in a dog. J Am Vet Med Assoc, 191, 237-8.
  • Hill PB, Auxilia ST, Munro E, Genovese, L, Silkstone MA, Kirby B (2000): Resolution of skin lesions and long- term survival in a dog with superficial necrolytic dermatitis and liver cirrhosis. J Small Anim Pract, 41, 519-523.
  • March PA, Hillier A, Weisbrode SE, Mattoon JS, Johnson SE, DiBartola SP, Brofman PJ (2004): Superficial Necrolytic Dermatitis in 11 Dogs with a History of Phenobarbital Administration (1995-2002). J Vet Intern Med, 18, 65-74.
  • Marsh KA, RuedisueliFL, Coe SL, Watson TGD (2000): Effects of zinc and linoleic acid supplementation on the skin and coat quality of dogs receiving a complete and balanced diet. Vet Dermatol, 11, 277-284.
  • Miller WH, Scott DW, Buerger RG, Shanley KJ, Paradis M, McMurdy MA, Angarano DW (1990): Necrolytic Migratory Erythema in Dogs: A Hepatocutaneous Syndrome. J Am Anim Hosp Assoc, 26, 573-580.
  • Oberkirchner U, Linder KE, Zadrozny L, Olivry T (2010): Successful treatment of canine necrolytic migratory erythema (superficial necrolytic dermatitis) due to metastatic glucagonoma with octreotide. Vet Dermatol, 21, 510-516.
  • Outerbridge CA (2010): Hepatocutaneous Syndrome. 112. In: SJ Ettinger, EC Feldman. (Eds), Textbook of Veterinary Internal medicine, 7th ed, Elsevier Saunders, St. Louis, Missiouri, USA.
  • Outerbridge CA, Marks SL, Rogers QR (2002): Plasma amino acid concentrations in 36 dogs with histologically confirmed superficial necrolytic dermatitis. Vet Dermatol, 13, 177-186.
  • Torres S, Johnson K, McKeever P, Hardy R (1997): Superficial necrolytic dermatitis and a pancreatic endocrine tumour in a dog. J Small Anim Pract, 38, 246- 50.
  • Torres SMF, Caywood DD, O’Brien TD, O’Leary TP, McKeever PJ (1997) : Resolution of Superficial Necrolytic Dermatitis Following Excision of a Glucagon-Secreting Pancreatic Neoplasm in a Dog. J Am Anim Hosp Assoc, 33, 313-319.
  • Walton DK, Center SA, Scott DW, Collins K (1986): Ulcerative Dermatosis Associated with Diabetes Mellitus in the Dog: A Report of Four Cases. J Am Anim Hosp Assoc, 22, 79-88.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Veteriner Cerrahi
Diğer ID JA85BY39BB
Bölüm Araştırma Makalesi
Yazarlar

Devrim Şebnem Tüfenk

Thierry Olıvry

Yayımlanma Tarihi 1 Mart 2016
Yayımlandığı Sayı Yıl 2016

Kaynak Göster

APA Tüfenk, D. Ş., & Olıvry, T. (2016). Necrolytic migratory erythema in a dog. Ankara Üniversitesi Veteriner Fakültesi Dergisi, 63(1), 83-88. https://doi.org/10.1501/Vetfak_0000002713
AMA Tüfenk DŞ, Olıvry T. Necrolytic migratory erythema in a dog. Ankara Univ Vet Fak Derg. Mart 2016;63(1):83-88. doi:10.1501/Vetfak_0000002713
Chicago Tüfenk, Devrim Şebnem, ve Thierry Olıvry. “Necrolytic Migratory Erythema in a Dog”. Ankara Üniversitesi Veteriner Fakültesi Dergisi 63, sy. 1 (Mart 2016): 83-88. https://doi.org/10.1501/Vetfak_0000002713.
EndNote Tüfenk DŞ, Olıvry T (01 Mart 2016) Necrolytic migratory erythema in a dog. Ankara Üniversitesi Veteriner Fakültesi Dergisi 63 1 83–88.
IEEE D. Ş. Tüfenk ve T. Olıvry, “Necrolytic migratory erythema in a dog”, Ankara Univ Vet Fak Derg, c. 63, sy. 1, ss. 83–88, 2016, doi: 10.1501/Vetfak_0000002713.
ISNAD Tüfenk, Devrim Şebnem - Olıvry, Thierry. “Necrolytic Migratory Erythema in a Dog”. Ankara Üniversitesi Veteriner Fakültesi Dergisi 63/1 (Mart 2016), 83-88. https://doi.org/10.1501/Vetfak_0000002713.
JAMA Tüfenk DŞ, Olıvry T. Necrolytic migratory erythema in a dog. Ankara Univ Vet Fak Derg. 2016;63:83–88.
MLA Tüfenk, Devrim Şebnem ve Thierry Olıvry. “Necrolytic Migratory Erythema in a Dog”. Ankara Üniversitesi Veteriner Fakültesi Dergisi, c. 63, sy. 1, 2016, ss. 83-88, doi:10.1501/Vetfak_0000002713.
Vancouver Tüfenk DŞ, Olıvry T. Necrolytic migratory erythema in a dog. Ankara Univ Vet Fak Derg. 2016;63(1):83-8.