Equine bullous pemphigoid - Case report

Detalhes bibliográficos
Autor(a) principal: Fontes, Thanielle Novaes
Data de Publicação: 2017
Outros Autores: de Farias, Soraya Santos, Machado, Gessica Aline Cruz, Mascarenhas, Mariana Bezerra, da Silva, Adriana Lopes, Brandão, Estela Batista, Nogueira, Vivian de Assunção, Peixoto, Tiago da Cunha
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Veterinary Medicine
Texto Completo: https://rbmv.org/BJVM/article/view/289
Resumo: ABSTRACT. Fontes T.N., de Farias S.S., Machado G.A.C., Mascarenhas M.B., da Silva A.L., Brandão E.B., Nogueira V.A. & Peixoto T.C. [Equine bullous pemphigoid - Case report.] Penfigóide bolhoso em equino - Relato de caso. Revista Brasileira de Medicina Veterinária, 38(Supl.1):55-59, 2016. Departamento de Anatomia, Patologia e Clínicas Veterinárias, Escola de Medicina Veterinária e Zootecnia, Universidade Federal da Bahia, Av. Adhemar de Barros, 500, Ondina, Salvador, BA 40170-110, Brasil. E-mail: tcpeixoto@ufba.br Bullous pemphigoid is a rare and severe autoimmune dermatosis caused by the production of autoantibodies. It has been reported in humans, dogs, cats and pigs, but, in horses, it has recently been reported in the USA. In Brazil, there were no references of the disease in horses. Due to the rarity of the disease and variety of differential diagnoses, the aim of this study was to register the first occurrence of the disease in equine in Brazil, and to describe the clinic-pathological and histopathological aspects. The horse was treated at the Veterinary Medicine Hospital of UFBA, presenting chronic skin lesions. On physical examination, there were multiple erythematous, ulcerated, crusty and itchy lesions at head, medial thigh and ventral thoracic region. Therapeutic attempts based on topical antiseptics, antibiotics and antifungals were ineffective. Parasitic, fungal and bacterial diseases have been ruled out by additional tests. Due to the worsening of clinical symptoms, the owner opted for euthanasia. At necropsy, there were macular, erosive, ulcerative lesion and intense vesicular-pustular in the muco-cutaneous junctions (lips, nostrils and anus) and coronary band. The oral mucosa was found to be hyperemic, eroded and ulcerated, with rare intact vesicles / blisters, especially the gums located close to the upper teeth and lower incisors, the inner surface of the lips and cheeks and hard palate and oral cavity floor. Throughout the dorsal surface of the tongue, there were large ulcers, usually, coalescing. Histopathology of the skin and oral mucosa revealed several sub-epidermal blistering. The diagnosis of bullous pemphigoid was based on clinical and epidemiological data, the macroscopic findings and confirmed by histopathology.
id SBMV-1_461b4f0485c5aa3df0d14917436fe403
oai_identifier_str oai:ojs.rbmv.org:article/289
network_acronym_str SBMV-1
network_name_str Brazilian Journal of Veterinary Medicine
repository_id_str
spelling Equine bullous pemphigoid - Case reportPenfigóide bolhoso em equino - Relato de casoDermatopatiadoença autoimunefenda subepidérmicaAutoimmune diseasedermatopathysubepidermal cleftABSTRACT. Fontes T.N., de Farias S.S., Machado G.A.C., Mascarenhas M.B., da Silva A.L., Brandão E.B., Nogueira V.A. & Peixoto T.C. [Equine bullous pemphigoid - Case report.] Penfigóide bolhoso em equino - Relato de caso. Revista Brasileira de Medicina Veterinária, 38(Supl.1):55-59, 2016. Departamento de Anatomia, Patologia e Clínicas Veterinárias, Escola de Medicina Veterinária e Zootecnia, Universidade Federal da Bahia, Av. Adhemar de Barros, 500, Ondina, Salvador, BA 40170-110, Brasil. E-mail: tcpeixoto@ufba.br Bullous pemphigoid is a rare and severe autoimmune dermatosis caused by the production of autoantibodies. It has been reported in humans, dogs, cats and pigs, but, in horses, it has recently been reported in the USA. In Brazil, there were no references of the disease in horses. Due to the rarity of the disease and variety of differential diagnoses, the aim of this study was to register the first occurrence of the disease in equine in Brazil, and to describe the clinic-pathological and histopathological aspects. The horse was treated at the Veterinary Medicine Hospital of UFBA, presenting chronic skin lesions. On physical examination, there were multiple erythematous, ulcerated, crusty and itchy lesions at head, medial thigh and ventral thoracic region. Therapeutic attempts based on topical antiseptics, antibiotics and antifungals were ineffective. Parasitic, fungal and bacterial diseases have been ruled out by additional tests. Due to the worsening of clinical symptoms, the owner opted for euthanasia. At necropsy, there were macular, erosive, ulcerative lesion and intense vesicular-pustular in the muco-cutaneous junctions (lips, nostrils and anus) and coronary band. The oral mucosa was found to be hyperemic, eroded and ulcerated, with rare intact vesicles / blisters, especially the gums located close to the upper teeth and lower incisors, the inner surface of the lips and cheeks and hard palate and oral cavity floor. Throughout the dorsal surface of the tongue, there were large ulcers, usually, coalescing. Histopathology of the skin and oral mucosa revealed several sub-epidermal blistering. The diagnosis of bullous pemphigoid was based on clinical and epidemiological data, the macroscopic findings and confirmed by histopathology.O penfigóide bolhoso é uma rara e grave dermatose autoimune causada pela produção de autoanticorpos. Tem sido descrito no homem, cães, gatos e suínos, sendo apenas recentemente relatado em equinos nos Estados Unidos. No Brasil, não foram encontradas referências da doença em equinos. Devido à raridade da enfermidade e variedade de diagnósticos diferenciais, objetivou-se com este trabalho registrar pela primeira vez, a ocorrência da doença em um equino no Brasil, bem como descrever os achados clínicos e anatomohistopatológicos. O equino foi atendido no Hospital de Medicina Veterinária da UFBA, com histórico de lesões cutâneas crônicas. Ao exame físico, verificaram-se múltiplas lesões eritematosas, ulceradas, crostosas e pruriginosas na cabeça, face medial da coxa e região torácica ventral. Tentativas terapêuticas a base de antissépticos tópicos, antibióticos e antifúngicos foram ineficazes. Doenças parasitárias, fúngicas e bacterianas foram descartadas por exames complementares. Devido ao agravamento do quadro clínico o proprietário optou pela eutanásia in extremis. À necropsia, observaram-se lesões maculares, erosivas, ulcerativas e vesículo-pustulares intensas nas junções mucocutâneas (lábios, narinas e ânus) e rodete coronário. A mucosa oral encontrava-se hiperêmica, erodida e ulcerada, com raras vesículas ou bolhas intactas, sobretudo, na gengiva, mucosa dos lábios, bochechas, palato duro e assoalho cavidade bucal. Por toda a superfície dorsal da língua verificaram-se grandes úlceras, em geral, coalescentes. A avaliação histopatológica da pele e mucosa oral revelou diversas fendas subepidérmicas. O diagnóstico de penfigóide bolhoso foi estabelecido com base nos dados clínico-epidemiológicos, nos achados macroscópicos e confirmado pela histopatologia.Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.2017-10-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer reviewedAvaliado pelos paresapplication/pdfapplication/pdfhttps://rbmv.org/BJVM/article/view/289Brazilian Journal of Veterinary Medicine; Vol. 38 No. Supl. 1 (2016); 55-59Revista Brasileira de Medicina Veterinária; v. 38 n. Supl. 1 (2016); 55-592527-21790100-2430reponame:Brazilian Journal of Veterinary Medicineinstname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)instacron:SBMVporhttps://rbmv.org/BJVM/article/view/289/199https://rbmv.org/BJVM/article/view/289/816Fontes, Thanielle Novaesde Farias, Soraya SantosMachado, Gessica Aline CruzMascarenhas, Mariana Bezerrada Silva, Adriana LopesBrandão, Estela BatistaNogueira, Vivian de AssunçãoPeixoto, Tiago da Cunhainfo:eu-repo/semantics/openAccess2020-12-23T17:34:01Zoai:ojs.rbmv.org:article/289Revistahttps://rbmv.org/BJVMONGhttps://rbmv.org/BJVM/oaicontato.rbmv@gmail.com2527-21790100-2430opendoar:2020-12-23T17:34:01Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)false
dc.title.none.fl_str_mv Equine bullous pemphigoid - Case report
Penfigóide bolhoso em equino - Relato de caso
title Equine bullous pemphigoid - Case report
spellingShingle Equine bullous pemphigoid - Case report
Fontes, Thanielle Novaes
Dermatopatia
doença autoimune
fenda subepidérmica
Autoimmune disease
dermatopathy
subepidermal cleft
title_short Equine bullous pemphigoid - Case report
title_full Equine bullous pemphigoid - Case report
title_fullStr Equine bullous pemphigoid - Case report
title_full_unstemmed Equine bullous pemphigoid - Case report
title_sort Equine bullous pemphigoid - Case report
author Fontes, Thanielle Novaes
author_facet Fontes, Thanielle Novaes
de Farias, Soraya Santos
Machado, Gessica Aline Cruz
Mascarenhas, Mariana Bezerra
da Silva, Adriana Lopes
Brandão, Estela Batista
Nogueira, Vivian de Assunção
Peixoto, Tiago da Cunha
author_role author
author2 de Farias, Soraya Santos
Machado, Gessica Aline Cruz
Mascarenhas, Mariana Bezerra
da Silva, Adriana Lopes
Brandão, Estela Batista
Nogueira, Vivian de Assunção
Peixoto, Tiago da Cunha
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fontes, Thanielle Novaes
de Farias, Soraya Santos
Machado, Gessica Aline Cruz
Mascarenhas, Mariana Bezerra
da Silva, Adriana Lopes
Brandão, Estela Batista
Nogueira, Vivian de Assunção
Peixoto, Tiago da Cunha
dc.subject.por.fl_str_mv Dermatopatia
doença autoimune
fenda subepidérmica
Autoimmune disease
dermatopathy
subepidermal cleft
topic Dermatopatia
doença autoimune
fenda subepidérmica
Autoimmune disease
dermatopathy
subepidermal cleft
description ABSTRACT. Fontes T.N., de Farias S.S., Machado G.A.C., Mascarenhas M.B., da Silva A.L., Brandão E.B., Nogueira V.A. & Peixoto T.C. [Equine bullous pemphigoid - Case report.] Penfigóide bolhoso em equino - Relato de caso. Revista Brasileira de Medicina Veterinária, 38(Supl.1):55-59, 2016. Departamento de Anatomia, Patologia e Clínicas Veterinárias, Escola de Medicina Veterinária e Zootecnia, Universidade Federal da Bahia, Av. Adhemar de Barros, 500, Ondina, Salvador, BA 40170-110, Brasil. E-mail: tcpeixoto@ufba.br Bullous pemphigoid is a rare and severe autoimmune dermatosis caused by the production of autoantibodies. It has been reported in humans, dogs, cats and pigs, but, in horses, it has recently been reported in the USA. In Brazil, there were no references of the disease in horses. Due to the rarity of the disease and variety of differential diagnoses, the aim of this study was to register the first occurrence of the disease in equine in Brazil, and to describe the clinic-pathological and histopathological aspects. The horse was treated at the Veterinary Medicine Hospital of UFBA, presenting chronic skin lesions. On physical examination, there were multiple erythematous, ulcerated, crusty and itchy lesions at head, medial thigh and ventral thoracic region. Therapeutic attempts based on topical antiseptics, antibiotics and antifungals were ineffective. Parasitic, fungal and bacterial diseases have been ruled out by additional tests. Due to the worsening of clinical symptoms, the owner opted for euthanasia. At necropsy, there were macular, erosive, ulcerative lesion and intense vesicular-pustular in the muco-cutaneous junctions (lips, nostrils and anus) and coronary band. The oral mucosa was found to be hyperemic, eroded and ulcerated, with rare intact vesicles / blisters, especially the gums located close to the upper teeth and lower incisors, the inner surface of the lips and cheeks and hard palate and oral cavity floor. Throughout the dorsal surface of the tongue, there were large ulcers, usually, coalescing. Histopathology of the skin and oral mucosa revealed several sub-epidermal blistering. The diagnosis of bullous pemphigoid was based on clinical and epidemiological data, the macroscopic findings and confirmed by histopathology.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
peer reviewed
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbmv.org/BJVM/article/view/289
url https://rbmv.org/BJVM/article/view/289
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbmv.org/BJVM/article/view/289/199
https://rbmv.org/BJVM/article/view/289/816
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.
publisher.none.fl_str_mv Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.
dc.source.none.fl_str_mv Brazilian Journal of Veterinary Medicine; Vol. 38 No. Supl. 1 (2016); 55-59
Revista Brasileira de Medicina Veterinária; v. 38 n. Supl. 1 (2016); 55-59
2527-2179
0100-2430
reponame:Brazilian Journal of Veterinary Medicine
instname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
instacron:SBMV
instname_str Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
instacron_str SBMV
institution SBMV
reponame_str Brazilian Journal of Veterinary Medicine
collection Brazilian Journal of Veterinary Medicine
repository.name.fl_str_mv Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)
repository.mail.fl_str_mv contato.rbmv@gmail.com
_version_ 1798313107115737088