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Veterinary Pathology, Vol 22, Issue 4 297-305, Copyright © 1985 by American College of Veterinary Pathologists

ARTICLES

Chronic eosinophilic dermatitis: a manifestation of a multisystemic, eosinophilic, epitheliotropic disease in five horses

J. S. Nimmo Wilkie, J. A. Yager, P. N. Nation, E. G. Clark, H. G. Townsend and J. D. Baird

A generalized, chronic, progressive, exfoliative dermatitis in five horses is described. Histologically, the lesion is characterized by a superficial and deep perivascular dermatitis which is eosinophil-rich with a marked lymphocytic and plasmacytic component, accompanied by marked acanthosis and hyperkeratosis. More severe cases progress to a lichenoid pattern with the same cellular composition with focal eosinophilic spongiosis and eosinophilic subcorneal pustules. Clinically, the disease is associated with chronic, severe weight loss and is fulminating. The skin lesions are accompanied by lymphoplasmacytic and eosinophilic infiltrates and formation of eosinophilic granulomas in other epithelial organs, most noticeably the pancreas, in which a chronic, fibrosing pancreatitis develops. Other epithelial organs involved to various degrees are salivary glands, the gastrointestinal system, including the oral cavity and esophagus, biliary epithelium and bronchial epithelium. The etiology of this disease is unknown.


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K. Singh, T. C. Holbrook, L. L. Gilliam, R. J. Cruz, J. Duffy, and A. W. Confer
Severe pulmonary disease due to multisystemic eosinophilic epitheliotropic disease in a horse.
Vet. Pathol., February 1, 2006; 43(2): 189 - 193.
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