A retrospective study regarding the treatment of lupoid onychodystrophy in 30 dogs and literature review

The treatment records of 30 dogs with lupoid onychodystrophy were evaluated retrospectively. Dogs were treated with fatty acid supplementation (n=18), doxycycline and niacinamide (n=12), tetracycline and niacinamide (n=10), pentoxifylline (n=6), prednisolone (n=5), azathioprine (n=1), clofazimine (n=1), or with combinations thereof. An excellent response was seen in almost half of the patients treated with tetra- or doxycycline in combination with niacinamide. Six of the dogs were maintained successfully on fatty acid supplementation. Spontaneous remissions and recurrences made evaluation of success rates difficult and emphasized the varied and often unclear etiology and natural course of the syndrome.     

A retrospective evaluation of the surgical management of equine carpal injury

SUMMARY: Records of 220 thoroughbred horses presented to the Randwick Equine Centre or the University of Queensland Veterinary Teaching Hospital for surgical management of carpal injury were reviewed. Details of racing performance were obtained, enabling evaluation of racing success following surgery. Age and sex matched control horses not known to have suffered carpal injury were selected from the Australian Stud Book and the Australian Racehorse Register. Control and treated populations were compared in terms of overall career racing success.
Radiographs or xeroradiographs from 198 horses were available for evaluation. The dorsomedial aspects of the distal articular surface of the radial carpal bone and the proximal articular surface of the third carpal bone were the most commonly observed locations of osteochondral fracture. Bilateral carpal injury was found to be sufficiently common to warrant routine radiographic examination of both limbs. The dorsolateral-palmaromedial oblique, flexed lateral and dorsoproximal-dorsodistal oblique (skyline) projections were the most useful views for evaluation of carpal degenerative joint disease. Surgical removal of osteochondral fractures by arthrotomy or arthroscopy was found to be a suitable method of treatment.
Arthroscopy was associated with a significantly shorter convalescent period than arthrotomy. Seventy-six percent of the treated population returned to racing following surgery. Average earnings following surgery were 20 000. However, the median value was only 1400 and 48% of the treated population failed to earn more than 1000. Male horses in both the treated and control groups performed significantly better than females. Treated horses performed significantly better than the randomly selected control population.     

Interleukin-2 and interferon-gamma mRNA expression in canine anal furunculosis lesions and the effect of ciclosporin therapy

German Shepherd Dogs have an increased incidence of anal furunculosis (AF), which is a disease characterised by inflammation and ulceration of the perianal tissues. Ciclosporin, an immunosuppressive drug, has been successfully used to treat AF, suggesting that the pathogenesis of disease is likely to have an immune-mediated component. Previous research has shown that the cytokine mRNA profile in AF lesions is consistent with T cell-mediated inflammation. The aims of the current study were to quantify IL-2 and IFNgamma mRNA expression in AF biopsies taken before and after treatment with ciclosporin and to compare cytokine expression with lesion severity. Twenty-two dogs with AF were recruited into the study and lesional biopsies were taken prior to ciclosporin therapy. Lesion severity was graded using a visual analogue scale. All dogs were evaluated after 4 weeks of ciclosporin therapy and, in 10 dogs with persistent disease, residual lesions were resected. RNA was extracted from AF-lesional tissue and control perianal tissue samples (n=10), which was used as the template for RT-PCR. Analysis of IL-2 and IFNgamma mRNA expression was performed using real-time PCR. IL-2 and IFNgamma mRNA was consistently detected in pre-treatment AF biopsies and, when quantified, this was significantly increased compared to control tissue (P<0.05). However, no correlation was seen between lesion severity and pre-treatment cytokine mRNA expression. In the ten paired pre- and post-treatment samples, IL-2 mRNA expression was significantly reduced in residual disease tissue following ciclosporin therapy (P=0.013). Treatment with ciclosporin seemed to result in decreased expression of IFNgamma mRNA in AF lesions but this was not statistically significant. In six of the 10 dogs with persistent disease, T cell cytokine mRNA could still be detected in the tissues, suggesting that there was inadequate immunosuppression. The absence of a correlation between T cell cytokine expression and the severity of disease suggests that tissue destruction observed in AF might be a consequence of other inflammatory mediators or downstream effects of T cell activation.     

Chemoprophylaxis and treatment of African canine trypanosomosis in French military working dogs: A retrospective study

African trypanosomosis is a major threat to livestock production in sub-Saharan Africa. Although the disease mainly concerns cattle, dogs can also be infected by Trypanosoma spp. transmitted by tsetse flies. Between 1997 and 2003, the parasite Trypanosoma congolense was identified in French military dogs sent to Africa. On infected dogs, the diagnosis was made during the mission or just after the return to France, depending on when the symptoms appeared. The high incidence and mortality rate among these dogs led veterinarians of the French Health Service to implement a systematic chemoprophylaxis beginning in 2004. Between 2004 and 2011, the chemoprophylaxis was carried out on more than 400 military dogs. The protocol of chemoprophylaxis relies on the use of isometamidium chloride (Trypamidium^®, Merial). The drug has been used successfully at the dosage of 1 mg/kg body weight by deep intramuscular injection, every two or three months. In addition, dogs are given collars impregnated with deltamethrin (Scalibor^®, MSD Animal Health). Isometamidium chloride was also used successfully in the treatment of military dogs infected with T. congolense, with a full recovery and without any relapses.     

Paecilomycosis in dogs and horses and a review of the literature

We reviewed 14 cases of paecilomycosis in a tertiary care veterinary hospital and all reports of the disease in the veterinary literature. Paecilomycosis is a rare disease primarily of dogs, horses, reptiles, and humans. Clinical manifestations in veterinary patients vary but include disseminated disease and diskospondylitis, particularly in dogs: pneumonia in dogs, horses, and reptiles; keratitis in horses; and miscellaneous local infections. It is important to have an appropriate index of suspicion because the diagnosis can be difficult, particularly in localized disease where it is difficult to determine whether a positive culture represents an etiology or a contamination with an environmental saprophyte. Spinal radiographs, transtracheal washes, histopathology, and fungal culture have proven to be valuable diagnostic tools. The prognosis for paecilomycosis is poor, although some treatment success has been reported, and success rates could improve if additional information were available regarding fungal species occurring in veterinary patients and drugs to which these fungi are susceptible.     

Dirlotapide: a review of its properties and role in the management of obesity in dogs

Dirlotapide is a microsomal triglyceride transfer protein (MTP) inhibitor developed specifically for canine weight reduction. MTP catalyzes the assembly of triglyceride-rich apolipoprotein-B containing lipoproteins to form chylomicrons in the intestinal mucosa and very low-density lipoproteins in the liver. Following oral administration, dirlotapide has in vivo selectivity for intestinal MTP compared with hepatic MTP. In addition to reducing intestinal fat absorption, dirlotapide also reduces food intake in a dose-dependent manner, probably via increased release of peptide YY into the circulation. The decrease in food intake is responsible for the majority of the weight reduction effect. In clinical use, it is recommended to adjust the dose according to the observed weight loss of each individual. The initial dose of 0.05 mg/kg is doubled after 14 days and then adjusted monthly, the maximum permitted daily dose is 1.0 mg/kg, although doses as high as 10 mg/kg have been administered to dogs without severe adverse experience in safety studies. Dirlotapide can be used without necessitating changes to the current feeding or exercise regimens, but it is desirable to monitor the food intake during weight-stabilization to establish revised feeding and exercise routines that will minimize the risk of weight regain post-treatment. The drug offers a novel approach that is applicable in cases where dietary management alone has proved to be unsuccessful.     

Patellar luxation as a complication of surgical intervention for the management of cranial cruciate ligament rupture in dogs. A retrospective study of 32 cases.

This retrospective study identified 32 cases of patellar luxation which occurred as a complication of surgical intervention for cranial cruciate ligament rupture (CCLR). The complication was recorded mostly in larger (>/=20 kg) dogs with the Labrador Retriever being the most common breed. The complication followed extra-capsular, intra-capsular and tibial plateau levelling surgery. The mean time from CCLR surgery to the diagnosis of patellar luxation was 14 weeks. The incidence of patellar luxation occurring as a complication of surgical intervention for CCLR was 0.18% of all CCLR corrective procedures. Corrective surgery for patellar luxation was successful in 79% of stifles. The patellar reluxation rate was significantly lower (p = 0.0007) when at least one corrective osteotomy (tibial tuberosity transposition, femoral trochlear sulcoplasty or tibial plateau levelling osteotomy with tibial axial re-alignment) was performed (35%), compared to when corrective osteotomy was not performed (100% patellar reluxation rate). When performing corrective surgery for patellar luxation following CCLR surgery, at least one corrective osteotomy should be performed in order to reduce the patellar reluxation rate. The correction of patellar luxation following surgery for CCLR is challenging and carries a significant rate of failure.     

A simple, clean method for the surgical ablation of anal sacs in dogs

A technique is described for impregnating canine anal sacs with a dental mould material. After the mould has set the sacs can be ablated surgically. The method is efficient, quick and simple.     

Conservative and surgical treatment of canine acetabular fractures: A review of 34 cases

The case histories of 34 dogs with acetabular fractures are reviewed. Twenty-one were treated surgically and 13 conservatively. A classification system for acetabular fractures is presented and the results of treatment in each group are described and discussed.     

The role of Pityrosporum pachydermatis in otitis externa of dogs: evaluation of a treatment with miconazole.

The bacterial and mycotic flora were assessed in 158 ears of dogs with otitis externa and in 101 ears of healthy control dogs. Pityrosporum pachydermatis occurred in 57 per cent of ears with otitis externa and in 17 per cent of clinically healthy ears. Staphylococci and Pseudomonas aeruginosa were the predominant bacteria in otitic ears, micrococci and Bacillus spp were the most frequent isolates from clinically healthy ears. P pachydermatis, Ps aeruginosa and Candida tropicalis occurred in monoculture in a significant number of mainly chronic cases of otitis externa. A combination preparation, containing miconazole, polymyzin B and prednisolone, was highly effective in controlling the clinical signs of otitis externa and eliminating flora from the affected ears. The data presented suggest that yeasts, and especially P pachydermatis, may be significant pathogens in otitis externa and that antimycotic treatment is an essential part of the treatment of otitis externa in dogs.     

Antihistamines in the management of canine atopic dermatitis: a retrospective study of 171 dogs (1992-1998)

Antihistamines were prescribed for 178 of 271 dogs with a diagnosis of atopic dermatitis at the Veterinary Medical Teaching Hospital of the University of California, Davis from 1992 to 1998. Fifty-four percent of 166 dogs given antihistamines responded favorably to these treatments, with 27% of the responses rated as good and 27% rated as moderate. Diphenhydramine and hydroxyzine were the most commonly used antihistamines and were the most frequently effective. Chlorpheniramine and clemastine were administered less frequently and had much lower positive response rates. Responses to antihistamines as a group were significantly better in dogs having onset of clinical signs at younger ages (odds ratios for 1-year increase in age = 0.72, 95% confidence interval = 0.57 to 0.91, P =.005).     

Spinal trauma in dogs and cats: a review of 51 cases

The clinical and radiographical features, and the results of treatment of 41 dogs and 10 cats with traumatic injuries of the spine are reviewed. There was a poor correlation between the degree of vertebral displacement and the neurological condition of the animals. Eighteen cases were treated conservatively, 16 were treated surgically and 17 were destroyed. Surgery was reserved for animals with either severe or progressive neurological dysfunction, and vertebral body plating and hemilaminectomy were the commonest procedures. Of the cases treated conservatively 94.4 per cent showed significant neurological improvement compared with 87.5 per cent of those treated surgically.     

Aspects of the humoral immune response to Staphylococcus intermedius in dogs with superficial pyoderma,deep pyoderma and anal furunculosis

Bacterial infection (pyoderma) of the canine skin is largely caused by Staphylococcus intermedius and may be a superficial or deep infection. Pyoderma may be a primary, idiopathic disease or secondary to a range of other dermatological disorders. In this study, the serum concentrations of IgG, IgA, antistaphylococcal IgG and antistaphylococcal IgA were measured by ELISA in normal dogs (n = 22), dogs with idiopathic deep pyoderma (n = 22), atopic dermatitis and superficial pyoderma (n = 24), atopic dermatitis without pyoderma (n = 25), flea bite dermatitis with superficial pyoderma (n = 8), pustular demodicosis (n = 8) and German shepherd dogs with anal furunculosis (n = 28). The serum IgG was significantly increased in dogs with atopy and superficial pyoderma (p < 0.001), and lower than normal in dogs with idiopathic deep pyoderma (p < 0.015). The concentration of serum IgA was significantly lower than normal in dogs with atopy uncomplicated by pyoderma (p < 0.015). The concentration of antistaphylococcal IgG in all clinical sera was significantly elevated (p < 0.001) when compared to normal dogs but concentrations of antistaphylococcal IgA were no greater than in normal dogs. Western blotting analysis for determination of the specificity of serum IgG antistaphylococcal antibody revealed that there were nine major epitopes. Discriminant analysis demonstrated that particular combinations of these epitopes were recognised more frequently by sera from dogs in different clinical groups.     

The role of rituximab in the treatment of canine lymphoma: an ex vivo evaluation

Targeting the CD20 receptor that is common to many B-cell Non-Hodgkin's Lymphoma subtypes in people, rituximab is a chimeric monoclonal antibody which has significantly improved disease-free survival rates compared with the use of cytotoxic agents alone. This study evaluated ex vivo canine B cell binding and depletion by rituximab with flow cytometric technique as possible proof of concept for treatment of canine lymphoma. Despite immunohistochemistry supporting CD20 expression, rituximab did not bind or deplete canine B cells and it is unlikely that it will be added to the armamentarium of treatment options for canine lymphoma.     

A retrospective review of treatment and response of high‐risk mast cell tumours in dogs

This retrospective case series evaluates survival outcome of 94 dogs with high metastatic risk mast cell tumours (MCT). Patients were treated with a cytotoxic chemotherapy protocol or the tyrosine kinase inhibitor masitinib, in the presence of gross disease or as an adjunct to surgical resection of the primary tumour. In patients presenting with metastatic disease, surgical resection of the primary tumour with adjunctive therapy with any chemotherapy incurred a significant survival advantage [median survival time (MST): 278 days] compared to patients receiving chemotherapy without surgical excision of the primary tumour (MST: 91 days, P < 0.0001). Patients with a surgically excised Patnaik grade II tumour and high Ki‐67 in the absence of metastatic disease treated with vinblastine and prednisolone showed a significantly longer survival (MST: 1946 days) than those treated with masitinib (MST: 369 days, P = 0.0037). Further prospective case‐controlled clinical trials of high‐risk MCTs are required to make precise evidence‐based treatment decisions for individual patients.     

Normal color variations of the canine ocular fundus,a retrospective study in Swedish dogs

Background

A retrospective study was made to demonstrate normal variations of the color and size of the tapetal area and color of the nontapetal area in the ocular fundus in dogs, correlating them to breed, age and coat color.

Methods

The study was based on protocols of five hundred and thirty-nine adult dogs describing eye examinations made during the years 1997-2001. The dogs were examined using an indirect ophthalmoscope in order to find heritable eye diseases. The following characteristics were recorded: breed; age; coat color; color and size of the tapetal area and color of the nontapetal area. Normal color variations in the fundus were studied and categorized with regard to breed, age and coat color. Chi-square analysis was used comparing distributions between factors. Differences between mean values were analysed with Student''s t-test or one-way-ANOVA. A logistic regression analysis was performed on the color of the tapetal area with the color of the coat and breed.

Results

Twenty breeds were represented. The mean age was 42.8 months. The most common colors of the tapetal area were yellow-green and orange, and the most common colors of the nontapetal area were dark brown and black. The analysis revealed that coat-color and breed concomitantly did not significantly influence tapetal color. Brown coated dogs often had a striped red and brown nontapetal area. The color of the tapetal area influenced the color of the nontapetal area. Smaller-sized breeds (such as Papillon) had a smaller tapetal area. A tapetal area was completely absent in 1.9%. The age did not influence the color of the tapetal area.

Conclusions

Color of the tapetal area was influenced by both coat color and breed, but neither of these was statistically more influential than the other. The color of the tapetal area influenced the color of the nontapetal area. The size of the tapetal area correlated to breed and to body size.