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Imiquimod treatment for Equus caballus papillomavirus infection in equine aural plaques
Luiza S Zakia1, Giovane Olivo1, Roberta M Basso1
1Department of Veterinary Clinical Science, School of Veterinary Medicine and Animal Science and, UNESP - Univ. Estadual Paulista, Campus de Botucatu, Botucatu, SP, 18618970, Brazil.
Background:
Aural plaques are a dermatopathy associated with Equus caballus papillomavirus (EcPV). This disease affects horses of all ages, genders and breeds, and causes sensitivity of the ears.
Hypothesis/Objectives:
The aim of this study was to evaluate the clinical efficacy of 5% imiquimod cream for the treatment of aural plaques and to compare the PCR detection of EcPV 3, 4, 5 and 6 before and after treatment.
Animals:
Eight horses diagnosed with aural plaques (14 ears) were used. Three mares with unilateral aural plaques were used as untreated controls.
Methods:
Imiquimod cream was applied every 48 h until complete resolution of the aural plaques was observed. Animals were evaluated clinically for 180 days after the end of treatment. PCR for detecting EcPV 3, 4, 5 and 6 was performed using aural plaque biopsies collected before and at 90 days after the end of treatment.
Results:
Clinical resolution was observed in 93% of the treated ears. Imiquimod treatment promoted the clearance of EcPV in 71.4% of the treated ears. Clinical remission of the aural plaques and changes in EcPV DNA positivity between the first and second biopsies were not observed in the control group. In 75% of horses, sedation was required in order to carry out pretreatment cleaning.
Conclusions:
The results of this study support the hypothesis that 5% imiquimod cream may be used as an effective treatment for aural plaques in horses.
