Small Animal Dermatology, 3rd edition

(Tina Sui) #1

CHAPTER 21 DERMATOPHYTOSIS 321


SIGNALMENT/HISTORY


 Cats: more common in long-haired breeds with increased persistent subclinical


infection.


 Clinical signs are more common in young and older animals.


 Lesions begin as focal alopecia or a poor hair coat.


 A history of previously confirmed infection, exposure to an infected animal or envi-


ronment (e.g., a cattery) increases risk of disease.


Causes


 Cats:M. canismost common organism.


 Dogs:M. canis,M. gypseum,andT. mentagrophytes; incidence of each organism varies


geographically.


Risk Factors


 Immunocompromised condition caused by disease or medications (corticosteroids).


 FIV infection (three times higher prevalence).


 High population density (shelters).


 Poor nutrition.


 Poor management practices.


 Lack of an adequate quarantine period.


 Excessive bathing and grooming.


CLINICAL FEATURES


 Varies from a nonclinical carrier state to patchy alopecia, which may rapidly progress


to generalized lesions (Figures 21.1–21.5).


 Lesions may resolve spontaneously as hair follicles enter telogen.


 Classic circular area of erythema, alopecia, and scale: common in people, rare in ani-


mals (Figures 21.6, 21.7).


 Scales, erythema, hyperpigmentation, and pruritus: variable.


 Granulomatous lesions (pseudomycetoma) or kerions may occur (oftenM. gypseum)


(Figure 21.8).


 Folliculitis (Figure 21.9).


 Miliary dermatitis in cats.


 Clawbed inflammation and claw deformity (Figure 21.10).


 Facial folliculitis and furunculosis may mimic an autoimmune disease.


 Zoonotic (Figures 21.11, 21.12).


 Acantholytic dermatophytosis; mimics pemphigus complex; oftenTrichophytonspp.


(Figure 21.13).

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