Curative effect of autologous platelet-rich plasma on a large cutaneous lesion in a dog.

A dorsal tail mass (1 x 1.2 cm) was observed on a 10-year-old castrated male, Shih-tzu dog. A biopsy of the mass was performed and diagnosed histopathologically as a follicular cyst. A necrotic lesion (2.5 x 3 cm) developed at the biopsy site 1 week after sampling and failed to respond to 2 weeks of normal saline cleansing and systemic antibiotic administration. Autologous platelet-rich plasma was applied to the lesion which gradually improved over a 4-week period possibly by a contribution to the secretion of growth hormone, which can accelerate tissue regeneration. This case report suggests that autologous PRP may be beneficial in the management of large skin defects or in delayed wound healing.

Dentinogenesis imperfecta: long-term rehabilitation in a child.

The treatment of dentinogenesis imperfecta represents a challenge for the dental practitioner. The aim of this case report was to describe the chronology and problems encountered in the long-term rehabilitation of a young girl suffering from dentinogenesis imperfecta with severe attrition. A 2-stage treatment over a period of 9 years is described and discussed. This treatment comprised an initial treatment to restore esthetic appearance and function during primary and mixed dentitions and a complete prosthetic rehabilitation in a second stage to protect permanent teeth with low-fusion ceramicmetal individual crowns. Discovery of a follicular cyst is also reported and its treatment is described.

[Clinical aspect, diagnostics and treatment of follicular ovarian cysts].

48 young women aged 16 to 40 were observed for the menstrual cycle disorders and pain of various intensity in the lower abdominal region have been diagnosed for having at ovarian follicular cyst. The peculiarities of hormonal secretion in 30 patients have been studied. Existence of transitory hyperprolactinemia, excessive production of the lutheinizing hormone and deficit of progesterone production was determined. These factors hamper the folliculorexis and the follicular cyst does develop. Thus, in the occurrence of follicular cysts the major role belongs to the hypothalamic-pituitary disregulation. Therefore, the suppressive hormonal therapy is justified as highly effective. Dynamic ultrasound makes it possible to identify the conservative treatment terms and where necessary, timely transfer of the patient to the laparoscopic treatment.

[Transvaginal aspiration as first treatment of ovarian follicular cysts in dairy cattle under field circumstances]. / Transvaginale aspiratie als primaire behandeling van ovariële follikelcysten bij melkkoeien onder praktijkomstandigheden.

On dairy farms covered by the ambulatory service of the Department of Farm Animal Health, 55 Holstein-Friesian cows with suspected ovarian follicular cysts on the basis of rectal palpation underwent confirmatory transrectal ultrasonography. An ovarian follicular cyst was confirmed in 28 cows (50.9%) and was treated by single transvaginal-guided needle aspiration. Cows with a corpus luteum or a luteinized cyst were not treated. After aspiration, 82.1% (n=23) of the cows showed oestrus behaviour at 13.3 +/- 6.0 days. Artificial insemination was performed during the first heat after cyst aspiration and resulted in a pregnancy rate of 64.2%. In conclusion, single transvaginal-guided needle aspiration of ovarian follicular cysts is an easy and good method for the treatment of follicular cysts. Moreover, it is a safe and good alternative method for the manual, active rupturing of cysts during rectal palpation.

The therapeutic effects of a progesterone-releasing intravaginal device (PRID) with attached estradiol capsule on ovarian quiescence and cystic ovarian disease in postpartum dairy cows.

The objective of this study was to evaluate the effects of a progesterone-releasing intravaginal device (PRID) containing an estradiol benzoate capsule on ovarian dysfunction, including ovarian quiescence, follicular cyst (FC) and luteal cyst or cystic corpus luteum (LC/CCL), in postpartum dairy cows. These ovarian dysfunctions were examined by palpation per rectum relative to plasma progesterone status. The results of clinical examination and hormone assay determined ovarian quiescence in 13 cows, FC in 15 cows and LC/CCL in 7 cows. These cows were treated with PRID for 12 d and then clinical examination was performed. After PRID removal, the proportion of cows exhibiting estrous signs within 7 d and confirmed formation of CL within 7-14 d (markedly effective) were 69.2 % (n=9) for ovarian quiescence, 46.7 % (n=7) for FC, and 28.6 % (2 cows) for LC/CCL. Two cows (15.4 %) in ovarian quiescence, 5 cows (33.3%) with FC and 4 cows (57.1 %) with LC/CCL did not exhibit estrous signs but were recognized as having formed CL within 12-16 d after removal of PRID (effective). These results suggest that treatments of PRID with estradiol benzoate for 12 d have therapeutic efficacy on ovarian dysfunction including ovarian quiescence, FC and LC/CCL in postpartum dairy cows.

Retrospective analysis of the efficacy of controlled internal drug release in follicular cysts in an embryo donor beef herd.

We investigated the efficacy of a controlled internal drug release (CIDR) device in the reproductive management of an embryo donor beef herd. Superovulation of embryo donors was routinely induced by a combination of FSH and prostaglandin F(2)alpha analogue (PGF(2)alpha) at intervals of a few months, and after embryo recovery estrus of the donors was synchronized with PGF2(2)alpha. Between 1996 and 1998, approximately 20% of donors were diagnosed as having follicular cysts every year. Twenty-eight cases of follicular cysts recorded between 1997 and 1998 were treated with a CIDR device for 14 days to evaluate the efficacy of CIDR in resolving follicular cysts in donor herds. Initial recovery was defined as the occurrence of ovulation with estrous behavior and subsequent formation of a corpus luteum after removal of the CIDR. Initial recovery was recognized in all cases (n=28). Follicular cysts did not recur after repeated embryo recovery in 64% of the initially recovered donors, but in 36% of affected donors cysts recurred after the next embryo recovery. Subsequently, with a CIDR device instead of PGF(2)alpha, we synchronized estrus after embryo recovery in the same herd from 1999 to 2000, to investigate the ability of CIDR to prevent the initiation of follicular cysts. Of the donors used between 1999 and 2000, approximately 30% had a history of follicular cysts. Use of CIDR for estrous synchronization after embryo recovery lowered the incidence of follicular cysts to 3% in 1999 and 0% in 2000. Treatment with CIDR proved effective at resolving follicular cysts in the embryo donor beef herd and enabled re-use of donors affected with follicular cysts. CIDR is also likely to be efficacious in lowering the occurrence of follicular cysts in donor herds when it is used for estrous synchronization after embryo recovery.

Orthognatic therapy for the resolution of a presumed mandibular follicular cyst. Clinical case.

The case of a presumed mandibular follicular cyst associated with the retention of 4.5 in a 12 year-old patient is described. Objective examination revealed the absence of 4.5 in the dental arch. Orthopantomography revealed a monofocal area of radiotransparency with a sharp outline by 4.5 tooth. The lesion was treated only by fixed multiband orthodontic therapy to reopen the space in the dental arch. This treatment permitted the total remission of the cystic lesion without any surgical action, as confirmed by the following radiographical exams.

Respuesta endocrina asociada a la eficiencia de tres tratamientos hormonales en vacas con quistes foliculares / Endocrine response associated to efficiency of three hormone treatments in cows with follicular cysts

Para valorar la eficiencia del tratamiento hormonal en relación al estado endocrino de vacas con quistes foliculares, se formaron tres grupos de 20 vacas cada uno. Todos los animales seleccionados mostraron celos infértiles y se les diagnosticaron quistes foliculares por palpación rectal, después de un tratamiento superovulatorio con FSH. Los grupos fueron tratados con una sola dosis de 100 µg de acetato de fertirelín (grupo GnRH); 5000 UI de gonadotropina coriónica humana (grupo HCG)o 25 mg de hormona luteinizante (grupo LH). Se tomó una muestra sanguínea de cada animal antes de aplicar la hormona respectiva, y posteriormente cada cinco días hasta el día 20 postratamiento, cuando nuevamente se realizó una palpación para evaluar la luteinización de los folículos. Las concentraciones plasmáticas de progesterona (P4) y estradiol (E2) determinadas a través de radioinmunoanálisis con antisueros altamente específicos funcionaron como indicador endocrino de la respuesta ovárica. El ensayo de P4 se calibró para detectar de 0.1 a 12 ng/ml de plasma y su variación intra e interensayo fue de 7.47 por ciento y 12.1 por ciento, respectivamente. El ensayo de E2, detecta de 10 a 640 pg/ml de plasm y su variación intra e interensayo fue de 1.38 por ciento y 11.0 por ciento, respectivamente. El porcentaje de hembras que regularizaron su ciclo estral fue de 68.4 por ciento, 83.3 por ciento y 66.6 por ciento para GnRH, HCG y LH, respectivamante. El primer celo regular presentado por los animales para el mismo orden de tratamientos se observó a los 19.23 ñ 7.19, 18.2 ñ 8.86 y 21.0 ñ 4.02 días después de la aplicación de la hormona correspondiente. Los días postratamiento en que se alcanzó el valor máximo de P4 fueron 12.3 ñ 3.3. días para GnRH, 8.93 ñ 4.01 días para HCG y 12.72 ñ 2.61 días para LH; los niveles de P4 en esos días fueron 3.12 ñ 0.69 ng/ml, 3.22 ñ 2.08 ng/ml y 4.21 ñ 1.65 ng/ml, respectivamente, La concentración media en el plasma de E2 postratamiento, en los animales que mantuvieron ninfomanía, fue significativamente mayor (186.96 ñ 189.97 vs 80.06 ñ 115.9, P<0.05) que en los animales que regularizaron su ciclo. Con base en los patrones hormonales postratamiento, se proponen mecanismos de respuesta, asociados con la eficiencia clínica del tratamiento

Pseudopuberdade precoce por cisto folicular autonomo: relato de caso / Precocius pseudopuberty caused by autonomous follicular ovarian cyst: a case report

A puberdade precoce (PP) na menina e definida com o surgimento de caracteristicas sexuais secundarias antes dos 8 anos de idade. As causas podem ser dependentes de gonadotrofinas (PP verdadeira), independentes de gonadotrofinas (Pseudo PP) e as variantes da normalidade. O cisto folicular autonomo pode determinar sinais de PP pela producao local de estradiol. O caso relatado revela uma menina de 4 anos que apresentou sangramento vaginal, broto mamario e leucorreia fisiologica associados a presenca de um cisto folicular autonomo. O diagnostico fundamentou-se no exame fisico, grau do conteudo vaginal, determinacao radiologica da idade ossea, dosagens hormonais, ultra-sonografias pelvica e mamaria. O tratamento destes cistos pode ser conservador ou cirurgico. Neste caso, optou-se pelo uso de acetato de medroxiprogesterona que mostrou-se satisfatorio. Alem disso, foi feita uma revisao dos achados ultra-sonograficos relevantes para o diagnostico da PP

Incidence of ovarian dysfunction in post partum dairy cows and the effectiveness of its clinical diagnosis and treatment.

Ovarian function was assessed from milk progesterone profiles in 236 cows that were presented for clinical examination after parturition and in 227 unexamined herdmates. By 30 days after calving, 81 per cent of the cows had ovulated and by 42 days 92 per cent had resumed cycling. On average milk samples were taken for 155 days, and during this period 67 luteal cysts or cystic corpora lutea and 24 follicular cysts were recorded, and 88 cows were anoestrus for more than 30 days. Luteal cysts, follicular cysts and prolonged anoestrus all occurred twice as frequently in the cows which were clinically examined as in those which were not examined. Progesterone profiles indicated that at the time of clinical examination 72.4 per cent of the cows examined were cycling normally, 11.3 per cent were anoestrus, 6.7 per cent had follicular cysts, 8.0 per cent had luteal cysts and 1.6 per cent were pregnant. Rectal palpation correctly identified ovarian function in only 63.5 per cent of examinations, with 29.8 per cent of cows that were cycling normally, 58.1 per cent that were anoestrus, 70.3 per cent with follicular cysts and 25 per cent with luteal cysts being incorrectly diagnosed. Progesterone profiles confirmed normal oestrous cyclicity in 81.9 per cent of these cows diagnosed as cycling normally by the clinician. The clinical treatments administered included prostaglandin, gonadotrophin-releasing hormone (GnRH), progesterone (PRID) and the physical expression of ovarian structures. Cows diagnosed as cycling normally were left untreated. At the time of treatment, 28.8 per cent of prostaglandin-treated cows had low progesterone concentrations indicating that no luteal tissue was present.(ABSTRACT TRUNCATED AT 250 WORDS)