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Veterinary Dermatology 2003, 14, 197 203

Hereditary nasal parakeratosis in Labrador retrievers: 11 new


cases and a retrospective study on the presence of accumulations of
serum (serum lakes) in the epidermis of parakeratotic dermatoses
and inflamed nasal plana of dogs
Blackwell Publishing Ltd.

JEANINE PETERS,* DANNY W. SCOTT,* HOLLIS N. ERB and


WILLIAM H. MILLER*
Departments of *Biomedical Sciences, Clinical Sciences and Population Medicine and Diagnostic Sciences,
College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA
(Received 3 December 2002; accepted 19 March 2003)

Abstract We report 11 new cases of hereditary nasal parakeratosis in Labrador retrievers. The disease was first
observed when the dogs were 6 months to 2 years of age, and affected dogs of either sex and all coat colours.
Hyperkeratosis and depigmentation were confined to the nasal planum, and affected dogs were otherwise healthy.
The principal histological findings in biopsy specimens were marked diffuse parakeratotic hyperkeratosis, multiple intracorneal serum lakes and superficial interstitial-to-interface lymphoplasmacytic dermatitis. Topical
applications of propylene glycol in water or white petrolatum were often effective for treatment of the dermatosis.
However, continued applications were required to maintain a beneficial response. A retrospective histological
study of parakeratotic inflammatory diseases of canine haired skin and inflammatory diseases of the canine nasal
planum was performed. The degree of parakeratotic hyperkeratosis and the number and size of intracorneal
serum lakes were evaluated. The degree of parakeratotic hyperkeratosis was greater in hereditary nasal parakeratosis specimens than that seen in discoid lupus erythematosus and Malassezia dermatitis. There were more
serum lakes in hereditary nasal parakeratosis specimens than in specimens from dogs with discoid lupus erythematosus, Malassezia dermatitis, primary seborrheic dermatitis or zinc-responsive dermatosis. Significant
differences in sizes of serum lakes (if present) were not seen.
Keywords: dog, hereditary nasal parakeratosis, histopathology, intracorneal serum lakes, Labrador retriever,
parakeratotic hyperkeratosis, skin.

INTRODUCTION
Hereditary nasal parakeratosis (HNP) is a newly described disorder of Labrador retrievers and their crosses.1,2
An autosomal-recessive mode of inheritance is suspected.
Nasal lesions are first noticed between 6 and 12 months
of age and affected dogs are otherwise healthy. Histopathological findings include moderate-to-marked parakeratotic hyperkeratosis, moderate lymphocytic and
neutrophilic exocytosis, mild-to-moderate superficial
interstitial-to-interface dermatitis, and often marked
multifocal accumulations of proteinaceous material (serum
lakes) between keratinocytes.
Other known causes of clinical hyperkeratosis (excessive scale crust) of the nasal planum in dogs include
discoid lupus erythematosus (DLE), distemper, ichthyosis, leishmaniasis, necrolytic migratory erythema (NME),
pemphigus erythematosus, pemphigus foliaceus (PF),
primary seborrheic dermatitis (PS), systemic lupus erythematosus and zinc-responsive dermatosis (ZRD).2
Correspondence: Danny W. Scott, Department of Clinical Sciences
College of Veterinary Medicine, Cornell University, Ithaca, NY
14853, USA. E-mail: shb3@cornell.edu
2003 European Society of Veterinary Dermatology

An idiopathic form of nasal planum hyperkeratosis occurs


in older dogs of various breeds.2 Our purposes were: (i) to
describe 11 new cases of HNP, and (ii) to evaluate the
prevalence of serum lakes in HNP as compared with
other parakeratotic skin diseases and inflammatory
disorders of the nasal planum. Our hypothesis was that
the number and size of serum lakes in HNP would be
significantly greater than in the other diseases studied.

MATERIALS AND METHODS


Biopsy specimens from 11 Labrador retrievers with
HNP were submitted to the Surgical Pathology Service
at Cornell University College of Veterinary Medicine
(CUCVM) over a three-year period (19992001). All
referring veterinarians were contacted in order to gather
detailed historical, clinical and therapeutic information.
A retrospective histological study of parakeratotic
diseases of canine haired skin and of inflammatory diseases of the canine nasal planum was performed using
biopsy specimens submitted to both the Dermatology
Service and the Surgical Pathology Service at the
CUCVM from 1973 to 2001. All skin specimens had at
197

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J. Peters et al.

Figure 2. Photomicrograph of skin from a dog with discoid lupus


erythematosus showing a cluster of small serum lakes that are few in
number (bar = 120 m).

Figure 1. Photomicrograph of skin from a Labrador retriever with


hereditary nasal parakeratosis showing small 65 m (solid arrow),
medium 160 m (dotted arrow), and large 350 m (arrow head)
serum lakes (bar = 120 m).

least two layers of parakeratotic hyperkeratosis. In total,


134 individual cases were included in the study: 43 biopsy
specimens from inflamed nasal plana and 91 biopsy
specimens from parakeratotic skin diseases. Of the 43
nasal planum biopsy specimens, the final diagnoses
were: 11 cases of HNP, 24 cases of DLE, 5 cases of ZRD
and 3 cases of PF. One case of ZRD and two of PF were
complicated by secondary bacterial infections. Of the
91 biopsy specimens of haired skin, 32 cases were diagnosed as ZRD, 24 as PS, 17 as NME and 18 as Malassezia dermatitis (MD). Final diagnoses were based on
compatible history and clinical signs, histopathological findings, appropriate laboratory tests and response
to treatment. The specimens had been procured using
either 46-mm biopsy punch instruments or a scalpel
(wedge sections). All skin specimens had been fixed in
10% buffered formalin, embedded in paraffin wax, cut
into 4-m sections, placed on glass slides and stained
with haematoxylin and eosin (H&E). If there was more
than one section on the slide, the section with the largest serum lake was selected. One author (JP) evaluated
all slides for the following features: degree of parakeratotic hyperkeratosis, number of serum lakes and the
size of the serum lakes. The largest serum lake in each
section was measured with a micrometer and the size

was recorded as small (150 m diameter), medium


(51250 m diameter) or large (> 250 m) (Fig. 1).
Most lakes were not perfectly round and therefore the
longest dimension was recorded. The degree of parakeratotic hyperkeratosis was assessed by counting the
individual layers of parakeratin and was recorded as
mild (25 layers), moderate (615 layers) or marked
(> 15 layers). Parakeratotic hyperkeratosis was either
multifocal or diffuse. The relative number of serum lakes
was expressed as few (110 per section) (Fig. 2), intermediate (1120 per section) (Fig. 3) or many (> 20 per
section) (Fig. 1).
Statistical analysis
The amount of parakeratotic hyperkeratosis, number
of serum lakes and size of serum lakes in HNP were
compared with that seen in other nasal dermatoses (i.e.
DLE, ZRD, PF) using the KruskalWallis test (nonparametric one-way by ranks).3 These same
parameters in HNP were compared with those seen in
other parakeratotic skin diseases (i.e. ZRD, PS, NME,
MD) in a separate KruskalWallis test. A Kruskal
Wallis P-value < 0.01 (two-sided) was considered statistically significant; multiple-comparison procedures
indicated which of the disorders differed in mean ranks.

RESULTS
Labrador retrievers with hereditary nasal parakeratosis
Clinical information on the 11 dogs with HNP is given
in Table 1. Eight dogs were from New York, two were
from Connecticut and one was from Pennsylvania.
Typically, the owners first noted clinical hyperkeratosis
(excessive scale) and depigmentation of the nasal planum (Figs 4 and 5). Crusting, ulceration and fissures
developed in six, three and one dog, respectively. Pruritus or pain was not reported. The dermatosis progressively worsened in nine dogs, waxed and waned in one
dog, and seemed worse from autumn to spring in one
dog. All dogs were otherwise healthy. There was no
obvious relationship between the onset of the dermatitis

2003 European Society of Veterinary Dermatology, Veterinary Dermatology, 14, 197 203

Hereditary nasal parakeratosis and serum lakes

199

Figure 4. Labrador retriever with hereditary nasal parakeratosis.


Note depigmentation, erythema and hyperkeratosis of nasal planum.

Figure 3. Photomicrograph of skin from a Labrador retriever with


hereditary nasal parakeratosis showing an intermediate number of
small serum lakes (bar = 120 m).
Figure 5. Labrador retriever with hereditary nasal parakeratosis.
Note depigmentation, erythema and hyperkeratosis.
Table 1. Clinical information on 11 Labrador retrievers with hereditary nasal parakeratosis
Case

Age
(years)

1
2
3
4
5
6
7
8
9
10
11

1.5
5
3
1
1.5
2.5
3
9.5
5
4.5
3

Sex*

Coat
colour

Duration of disease
( years)

M
MC
F
M
F
F
FS
MC
MC
M
FS

Yellow
Black
Yellow
Chocolate
Chocolate
Black
Chocolate
Black
Black
Chocolate
Black

1
4
1
0.5
0.8
2
2.3
8
Years
Months
2.5

*M = intact male; MC = castrated male; F = intact female; FS =


spayed female.

and previous vaccination or drug therapy. Information


on littermates was available for only two dogs, and
these were reported to be normal.
Nine of the Labrador retrievers previously received
various therapeutic agents (Table 2), and seven dogs did
not respond. Two dogs (cases 9 and 11) were reported to
be 85% improved when receiving large doses (2 mg kg1
every 24 h) of oral prednisone. Both dogs relapsed when
treatment was stopped.

Following biopsy diagnosis, eight dogs received treatment. Five of these dogs were treated topically, every 12 h,
with propylene glycol (Butler Co., Columbus, OH, USA)
mixed with equal volumes of water. All five dogs had a
good response (8590% improvement), but required continued therapy to maintain the response. One dog was
reported to have a satisfactory response to topical white
petrolatum every 12 h. One dog (case 3) had a good response to large doses (2 mg kg1 every 24 h) of prednisone,
and another dog had a good response to a combination
of immunomodulatory agents (case 11).
The principal histological features of the nasal plana in
these 11 dogs were as follows: marked diffuse parakeratotic hyperkeratosis (Fig. 6); numerous variably sized
serum lakes measuring up to 350 m in diameter and
occasionally associated with a few neutrophils (Figs 1,
6 and 7); mild-to-marked epidermal hyperplasia which
was often irregular; mild-to-moderate superficial
interstitial-to-interface lymphoplasmacytic dermatitis
with smaller numbers of histiocytes, neutrophils and
mast cells (Fig. 7); multifocal neutrophilic and lymphocytic exocytosis; multifocal intracorneal pustules with
degenerate neutrophils; and mild to moderate pigmentary incontinence (Fig. 7). Less common findings included mild superficial lymphoplasmacytic perivascular

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J. Peters et al.

Table 2. Results of treatment of 11 Labrador retrievers with hereditary nasal parakeratosis


Case

Previous therapy

Subsequent therapy

1
2
3
4
5
6
7
8

Cephalexin, zinc, and vitamin E PO; topical sunscreen


None
Vitamin E and omega-6 / omega-3 fatty acids PO; topical glucocorticoid
Omega-3 fatty acids PO
Zinc PO
None
Zinc, prednisone, and omega-6 / omega-3 fatty acids PO
Cephalexin, zinc, vitamin E, omega-6 / omega-3 fatty acids
tetracycline and niacinamide PO
Enrofloxacin, cephalexin, and prednisone PO
Cephalexin PO
Prednisone PO

None
White petrolatum topical
Prednisone PO
None
Propylene glycol topical
Lost to follow-up
Propylene glycol topical
Propylene glycol topical

9
10
11

Propylene glycol topical


Propylene glycol topical
Prednisone, tetracycline, niacinamide
and omega-6/omega-3 fatty acids PO

Figure 6. Photomicrograph of skin from a Labrador retriever with


hereditary nasal parakeratosis. There is marked diffuse parakeratotic
hyperkeratosis, multiple variably sized serum lakes, moderate
irregular epidermal hyperplasia, and moderate superficial interstitial
lymphoplasmacytic dermatitis ( bar = 60 m).

inflammation; moderate multifocal intracellular oedema


and intracytoplasmic vacuolation of multiple epidermal
cells (especially in the stratum spinosum); and occasional random apoptotic keratinocytes. One case did not
have serum lakes and had multifocal horizontal or vertical areas of alternating orthokeratotic and parakeratotic hyperkeratosis.
Parakeratotic dermatoses of the nasal planum
Of the 43 nasal planum specimens reviewed (HNP,
DLE, ZRD, PF), 22 (51%) had serum lakes (Table 3).
HNP had significantly more serum lakes than DLE
(KruskalWallis P = 0.0001), but there was no significant association between the number of serum lakes in
ZRD or PF compared with HNP or DLE. There was
no significant association between any of the four nasal
planum parakeratotic diseases and the size of the
serum lakes (KruskalWallis P = 0.1). HNP had significantly more parakeratotic hyperkeratosis than DLE
(KruskalWallis P = 0.0005) but there was no significant difference between the amount of parakeratotic
hyperkeratosis in ZRD or PF compared with HNP
or DLE (Table 4). All cases of HNP, but only five (5/
24, 21%) cases of DLE, had marked parakeratotic
hyperkeratosis.

Figure 7. Photomicrograph of skin from a Labrador retriever with


hereditary nasal parakeratosis showing moderate superficial lymphoplasmacytic dermatitis and pigmentary incontinence (bar = 240 m).

Parakeratotic dermatoses of haired skin


Of the 91 biopsy specimens from parakeratotic conditions of haired skin (ZRD, PS, NME, MD), 52 (57%) had
intracorneal serum lakes (Table 3). HNP had significantly
more serum lakes than ZRD, PS and MD (Kruskal
Wallis P = < 0.001). HNP did not have a different number
of serum lakes than NME. There was no significant
difference in the size of serum lakes in HNP compared
with the other parakeratotic conditions examined.
HNP and NME had significantly more parakeratotic

2003 European Society of Veterinary Dermatology, Veterinary Dermatology, 14, 197 203

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201

Table 3. Number and size of serum lakes in biopsy specimens from dogs with parakeratotic skin disorders or inflamed nasal plana
No. (%) of serum lakes
Diagnosis
Nasal planum
HNP* (n = 11)
DLE (n = 24)
ZRD (n = 5)
PF (n = 3)
Total (n = 43)
Comparison
Haired skin
ZRD (n = 32)
PSe (n = 24)
NME** (n = 17)
MD (n = 18)
Total (n = 91)
Comparison

Intermediate
(11 20)

No. (%) of serum lakes

No. (%) with


serum lakes

Few
(1 10)

10 (91)
6 (25)
4 (80)
2 (67)
22 (51)

0
1 (10)
9 (90)
1 (10)
4 (40)
5 (50)
3 (50)
1 (17)
2 (33)
3 (50)
1 (17)
2 (33)
1 (25)
2 (50)
1 (25)
3 (75)
1 (25)
0
2 (100)
0
0
0
1 (50)
1 (50)
6 (27)
4 (18)
12 (55)
7 (32)
7 (32)
8 (36)
HNP > DLE
HNP, DLE, PF and ZRD = no significant difference
HNP and DLE vs. PF and ZRD = no significant difference

22 (69)
17 (77)
2 (9)
11 (46)
10 (91)
1 (9)
13 (77)
8 (62)
2 (15)
6 (33)
6 (100)
0
52 (57)
41 (79)
5 (10)
HNP > MD, PS, ZRD
HNP, NME, and PF = no significant difference

Many
(> 20)

3 (14)
0
3 (23)
0
6 (11)

Small
(1 50 m)

Medium
(51 250 m)

Large (> 250 m)

10 (46)
9 (40)
7 (64)
4 (36)
6 (46)
5 (39)
4 (67)
2 (33)
27 (52)
20 (38)
HNP, MD, NME, PF, PS, ZRD =
no significant difference

3 (14)
0
2 (15)
0
5 (10)

*Hereditary nasal parakeratosis. Discoid lupus erythematosus. Zinc responsive dermatosis. Pemphigus foliaceus. Primary seborrheic
dermatitis. **Necrolytic migratory erythema. Malassezia dermatitis.

Table 4. Amount of parakeratotic hyperkeratosis in biopsy specimens from dogs with parakeratotic skin disorders or inflamed nasal plana
Amount of parakeratotic hyperkeratosis (%)
Diagnosis
Nasal planum
HNP* (n = 11)
DLE (n = 24)
ZRD (n = 5)
PF (n = 3)
Total (n = 43)
Comparison
Haired skin
ZRD (n = 32)
PS (n = 24)
NME** (n = 17)
MD (n = 18)
Total (n = 91)
Comparison

Mild (2 5 layers)

Moderate (6 15 layers)

Marked (> 15 layers)

0
0
9 (37)
10 (42)
1 (20)
0
0
2 (67)
10 (23)
12 (28)
HNP > DLE
HNP and DLE vs. PF and ZRD = no significant difference

11 (100)
5 (21)
4 (80)
1 (33)
21 (49)

6 (19)
11 (34)
5 (21)
8 (33)
1 (6)
2 (12)
5 (28)
8 (44)
17 (19)
29 (32)
HNP and NME > MD
HNP, MD, and NME vs. PS and ZRD = no significant difference

15 (47)
11 (46)
14 (82)
5 (28)
45 (49)

*Hereditary nasal parakeratosis. Discoid lupus erythematosus. Zinc responsive dermatosis. Pemphigus foliaceus. Primary seborrheic dermatitis.
**Necrolytic migratory erythema. Malassezia dermatitis.

hyperkeratosis than MD (KruskalWallis P = 0.0006)


(Table 4). There was no significant difference in the amount
of parakeratotic hyperkeratosis in ZRD and PS compared
with HNP, NME or MD. As mentioned previously, all
cases of HNP had marked parakeratotic hyperkeratosis.

DISCUSSION
The clinical features of the Labrador retrievers with
HNP described herein are mostly in agreement with
those reported previously by Pag et al.1 A young age
at onset, no sex predilection and no coat colour predilection are typical findings. The disorder is usually
limited to the nasal planum, although two of the dogs
described by Pag et al. had scaly, crusty lesions on the

bridge of the nose, and one of those dogs had hyperkeratotic footpads.1 Pruritus and pain are not usually
present, and affected dogs are otherwise healthy.
The cause and pathogenesis of HNP are not known.
Data presented by Pag et al. suggested an autosomal
recessive inheritance.1 We were unable to obtain information on the relatives of the majority of our cases. We
found no obvious association with drug administration
or vaccination.
The histopathological features of skin biopsy
specimens from our Labrador retrievers with HNP are
identical to those reported by Pag et al.1 The most
characteristic changes include marked diffuse parakeratotic hyperkeratosis, large numbers and size of serum
lakes within the parakeratin, and a lymphoplasmacytic
superficial interstitial-to-interface dermatitis.

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J. Peters et al.

Spontaneous remission of HNP has not been reported. The oral administration of antibiotics, zinc, vitamin
E, vitamin A and omega-6/omega-3 fatty acid preparations were ineffective where administered to the dogs
reported herein and by Pag et al.1 Large doses of prednisone PO were effective in two of our cases. However,
the HNP relapsed when prednisone treatment was stopped. In addition, the administration of such a potent
and potentially harmful therapeutic agent to healthy
dogs with a localized, usually asymptomatic dermatosis
seems unjustified.
Many dogs in our study and that of Pag et al.1 responded well to the topical application of propylene
glycol in water. A smaller number of dogs in both studies responded satisfactorily to the topical application
of white petrolatum (petroleum jelly). Continued application of either agent was required to maintain the beneficial response. Regardless of the therapeutic agent used,
no dogs nose became 100% normal. Again, because
affected dogs are usually healthy and apparently untroubled by their nasal dermatosis, observation without
treatment might be an option in some cases.
The accumulation of serum between keratinocytes
appears to be unique to skin lesions with parakeratotic
hyperkeratosis. The authors have not recognized serum
lakes in skin diseases with orthokeratotic hyperkeratosis. Although the presence of intracorneal serum lakes
is not a unique feature of HNP, 91% of the cases examined in this study had serum lakes. In addition, in 90%
of the cases of HNP that had serum lakes, the lakes were
numerous and of intermediate or large size. There were
significantly more serum lakes in biopsy specimens of
HNP than specimens of DLE, ZRD (haired skin), PS
and MD. The lack of a significant difference between
HNP and ZRD (nasal planum) and PF might be due to
the small sample sizes. There were significantly more
serum lakes in HNP than in haired skin specimens, but
not nasal planum specimens, of ZRD. Again, this might
be due to the small sample size of nasal planum vs.
haired skin from ZRD. The lack of significant difference

between the numbers of serum lakes in HNP and NME


may be explained by the prominent epidermal intercellular oedema, superficial dermal oedema and vascular
ectasia often present in biopsy specimens from NME.4
DLE and PF are common disorders of the canine
nasal planum,5 and parakeratotic hyperkeratosis is not
mentioned as a prominent feature of these diseases.2
However, all of the PF cases and DLE cases in our
study had at least multifocal parakeratotic hyperkeratosis. The reason for this is unknown; but parakeratotic
hyperkeratosis appears to be a common feature of the
inflamed nasal planum.
In conclusion, HNP is a recently recognized, currently
incurable, presumed genodermatosis of Labrador
retrievers and their crosses. The clinical presentation
combined with the characteristic histopathological findings are diagnostic. Although the number and size of
serum lakes are not of any value diagnostically, high
numbers of serum lakes characterize HNP more often
than they do other parakeratotic diseases. Thus, although
serum lakes are not helpful qualitatively in the diagnosis of HNP, their sheer volume is suggestive of this
condition.

REFERENCES
1. Pag, N., Paradis, N., LaPointe, J.M. et al. Hereditary
nasal parakeratosis in Labrador retrievers. Veterinary
Dermatology 2003; 14: 103110.
2. Scott, D.W., Miller, W.H. Jr, Griffin, C.E. eds. Muller and
Kirks Small Animal Dermatology, 6th edn. W.B. Saunders
Co., Philadelphia, 2001: 711124.
3. Dawson, B., Trapp, R.G. Basic and Clinical Biostatistics,
3rd edn. Appleton & Lange, Norwalk, CT, 2001: 179.
4. Gross, T.L., Song, M.D., Havel, P.J. et al. Superficial
necrolytic dermatitis (necrolytic migratory erythema) in
dogs. Veterinary Pathology 1993; 30: 7581.
5. White, S.D. Diseases of the nasal planum. Veterinary Clinics
of North America, Small Animal Practice 1994; 24: 887
95.

Rsum Nous rapportons 11 nouveaux cas de parakratose nasale hrditaire chez le Labrador retriever. La
maladie a t observe initialement lge de 6 molis 2 ans, chez des animaux des deux sexes et sans prdisposition de couleur de pelage. Les animaux ne prsentaient pas datteinte de ltat gnral et les lsions hyperkratosiques et dpigmentes taient localises la truffe. Les modifications histopathologiques consistaient en une
parakratose diffuse, des cavits remplies de srum dans la couche corne et une dermatite superficielle ou dinterface lympho-plasmocytaire. Lapplication de propylne glycol ou de ptrole localement a souvent permis un
contrle de la dermatose, mais des applications continues taient ncessaires pour viter les rcidives. Une tude
histologique rtrospective des maladies inflammatoires parakratosiques de la peau du chien a t ralise. Le
degr dhyperkratose parakratosique et le nombre et la taille des fissurations intracornes ont t valus. La
parakratose tait plus importante pour la HNP quen cas de lupus discode ou de dermatite Malassezia. Les
fissurations intracornes taient plus nombreuses en cas dHNP que de lupus discode, de dermatite Malassezia,
de sborrhe primaire idiopathique ou de dermatose amliore par le zinc. Aucune diffrence de taille na en
revanche t observe.
Resumen Se documentan 11 nuevos casos de paraqueratosis nasal hereditaria (PNH) en perros de raza Labrador retriever. La enfermedad apareci cuando los perros tenan entre 6 meses y 2 aos de edad, afect a ambos
sexos y en perros de todos los colores de capa. La hiperqueratosis y la despigmentacin estaban confinadas al
plano nasal y los perros afectados, exceptuando dicha alteracin, estaban sanos. Los principales hallazgos histolgicos en las muestras de biopsia eran: una hiperqueratosis paraquerattica difusa marcada, mltiples lagos
2003 European Society of Veterinary Dermatology, Veterinary Dermatology, 14, 197 203

Hereditary nasal parakeratosis and serum lakes

203

intracorneales sricos y una dermatitis superficial linfoplasmactica con una distribucin intersticial a interfase.
Los usos tpicos de glicol de propileno en agua o petrolato blanco fueron a menudo eficaces para el tratamiento
de la dermatosis. Sin embargo, fue requerido un uso continuado para mantener una respuesta beneficiosa. Un
estudio histolgico retrospectivo de enfermedades inflamatorias paraqueratticas en la piel con pelo canina y de
enfermedades inflamatorias del plano nasal canino fue llevado a cabo. El grado de hiperqueratosis paraquerattica as como el nmero y el tamao de los lagos intracorneales sricos fueron evaluados. El grado de hiperqueratosis paraquerattica fue mayor en muestras con PNH que el observado en casos de lupus eritematoso
discoide o en dermatitis causadas por Malassezia. Haba ms lagos sricos en muestras de PNH que en aquellas
muestras de perros con lupus eritematoso discoide, dermatitis por Malassezia, dermatitis seborrica primaria o
dermatosis con respuesta al zinc. No se observaron diferencias significativas en el tamao de los lagos sricos
(si estaban presentes).
Zusammenfassung Wir berichten ber 11 neue Flle von hereditrer nasaler Hyperkeratose (HNP) bei
Labrador retrievern. Die Erkrankung wurde im Alter von 6 Monaten bis zu 2 Jahren festgestellt und betraf
Hunde beiderlei Geschlechts und aller Haarfarben. Hyperkeratose und Depigmentierung waren auf das Planum
nasale beschrnkt und die betroffenen Hunde waren ansonsten gesund. Die wichtigsten histologischen Befunde
in den Biopsien waren ausgeprgte diffuse parakeratotische Hyperkeratose, multiple intrakorneale
Serumakkumulationen und oberflchliche, lympho-plasmazellulre Dermatitis des Interstitiums und der dermoepidermalen Grenzzone. Zur Behandlung der Erkrankung erwiesen sich sowohl die lokale Anwendung von
Propylenglykol in Wasser als auch von weiem Vaselin als in vielen Fllen erfolgreich. Allerdings waren
permanente Anwendungen ntig, um den Behandlungserfolg aufrechtzuerhalten. Es wurde eine retrospektive
histologische Studie ber parakeratotische entzndliche Erkrankungen der behaarten Haut und des Planum
nasale beim Hund durchgefhrt. Dabei wurde der Grad der parakeratotischen Hyperkeratose und die Anzahl
und Grsse der intrakornealen Serumakkumulationen bewertet. Der Grad der parakeratotischen Hyperkeratose
war bei HNP-Proben grsser als bei Proben von Hunden mit diskoidem Lupus erythematosus und MalasseziaDermatitis. Die Anzahl der Serumakkumulationen war bei HNP-Proben grer als bei Proben von Hunden mit
diskoidem Lupus erythematosus, Malassezia-Dermatitis, primrer seborrhoeischer oder auf Zink ansprechender
Dermatitis. Signifikante Unterschiede in der Grsse der Serumakkumulationen konnten nicht festgestellt
werden.

2003 European Society of Veterinary Dermatology, Veterinary Dermatology, 14, 197203

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