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Cornu Cutaneum
Cornu Cutaneum
vizsgálatra, de a fizikális vizsgálat részeként fény derült arra, hogy bizonyos talppárnákon
cornu cutenaeum figyelhető meg. Nagyon okosan tesztelték a macskákat, mind FeLV/FIV
negative let tés néztek még FIP ellenanyag szintet is (gondolom corona ELISA).
Az első macska egy európai rsz, 8 éves, hányás hasmenés miatt jöttek. A job első láb 5ös
ujjánál volt egy kicsi fekete kinövés.
A második esetben ismeretlen korú, hybrid macska, krónikus szájfekély miatt jöttek, a bal
első láb 3. Ujjánál kis fekete kinövést volt található.
A harmadik esetben 3 éves egzotikus rsz, a job mellső láb 2. Ujjánál kinövés. A tulajdonos
észrevette ezt a macska kölyökkorában, akkor a jobb mellső láb 1-es é s 2-es ujjánál volt
kinövés, de az 1-esről eltűnt, a 2-es ujjról a tulajdonos levágta, de visszanőtt.
Az negyedik esetben egy 1 éves Maine Coon általános vizsgálatra érkezett, itt a tulajdonos
észrevette és emlitést tett a kinövésekről. Mindkét első láb 2-5. Ujj alatt és job hátsó láb 4.
Ujjnál kinövések a talppárnából. Kölyök kora óta jelen vannak az elváltozások. A fekete
talppárnábólf ekete, a világosból világos kinövés nőtt ki.
Szövettani vizsgálat céljából az egyiket (bal első láb 4. Ujjnál)eltávolitották, amely később
nem is nőtt vissza.
Szövettan:
In the stratum corneum, there was marked hyperkeratinization.
There were some sites where parakeratosis was observed. In addition, spinous cells were
slightly increased and the spinous layer was papillary thickened. No nuclear inclusion bodies
were found
Ennek a macskának a genetikai hátterét vissza tudtuk követni.
Több helyen is emlitik, hogy FeLV fertőzéssel kapcsolatba hozták ezeket az elváltozásokat.
Voltak tanulmányok, ahol a kinövés alapjából vet mintában kimutatható volt a FeLV virus.
Ezen esetek kissé eltérnek a bizonyitottan FeLV + macskák eseteitől, melyeknél a
talppárnákon és a lábon (fejen) bárhol megjelenhetnek a kinövések, melyek inkább
világosszinűek, ezzel szemben itt kizárólag a karmok alatti kis talppárnákből eredeztethetőek
és a szinűk a talppárna pigmentjével megegyezően világos vagy fekete.
Cornu cutaneum egy gyűjtőfogalom, mely elváltozás hátterében számos dolog állhat, pl.
tumor. Azonban a szövettani vizsgálat és a klinikum nem támasztotta alá, hogy ebben az
irányban kéne gondolkodni és igy végül abban maradtak, hogy kezelés sem szükséges.
Emberek esetében a hasonló elváltozásoknak sokszor áll a hátterében valamilyen daganatos
elváltozás, mely lehet alapvetően jóindulatú, az évek során rosszindulatúvá válhat.
SCC és bazálsejtes epithelioma kialakulhat a hegek mentén, discoid lupus erythematosus,
plaque radiation dermatitis, ahogy a fehér szőrű és világos pigmentű részeken idővel
kialakulhat az SCC.
Histopathology reveals severe, compact orthokeratotic keratosis and in some cases, dyskeratosis
and epidermal multinucleate giant cells. These horns resemble other keratinisation disorders such
as acquired ichthyosis or Reiter's syndrome seen in human AIDS patients [3]. These
hyperproliferative dermatoses might be the consequence of the same pathophysiological
mechanism. It is unknown whether stimulation of keratinocytes is caused directly by the virus or
by cytokines released by monocytes or T lymphocytes infected by teh HIV virus.
The cutaneous horn is a condition in which the horny mass does not fall off on the surface of
the skin and is localized like a triangular or cylindrical cutaneous horn. [6, 12, 17, 18].
Cutaneous horns have been reported in dogs and cats so far, but the frequency of
occurrence by age, gender, and site is clear. There is no clear difference, and the cause of
occurrence is not clear [1, 12, 15, 18, 19]. Cutaneous dermal papilla, basal follicular tumor,
squamous epithelial cancer, It has also been suggested that it may occur in connection with
other keratinosis, etc. [1, 5, 6, 12, 15, 17, 18]. It is more important to properly diagnose
whether it is related to the tumor than to consider the physical disorder.
Cutaneous horns have been reported to occur frequently on the foot pad, especially in cats
[5, 12, 17, 19].
Relationship between cutaneous horn and feline leukemia virus (FeLV)
It suggests sex [2]. However, the cutaneous horn of the cat's foot pad occurs less frequently,
and its pathophysiology and pathology occur.
Not fully explained.
We have four cats at the tip of the ball or toe
These cats experienced a negative cutaneous horn on FeLV, and one had familial cutaneous
horns.
Case 1: An 8-year-old female American Shorthair cat weighing 4.2 kg. The main complaints at
the time of admission were vomiting and diarrhea, and FeLV immunodeficiency (- ), Feline
immunodeficiency virus (FIV) antibody (-), Soilus (FIP) antibody 1: 200
Infectious peritoneal inflammation in cats. Black on the 5th finger of the right forelimb.
A small, hard protrusion with a black color similar to that of the nail was observed at the tip
of the colored fingernail and under the nail, but the owner was unaware of the presence of
this protrusion.
Case 2: A castrated male hybrid cat of unknown age. The main complaint was chronic mouth
ulcer, and serological examination at the time of visit showed FeLV (-), FIV (-), and It was FIP
1: 800.
A small black protrusion on the tip of the black fingernail of the third finger of the left
forelimb, similar in shape to the nail under the nail, was observed, but the owner was
unaware of the presence of this protrusion.
Case 3: A 3-year-old male exotic short-haired cat weighing 4.8 kg. The reason for the visit
was a medical examination, but no abnormalities were found in general health. A blood clear
examination at the time of visit showed FeLV (-), FIV (-), and FIP 1: 400. The tip of the pink
finger ball of the second finger of the right forefoot, and the claw under the claw. A small,
stiff protrusion with a white color similar to that of the above was observed. The owner
noticed the presence of this protrusion on the 1st and 2nd fingers of the right forefoot when
he was a kitten, and the right front. The protrusion of the first finger of the limb
disappeared, although the time was unknown, and the protrusion of the second finger of the
right forefoot was taken by the owner, but it was formed again after that. It was.
Case 4: A 1-year-old female Maine Coon cat weighing 4.2 kg. The main complaint was a
protrusion on the tip of the finger and toe, and no abnormalities were observed in general
health. The blood clear examination at the time of visit was FeLV (-), FIV (-), and FIP 1: 3200.
The small stiff protrusions were the second to fifth of both forefoot. It is located under the
finger ball of the 4th finger of the finger and the right hind limb or the tip of the toe, and has
a shape similar to that of the nail. The toe ball was black (Fig. 1-a, b). The owner had been
aware of this protrusion since he was a kitten.
Treatment and course: In cases 1-3, the presence of this protrusion was clinically acceptable
at the time of examination, and he was left untreated because his owner did not wish to be
treated.
In case 4, the protrusion on the 5th finger of the left forelimb was resected for the purpose
of diagnosis.
No recurrence was observed.
Pathological search: A white protrusion on a pink finger ball excised from the 5th finger of
the left forelimb of disease case 4, histologically
In the stratum corneum, there was marked hyperkeratinization.
There were some sites where parakeratosis was observed. In addition, spinous cells were
slightly increased and the spinous layer was papillary thickened. No nuclear inclusion bodies
were found (Figs. 2 and 3).
Family Survey: It was unclear whether any cats in the families of Symptoms 1-3 had such
stiff, small protrusions. The family of Symptom 4 had a finger or toeball. There were multiple
individuals with this stiff small protrusion at the tip. In this family, the stiff small protrusion
at the tip of the finger or toe ball was found in the visiting cat (7), as shown in Fig. 4. Parents
occurred in both females (4) and males (5), and grandparents occurred in males (2) but not
in females (3), and the occurrence of females (1) was unknown. The site of occurrence was
that the female parent (4) occurred on all fingers except the first finger of both hind limbs,
and the male parent (5) occurred only on the fourth finger of both hind limbs. A total of
eight protrusions were also found in the male parent (5) of 7) and the male cat (8) whose
parents were normal females (Fig. 4). The outbreak occurred within one and a half years
after birth, and the outbreak was limited to under the nail at the tip of the finger or toe.
In addition to the macroscopic findings, the stiff and small protrusions under the claws
observed this time showed a high degree of hyperkeratinization in the tissue examination,
and there was no neoplastic change. It was concluded that the cutaneous horns occur on the
pads. The cutaneous horns on the footpads of cats are a rare disease, but there have been
reports of cases of multiple footpads in FeLV positive cats so far. [2,5,12,17,19]. Although
there are few descriptions about the effects of FeLV on the skin, it is reported that FeLV was
proved on the cutaneous horn generated on the pad of cats using an electron beam [2,5]. ],
And Clark et al. Reported that immunochemical tests proved a viral antigen present in
epidermal cells [3]. These reports indicate that FeLV forms the skin cells. Although the
mechanism of cutaneous horn development in FeLV positive cats has not been clarified, virus
infection causes self-regulation such as epidermal cell division and proliferation. As one of
the consequences of the change, it seems possible that the clinical symptom of cutaneous
horn may develop.
However, the cutaneous horn of the toe that was experienced this time was considered to
have some differences from the cutaneous horn related to FeLV reported so far. That is, it
has been reported so far. The cutaneous horn occurs in all parts of the foot pad, but the
cutaneous horn experienced this time occurs at the tips of the finger and toe balls, under the
nails, and in the palm, sole and carpal balls. It was not observed, and it occurred early, and it
is highly possible that it had already occurred 1 to 2 years after birth. Also, are the cutaneous
horns reported so far macroscopically light gray? Although it was pale brown keratinized, the
cutaneous horn experienced this time showed the same color tone as the ball of the finger
or the ball of the toe, and the cutaneous horn was familial in the family survey in Case 4. The
possibility was suggested. The involvement of the extrinsic factors was also suggested by the
fact that 3 out of 4 cases were purebred. In addition, the feline footpads reported so far It
has been suggested that FeLV is involved in the frequent cutaneous horns [2], but the results
of the FeLV test were negative in the 4 cases in which the cutaneous horns occurred this
time, and the skin found in FeLV-sensitive cats. In the horn, the appearance of
multinucleated cutaneous horn giant cells was reported in the textured image [12], but it
was not observed in this histological examination.
Cutaneous horn is a clinical symptom name with various causes, but the cutaneous horn at
the toes experienced this time may have a different cause from the cutaneous horns
reported so far. It was suggested.
Since this cutaneous horn occurs at the tip of the finger ball or toe ball, it is unlikely that it
will be a physical disorder during movement, and the histopathological examination this
time showed a negative association with the tumor. Therefore, it was considered that there
was no need to actively treat the cutaneous horn. However, the cutaneous horn should
always be treated while considering the relationship with the tumor. In humans, the
underlying disease of the cutaneous horn. Cancer precursors such as senile keratomas and
vulgaris vulgaris and benign tumors, which are one of the above, may become cancerous
over the years [6,13,14,16], and fever. Spinous cell carcinoma and basal cell epithelioma may
occur over many years in scars, vulgaris vulgaris, discoid erythema erythema lesions, and
plaque radiation dermatitis [7-9, 14]. In the same way, even in cats with a white hair region,
sunlight dermatitis may develop into squamous epithelial cancer over the years [4,11].
Considering these facts Since the cause and prognosis of the cutaneous horn of the toes
experienced this time have not been clarified, it is necessary to observe how these cats
change as they age. So I thought.