Vimala Putri Lamsundy
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Superficial necrolytic dermatitis: first case report in Indonesia and a literature review Putra, Andhika; Vimala Putri Lamsundy; Curtis Plowgian
Acta VETERINARIA Indonesiana Vol. 12 No. 2 (2024): Juli 2024
Publisher : IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/avi.12.2.125-132

Abstract

Superficial necrolytic dermatitis is a rare condition that affects older dogs. It is a fatal disease in which dermatologic signs stem from an abnormality of the liver and/or the pancreas. This paper aims to report a case workup and treatment protocol of superficial necrolytic dermatitis in a patient that presented with lameness. A skin biopsy was performed, and revealed a pathognomonic “red-white-blue” pattern. Abdominal ultrasonography revealed a severe irregular hypoechoic shape nodular pattern and coarse parenchyma with variable size from round and oval. The nodules were surrounded by network of thin hyperechoic strands, forming a “honeycomb/ Swiss cheese-like” pattern. From these findings, a diagnosis of superficial necrolytic dermatitis was made. The patient was treated with a combination of amino acid infusion, liver supplement, and a high-protein diet. However, the patient only lived for four months after diagnosis was made. Clinicians need to be aware that dermatologic lesions may be a manifestation of internal or systemic disease.