![]() A wedge biopsy or 8 mm punch biopsies are NOT RECOMMENDED as the skin becomes very friable in this condition and will be difficult to suture. ![]() It is often recommended to collect multiple punch biopsy specimens (4 or 6 mm in diameter) should be taken from intact pustules, vesicles, or nodules. Histopathological examination of the skin biopsies is required for definitive diagnosis. It is recommended to complete a cytological examination, skin scrapings and swab collection to rule out demodicosis and primary bacterial infection. At 24 to 48 hours after, the condition needs to be differentiated from severe generalized demodicosis, pyoderma secondary to immunodeficiency, and drug eruption. However, initial presentation may resemble angioedema due to marked swelling of the face. This condition could be diagnosed based on clinical presentation and age of the dog. It is also reported to have hereditary basis affecting mostly Dachshunds. Suppression of in vitro lymphocyte blastogenesis secondary to a serum factor has been documented in a few reports. The pathogenesis remains unknown but the dramatic response to immunosuppressive dosages of glucocorticoids supports the likelihood of an underlying immune dysfunction. ![]() Secondary bacterial infections are common. Often the skin lesions will form fistulas and drain, and the pustules will rupture and form ulcers and crusts. Other accompanied lesions may include enlarged submandibular lymph nodes and non-septic suppurative arthritis (which were not present in this case). No visible enlargement of lymph nodes or joints was noticed during the course of the disease.Ĭanine juvenile cellulitis, also known as “puppy strangles,” is an uncommon skin disease in puppies (also diagnosed rarely in adult dogs) that manifests as bilaterally symmetrical pyogranulomatous dermatitis of the face, favoring the periocular skin, pinnae, lips, muzzle, and occasionally the limbs, abdomen, thorax, vulva, prepuce, and anus. After two weeks Sadie showed complete recovery (AFTER). A maintenance dose of prednisolone and clavamox were prescribed. By the seventh day, the lesions on the face were completely resolved. The scabs began to dry up and Sadie became more comfortable. After 2 days on the increased level of prednisone, the lesion began to heal. In addition, Science Diet D/D Duck® and potato formula along with benadryl at night were initiated. Prednisolone was increased to 1mg/kg, q12h clavamox was initiated at 7.5mg/kg q12h. Histopathological examination of the skin biopsies showed marked pyogranulomatous dermatitis, furunculosis with ulceration and mild pyoderma.īased on the clinical presentation, distribution of the lesions, age and initial response to prednisone therapy, canine juvenile cellulitis was diagnosed. Multiple skin punch biopsies were collected and submitted to KSVDL for additional diagnostics. After two days, the lesion was severe with blisters that ruptured to form ulcers on the face and feet. Prednisolone was decreased to 0.5mg/kg and butorphanol was prescribed. After 2 days, the owner reported that Sadie was not sleeping well. After 5 days, the skin lesions seemed to have improved. She was immediately started on prednisolone at 1mg/kg q12h and clindamycin 7.5mg/kg body weight q12h and sent home with an E-collar. Juvenile cellulitis was suspected based on the age and lesion distribution. Journey of Four-Month-Old Chinese Crested Puppy “Sadie”: A Case of Severe Juvenile CellulitisĪ four-month-old Chinese Crested puppy named Sadie was presented with a history of swollen eyes with reddening blisters and ulcers (Figure: BEFORE). ![]() January 2020 Juvenile Cellulitis in a Four-Month-Old Chinese Crested Puppy
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