Clinical comparison of human and canine atopic dermatitis using human diagnostic criteria (Japanese Dermatological Association, 2009): proposal of provisional diagnostic criteria for canine atopic dermatitis.

Atopic dermatitis (AD) is a common skin disease encountered in both humans and dogs. Canine AD can be used in the analysis of naturally occurring AD; however, details of clinical comparison have been lacking. The purpose of this study is to compare those clinical features using the human diagnostic criteria (Japanese Dermatological Association, 2009). Fifty-one dogs with canine AD were evaluated by the human criteria. Prior to this study, canine AD was basically diagnosed by the fulfillment of two authentic canine AD criteria and a positive reaction against Dermatophagoides farinae in serum immunoglobulin E levels and/or in intradermal tests. Among the human AD criteria items, behavior corresponding to pruritus was observed in all 51 dogs. Skin lesions corresponding to eczematous dermatitis were seen in 50 dogs, and symmetrical distribution of skin lesions was noted in all 51 dogs. A chronic or chronically relapsing course was observed in 50 dogs. Based on these results, the concordance rate for the criteria was 96% (49/51). Differential diagnoses of AD were also investigated in the same manner. The concordance rate for the criteria was 0% (0/69) in scabies, 2% (1/50) in pyoderma, 0% (0/50) in demodicosis, 0% (0/9) in cutaneous lymphoma, 0% (0/2) in ichthyosis, 25% (2/7) in flea allergy, 48% (24/50) in seborrheic dermatitis and 75% (3/4) in food allergy. Canine AD is thus indicated as a valuable counterpart to human AD in clinical aspects. In addition, the human AD criteria could be applicable, with some modification, as provisional diagnostic criteria for canine AD.

Efficacy of diagnostic ultrasonography of lipomas, epidermal cysts, and ganglions.

OBJECTIVE: To determine the efficacy of ultrasonography for the diagnosis of subcutaneous benign lesions. DESIGN: Retrospective study. SETTING: Tokyo Kousei-Nenkin Hospital, Tokyo, Japan. Patients The study included 183 patients with subcutaneous benign lesions who underwent ultrasonography and then received a pathologic diagnosis after surgery. MAIN OUTCOME MEASURES: The study evaluated the number of cases in which the preoperative diagnosis after ultrasonography or just after palpation agreed with the pathologic diagnosis. RESULTS: Ultrasonography significantly increased the preoperative diagnostic yield of subcutaneous benign lesions (after palpation, 29%; after ultrasonography, 46%; P < .001). The sensitivity for the diagnosis of lipoma (after palpation, 54.8%; after ultrasonography, 88.1%; P < .01) and the specificity for the diagnosis of epidermal cyst (after palpation, 93.5%; after ultrasonography, 99.3%; P < .05) significantly increased after ultrasonography. The sensitivity for the diagnosis of epidermal cyst and ganglion also tended to increase after ultrasonography. Conclusion The study results suggest that ultrasonography is useful for the preoperative examination of subcutaneous benign lesions.

Lymphocytoma cutis due to pierced earrings.

We report two cases of lymphocytoma cutis caused by pierced earrings, with the results of patch tests and X-ray microanalyses on electron microscopy. We detected zinc through scanning electron microscopy from the specimen of Case 1 and gold and titanium through transmission electron microscopy from Case 2. This is the first report to demonstrate the presence of metal fragments in the lesion, which may suggest the remanence of metal for 20 years, bringing about persistent allergic reaction.

Pigmented Plaques Associated with Papillomavirus Infection in Dogs: Is this Epidermodysplasia Verruciformis?

Abstract- Two Pugs and two Miniature Schnauzers with multiple pigmented epidermal nevi were investigated. The four dogs had pigmented cutaneous maculae and plaques. Histopathological evaluation showed papillated or digitated epidermal hyperplasia with hypermelanosis and giant keratohyalin granules in the stratum granulosum. Immunohistochemical staining revealed papillomavirus group-specific antigen in the skin specimens from all four dogs. Electron microscopic study of the specimens from two dogs revealed numerous round viral particles within the nuclei of the keratinocytes in the upper stratum granulosum. It was suspected that papillomavirus was the etiologic agent of the lesions, and that Pugs and Miniature Schnauzers might be predisposed to infection. These findings indicate this canine dermatosis resembles epidermodysplasia verruciformis (EV) of humans, a rare chronic disease caused by human papillomavirus. The potential for transformation of the lesions to squamous cell carcinoma is also suspected and discussed. Résumé- Deux Carlins et deux Schnauzers nains présentant de multiples naevi épidermiques pigmentés sont examinés. Les quatre chiens présentent des macules et des plaques pigmentées. Les lésions histopathologiques montrent une hyperplasie épidermique papillaire ou digitée avec une hypermélanose et la présence de grains de kératohyaline dans le stratum corneum. Les colorations immunohistochimiques révèlent des antigènes spécifiques du groupe des papillomas virus dans les biopsies des quatre chiens. L'étude ultrastructurale à partir des biopsies de deux chiens montrent de nombreuses particules virales rondes dans les noyaux des kératinocytes des couches supérieures du stratum granulosum. II a été suspecté que le papilloma virus était l'agent causal des lésions et que les Carlins et les Schnauzers nains pouvaient être prédisposés à cette infection. Ces éléments font que cette dermatose observée chez le chien ressemble à l'épidermodysplasie verruciforme de l'homme, une dermatose chronique rare causée par un papilloma virus humain. La potentialité de transformation des lésions en épithélioma spinocellulaire est aussi suspectée et discutée. [Nagata, M., Nanko, H., Moriyama, A., Washizu, T., Ishida, T. Pigmented plaques associated with papilloma virus infection in dogs: Is this epidermodysplasia verruciformis? (Plaques hyperpigmentées associées à une infection à papilloma virus chez le chien: est-ce épidermodysplasie verruciforme?). Resumen- Se investigó dos perros de raza Pug y dos de raza Schnauzer Miniatura con múltiples nevos epidérmicos pigmentados. Los cuatro perros presentaban máculas y placas cutáneas pigmentadas. El estudio histológico mostró hiperplasia epitelial con papilas y digitaciones, así como hipermelanosis y gránules de queratohialina gigantes en el estrato granuloso. Las tinciones immunohistoquimicas detectaron antígeno grupo-específico de papilomavirus en las muestras de los cuatro animales. Mediante estudios de microscopía electrónica en muestras de dos de los perros se observaron numerosas particulas virales redondas en el núcleo de los queratinocitos más superficiales del estrato granuloso. Se sospechó que Papilomavirus era el agente etiológico de estas lesiones y que los Pugs y los Schnauzer Miniatura podrian estar predispuestos a la infección. Estos hallazgos indican que esta dermatosis canina es parecida a la Epidermodisplasia Verruciforme (EV) de la especie humana, una enfermedad crónica rara causada por el Papilomavirus Humano. Se sospecha y discute la posible transformación de estas lesiones a carcinoma de células planas. [Nagata, M., Nanko, H., Moriyama, A., Washizu, T., Ishida, T. Pigmented plaques associated with papilloma virus infection in dogs: Is this epidermodysplasia verruciformis? (Placas pigmentadas asociadas con infección por papillomavirus en el perro: se trata de epidermodisplasia verruciforme?).