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Peer-reviewed veterinary case report

Feline progressive histiocytosis causes skin nodules and affects

By Coste, Margaux et al.·Published in Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc·2019·Department of Embryology and Histopathology, France·View original on PubMed

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Original publication title: Feline progressive histiocytosis: a retrospective investigation of 26 cases and preliminary study of Ki67 as a prognostic marker.

Species:
cat

Plain-English summary

A group of cats with a rare skin condition called feline progressive histiocytosis (FPH) showed symptoms like non-itchy lumps or bumps on their legs and other areas. Out of 26 cats studied, some had single nodules while others had multiple lesions. Unfortunately, 9 of the cats died from the disease, with an average survival time of about 3 months. Surgical removal of the nodules was attempted, but the disease came back in many cases. However, 5 cats were still alive at the end of the study, and 4 of them showed no signs of disease progression.

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Abstract

Feline progressive histiocytosis (FPH) is an uncommon and infrequently reported cutaneous histiocytic proliferative disorder, whose clinical presentation is solitary or multiple cutaneous nodules and papules, with late-course internal metastasis. We describe herein the clinical, epidemiologic, histologic, and immunohistochemical features of this entity, and document the outcome of FPH based on a retrospective study of 26 cases. Female and male cats were affected equally. Lesions were evident either as solitary (16 of 26 cases) or multiple (10 of 26 cases) nonpruritic and alopecic nodules or plaques, preferentially located on the legs and extremities (73%). Follow-up was complete for 19 cats, and ranged from 41 to 1,449 d. Nine died of FPH with a median overall survival of 96 d (range: 41-238 d). The disease recurred in 14 cats after surgical excision of the nodules, and the median disease-free survival was 175 d (range: 21-1,449 d). Five of the 26 cats were alive at the end of the study, and 4 had no progression of the disease. Histologically, lesions were characterized by poorly circumscribed, unencapsulated histiocytic infiltration of dermis and subcutis. Epitheliotropism was observed in 11 (42%) cats. Atypical histiocytes diffusely and consistently expressed MHC II, CD18, and Iba1. Statistically significant higher E-cadherin expression was observed in epitheliotropic cases compared to non-epitheliotropic cases. A negative correlation between overall survival and proliferation index was evident, thus suggesting Ki67 as a promising prognostic marker.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31650906/