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Acute Pancreatitis II: Pathophysiology01:21

Acute Pancreatitis II: Pathophysiology

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The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...
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Paws to Patients: Canine Pyoderma Gangrenosum as a Reflective Model of Human Pyoderma Gangrenosum.

Kateryna Karpoff1, Lori Sun2, Christine L Cain3

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Canine pyoderma gangrenosum (cPG) closely resembles human pyoderma gangrenosum (hPG) in symptoms, comorbidities, and treatment response. This study suggests dogs offer a valuable, naturally occurring animal model for hPG research.

Keywords:
animal modelcanineimmune responsepyoderma gangrenosum

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Area of Science:

  • Veterinary Dermatology
  • Translational Medicine
  • Animal Models of Human Disease

Background:

  • Human pyoderma gangrenosum (hPG) is a rare, painful neutrophilic dermatosis with limited animal models.
  • Existing research relies on a single pharmacologically induced murine model.
  • Canine pyoderma gangrenosum (cPG) cases are scarce, but dogs' genetic proximity to humans suggests potential as an hPG model.

Purpose of the Study:

  • To characterize published canine pyoderma gangrenosum (cPG) cases.
  • To compare cPG presentation with human pyoderma gangrenosum (hPG).
  • To evaluate the potential of cPG as a spontaneously occurring animal model for hPG.

Main Methods:

  • Systematic literature search of Google Scholar, PubMed, and Embase for "canine AND pyoderma gangrenosum" in August 2024.
  • Review of seven case reports, two case series, and two veterinarian-sourced cases.
  • Analysis of 31 cPG cases for clinical presentation, comorbidities, and treatment response.

Main Results:

  • Canine pyoderma gangrenosum (cPG) cases (31 analyzed) commonly presented with skin ulcers on the trunk (64.5%), paws (41.9%), and limbs (32.3%).
  • Comorbidities in dogs included gastrointestinal pathologies (16.1%), arthritis (6.5%), and hematologic disorders (6.5%), mirroring hPG.
  • Canine pyoderma gangrenosum (cPG) responded well to hPG treatments like prednisone/prednisolone (80.6%) and cyclosporine (77.4%).

Conclusions:

  • Canine pyoderma gangrenosum (cPG) exhibits significant similarities to human pyoderma gangrenosum (hPG) in affected sites, comorbidities, and therapeutic outcomes.
  • Canine pyoderma gangrenosum (cPG) represents a promising, naturally occurring animal model for studying hPG, offering an alternative to current murine models.
  • Further research is warranted to replicate cPG cases and elucidate the underlying disease pathophysiology.