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Peer-reviewed veterinary case report

Norwegian mange causing crusted skin in two leishmanial dogs

By Kaltsogianni, Flora et al.·Published in Journal of the American Animal Hospital Association·2017·From the Alphavet Clinic·View original on PubMed

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Original publication title: Norwegian or Crusted Sarcoptic Mange in Two Leishmanial Dogs.

Species:
dog

Plain-English summary

Two stray dogs were brought to the clinic with severe skin problems, including crusting and scaling, which were not itchy. They were diagnosed with a rare skin disease called Norwegian or crusted scabies, along with leishmaniosis, a parasitic infection. The vets treated them with medications to kill the mites and address the leishmaniosis, along with topical care and nutritional support. While one dog unfortunately later died from kidney disease related to leishmaniosis, the other dog made a full recovery and is now healthy. This case highlights the importance of checking for leishmaniosis in dogs with similar skin issues, especially in areas where the disease is common.

People also search for: dog skin problems crusted scabies · leishmaniosis treatment in dogs · why is my dog losing fur and has scabs

Abstract

Norwegian or crusted scabies (N/CS) is a rare skin disease with very few cases reported in the dog or the cat. Two adult, stray dogs were admitted in our clinic with a generalized, multifocal to diffuse and nonpruritic dermatitis that was characterized by severe crusting, scaling, and ulceration. In both instances, leishmaniosis and N/CS were diagnosed by immunofluorescent antibody test serology, lymph node cytology, and skin scrapings in which high numbers of Sarcoptes mites were found. The combination of miticidal and antileishmanial treatment, supported by topical treatment and nutritional support, resulted in the complete resolution of the skin lesions and spectacular improvement of the body condition in both cases. Dog 1 eventually died from end-stage kidney disease attributed to leishmaniosis-associated glomerulonephritis, whereas the also proteinuric dog 2 remains clinically healthy. The manifestation of the rare type of N/CS in these dogs could be attributed to cell-mediated immunosuppression, which was most likely induced by leishmaniosis and malnutrition. The necessity of searching for leishmaniosis in those scabietic cases, especially in the endemic areas of leishmaniosis, is strongly recommended.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28892427/