A four-year-old male/neutered mixed-breed dog was presented for severe, multifocal, proliferative gingivitis. Histopathologic examination of incisional biopsies supported a diagnosis of Wegener's granulomatosis, an autoimmune vasculitis previously unreported in the veterinary literature. Diagnostic investigations for infectious, neoplastic, or other inflammatory conditions all provided negative results. Management with a combination of immunosuppressive agents resulted in complete resolution and remission of the presenting lesions and associated clinical signs.
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References
1.
MorielloK. Problem-oriented differential diagnosis of autoimmune skin disorders In: EttingerSJFeldmanEC, eds. Textbook of veterinary internal medicine: Diseases of the dog and cat. 6th ed.St. Louis, Mo.: Elsevier Saunders, 2005;1882–1885.
2.
VerstraeteFJM. Self-Assessment color review of veterinary dentistry. Ames, Ia.: Iowa State University Press; 1999: 103–104.
LynchJP3rdWhiteETazelaarH. Wegener's granulomatosis: Evolving concepts in treatment. Semin Respir Crit Care Med2004;25:491–521.
5.
WillardMDTvedtenH. Small animal clinical diagnosis by laboratory methods. 3rd ed.Philadelphia: W.B. Saunders, 2004.
6.
ForrestLJ. The cranial and nasal cavities – canine and feline In: ThrallDE, ed. Textbook of veterinary diagnostic radiology. 4th ed.Philadelphia: W.B. Saunders, 2002;71–87.
7.
ThrallDE. Bone tumors versus bone infections In: ThrallDE, ed. Textbook of veterinary diagnostic radiology. 4th ed.Philadelphia: W.B. Saunders, 2002;179–186.
8.
RaustiaAMAutio-HarmainenHIKnuuttilaML. Ultrastructural findings and clinical follow-up of ‘strawberry gums’ in Wegener's granulomatosis. J Oral Pathol1985;14:581–587.
9.
ParsonsESeymourRAMacleodRI. Wegener's granulomatosis. A distinct gingival lesion. J Clin Periodontol1992;19:64–66.
10.
NapierSSAllenJAIrwinCR. Strawberry gums: A clinicopathological manifestation diagnostic of Wegener's granulomatosis?J Clin Pathol1993;46:709–712.
11.
HandlersJPWatermanJAbramsAM. Oral features of Wegener's granulomatosis. Arch Otolaryngol1985;111:267–270.
MarderWMcCuneWJ. Advances in immunosuppressive drug therapy for use in autoimmune disease and systemic vasculitis. Semin Respir Crit Care Med2004;25:581–594.
14.
HoffmanGSKerrGSLeavittRY. Wegener granulomatosis: An analysis of 158 patients. Ann Intern Med1992;116:488–498.
15.
van RossumAPLimburgPCKallenbergCG. Activation, apoptosis, and clearance of neutrophils in Wegener's granulomatosis. Ann N Y Acad Sci2005;1051:1–11.
16.
ChunRGarrettLMacEwanEG. Cancer chemotherapy In: WithrowSJMacEwanEG, eds. Small Animal Clinical Oncology. 3rd ed.Philadelphia: W. B. Saunders, 2001;92–118.
17.
SpecksU. Methotrexate for Wegener's granulomatosis: What is the evidence?Arthritis Rheum2005;52:2237–2242.