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Putative Diethylcarbamazine-induced Urticaria with Eosinophilic Dermatitis in a Dog. | LitMetric

Putative Diethylcarbamazine-induced Urticaria with Eosinophilic Dermatitis in a Dog.

Vet Dermatol

‡California Dermatopathology Service, Consolidated Veterinary Diagnostics, West Sacramento, CA 95605, U.S.A.

Published: December 1994

AI Article Synopsis

Article Abstract

Résumé- Une urtricaire due à la diethylcarbamazine associée à une dermite prurigineuse a été suspectée chez un chien mâle castré croisé Retriever. L'animal présentait des lésions d'urticaire multiples qui avaient tendance à fusionner au niveau des paupières, des lèvres, les conques auriculaires et du prépuce. Les biopsies cutanées ont révélé un infiltrat périvasculaire et périannexiel intense riche en polynucléaires éosinophiles. Parfois les polynuclaires éosinophiles étaient "dégranulés" ou présentaient des formes "en flamme". La suppression de l'administration de diethylcarbamazine a été suivie d'une disparission rapide de toutes les lésions cutanées. L'hypothèse d'une réaction immune à la diethylcarbamazine est proposée. [Vitale, C. B., Ihrke, P. J., Gross, T. L. Putative diethylcarbamazine-induced uticaria with eosinophilic dermatitis in a dog. (Probable urticaire et dermite éosinophilique induites par la diethylcarbamazine chez un chien). Resumen- Se describe el caso de un perro macho castrado, cruzado de retriever que presentaba una dermatitis pruritica con urticaria supuestamente inducida por dietilcarbamacina. El perro mostraba multiples habones, principalmente alrededor de los ojos, la boca, los pabellones auriculares y el prepucio. El estudio histológico mostró un infiltrado perivascular y perianexal, con predominancia de eosinófilos. Ocasionalmente los eosinófilos degranulaban formando "figuras en llama". La retirada de la terapia con dietilcarbamacina fue seguida por una mejoria rápida y espectacular de todas las lesiones cutáneas. Se postula una reacción adversa a la dietilcarbamacina mediada por factores inmunológicos. [Vitale, C. B., Ihrke, P. J. and Gross, T. L. Putative diethylcarbamazine-induced urticaria with eosinophilic dermatitis in a dog (Urticaria con dermatitis eosinofilica supuestamente inducida por dietilcarbamacina en un perro). Zusammenfassung- Es wird über eine vermutlich Diethylcarbamazin-verursachte Urtikaria mit Juckreiz bei einem männlich-kastrierten Retrievermischling berichtet. Der Hund wies generalisiert multifokale Striemen auf, die dazu tendierten um Augen, Mund, Ohrmuscheln und Präputium zusammenzulaufen. Die Hautbiopsie zeigte ein starkes perivaskuläres und periadenxales Infiltrat mit vorwiegend eosinophilen Granulozyten. Gelegentlich degranulierten die Eosinophilen zu "Flammenform". Das Absetzen von Diethylcarbamazin führte zu einer dramatischen und raschen Abheilung aller Hautveranderungen. Es wird eine immunologischvermittelte Arzneimittelreaktion auf Diethylcarbamazin vermutet. [Putative diethylcarbamazine-induced utricaria with eosinophilic dermatitis in dogs (Vermutlich Diethylcarbamazin-verursachte Urtikaria mit eosinophiler Dermatitis beim Hund). Abstract- A suspected diethylcarbamazine-induced urticarial dermatitis with associated pruritus is reported in a castrated male mixed breed retriever. The dog had generalized multifocal wheals that tended to cluster around the eyes, mouth, pinnae, and prepuce. Skin biopsy revealed an intense perivascular and periadnexal infiltrate with eosinophils predominating. On occasion, eosinophils degranulated to form "flame figures". Withdrawal of diethylcarbamazine resulted in dramatic and rapid resolution of all skin lesions. An immunologically mediated adverse drug reaction to diethylcarbamazine is proposed.

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http://dx.doi.org/10.1111/j.1365-3164.1994.tb00031.xDOI Listing

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