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Peer-reviewed veterinary case report

What causes and treats skin collarettes in dogs with superficial

By Banovic, Frane et al.·Published in Veterinary dermatology·2017·Department of Small Animal Medicine and Surgery, United States·View original on PubMed

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Original publication title: Clinical, microscopic and microbial characterization of exfoliative superficial pyoderma-associated epidermal collarettes in dogs.

Species:
dog

Plain-English summary

A 5-year-old mixed-breed dog was brought in for skin problems, specifically spreading patches known as epidermal collarettes. Tests showed that these lesions were caused by a type of bacteria called Staphylococcus pseudintermedius, which is common in skin infections. The dog's skin was treated with appropriate antibiotics and topical therapies, leading to a significant improvement in the condition. The dog’s skin healed well, and the lesions resolved with treatment.

People also search for: dog skin problems · epidermal collarettes in dogs · Staphylococcus pseudintermedius treatment · dog skin infection antibiotics

Abstract

BACKGROUND: The microscopic and microbial features of the spreading epidermal collarettes of canine exfoliative superficial pyodermas are poorly characterized. OBJECTIVES: To characterize the clinical, cytological, microbial and histopathological features of epidermal collarettes in five dogs. RESULTS: Cytology from the margins of collarettes identified neutrophils, extracellular and intracellular cocci within neutrophils but no acantholytic keratinocytes. Phenotypic and genotypic analyses identified all bacterial isolates from the centre and margin of five epidermal collarettes as Staphylococcus pseudintermedius. PCRs of collarette-associated Staphylococcus strains did not amplify genes encoding for the known exfoliative toxins expA and expB, whereas the predicted siet and speta amplification products were detected in all isolates. Microscopically, epidermal collarettes consisted of interfollicular, epidermal spongiotic pustules. Advancing edges of lesions consisted of peripheral intracorneal clefts in the deep stratum disjunctum above an intact stratum compactum; they contained lytic neutrophil debris, bacterial cocci and fluid, but no acantholytic keratinocytes. This intracorneal location of bacteria was confirmed using Gram stains and fluorescent in situ hybridization with eubacterial- and Staphylococcus-specific probes. The indirect immunofluorescence staining patterns of desmoglein-1, desmocollin-1, claudin-1, E-cadherin and corneodesmosin were discontinuous and patchy in areas of spongiotic pustules, whereas only that of corneodesmosin was weaker and patchy in advancing collarette edges. CONCLUSION: Epidermal collarettes represent unique clinical and histological lesions of exfoliative superficial pyodermas that are distinct from those of impetigo and superficial bacterial folliculitis. The characterization of possible causative staphylococcal exfoliatin proteases and the role of corneodesmosin in collarette pathogenesis deserve further investigation.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/27426474/