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Kraftigt udslæt i lysken? - lupus erythematosus

Opdateret: 5. jun. 2019

2- årig, Border Collie. Intakt han. Sort/hvid.

Har i 2 måneder lidt under sår i lyske og armhuler. Steroider, shampoo, behandling for skab og antibiotika er forsøgt.

Egen dyrlæge har taget en biopsi – tegn på iskæmisk dermatopati med sekundære iatrogene traumer (grundet slikken).

Hunden er kløende.

Figur 1 – Lyske ved første konsultation.

Figur 2 – Lyske 1 mdr. på behandling.

På baggrund af biopsisvaret, racen og det kliniske billede – mistænkes en lidelse kaldet VCLE – vesicular cutaneous lupus erythematosus.

VCLE er en autoimmun hudlidelse, der ses hos shetland sheepdog og collier. Symptomerne er erosiv dermatitis på ventral abdomen og kanten af pinna.

Patienten behandles med høje doser prednisolon, topikal takrolimus og systemisk pentoxyfyllin.

Bivirkningerne af prednisolonen er en udfordring, og vi må se, hvordan det går.

Figur 3 – Lyske 2 mdr. på behandling.

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