使用奥克拉替尼与瘙痒性皮炎的猫遭受慢性腹泻治疗期间与环孢素

Y. Sawa, Godai Shumoto, T. Yokoyama, I. Mitsui, T. Kaneshima
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引用次数: 1

摘要

一只8岁雄性阉育苏格兰犬,经环孢素(CyA)治疗搔痒性皮炎,出现慢性胃肠道症状,血清化学显示a /G比值下降,抗猫冠状病毒(FCoV)抗体滴度升高。根据检测结果,怀疑是免疫缺陷引起的FCoV感染,因此停用CyA,并用奥克拉替尼替代。然而,在一年半的时间里,猫被诊断为肾淋巴瘤,因此停止给药。本病例的结果提示,给药奥克拉替尼可能是治疗猫瘙痒性皮炎的有效方法,但临床医生在使用大剂量时需要密切注意免疫抑制
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Use of oclacitinib for a cat with pruritic dermatitis suffering chronic diarrhea during treatment with cyclosporine
An 8-year-old male neutered Scottish Fold, whose pruritic dermatitis treated with cyclosporine (CyA), showed chronic gastrointestinal symptoms Serum chemistry showed a decrease in the A/G ratio and an elevation in the anti-feline coronavirus (FCoV) antibody titer Based on the test results, FCoV infection due to immunodeficiency was suspected, therefore CyA was withdrawn As a replacement, oclacitinib was administered Pruritis was controlled by oclacitinib administration, and then improvement of gastrointestinal symptoms and decrease in the anti-FCoV antibody titer was also observed However, in a year and a half, the cat was diagnosed with kidney lymphoma, thus oclacitinib administration was withdrawn The result of this case suggest that oclacitinib administration could be an effective treatment of pruritic dermatitis in cats, but clinicians need to pay close attention to immunosuppression when using high dosages
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