canino, cocker spaniel, m, 10 anos
TRANSCRIPT
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Can, M, Cocker Spaniel, 10 anos
Adquiriu o cão há dois anos (dermatopata)
Refere prurido intenso
Histórico de melhora com cortisona (prednisona)
Há alguns meses: ausência de resposta à cortisona
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Can, M, Cocker Spaniel, 10 anos
Anamnese
– Atopia?
– Negava preventivos contra ectoparasitas
– Ou dieta hipoalergênica/eliminação
– Corticoterapia há, pelo menos, 2 anos
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Can, M, Cocker Spaniel, 10 anos
Exame físico
– Reflexo otopedal positivo
– Linfoadenopatia generalizada
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OQuais são suas suspeitas até este momento?
OQuais são os próximos passos?
Can, M, Cocker Spaniel, 10 anos
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Can, M, Cocker Spaniel, 10 anos
Exames complementares
– Citologia de peleCocos (+++)
– Exame parasitológico de raspado cutâneo
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Can, M, Cocker Spaniel, 10 anos
Possibilidades
– Piodermite Amoxicilina + clavulanato de potássio/30d
– Taquifilaxia esteroidal? Mudar princípio de corticóide (deflazacort)
– Como tratar demodiciose? Amitraz “top spot” quinzenal Metaflumizona
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Can, M, Cocker Spaniel, 10 anos
Terapias conflitantes
– Corticóides
– Acaricidas
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Can, M, Cocker Spaniel, 10 anos
Retorno 15 dias depois da 1ª consulta
– Modificação do quadro lesional
– Anorexia há alguns dias (estomatite)
– Estado geral (apatia)
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Can, M, Cocker Spaniel, 10 anos
Exames complementares– Hemograma: NDN– Uréia + creatinina: NDN– ALT, FA, PT, Albumina
Albumina 1,9– Glicemia: NDN– Urina: NDN– Biópsia cutânea (histopatológico)
Tumor de células redondas
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Can, M, Cocker Spaniel, 10 anos
Quais são as suas suspeitas diagnósticas?a) Demodiciose + piodermite + atopia + linfoma
epiteliotrópicob) Demodiciose + piodermite + atopia +
mastocitomac) Escabiosed) Atopia com taquifilaxia esteroidale) Atopia + demodiciose + piodermite