Metabolic epidermal necrosis

18 Metabolic epidermal necrosis







CLINICAL EXAMINATION


General examination may reveal hepatic enlargement and abdominal pain, or may be unremarkable. A cutaneous examination usually reveals symmetrical facial and pedal distribution of lesions. Other areas of friction are commonly affected, and in some cases lesions on the ventral abdomen and other mucocutaneous sites may develop as the condition advances. Lesions usually consist of thick adherent crusts, erythema, exudation, erosions, ulceration and fissuring. The footpads are almost always involved, with lesions ranging from mild to severe hyperkeratosis, erosions and fissuring. Lesions on the ventral abdomen resemble target lesions, with a central area of hyperpigmentation surrounded by crusts and scale which can progressively coalesce to involve large areas. Often, secondary bacterial and Malassezia colonization is also reported.


In this case the relevant findings on clinical examination were:











Sep 3, 2016 | Posted by in SMALL ANIMAL | Comments Off on Metabolic epidermal necrosis
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