该【ringworm jrt Mar94课件 】是由【yuzonghong1】上传分享，文档一共【17】页，该文档可以免费在线阅读，需要了解更多关于【ringworm jrt Mar94课件 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。Facialalopecia,面部秃头 scalinganderosions结痂与侵蚀 inaJackRussellterrier 杰克罗素梗
Author:RossBond
Editor:蒿子枫
©EuropeanSocietyofVeterinaryDermatology
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History病史-1
History
10year-oldentiremaleJackRussellterrier10岁未节育公犬
Goodgeneralhealth健康
Progressivefacialskindiseaseof4monthsduration持续4个月的进行性面部皮肤病
Noresponsetoampicillinandprednisolone对氨苄西林与泼尼松龙无效
History-2
History
Doglivesinruralenvironment住在乡下
Lesionbeganasfocalareaoferythemaandscalingcaudaltonasalplanum损伤自局部红疹,从后面向鼻结痂
Progressedcaudallyoverfacedespitetherapy尽管治疗,还是从尾向前面部发展
Howwouldyou approachthiscase?
Signs
Whatarethenextstepsyouwouldtake?下一步?
Makealistofyourprincipledifferentialdiagnoses DDX?
Listanysamplesyouwouldcollect 采什么样?
Listanytestsyouwouldperformtoassistinmakingadefinitivediagnosis要做哪些测试
Tests-1
Differentials
Principledifferentialdiagnoses主要鉴别诊断
Dermatophytosis皮真菌病
Demodecosis蠕形螨
Deeppyoderma深部脓皮病
Pemphigusfoliaceus落叶天疱疮
Tests-2
Tests
Diagnostictests诊断测试
Skinscrapings刮片
Wood’slightexamination伍德灯
Fungalandbacterialcultures真菌与细菌培养
(Skinbiopsy)活检
Results-1
Tests
Noevidenceofparasites&fungalelementsonmicroscopy镜下未见寄生虫与真菌
NofluorescenceonWood’slightexamination伍德灯未见荧光
Fungalgrowthevidentonmycobioticagarwithin7daysofincubation真菌培养需要7天孵化
Whatisyour diagnosis?
Tests
Dotheinvestigationspermitadefinitivediagnosis?这可以是最终的诊断吗?
Arethereanyadditionalinvestigationswhichyouthinkmayneedtobedone?还需要做其它调查吗?
Howwouldyoudeal withthiscase?
Whatisyourprognosis?你的诊断是?
Howwillyouadvisetheowner?你给主人的建议是?
Whattreatmentwouldyouconsider?你的治疗方案是?
Tests
Therapy
Therapy
Griseofulvinorallyat50mg/kg(dividedtwicedaily)灰黄霉素口服,50mg/kg每天分两次
Enilconazole(Imaverol)emulsionappliedevery4thday恩康唑乳剂
Goodclinicalresponseafter8weeksoftherapy,butrepeatculturesstillpositive8周后有好转但培养阳性
Culturesnegativeandcompleteclinicalresponseafter12weeksoftreatment,whichwaswithdrawnatthistime12周后培养阴性并彻底好转,停止治疗
Norelapseovera6monthfollow-upperiod6月后回访未复发
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