Acquired Skin Fragility Syndrome with Malabsorption, Protein-losing Glomerulonephritis and Cholangiohatitis in a Cat

Fumio Suetsugu, T. Kawakita, S. Matsuo, K. Shirota
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Abstract

A 12-year-old male domestic short-hair cat was presented with a sudden laceration of the lumbar skin. The lumbar skin showed irregular tears and shedding as a large sheet. Histopathological examination of the skin revealed atrophic epidermis with hyperkeratosis, and decreased and fragmented collagen fibers in the dermis. A diagnosis of acquired skin fragility syndrome was consequently made. The present case died of asthenia with an eating disorder due to a large mandibular abscess. Necropsy and histopathological examination revealed that the cat had cholangiohepatitis, membranoproliferative glomerulonephritis, and intestinal villi fibrosis as complications of the skin lesion. Clinical improvement of the skin lesion was found after treatment with a digestive enzyme compound agent administered in consideration of the malabsorption. Therefore, malabsorption might be closely related to the skin lesion of the present case.
猫获得性皮肤脆弱综合征伴吸收不良、蛋白质丧失性肾小球肾炎和胆管炎
一只12岁的雄性家养短毛猫腰部皮肤突然撕裂伤。腰部皮肤呈不规则撕裂和大片状脱落。皮肤组织病理学检查显示表皮萎缩伴角化过度,真皮胶原纤维减少和断裂。结果诊断为获得性皮肤脆弱综合征。本病例死于下颌骨大脓肿引起的饮食失调和虚弱。尸检和组织病理学检查显示,猫有胆管肝炎、膜增生性肾小球肾炎和肠绒毛纤维化作为皮肤病变的并发症。考虑到吸收不良,在使用消化酶复合剂治疗后,发现皮肤病变的临床改善。因此,吸收不良可能与本病例的皮肤病变密切相关。
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