A demodicidose é uma das principais dermatopatias parasitárias dos cães, contudo muitos aspectos da doença ainda são pouco compreendidos. A doença no cão adulto é menos frequente do que a forma juvenil e parece ocorrer devido à presença de condição imunodepressora/imunossupressora que leve à perda da capacidade de controle, pelo sistema imune, da população de ácaros Demodex spp. na pele do animal. O objetivo deste trabalho foi avaliar se hiperadrenocorticismo (HAC) espontâneo, neoplasia e quimioterapia, classicamente aceitos como “gatilhos” para esta doença parasitária, seriam fatores de risco para o aumento na presença de ácaros Demodex spp. na pele de cães adultos. Foram selecionados cães sem histórico de demodicidose juvenil e estes, distribuídos em cinco grupos. O grupo um (G1) foi formado por 33 cães clinicamente saudáveis; o grupo dois (G2), por 27 cães com afecções crônicas; o grupo três (G3), por 14 cães diagnosticados com HAC espontâneo; o grupo quatro (G4), por 30 cães com neoplasia e o grupo cinco (G5), por 27 cães submetidos a protocolos quimioterápicos antineoplásicos. O exame parasitológico de pele (EPP) foi realizado, pontualmente, por meio de tricograma, impressão por fita adesiva e raspado cutâneo profundo em cinco pontos anatômicos pré-determinados. Regiões com lesões cutâneas também foram coletadas e hemogramas, realizados no intervalo de um mês prévio ou posterior à inclusão no estudo, foram avaliados. Em 16 cães foi possível demonstrar a presença de ácaros Demodex spp. Seis cães apresentaram lesões de pele e em apenas dois foi observada a presença do parasita, sendo que não houve diferença significativa na presença do ácaro entre cães com e sem alterações no hemograma. Os grupos de risco G3, G4 e G5 apresentaram maior frequência de EPP positivo, porém diferença estatisticamente significativa foi mostrada apenas entre os cães com HAC espontâneo e os com afecções crônicas, com odds ratio de 10,4. Concluiu-se que HAC espontâneo, neoplasia e quimioterapia parecem influenciar no aumento da população dos ácaros Demodex spp. na pele de cães adultos. Além disso, não há relação entre a presença de leucopenia, neutropenia e/ou linfopenia e o aumento na presença dos ácaros na pele desses animais. Por fim, as lesões cutâneas em cães com HAC espontâneo, neoplasia ou em quimioterapia são pouco frequentes e apresentam causas distintas, não sendo a proliferação excessiva de ácaros Demodex spp. a principal etiologia identificada. / Demodicosis is one of the most common parasitic skin diseases of dogs, but many aspects of canine demodicosis are still poorly understood. Adult onset demodicosis is less frequent and seems to occur due to the presence of an immunosuppressive condition leading to immune system loss of ability to control the Demodex mite population in the skin. The aim of this study was to evaluate if spontaneous hyperadrenocorticism (HAC), cancer and chemotherapy, classically accepted as "triggers" for this parasitic disease, would be risk factors for the increased presence of Demodex mites in the skin of adult dogs. Dogs without a history of juvenile demodicosis were selected and then divided into five groups. Group 1 (G1) was formed by 33 clinically healthy dogs; group two (G2), by 27 dogs with chronic conditions; group three (G3), by 14 dogs diagnosed with spontaneous HAC; group four (G4), by 30 dogs with cancer and group five (G5), by 27 dogs submitted to antineoplastic chemotherapy protocols. Trichogram, acetate tape impression and deep skin scrapes were performed, just once, in five predetermined anatomical points. Skin lesions are also evaluated by these techniques and complete blood count, performed within one month prior or after the inclusion in the study, were evaluated. In 16 dogs it was possible to demonstrate the presence of Demodex mites. Six dogs had skin lesions and only in two of them it was possible to observe the presence of the parasite; there was no significant difference in the presence of the parasite between dogs with and without changes in complete blood count. Risk groups G3, G4 and G5 had a higher frequency of positive samples, but significant difference was shown only between dogs with spontaneous HAC and those with chronic diseases (odds ratio 10.4). It was concluded that spontaneous HAC, cancer and chemotherapy seem to influence the increase of the parasite population in the skin. Furthermore, there is no relationship between the presence of leukopenia, neutropenia and/or lymphopenia and the increased presence of mites in the skin of adult dogs. Finally, skin lesions in dogs with spontaneous HAC, cancer or chemotherapy are uncommon and present different causes, not being excessive proliferation of Demodex mites the main identified etiology.

A demodicidose é uma das principais dermatopatias parasitárias dos cães, contudo muitos aspectos da doença ainda são pouco compreendidos. A doença no cão adulto é menos frequente do que a forma juvenil e parece ocorrer devido à presença de condição imunodepressora/imunossupressora que leve à perda da capacidade de controle, pelo sistema imune, da população de ácaros Demodex spp. na pele do animal. O objetivo deste trabalho foi avaliar se hiperadrenocorticismo (HAC) espontâneo, neoplasia e quimioterapia, classicamente aceitos como “gatilhos” para esta doença parasitária, seriam fatores de risco para o aumento na presença de ácaros Demodex spp. na pele de cães adultos. Foram selecionados cães sem histórico de demodicidose juvenil e estes, distribuídos em cinco grupos. O grupo um (G1) foi formado por 33 cães clinicamente saudáveis; o grupo dois (G2), por 27 cães com afecções crônicas; o grupo três (G3), por 14 cães diagnosticados com HAC espontâneo; o grupo quatro (G4), por 30 cães com neoplasia e o grupo cinco (G5), por 27 cães submetidos a protocolos quimioterápicos antineoplásicos. O exame parasitológico de pele (EPP) foi realizado, pontualmente, por meio de tricograma, impressão por fita adesiva e raspado cutâneo profundo em cinco pontos anatômicos pré-determinados. Regiões com lesões cutâneas também foram coletadas e hemogramas, realizados no intervalo de um mês prévio ou posterior à inclusão no estudo, foram avaliados. Em 16 cães foi possível demonstrar a presença de ácaros Demodex spp. Seis cães apresentaram lesões de pele e em apenas dois foi observada a presença do parasita, sendo que não houve diferença significativa na presença do ácaro entre cães com e sem alterações no hemograma. Os grupos de risco G3, G4 e G5 apresentaram maior frequência de EPP positivo, porém diferença estatisticamente significativa foi mostrada apenas entre os cães com HAC espontâneo e os com afecções crônicas, com odds ratio de 10,4. Concluiu-se que HAC espontâneo, neoplasia e quimioterapia parecem influenciar no aumento da população dos ácaros Demodex spp. na pele de cães adultos. Além disso, não há relação entre a presença de leucopenia, neutropenia e/ou linfopenia e o aumento na presença dos ácaros na pele desses animais. Por fim, as lesões cutâneas em cães com HAC espontâneo, neoplasia ou em quimioterapia são pouco frequentes e apresentam causas distintas, não sendo a proliferação excessiva de ácaros Demodex spp. a principal etiologia identificada. / Demodicosis is one of the most common parasitic skin diseases of dogs, but many aspects of canine demodicosis are still poorly understood. Adult onset demodicosis is less frequent and seems to occur due to the presence of an immunosuppressive condition leading to immune system loss of ability to control the Demodex mite population in the skin. The aim of this study was to evaluate if spontaneous hyperadrenocorticism (HAC), cancer and chemotherapy, classically accepted as "triggers" for this parasitic disease, would be risk factors for the increased presence of Demodex mites in the skin of adult dogs. Dogs without a history of juvenile demodicosis were selected and then divided into five groups. Group 1 (G1) was formed by 33 clinically healthy dogs; group two (G2), by 27 dogs with chronic conditions; group three (G3), by 14 dogs diagnosed with spontaneous HAC; group four (G4), by 30 dogs with cancer and group five (G5), by 27 dogs submitted to antineoplastic chemotherapy protocols. Trichogram, acetate tape impression and deep skin scrapes were performed, just once, in five predetermined anatomical points. Skin lesions are also evaluated by these techniques and complete blood count, performed within one month prior or after the inclusion in the study, were evaluated. In 16 dogs it was possible to demonstrate the presence of Demodex mites. Six dogs had skin lesions and only in two of them it was possible to observe the presence of the parasite; there was no significant difference in the presence of the parasite between dogs with and without changes in complete blood count. Risk groups G3, G4 and G5 had a higher frequency of positive samples, but significant difference was shown only between dogs with spontaneous HAC and those with chronic diseases (odds ratio 10.4). It was concluded that spontaneous HAC, cancer and chemotherapy seem to influence the increase of the parasite population in the skin. Furthermore, there is no relationship between the presence of leukopenia, neutropenia and/or lymphopenia and the increased presence of mites in the skin of adult dogs. Finally, skin lesions in dogs with spontaneous HAC, cancer or chemotherapy are uncommon and present different causes, not being excessive proliferation of Demodex mites the main identified etiology.

A demodicidose é uma das principais dermatopatias parasitárias dos cães, contudo muitos aspectos da doença ainda são pouco compreendidos. A doença no cão adulto é menos frequente do que a forma juvenil e parece ocorrer devido à presença de condição imunodepressora/imunossupressora que leve à perda da capacidade de controle, pelo sistema imune, da população de ácaros Demodex spp. na pele do animal. O objetivo deste trabalho foi avaliar se hiperadrenocorticismo (HAC) espontâneo, neoplasia e quimioterapia, classicamente aceitos como “gatilhos” para esta doença parasitária, seriam fatores de risco para o aumento na presença de ácaros Demodex spp. na pele de cães adultos. Foram selecionados cães sem histórico de demodicidose juvenil e estes, distribuídos em cinco grupos. O grupo um (G1) foi formado por 33 cães clinicamente saudáveis; o grupo dois (G2), por 27 cães com afecções crônicas; o grupo três (G3), por 14 cães diagnosticados com HAC espontâneo; o grupo quatro (G4), por 30 cães com neoplasia e o grupo cinco (G5), por 27 cães submetidos a protocolos quimioterápicos antineoplásicos. O exame parasitológico de pele (EPP) foi realizado, pontualmente, por meio de tricograma, impressão por fita adesiva e raspado cutâneo profundo em cinco pontos anatômicos pré-determinados. Regiões com lesões cutâneas também foram coletadas e hemogramas, realizados no intervalo de um mês prévio ou posterior à inclusão no estudo, foram avaliados. Em 16 cães foi possível demonstrar a presença de ácaros Demodex spp. Seis cães apresentaram lesões de pele e em apenas dois foi observada a presença do parasita, sendo que não houve diferença significativa na presença do ácaro entre cães com e sem alterações no hemograma. Os grupos de risco G3, G4 e G5 apresentaram maior frequência de EPP positivo, porém diferença estatisticamente significativa foi mostrada apenas entre os cães com HAC espontâneo e os com afecções crônicas, com odds ratio de 10,4. Concluiu-se que HAC espontâneo, neoplasia e quimioterapia parecem influenciar no aumento da população dos ácaros Demodex spp. na pele de cães adultos. Além disso, não há relação entre a presença de leucopenia, neutropenia e/ou linfopenia e o aumento na presença dos ácaros na pele desses animais. Por fim, as lesões cutâneas em cães com HAC espontâneo, neoplasia ou em quimioterapia são pouco frequentes e apresentam causas distintas, não sendo a proliferação excessiva de ácaros Demodex spp. a principal etiologia identificada. / Demodicosis is one of the most common parasitic skin diseases of dogs, but many aspects of canine demodicosis are still poorly understood. Adult onset demodicosis is less frequent and seems to occur due to the presence of an immunosuppressive condition leading to immune system loss of ability to control the Demodex mite population in the skin. The aim of this study was to evaluate if spontaneous hyperadrenocorticism (HAC), cancer and chemotherapy, classically accepted as "triggers" for this parasitic disease, would be risk factors for the increased presence of Demodex mites in the skin of adult dogs. Dogs without a history of juvenile demodicosis were selected and then divided into five groups. Group 1 (G1) was formed by 33 clinically healthy dogs; group two (G2), by 27 dogs with chronic conditions; group three (G3), by 14 dogs diagnosed with spontaneous HAC; group four (G4), by 30 dogs with cancer and group five (G5), by 27 dogs submitted to antineoplastic chemotherapy protocols. Trichogram, acetate tape impression and deep skin scrapes were performed, just once, in five predetermined anatomical points. Skin lesions are also evaluated by these techniques and complete blood count, performed within one month prior or after the inclusion in the study, were evaluated. In 16 dogs it was possible to demonstrate the presence of Demodex mites. Six dogs had skin lesions and only in two of them it was possible to observe the presence of the parasite; there was no significant difference in the presence of the parasite between dogs with and without changes in complete blood count. Risk groups G3, G4 and G5 had a higher frequency of positive samples, but significant difference was shown only between dogs with spontaneous HAC and those with chronic diseases (odds ratio 10.4). It was concluded that spontaneous HAC, cancer and chemotherapy seem to influence the increase of the parasite population in the skin. Furthermore, there is no relationship between the presence of leukopenia, neutropenia and/or lymphopenia and the increased presence of mites in the skin of adult dogs. Finally, skin lesions in dogs with spontaneous HAC, cancer or chemotherapy are uncommon and present different causes, not being excessive proliferation of Demodex mites the main identified etiology.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-06-26T18:12:15Z No. of bitstreams: 1 2016 - Fabr?cia Ferreira e Ferreira.pdf: 1846980 bytes, checksum: c127e17162c67e64b719801f92b0c6fc (MD5) / Made available in DSpace on 2017-06-26T18:12:15Z (GMT). No. of bitstreams: 1 2016 - Fabr?cia Ferreira e Ferreira.pdf: 1846980 bytes, checksum: c127e17162c67e64b719801f92b0c6fc (MD5) Previous issue date: 2016-03-23 / Canine demodicosis is an inflammatory skin disease, frequently diagnosed in veterinary clinics, caused by the proliferation of mites of the species Demodex sp. In recent years, important findings about the disease have been reported, mainly aspects related to treatment, with the insertion of new molecules or new treatment regimens. Doramectin is a macrocyclic lactone that has been used empirically by veterinarians, who use different routes, doses and intervals in its administration, with no homogeneus results. This study aimed to evaluate the use of doramectin in the treatment of dogs affected by the generalized form of demodicosis. Of the forty-six dogs diagnosed with the disease during the study, 20 were selected for the study and divided into three groups: Group I ? treated with doramectin at a dose of 600 mcg/kg once a week orally, group II ? treated at a dose of 300 mcg/kg orally every 3 days and group III ? treated at a dose of 600 mcg/kg every 7 days subcutaneously. The animals were treated until three consecutive negative skin scrapings were obtained, with intervals of at least fifteen days between them (parasitological cure). The days required to obtain the parasitological cure were 105, 82 and 100 according to the indicated groups; and their treatment efficiencies were 75, 100 and 83%, respectively. Doramectin was effective in treating generalized demodectic mange in dogs, regardless of the dose, route and interval of administration. However, the best results were obtained in the group treated at a dose of 300 mcg/kg orally every 3 days. There were no reported adverse reactions with the use of macrocyclic lactone. / Demodiciose canina ? uma doen?a inflamat?ria da pele, frequentemente diagnosticada nos consult?rios veterin?rios, causada pela prolifera??o de ?caros da esp?cie Demodex sp. Nos ?ltimos anos, importantes descobertas sobre a doen?a foram reportadas, principalmente os aspectos relacionados ao tratamento, com a inser??o de novas mol?culas ou novos esquemas de tratamento. A doramectina ? uma lactona macroc?clica que vem sendo usada de forma emp?rica por m?dicos veterin?rios, que a utilizam por diferentes vias, doses e intervalos na sua administra??o, com resultados heterog?neos. O objetivo do estudo foi avaliar a utiliza??o da doramectina no tratamento da demodiciose generalizada em c?es. Dos 46 animais diagnosticados com a doen?a, 20 foram selecionados e divididos em tr?s grupos experimentais: grupo I ? tratado com doramectina dose de 600 mcg/kg semanalmente por via oral, grupo II ? tratado na dose de 300 mcg/ kg por via oral a cada 3 dias e o grupo III ? tratado na dose de 600 mcg/kg a cada 7 dias por via subcut?nea. Os animais foram tratados at? a obten??o de tr?s raspados negativos consecutivos com pelo menos 15 dias de intervalo entre eles (cura parasitol?gica). Os dias necess?rios para obten??o da cura parasitol?gica foram 105, 82 e 100 de acordo com os grupos assinalados e as respectivas efic?cias ao tratamento foram 75, 100 e 83%. A doramectina demonstrou ser eficaz no tratamento da demodiciose generalizada em c?es independente da dose, via e intervalo de sua administra??o. Entretanto, os melhores resultados obtidos foram observados no grupo tratado com a dose de 300 mcg/ kg por via oral a cada 3 dias. N?o foram reportadas quaisquer rea??es adversas com a utiliza??o da lactona macroc?clica.

Le Demodex, petit acarien vivant dans les follicules pilo-sébacés de tous les humains adultes, est reconnu responsable des démodécies chez l’homme mais n’est considéré dans la rosacée, au plus, que comme un facteur aggravant potentiel d’une inflammation préexistante. Toutes nos observations, depuis 1983, convergent vers la confirmation de son rôle pathogène dans la rosacée, et suggèrent des liens physiopathologiques clairs entre rosacées avec papulopustules (RPP) avec ou sans érythème permanent, rosacée érythématotélangiectasique (RET), pityriasis folliculorum et autres démodécies. (1) Dans les biopsies cutanées, le Demodex est associé à l’inflammation périfolliculaire. (2) Le concept de densité en Demodex a été introduit et une méthode de prélèvement standardisée permettant de mesurer cette densité a été développée, puis perfectionnée. (3) Elle a permis de montrer que cette densité était nettement supérieure chez les patients atteints de démodécie et de RPP, que chez ceux avec peau saine et ceux atteints d’autres dermatoses faciales, les patients avec RPP sans prolifération en Demodex étant exceptionnels. (4) Un test diagnostique hautement spécifique et sensible, utilisable facilement en consultation a été élaboré et validé. (5) Des signes cliniques discrets de ces dermatoses ont été mis en évidence, de même que la grande fréquence des démodécies en consultation de dermatologie (alors qu’elles sont très peu diagnostiquées). (6) L’effet acaricide sur le Demodex de six traitements topiques a été comparé in vivo et les meilleures molécules ont été utilisées pendant une vingtaine d’années :sur base des résultats collectés, l’efficacité du traitement a été démontrée, non seulement sur la densité en Demodex mais également sur les symptômes cliniques, tant parmi les démodécies que dans la RPP, ce qui prouve indirectement que la prolifération en parasites n’est pas un épiphénomène mais est bien la cause de la maladie. (7) Parmi les modalités comparées, les plus intenses ont une efficacité plus rapide et une meilleure compliance. (8) La RET peut correspondre à une démodécie subclinique et est probablement un facteur favorisant la prolifération des parasites, tout comme le sont probablement l’hyperplasie sébacée et l’hypothyroïdie, tandis que la cortisone semble limiter leur prolifération quand celle-ci est excessive. (9) Les similarités et les confusions nosologiques entre les démodécies et les différentes formes de rosacée ont été mises en évidence, afin de montrer que ces dermatoses ne sont vraisemblablement que des phénotypes d’une seule et même maladie :ce sont toutes des démodécies. (10) Trois systèmes d’attribution d’une cause à une maladie convergent pour confirmer le rôle pathogène du Demodex dans la RPP. Nos observations doivent être confirmées par des études longitudinales et des études contrôlées, mais d’ores et déjà, ajoutées aux données actuelles de la littérature, elles nous semblent suffisantes pour reconnaître le rôle pathogène du parasite en médecine humaine et dans la rosacée en particulier. Cette reconnaissance donnerait une définition principalement étiologique à la rosacée, la classerait parmi les démodécies, et en faciliterait la prise en charge et le traitement. Nous proposons une hypothèse physiopathologique originale où le Demodex se trouve au centre d’un réseau causal « en toile d’araignée », la RPP étant considérée comme une infection chronique s’accompagnant d’épuisement lymphocytaire. / Demodex folliculorum and Demodex brevis are small mites living in the pilosebaceous follicles of all adult humans. They are known to be responsible for demodicosis in humans but in rosacea are generally considered only as a potential aggravating factor of pre-existing inflammation. However, our observations since 1983 converge towards a pathogenic role of the Demodex mite in rosacea, and suggest clear pathophysiological links between rosacea with papulopustules (PPR) with or without persistent erythema, erythematotelangiectatic rosacea (ETR), pityriasis folliculorum and other demodicoses. Summarising our findings: (1) In skin biopsies, Demodex is statistically associated with perifollicular inflammation. (2) The concept of Demodex density was introduced and a method to measure it using two consecutive standardized skin surface biopsies was developed and refined. (3) It was shown that Demodex density was significantly higher in patients with demodicosis and PPR than in those with healthy skin and with other facial dermatoses; patients with PPR without Demodex proliferation detected are rare, and the few cases that do occur likely correspond to false negative results linked to proliferation of the mites deep in the pilosebaceous follicles, thus not detected by the sampling method. (4) A highly specific and sensitive diagnostic test based on the results from two consecutive standardized skin surface biopsies was developed and validated and can be easily used during clinical consultation. (5) Less well-known clinical signs of these dermatoses were highlighted, as well as the high frequency of demodicoses in dermatologic consultations (although they are under-diagnosed). (6) The acaricidal effect of six topical treatments on Demodex was compared in vivo and the best molecules were used for about 20 years in our practice. From data collected from our patients during this time period, the efficacy of the treatment was demonstrated, not only on Demodex density but also on clinical symptoms, both in demodicosis and in PPR, indirectly showing that parasite proliferation is not an epiphenomenon, but is the cause of the disease. (7) Of the treatment modalities compared, those that were more intense worked more rapidly and had better compliance. (8) ETR may correspond to subclinical demodicosis and is probably a condition that favours parasite proliferation, as are sebaceous hyperplasia and hypothyroidism; cortisone seems initially to favour mite proliferation, but to limit it when Demodex density is very high. (9) The similarities and nosological confusion between demodicosis and the different forms of rosacea were highlighted, showing that these dermatoses are probably phenotypes of one and the same disease: they are all demodicoses. (10) Three systems used to attribute disease causality converge to confirm the pathogenic role of Demodex in PPR. Our observations need to be confirmed by longitudinal and controlled studies, but, combined with current data in the literature, they seem sufficient to recognise the pathogenic role of the parasite in human disease and in rosacea in particular. This recognition would enable a mainly aetiological definition to be given to rosacea, would classify it among the demodicoses, and would facilitate its management and treatment. We propose an original pathophysiological hypothesis in which Demodex is at the centre of a causal network, with PPR being considered a chronic infection accompanied by lymphocyte exhaustion. / Doctorat en Sciences médicales (Médecine) / info:eu-repo/semantics/nonPublished

Made available in DSpace on 2014-08-20T14:38:00Z (GMT). No. of bitstreams: 1 dissertacao_anelize_felix.pdf: 541679 bytes, checksum: e35d84480d181fc2e13d21300abf6a98 (MD5) Previous issue date: 2010-02-24 / Demodicosis is considered one of the most severe canine skin disease. It is caused by the excessive proliferation of the Demodex canis mite, normal member of the canine skin. Skin lesions caused by the parasite predispose the skin to secondary infections that will further aggravate the patients clinical aspects. The objective of this work was to evaluate the clinical a histopathological evolution of the disease, as well as to study the seric levels of interleukin 10 (IL10) in demodicosis patients. The first study was conducted using 20 animals, 10 demodicosis patients (GD), and 10 control dogs (GC). All these animals were clinically evaluated, and submitted to deep skin scraping in search of Demodex mites. The dogs in the GD group were treated with moxidectin and evaluated in days 0, 20, 40, 60, and 80. Five of these animals were healed and submitted to skin biopsies on days 0 and 80, for the observation of histopathological alterations. A second study used 26 animals, 17 on G1 (demodicosis patients) and 9 on G2 (healthy dogs). All G1 animals were positive for demodicosis on the skin scrape test, and were submitted to clinical evaluation. Blood was harvested from all the animals, with the interleukin 10 dosage being carried out with the comrcial kit Quantikine Canine IL-10 Immunoassay® (R&D Systems) . Results obtained in the first experiment showed considerable clinical and scrape test improvement in GD, but no evolution in the histopathological patern. The GC presented higid skin and negative skin scrape test. In the second experiment, dogs in the G1 group presented hi clinical scores, indicating severe desiase. G1 had a mean IL10 level of 184,38 (+258,9) pg/mL, while the mean for G2 was11,94 (+ 2,27) pg/mL, indicating that hi levels of IL10 may be related to the development of the disease. The results described in this work show that, even when clinically healed, and with negative skin scrape test, demodicosis carriers present persistence of the lesions and the mite in the histological structure of the skin. This work also shows that demodicosis patients tend to have higher IL10 levels than healthy animals. / A demodicose é considerada uma das mais graves dermatopatias que acomete cães. É causada pela proliferação excessiva do ácaro Demodex canis, comensal da pele canina. Devido à lesão causada pelo parasita, a pele torna-se predisposta à instalação de infecções secundárias que agravam o quadro clínico do paciente. Objetivou - se avaliar a evolução clínica e histopatológica, assim como estudar os níveis de interleucina -10 sérica em cães portadores de demodicose. Para a primeira etapa, foram estudados 20 cães, 10 apresentando demodicose (GD) e 10 animais controle (GC). Todos foram avaliados clinicamente e submetidos a raspado cutâneo profundo para pesquisa de ácaros. Os animais do GD foram tratados com moxidectina e avaliados nos dias 0, 20, 40, 60 e 80. Cinco destes animais obtiveram cura e foram submetidos à biópsia cutânea no dia 0 e no dia 80, para análise das alterações histopatológicas. Na segunda etapa, foram utilizados 26 animais, 17 no G1 (portadores de demodicose) e 9 no G2 (cães hígidos). Todos os animais do GD tiveram raspado positivo para Demodex canis e foram avaliados clinicamente. Foi feita coleta de sangue para obtenção de soro em todos os animais sendo realizada dosagem dos níveis de interleucina 10 através do kit comercial Quantikine Canine IL-10 Immunoassay® (R&D Systems). Os resultados obtidos na primeira etapa, demonstraram uma melhora clinica considerável e negativação do raspado no GD, porém em relação ao padrão histopatológico não houve evolução. Quando comparados os dois aspectos, não houve diferença significativa. O GC apresentou pele hígida e raspado cutâneo negativo. Já na segunda etapa, os cães do G1 apresentaram escores clínicos altos, indicando severidade da doença. Os níveis de interleucina 10 no G1 tiveram média de 184,38 pg/ml (+258,9 pg/ml) enquanto o G2 apresentou média igual a 11,94 pg/ml (+ 2,27 pg/ml), indicando que níveis altos de IL10 podem estar relacionados com o desenvolvimento da doença. Os resultados demonstraram que mesmo clinicamente curados e com raspado cutâneo negativo, os cães portadores de demodicose apresentam persistência das lesões e do ácaro na estrutura histológica da pele, e também que cães com demodicose apresentaram níveis de interleucina 10 elevados quando comparados com animais sadios.

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Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.