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Paraneoplastic pemphigus in a dog.

Lemmens1, De Bruin2, De Meulemeester1

  • 1Dierenkliniek Plantijn, Antwerpen, Belgium.

Veterinary Dermatology
|October 14, 2021
PubMed
Summary
This summary is machine-generated.

This case study details paraneoplastic pemphigus in a young Bouvier, characterized by severe oral and skin lesions. The condition was linked to thymic lymphoma, leading to euthanasia despite treatment attempts.

Keywords:
Western blotanti desmoplakin autoantibodycaninedirect immunofluorescencelymphomaparaneoplastic pemphigus

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Area of Science:

  • Veterinary Dermatology
  • Immunopathology
  • Oncology

Background:

  • Paraneoplastic pemphigus is a rare autoimmune blistering disease.
  • It is associated with an underlying neoplasm, often lymphoma.
  • Oral and mucocutaneous lesions are characteristic.

Purpose of the Study:

  • To report a case of paraneoplastic pemphigus in a canine patient.
  • To describe the clinical, histopathological, and immunopathological findings.
  • To highlight the association with thymic lymphoma.

Main Methods:

  • Clinical examination and lesion description.
  • Histopathological examination of skin and oral biopsies.
  • Immunofluorescence and Western blot analysis of patient serum.

Main Results:

  • A 7-year-old Bouvier presented with severe oral ulcerations and subsequent mucocutaneous blistering.
  • Histopathology showed features of erythema multiforme initially, later evolving to pemphigus vulgaris.
  • Post-mortem revealed thymic lymphoma; serum analysis detected autoantibodies against 210 and 190 kDa proteins.

Conclusions:

  • This case confirms paraneoplastic pemphigus in a dog associated with thymic lymphoma.
  • Diagnostic challenges include initial misdiagnosis and the need for advanced serological testing.
  • Early recognition and understanding of paraneoplastic syndromes are crucial in veterinary medicine.