Dermatology CVT Flashcards

(44 cards)

1
Q

What type of neoplasia has been associated with feline-acquired skin fragility?

A

Hepatic neoplasia

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2
Q

What is linear preputial erythema seen with?

A

Testicular neoplasia (sertoli cell tumor and seminoma)

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3
Q

What 2 neoplasia in a cat have been associated with symmetrical ventral alopecia in which the skin appears shiny?

A

Pancreatic adenocarcinoma (most common with hepatic mets) and bile duct carcinoma (2 reports)

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4
Q

In which disease had an exfoliative dermatiits in cats been described?

A

Thymoma

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5
Q

In what breed has a syndrome of nodular dermatofibrosis been described and what is it associated with?

A

GSD - autosomal dominant inheritance
Renal cystadenocarcinomas or cystadenomas
NOTE: Female dogs can also get uterine leiomyomas - they should be spayed

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6
Q

In dogs, what is paraneoplastic pemphigus linked to?

A

Antibodies that target desmoplakin, envoplakin, perplakin, desmoglein I and 3 = All proteins that are responsible for connections btwn keratinocytes

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7
Q

What is superficial necrolytic dermatitis associated with?

A

Glucagonoma (more commonly with a yet to be determined alteration in metabolism = depletion of AA)

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8
Q

Where is zinc found in highest concentration?

A

Nasal planum, tongue, foot pad (keratinized tissue)

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9
Q

What is Syndrome I and in which breeds is it common?

A

Zinc Responsive Dermatitis (skin has a flaky silver appearance)
Siberian huskies, Alaskan malamutes, other breeds
Not related to unbalanced diet

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10
Q

In which breed is there a Zn responsive dermatitis in puppies (thought to be rapidly growing)?

A

Pharaoh hound puppies - Syndrome II

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11
Q

In what breed is lethal acrodermatitis seen?

A

White Bull Terriers

CS within a few weeks of life, crusting on extremities and mucocutaneous junctions = Bronchopneumonia and sepsis

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12
Q

What odd PE findings can be found in lethal acrodermatitis?

A

White Bull Terriers

Arched hard palate, stunted growth, splayed digits

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13
Q

What is another name for heptocutaneous syndrome?

A

Superficial necrolytic dermatitis

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14
Q

What other conditions can superficial necrolytic dermatitis be seen with?

A

Hepatopathy (vaculor, phenobarb)
Glucagonoma of pancreas
GI disease (PLE)

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15
Q

Which breeds may be predisposed to hepatocutaneous syndrome?

A

Shetland sheepdogs
West Highland White Terriers
Cocker Spaniels
Scottish Terriers

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16
Q

What AUS finding is consistent with superficial necrolytic dermatitis?

A

Honeycomb pattern (Hypoechic regions surrounds by hyperechoic borders)

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17
Q

What is low in animals with superficial necrolytic dermatitis?

A

Hypoaminoacidemia - Less than 60% of normal

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18
Q

What are cutaneous xanthomas?

A

Occur when there is an underlying hereditary defect in lipid metbolism or acquired dyslipoproteinemia secondary to diabetes mellitus, or use of megesterol acetate
= Lipid-laden macrophags within the dermis - Pale yellow to white plaques, papules, nodules with erythematous border = Located on the head, particularly near pinnae

19
Q

Which breeds are at an increased risk of developing SLE?

A

Collie, Shetland Sheepdog, GSD, Spitz, poodle

20
Q

What percentage of dogs will develop skin disease with SLE?

A

Less than 20%

Most common CS of SLE = Fever, polyarthritis, PLN, anemia, thrombocytopenia

21
Q

What is erythema multiforme?

A

Acute onset of erythematous plaques and macules

Need to look for trigger: Drugs, infection, neoplasia (majority of dogs we do not find the cause)

22
Q

What is sterile nodular panniculitis?

A

Ulcerated or draining nodular lesions or nonculerative SQ nodules
Often febrile

23
Q

What concurrent diseases have been identified with sterile nodular panniculitis in dogs?

A
Pancreatic disease (pancreatitis and pancreatic neoplasia)
IM disease (polyarthritis, SLE, rheumatoid arthritis)
24
Q

How is cyclosporine metabolized in the liver?

A

CYP450 3A12 - ketoconazole inhibits this!!

25
What are some side effects of cyclopsorine?
Vomiting hirsuitism, gingival hyperplasia, toxoplasmosis, atypical fungal infections, hypertension, increased creatinine, increased LE (esp if ketoconazole too)
26
What are the 2 types of interferons?
Type I: Bind to Cell via INFAR receptor (either alpha, beta, or omega) Type II: Form homodimers that binds to IFN-gamma receptor by which it exerts its effects
27
What are the roles of interferons?
Antiviral and antioncogenic
28
What are the 2 class of avermectins and with are the 2 MOA?
Avermectins (ivermectin, selamectin) and Mibemycins (moxidectin and milbemycin) Primary MOA: Bindings to glutamate gated Cl- channels (bwtn inhibitory/excitory motors neurons in nematodes and myoneural in arthropods) Secondary MOA: Open GABA-gated Cl- channels in presynaptic neurons = Flaccid Paralysis and death
29
What mutation may collies have to avermectins?
MDR-1 gene mutatuon (deletion) - Alter expression of p-glycoprotein that resoluts in elevated levels in the brain (normally low levels dt BBB) = Neurotoxicity since there are GABA mediated interneurons only in the CNS!
30
What is pentoxifylline?
Nonspecific phosphodiesterase inhbitor = Increased cAMP
31
Discuss the relative glucocorticoid potency (anti-inflammatory) of the most common steroids.
``` Hydrocortisone = 1 (lasts < 12 hrs) Prednisone/Prednisolone = 4 (lasts 12-36 hrs) Methylpred = 5 (lasts 12-36 hrs) Dexamethasone = 25-30 (lasts > 48 hrs) ```
32
Discuss the relative mineralocorticoid potency of the most common steroids.
``` Hydrocortisone = 1 (lasts < 12 hrs) Prednisone/Prednisolone = 0.8 (lasts 12-36 hrs) Methylpred = 0.5 (lasts 12-36 hrs) Dexamethasone = 0 (lasts > 48 hrs) ```
33
What breeds are at a greater risk for developing local reactions (within 30 mins) after allergen-specific immunotherapy?
Dachshunds, boxers, Bostons, schnauzers, English Bulldogs
34
Which Demodex spp can spread by direct contact?
Demodex gatoi
35
Which feline retrovirus is associated with cutaneous horns?
FeLV
36
Which breed is over-represented in feline papillomairus?
Persians
37
What does oxacillin resistance prove?
Resistance to all Beta-Lactams (penicillins and cephalosporins)
38
How does a Staph become methicillin-resistant?
Acquiring altered penicillin binding protein 2a (PBP2a), encoded by gene mecA
39
Which breeds have a heritable sebaceous adenitis?
Standard Poodles and Akitas (autosomal recessive)
40
What is the most common dermatophyte in cats?
Microsporum canis
41
What do long haired cats with dermatophytosis get?
SQ nodular form = Pseudomycetoma
42
Why can systemic antifungals be used on dermatophytosis?
Intrafollicular lesion | Itraconazole is the best (accumulates and persists in dermis/hair)
43
Which dog breed is predisposed to perianal fistula formation?
GSD
44
Why is acral lick dermatitis thought to benefit from serotonin-modulating drugs?
May be a link to OCD (deficient serotonin = repetitive motions increase serotonin neural activity = self-medicate!)