Unit 3 - Dermatology 2 Flashcards
What type of disorder is Heritable Equine Regional Dermal Asthenia (HERDA)?
Autosomal recessive disorder affecting collagen
What breeds is HERDA common in?
Quarter horses- specifically cutting horse lines
Why are some horses bred for the N/Hrd genotype of HERDA?
Because they have an athletic advantage
What is the age of onset of HERDA?
1.5-2 years of age - may not be observed up to 5 years of age
What clinical signs are associated with HERDA?
Excessive skin trauma and scarring begin at the time of training - temperature and UV light may worsen the condition
Where are lesions associated with HERDA commonly localized?
along the dorsal midline
What ocular issues are associated with HERDA?
Increased incidence of corneal ulceration
What musculoskeletal issues are associated with HERDA?
Increased joint laxity and risk of osteoarthritis
What immune issues are associated with HERDA?
Cyclophilin B mutation (related to T lymphocyte function) and possible increase in infectious disease and neoplasia
How is HERDA diagnosed?
Based on clinical suspicion and genetic testing
How is HERDA managed?
Minimize trauma, good wound management, limit heat and UV exposure, optimize diet for Copper and Vitamin C, joint supplementation
What is the recommended ‘therapy’ for severely affected HERDA animals?
humane euthanasia
What clinical signs are associated with non-inflammatory, non-pruritic alopecia?
No visible lesions other than hair loss
How is non-inflammatory, non-pruritic alopecia diagnosed?
A good history and physical exam will lead to a diagnosis
Biopsy in several samples
When do hair cycle alterations due to Telogen effluvium occur?
After a stressful event
What clinical signs are associated with telogen effluvium hair loss?
1-3 months after stressful event there is wide spread, symmetric hair loss
How is telogen effluvium hair loss diagnosed?
history, trichogram, and biopsy
When does telogen effluvium hair loss resolve?
within 1-2 months
When do hair cycle alterations due to Anagen effluvium occur?
When there is a systemic event
When does hair loss occur with anagen effluvium?
within days of the systemic event
How is anagen effluvium hair loss diagnosed?
Clinical signs +/- a trichogram
When does anagen effluvium hair loss resolve?
1 month
What autoimmune skin diseases do horses get?
Pemphigus foliaceus, pemphigus vulgaris, lupus erythematosus, bullous pemphigoid, erythema multiforme, and vasculitis
What is ‘attacked’ in pemphigus foliaceus?
the desmosome
Generally, what clinical signs are associated with pemphigus foliaceus?
Skin lesions with systemic signs that come in waves
What is the primary lesion of pemphigus foliaceus?
The pustule
What specific clinical signs are associated with pemphigus foliaceus?
Alopecia, scaling, crusting, pain, fever, depression, lethargy, and anorexia
What breeds are commonly affected by pemphigus foliaceus?
Appaloosas, quarter horses, and thoroughbreds
What should your differentials be along side pemphigus foliaceus?
Dermatophytosis, dermatophilosis, pyoderma, multisystemic eosinophilic disease, and sarcoidosis
How is pemphigus foliaceus diagnosed?
Cytology and biopsy
How is pemphigus foliaceus treated?
Immunosuppressive medications - glucocorticoids, injectable gold salts, or azathioprine
Can horses get prednisone?
No - like cats, they are unable to break it down so they should get prednisolone
What is the prognosis for pemphigus foliaceus?
guarded to poor