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Chin Dermatitis in A Cat 8656 Article
Chin Dermatitis in A Cat 8656 Article
Chin Dermatitis in A Cat 8656 Article
A B
1 Appearance of patient’s chin (A) and upper and lower lips (B) on presentation
History
The owner initially noticed black debris throughout the fur over the chin. During the next 4 Ask Yourself
months, hair loss developed as a result of the cat scratching the area. Initial prescribed treatment
included application of a warm washcloth q12h and topical administration of benzoyl peroxide
1. What are the differentials
(2.5%), which appeared to cause clinical signs to worsen.
for chin dermatitis in this
patient?
The cat was indoor only, up-to-date on vaccinations, and the only household pet.
2. What clinical signs are
Examination associated with this
On presentation, the cat was bright, alert, and responsive. There was some scarring over the patient’s condition?
right cornea from a previously healed ulcer. Comedones, dark keratinous debris, barbered hair,
papules, erosions, and swelling were noted over the chin and lower lip; comedones and dark ker- 3. Where is the ideal site to
atinous debris were also noted on the upper lip (Figure 1). obtain a punch biopsy
specimen for diagnosis?
Diagnostics 4. What dermatohistopatho-
Skin scrapings were negative for demodectic mites. Cytologic examination of a papular lesion logic changes would be
sample revealed coccoid bacteria with suppurative inflammation. Wood’s lamp examination and associated with this
dermatophyte test medium sample were negative. patient’s condition?
The patient was sedated with IM ketamine at 5 mg, dexmedetomidine at 0.03 mg, and butor-
phanol at 0.5 mg, along with local sedation of lidocaine; two 6-mm punch biopsy specimens
with skin were obtained from the chin. Dermatohistopathologic examination revealed comedone
formation, mild lymphoplasmacytic periductal inflammation with suppurative folliculitis, and
intrafollicular coccoid bacteria.
MORE
A
C
B
1. Differentials include feline 2. Feline acne is a disorder of progression to painful sebaceous gland duct
acne, demodicosis, der- follicular keratinization.3 furunculosis with diffuse dilation, and follicular
matophytosis, allergic skin Many cases progress to edema, thickening, keratosis with plugging
disease (atopic dermatitis, and remain in the come- fistulation, and scarring. and dilation (Figure 3).
food hypersensitivity), donal stage. In this asymp- More advanced lesions
3. Discrete comedones
eosinophilic granuloma tomatic stage, comedones show evidence of folli-
represent ideal locations
complex (swollen chin), appear over the chin and culitis (Figure 4), furun-
for obtaining punch biopsy
viral infection (feline occasionally involve the culosis, pyogranulomatous
specimens. Erosions,
calicivirus, feline herpes- upper and lower lips. Some sebaceous adenitis, and
ulcers, and draining tracts
virus), neoplasia, primary cases can involve erythema, dermatitis. Staphylococcus
should be avoided.
irritant contact dermatitis, papules, pustules, alopecia, spp organisms and
and secondary bacterial and pruritus. 4. Early dermatohistopath- Malassezia spp may be
and Malassezia dermatitis. ologic lesions involve present in comedones
More severe and chronic lymphoplasmacytic and surface crusts.
cases can involve periductal inflammation,
3 4