Canine atopic dermatitis: a retrospective study of 169 cases examined at the University of California, Davis, 1992-1998. Part II. Response to hyposensitization

One hundred and sixty-nine dogs were diagnosed with atopic dermatitis, and treated with hyposensitization for at least 1 year based on the results of either intradermal skin tests (IDST) or enzyme-linked immunosorbant serum assays (ELISA). Excellent (i.e. hyposensitization alone controlled clinical signs), good (> 50% improvement), moderate (< 50% improvement) and no (clinical signs were unchanged) responses were seen in 19.5, 32.5, 20.1 and 27.8%, respectively. Age of onset, age when treatment was initiated or the duration of clinical signs had no influence on response to hyposensitization. Dogs having concurrent flea allergy dermatitis were statistically more likely to respond better than dogs with concurrent food allergies. Although not statistically significant, there were trends for Golden Retriever and male dogs to respond better than other breeds and female dogs, respectively. Dogs having more than 21 positive reactions in allergy tests and treated with more than 21 allergens had lower response scores, and a longer time course before achieving beneficial response. Lower response scores were seen in dogs having positive reactions to cultivated plants, grasses, trees or insects. There was no difference in response to hyposensitization whether based on IDST or ELISA results.     

Identification of major allergens of Malassezia pachydermatis in dogs with atopic dermatitis and Malassezia overgrowth

Abstract We have previously shown that both atopic and normal dogs generate an IgG response to antigens of Malassezia pachydermatis . The aim of this study was to compare IgE responses to separated proteins of M. pachydermatis in 28 atopic dogs with Malassezia dermatitis and 22 clinically normal dogs using Western immunoblotting. Six different detection systems were evaluated in order to assess sensitivity and eliminate nonspecific binding and cross-reactivity. The protocol yielding the best results utilized a monoclonal mouse antidog IgE, an alkaline phosphatase conjugated goat antimouse IgG which had been passed through a canine IgG column 3 times, a chemiluminescent substrate and a digital imaging system. Proteins of 45, 52, 56 and 63 kDa were recognized by more than 50% of the atopic dog sera and thus represented major allergens. Only a minority of normal dogs showed faint IgE binding to these proteins. The results indicate that the majority of atopic dogs with Malassezia dermatitis have a greater IgE response than normal dogs, suggesting an IgE-mediated immune response may be clinically important in the pathogenesis of the disease.     

Using a tobit regression model to analyse risk factors for foot-pad dermatitis in commercially grown broilers

A model was developed to explain the influence of different local and regional factors on the prevalence of foot-pad dermatitis in broilers at the time of slaughter. Data from a recent two-year study of broiler foot-health in Sweden were used to construct the model. The model was based on regression analysis, using a Tobit model for censored data. This type of Tobit regression model has been used for several decades in econometrics and can also be found in the medical-scientific literature. It has, however, reportedly not been used in veterinary medicine although there appears to be several situations where it should be considered useful. Week of slaughter was significantly (p<0.001) associated with total foot-pad score, which decreased over time. The birds' age at slaughter was also significantly (p<0.01) associated with total foot-pad score. Five out of the 11 slaughterhouses included in the study were included as significant (p<0.01) variables in the final model. Three feed suppliers (p<0.05) and four regions (p<0.01) were also included as significant variables in the model. There were also significant (p<0.001) interactions between several of these factors (mainly, between the time variable and specific slaughterhouses, feed suppliers or regions, respectively).

The information gathered in this study regarding the influence of a number of risk factors for the development of foot-pad dermatitis and their reciprocal interactions will enable us to modify the Swedish broiler foot-health programme.     

Induced and spontaneous IgE antibodies to Dermatophagoides farinae in dogs and cats: evidence of functional heterogeneity of IgE

Enzyme-linked immunosorbent assays (ELISAs) were developed to measure IgE antibodies specific for Dermatophagoides farinae in dogs and cats. Although higher levels were detected in atopic dogs and cats than in normal animals without skin disease, the differences were not statistically significant. On the other hand, levels in dogs and cats that were reared under laboratory conditions, and thus presumably not exposed to house dust mites, were either very low or undetectable. IgE antibodies were induced in 10 laboratory-reared cats using low-dose antigenic stimulation in aluminium hydroxide. All cats developed detectable IgE, but not all developed positive skin tests. However, serum from those cats with positive skin tests were able to give positive Prausnitz–Küstner (PK) tests. The canine data, together with previous work on basophil histamine release, suggests that the distinction between atopic and normal dogs may result from a heterogeneity of either IgE or of the high-affinity mast cell receptor. The feline data can only be explained by the existence of a heterogeneity of IgE.     

Cutaneous reactivity to mosquito bites and its antigens in cats

Abstract This study describes 26 cats with mosquito bite hypersensitivity. Most were short-haired, free-roaming cats. Typical clinical features were seasonal (summer), symmetric miliary dermatitis on the pinnae. Mosquito bite exposure with Aedes albopictus was performed on the pinnae and the lateral thorax in five cases and three healthy cats. All sites showed weals within 20 min. Papules, which revealed eosinophilic dermatitis, were recognized during a 12–48-h period. The control cats showed only slight and transient erythema after being bitten. Intradermal skin tests with an extract of A. albopictus were performed in three cases, and Prausnitz-Küstner tests under A. albopictus bites were performed in three cases. Both tests showed weals in all cases studied, although papules were not observed. Intradermal skin tests with the control cats, and Prausnitz-Küstner tests with saline and healthy cat serum failed to produce any positive reactions. The findings indicate that mosquito bite hypersensitivity in cats is triggered by a type I hypersensitivity reaction to mosquito antigens. Certain other factors may be involved in the formation of delayed papular reactions. Whether this is a normal or abnormal reaction to mosquito bites is also discussed. Résumé— Cette étude a été réalisée sur 26 chats atteints d'hypersensibilité aux piqûres de moustiques. La plupart des chats sont des chats à poils courts vivant à l'extérieur. Les lésions cliniques sont caractérisées par une dermatite miliaire symétrique sur les pavilions auriculaires survenant l'été. Une exposition aux piqûres de moustique (Aedes albopictus) a été réalisée sur les pavilions auriculaires et sur la face latérale du thorax de 5 chats atteints et de 3 chats sains. Tous les sites d'exposition montrent des reactions à 20 minutes. Ces papules qui traduisent une dermite éosinophilique, persistent pendant 12 à 48 heures. Les chats sains ne montrent qu'un érythème transitoire après la piqûre, des tests d'intradermoréaction avec un extrait d'A. albopictus ont été réalisés dans 3 cas, des tests de Prausnitz-Küstner spécifiques dans 3 cas. Les deux tests montrent des reactions dans tous les cas étudiés bien que des papules ne soient pas observées. Ces tests réalisés sur les chats témoins, ne montrent aucune reaction, positive ou significative. Ces résultats suggèrent que l'hypersensibilité aux piqûres de moustiques chez le chat est regie par une hypersensibilité de type I à divers antigènes de moustique. D'autres facteurs doivent intervenir dans la formation des reactions papuleuses retardées. [Mashiko N, Takuo I. Cutaneous reactivity to mosquito bites and its antigens in cats. (Réactivité cutanée aux piqûres de moustiques et à leurs antigènes chez le chat.) Veterinary Dermatology 1997; 8 : 19–26.] Résumén Este estudio describe 26 gatos con hipersensibilidad a la picadura de mosquito. La mayoria eran gatos en régimen abierto de pelo corto. Las caracteristicas clinicas tipicas fueron dermatitis miliar simétrica estacional (verano) en pabellones auriculares. Se llevó a cabo una exposición a la picadura del mosquito Aedes albopictus en los pabellones y en el tórax lateral en 5 casos y 3 gatos sanos. Todas las zonas mostraron ronchas a los 20 minutos. Aparecieron pápulas con dermatitis eosinofilica a las 12 a 48 horas. Los gatos control mostraron solamente eritema leve y transitorio tras la picadura. Se realizaron pruebas cutáneas intradérmicas con extracto de A. albopictus en 3 casos y pruebas de Prausnitz-Küstner bajo picaduras de A. albopictus en 3 casos. Ambas pruebas mostraron ronchas en todos los casos estudíados, aunque no se observaron pápulas. Las pruebas intracutáneas con los gatos control y las pruebas de Prausnitz-Küstner con suero salino y suero de gatos sanos no causaron reacción positiva. Estos hallazgos indican que la hipersensibilidad a la picadura de mosquito se inicia por una hipersensibilidad de tipo I a antigenos del mosquito. Otros factores pueden estar implicados en la formación de reacciones papulares retardadas. Se discute si esta es una reacción normal o anormal a la picadura de mosquito. [Mashiko N, Takuo I. Cutaneous reactivity to mosquito bites and its antigens in cats. (Reactividad cutanea a las picaduras de mosquito y sus antigenos en el gato.) Veterinary Dermatology 1997; 8 : 19–26.] Zusammenfassung— Diese Studie beschreibt 26 Katzen mit Mückenstichhypersensibilität. Die meisten der Tiere waren kurzhaarig und hatten Freilauf. Die typischen klinischen Bilder bestanden in säsonaler (Sommer), symmetrischer miliarer Dermatitis an den Ohrmuschein. Es wurde eine Exposition auf Mückenstiche mit Aedes albopictus an den Ohrmischein und am lateralen Thorax bei 5 Patienten und 3 gesunden Katzen durchgeführt. Alle Stellen zeigten Quaddeln innerhalb von 20 Minuten. Papeln, die eine eosinophile Dermatitis enthüllten, wurden nach einer Zeitspanne von 12 bis 48 Stunden gesehen. Die Kontrollkatzen zeigten ein nur leichtes und transientes Erythem nach dem Biß. Intradermale Hauttests mit einem Extrakt von A. albopictus wurden in 3 Fallen durchgeführt und Prausnitz-Küstner-Tests unter A. albopictus-Bissen wurden in 3 Fallen durchgeführt. Beide Tests zeigten Quaddeln in alien untersuchten Fallen, obwohl Papeln nicht beobachtet wurden. In den intradermalen Hauttests bei den Kontrollkatzen und Prausnitz-Küstner-Tests mit Kochsalz-Lösung und Serum gesunder Katzen gelang es nicht, irgendweiche positiven Reaktionen zu erzeugen. Diese Befunde zeigen, daß Mückenstichhypersensibilität bei Katzen durch eine Typ 1-Hypersensibilitätsreaktion auf Mückenantigene ausgelöst wird. Bestimmte andere Faktoren können in die Bildung von verzögerten papulären Reaktionen miteinbezogen sein. Ob dies eine normale oder unnormale Reaktion auf Mückenstiche ist, wird ebenfalls diskutiert. [Mashiko N, Takuo I. Cutaneous reactivity to mosquito bites and its antigens in cats. (Hautreaktivität auf Mückenstiche und Antigene bei der Katze.) Veterinary Dermatology 1997; 8 : 19–26.]     

Malassezia dermatitis in the dog: a retrospective histopathological and immunopathological study of 86 cases (1990–95)

A retrospective histopathological and immunopathological study was conducted on 86 dogs with Malassezia dermatitis. West Highland White terriers, English Setters, Shih Tzus, Basset Hounds, American Cocker Spaniels, spayed females, and castrated males were found to be at increased risk. The histopathological reaction pattern of lymphocytic superficial perivascular to interstitial dermatitis with parakeratotic hyperkeratosis, irregular epidermal hyperplasia, diffuse intercellular oedema and lymphocytic exocytosis was found to be consistent with a diagnosis of Malassezia dermatitis whether yeast were histologically visible (73.3% of the cases) or not (26.7%). Immunopathological studies revealed that 60– > 90% of the inflammatory cells within the epidermis, and 25–75% of those within the dermis were CD3+T lymphocytes, and that the only immunoglobulin-positive cells were dermal plasma cells.     

Voluntary acceptance and consumption of two oral ciclosporin formulations in dogs: two randomised,controlled studies

Background

Atopic dermatitis (AD) is the most common canine allergic skin disease and can significantly affect the quality of life of affected dogs. Treating canine AD with ciclosporin has been a subject of great interest in recent years. Many studies have provided substantial evidence of ciclosporin efficacy and safety in canine AD management, and for several years ciclosporin has been recognised as a major component of canine AD multimodal therapy. As a chronic condition, canine AD requires life-long medical management and treatment success relies in large part on product ease of administration. Two studies were conducted to assess the comparative voluntary acceptance and consumption of Cyclavance® (Virbac), a new oral liquid formulation of ciclosporin, and Atopica® (Novartis) either added to a small quantity of kibbles (study 1) or administered directly into the dog’s mouth (study 2).

Results

Over the course of the two studies 70 dogs assessed each of the ciclosporin formulations and 320 individual tests were performed for each tested product. Immediate prehension (in less than 2 seconds) occurred significantly more often with Cyclavance® (90.6% of the tests) than with Atopica® (14.4% of the tests) when products were mixed with 30 grams of dry food (p < 0.001). Moreover, Cyclavance® was significantly more often easily accepted than Atopica® (99.3% vs 27.1% of the tests, respectively) when products were administered directly into the dogs’ mouth (p < 0.0001). Cyclavance® was also more often totally consumed (98.3% of the tests) than Atopica® (2.2% of the tests) when mixed with a small amount of food (p < 0.001). However, both products were totally consumed once administered directly into the dogs’ mouth.

Conclusions

By facilitating cicloporin administration and consumption, Cyclavance® liquid formulation offers an interesting alternative to capsules that may improve dosing compliance and therefore the ability to benefit from the therapeutic effects in the long-term treatment of canine AD.     

Successful treatment of Sarcoptes scabiei in a 33‐year‐old pony with underlying pituitary pars intermedia dysfunction

A pony presented with a severe, chronic dermatitis around the ears, neck and trunk of the body, hind quarters and ventral abdomen. The pony was intensely pruritic as was an in‐contact pony and both owners. A superficial skin scraping demonstrated multiple living mites, identified as Sarcoptes scabiei. Equine pituitary pars intermedia dysfunction (PPID) was diagnosed as an underlying, potentially immunosuppressive disorder. The pony was treated for Sacroptes scabiei as well as PPID and is doing well 2 months after initial presentation.     

A diagnostic approach to the pruritic horse

Pruritus is a common complaint in equine medicine. While pruritus in most horses is due to ectoparasites (midges, flies, mites) or environmental allergens (pollens, barn dust, moulds, etc.), other causes such as staphylococcal or fungal infections, vasculitis, and internal organ dysfunction should not be overlooked. In a rational approach to the pruritic horse, history and physical examination become very important as a guide to choosing diagnostic tests.