Celulite juvenil canina – relato de casos

Abstract

ResumoA celulite juvenil ou linfadenite granulomatosa estéril juvenil, é um distúrbio raro que acomete filhotes com idade entre três semanas a seis meses. Os sinais clínicos incluem alopecia, edema, pápulas, pústulas e crostas especialmente em pálpebras. O diagnóstico definitivo requer exames citológico e histopatológico e a terapia precoce e agressiva é preconizada, pois as cicatrizes após recuperação podem ser graves. O tratamento de escolha consiste no uso de altas doses dos glicocorticoides, como prednisona. Foram atendidos no Hospital Veterinário, três animais da espécie canina, apresentando sinais clínicos variados. Foram realizados hemograma, exame citológico das lesões de pele e dos linfonodos submandibulares. O tratamento foi instituído, utilizando-se cefalexina na dose de 22 mg/kg, duas vezes ao dia, até controle de infecção bacteriana secundária e prednisona na dose de 2mg/kg, uma vez ao dia, até regressão dos sinais clínicos. Após termino do tratamento obteve-se cura completa dos animais. O objetivo deste trabalho é relatar o caso de três animais da espécie canina, apresentando sinais clínicos variados de celulite juvenil. Palavras-chave: Celulite, canino, pústula AbstractJuvenile cellulitis or juvenile sterile granulomatous lymphadenitis is a rare disorder that affects puppies between three weeks to six months years old. Clinical signs include alopecia, edema, papules, pustules and crusts especially on eyelids. Definitive diagnosis requires cytological and histological evaluation and early and aggressive therapy is recommended, once scars after recovery can be severe .The choice treatment is the high dose of corticosteroids use such as prednisone. Three animals of canine species were attended at the Veterinary Hospital Clinical Small Animal Service presenting different clinical signs. Hemogram, skin lesions and submandibular lymph nodes cytological examination was collected and analyzed. The treatment was instituted, using cephalexin (22mg/kg, twice daily) up to control of secondary bacterial infection, and prednisone (2mg/kg, once a day) until clinical resolution. Complete cure was obtained at the end of treatment. The aim of this work is to report three clinical cases of juvenile cellulitis in dogs.

Canine juvenile cellulitis: a retrospective study (2009-2016)

“…The detection of JC in an adult animal in the current research was in accordance with previous descriptions that reported the occurrence of this tegumentary pathology in canines aged two to four years, although less frequently (JEFFERS et al, 1995;NEUBER et al, 2004). Diagnosis of JC in older animals is challenging, since it is an unusual condition among adult animals (FILGUEIRA et al, 2014).…”

“…Treatment based on a corticosteroid and an antibiotic promoted the resolution of all pediatric cases, agreeing with other researchers, according to whom the majority of patients recovered under this therapy within three weeks (SCOTT; MILLER, 2007;FONSECA-ALVES et al, 2012). In the adult dog analyzed (case 5) the reduced response to the steroidal anti-inflammatory drugs reflected refractoriness to such immunosuppressive therapy.…”

“…Corticosteroids are the drugs of choice and antibiotics are included when secondary bacterial infection is present. The prognosis for canine JC is considered good if adequate treatment is instituted (FONSECA-ALVES et al, 2012;MILLER et al, 2013).…”