Analyze Diet

Topic:Skin

The skin of horses is a complex organ that serves multiple functions, including protection, thermoregulation, and sensory perception. It consists of several layers, primarily the epidermis and dermis, each contributing to the overall health and functionality of the skin. The epidermis provides a barrier against environmental factors, while the dermis supports the skin structure and houses blood vessels, nerves, and hair follicles. Equine skin is also involved in the production of sweat and sebum, which aid in temperature regulation and skin lubrication, respectively. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and health conditions of equine skin, as well as advancements in dermatological treatments and care practices.
Concentration profiles and safety of topically applied betulinic acid and NVX-207 in eight healthy horses-A randomized, blinded, placebo-controlled, crossover pilot study.
Journal of veterinary pharmacology and therapeutics    August 26, 2020   Volume 44, Issue 1 47-57 doi: 10.1111/jvp.12903
Weber LA, Puff C, Kalbitz J, Kietzmann M, Feige K, Bosse K, Rohn K, Cavalleri JV.The naturally occurring betulinic acid (BA) and its derivative NVX-207 show anticancer effects against equine malignant melanoma (EMM) cells and a potent permeation in isolated equine skin in vitro. The aim of the study was to determine the in vivo concentration profiles of BA and NVX-207 in equine skin and assess the compounds' local and systemic tolerability with the intent of developing a topical therapy against EMM. Eight horses were treated percutaneously in a crossover design with 1% BA, 1% NVX-207 or a placebo in a respective vehicle twice a day for seven consecutive days with a seven-d...
Equine Idiopathic Systemic Granulomatous Disease With Manifestation in the Cerebellum Associated With Equid Gammaherpesvirus 2.
Journal of equine veterinary science    August 15, 2020   Volume 94 103225 doi: 10.1016/j.jevs.2020.103225
Nolte LC, Rosiak M, Baechlein C, Baumgärtner W, Allnoch L.Idiopathic systemic granulomatous disease (ISGD), also known as equine sarcoidosis is an uncommon disease of horses, manifesting in exfoliative dermatitis and granulomatous inflammation in various organs. The current report presents a case of a 15-year-old Hanoverian mare with a 4-month history of weight loss, recurrent fever, skin lesions, and movement disorders. Pathological examination revealed granulomatous and necrotizing inflammation in the skin, regional lymph nodes, and cerebellum. Based on histological, immunohistochemical, and microbiological findings, the diagnosis of ISGD was made....
Tunnel grafting for wound repair in horses: a novel technique in graft production and placement.
Australian veterinary journal    August 12, 2020   Volume 98, Issue 10 517-522 doi: 10.1111/avj.12998
Kalamanova A, Anderson BH, Cust AR, Fulton IC.There are several skin grafting methods described in the human and animal literature. Currently, there are five types of free grafts used in horses: pinch and punch grafts, split and full-thickness sheet or mesh grafts and tunnel grafts. Published methods of tunnel grafting describe the use of alligator forceps. The alligator forceps create a poor tunnel and are excessively traumatic to the granulation bed. This technique utilised a 13G Jamshidi needle that was placed across the granulation bed and created a uniform tunnel. The Jamshidi needle was atraumatic to the granulation bed increasing t...
Essential oil spray reduces clinical signs of insect bite hypersensitivity in horses.
Australian veterinary journal    August 6, 2020   Volume 98, Issue 8 411-416 doi: 10.1111/avj.12963
Cox A, Wood K, Coleman G, Stewart AJ, Bertin FR, Owen H, Suen WW, Medina-Torres CE.To assess the efficacy of an herbal spray combining various essential oils, with a claim of mast cell stabilisation, antipruritic, anti-inflammatory, and insect repellent effects on the clinical presentation of insect bite hypersensitivity (IBH) in horses. Methods: Double-blinded, placebo-controlled, randomised, cross-over clinical trial. Methods: Twenty adult horses with clinical IBH were treated with a daily application of herbal spray or placebo for 28 days in a randomised, cross-over fashion, separated by a>28-day washout period. Horses were examined and scored prior to and after the co...
Equine herpesvirus 1-associated ulcerative dermatitis in a horse.
Veterinary dermatology    August 3, 2020   Volume 31, Issue 5 407-409 doi: 10.1111/vde.12869
C Bergeron C, Allano M, Cluzel C, Doré M, Sauvé F.This case report describes the clinical and histopathological findings of an infection caused by equine herpesvirus-1 (EHV-1) in a horse showing respiratory signs and a papular, crusted and ulcerative dermatitis involving mucosae. This diagnosis was supported by real-time PCR positive for EHV-1 on nasal swabs and tissues. Cet article décrit les données cliniques et histopathologiques d’une infection due à EHV-1 (equine herpesvirus - 1) chez un cheval présentant des signes respiratoires et une dermatite papuleuse, croûteuse et ulcérative s’étendant aux muqueuses. Le diagnostic a ét...
Skin exhibits of Dark Ronald XX are homozygous wild type at the Warmblood fragile foal syndrome causative missense variant position in lysyl hydroxylase gene PLOD1.
Animal genetics    June 17, 2020   Volume 51, Issue 5 838-840 doi: 10.1111/age.12972
Zhang X, Hirschfeld M, Schafberg R, Swalve H, Brenig B.No abstract available
Genetics of Skin Disease in Horses.
The Veterinary clinics of North America. Equine practice    June 10, 2020   Volume 36, Issue 2 323-339 doi: 10.1016/j.cveq.2020.03.010
Lindgren G, Naboulsi R, Frey R, Solé M.Equine skin diseases are common, causing increased costs and reduced welfare of affected horses.Genetic testing, if available, can complement early detection, disease diagnosis, and clinical treatment and offers horse breeders the possibility to rule out carrier status. The mechanisms of complex disease can be investigated by using the latest state-of-the-art genomic technologies. Genome-based strategies may also serve as an efficient and cost-effective strategy for the management of the disease severity levels, with particular interest in complex traits such as insect bite hypersensitivity, c...
Desensitisation of the distal forelimb following intrathecal anaesthesia of the carpal sheath in horses.
Equine veterinary journal    May 26, 2020   Volume 53, Issue 1 167-176 doi: 10.1111/evj.13269
Miagkoff L, Bonilla AG.The effect of intrathecal anaesthesia of the carpal sheath on distal forelimb sensitivity in horses remains unknown. Objective: To assess the effect of carpal sheath anaesthesia on skin sensitivity of the distal forelimb and to determine potential locations for desensitisation of palmar nerves. Methods: In vivo experimental and descriptive anatomical studies. Methods: Mepivacaine hydrochloride 2% (0.6 mg/kg) was injected unilaterally in the carpal sheath of 8 horses. Mechanical nociception of the distal forelimb was measured with a dynamometer and compared with the control limb at t0, t15, t3...
Mobility and Invasion Related Gene Expression Patterns in Equine Sarcoid.
Animals : an open access journal from MDPI    May 19, 2020   Volume 10, Issue 5 880 doi: 10.3390/ani10050880
Podstawski P, Witarski W, Szmatoła T, Bugno-Poniewierska M, Ropka-Molik K.Sarcoids are the most common skin neoplasm in the Equidae family. Sarcoids are benign, but may cause severe damage in affected animals. Due to the high risk of post-treatment recurrence and the lack of an effective method of treatment, it is reasonable to perform studies on the molecular aspects of this neoplasm. Therefore, the present studies analyzed five genes (cell cycle control binding protein alpha, coronin 1b, metalloproteinase 2, tissue inhibitor of metalloproteinases 3 and vimentin) related to cell mobility and invasion traits. Primary healthy fibroblasts and sarcoid cells were obtain...
Rare Generalized Form of Fungal Dermatitis in a Horse: Case Report.
Animals : an open access journal from MDPI    May 17, 2020   Volume 10, Issue 5 871 doi: 10.3390/ani10050871
Padalino B, Sandy JR, Barrasso R, Trotta A, Bozzo G, Cafarchia C.A rare case of spp. dermatitis in a horse is presented. After unrelated, previous surgery and antibiotic treatment, a saddle horse showed well-circumscribed areas of non-pruritic alopecia. Suspecting allergic skin disease, the horse was treated with corticosteroids. The skin lesion spread, and a second veterinarian was consulted. At clinical examination, the horse was lethargic, pyretic and hair was shedding/easily epilated over the head, neck, shoulders, and legs and the hind legs were swollen. Blood analysis revealed mild leucocytosis and hyperglobulinemia. Hair, skin scraping, and skin bio...
Homing and Engraftment of Intravenously Administered Equine Cord Blood-Derived Multipotent Mesenchymal Stromal Cells to Surgically Created Cutaneous Wound in Horses: A Pilot Project.
Cells    May 8, 2020   Volume 9, Issue 5 doi: 10.3390/cells9051162
Mund SJK, Kawamura E, Awang-Junaidi AH, Campbell J, Wobeser B, MacPhee DJ, Honaramooz A, Barber S.Limb wounds on horses are often slow to heal and are prone to developing exuberant granulation tissue (EGT) and close primarily through epithelialization, which results in a cosmetically inferior and non-durable repair. In contrast, wounds on the body heal rapidly and primarily through contraction and rarely develop EGT. Intravenous (IV) multipotent mesenchymal stromal cells (MSCs) are promising. They home and engraft to cutaneous wounds and promote healing in laboratory animals, but this has not been demonstrated in horses. Furthermore, the clinical safety of administering >1.00 × 108 alloge...
Investigating the epithelial barrier and immune signatures in the pathogenesis of equine insect bite hypersensitivity.
PloS one    April 28, 2020   Volume 15, Issue 4 e0232189 doi: 10.1371/journal.pone.0232189
Cvitas I, Oberhänsli S, Leeb T, Dettwiler M, Müller E, Bruggman R, Marti EI.Insect bite hypersensitivity (IBH) is a Th-2, IgE-mediated dermatitis of horses caused by bites of insects of the genus Culicoides that has common features with human atopic dermatitis. Together with Th-2 cells, the epithelial barrier plays an important role in development of type I hypersensitivities. In order to elucidate the role of the epithelial barrier and of the skin immune response in IBH we studied the transcriptome of lesional whole skin of IBH-horses (IBH-LE; n = 9) in comparison to non-lesional skin (IBH-NL; n = 8) as well as to skin of healthy control horses (H; n = 9). To study t...
Effect of infrared and red monochromatic light on equine wound healing.
Equine veterinary journal    April 24, 2020   Volume 53, Issue 1 143-148 doi: 10.1111/evj.13266
Michanek P, Toth T, Bergström E, Treffenberg-Pettersson H, Bergh A.Light-emitting diodes (LEDs) are commonly used for treating a variety of disorders in horses, including wounds. Despite its claim to shorten healing times, there is a lack of scientific documentation regarding its effects. Objective: To investigate if treatment with pulsating visible red light (λ ≈ 637 nm) and near-infrared (NIR) light (λ ≈ 956 nm) affects wound healing. Methods: Randomised blinded controlled experimental study. Methods: A circular skin wound (Ø = 2 cm) was created on each side of the neck in eight healthy horses. One randomly chosen wound received light treatm...
Evaluation of Locally Injected Mycobacterium Cell Wall Fraction in Horses with Sarcoids.
Journal of equine veterinary science    April 22, 2020   Volume 90 103102 doi: 10.1016/j.jevs.2020.103102
Caston SS, Sponseller BA, Dembek KA, Hostetter JM.A reformulation of Mycobacterium cell wall fraction immunotherapeutic can be used to successfully treat sarcoids in horses. Sarcoids are reported to be the most common equine skin tumors with tumor type and location influencing the choice of treatment. Wide surgical excision is curative for many tumors, but may not always be feasible. Previous studies have reported sarcoid regression after injection with mycobacterial cell wall immunotherapeutics. A new formulation of the Mycobacterium phlei cell wall fraction immunostimulant (Immunocidin Equine) was used to treat cutaneous tumors in horses. E...
Facial nerve paralysis in 64 equids: Clinical variables, diagnosis, and outcome.
Journal of veterinary internal medicine    April 6, 2020   Volume 34, Issue 3 1308-1320 doi: 10.1111/jvim.15767
Boorman S, Scherrer NM, Stefanovski D, Johnson AL.Facial nerve paralysis (FNP) in equids is not well described in the veterinary literature. Objective: To investigate the causes of FNP and associations among clinical variables, diagnosis, and outcome. Methods: Sixty-four equids presenting with FNP between July 2000 and April 2019. Cases of postanesthetic FNP were excluded. Methods: Medical records were retrospectively reviewed. Variables were evaluated for associations with outcomes (diagnosis and case outcome) using logistic regression. Results: The most common cause of FNP was trauma (n = 20). Additional diagnoses included central nervous s...
Preliminary Notes on Equine Tissue Transglutaminase Serology and A Case of Equine Gluten-Sensitive Enteropathy and Dermatitis in an 11-Year-Old Dutch Warmblood Horse.
Journal of equine veterinary science    April 2, 2020   Volume 90 102999 doi: 10.1016/j.jevs.2020.102999
van Proosdij R, Mulder C, Reijm M, Bontkes H, von Blomberg M, van der Kolk H.It has been suggested that gluten may play a role in equine inflammatory small bowel disease (ISBD). Previous work showed an association between equine gluten-sensitive enteropathy and IgA antibodies to tissue transglutaminase (TGA) in serum. The purpose of this study is to investigate the prevalence of IgA antibodies to TGA in a group of healthy non-gluten-free sport ponies and to present a case of tentative gluten-sensitive enteropathy and dermatitis in a horse. Blood samples were obtained from 40 healthy jumping ponies. The ponies comprised 12 mares, 8 stallions, and 20 geldings with an ave...
Calcium Electroporation of Equine Sarcoids.
Animals : an open access journal from MDPI    March 19, 2020   Volume 10, Issue 3 doi: 10.3390/ani10030517
Frandsen SK, Gehl J, Tramm T, Thoefner MS.Sarcoids are common equine skin tumors where the risk of recurrence after treatment is high, and better treatment options are warranted. Calcium electroporation is a novel anti-cancer treatment where lethally high calcium concentrations are introduced into the cells by electroporation, a method where short high-voltage pulses induce transient permeabilization of the cell membrane. This study investigated the safety and long-term response of calcium electroporation on sarcoids. Thirty-two sarcoids in eight horses were included. The study suggested that calcium electroporation is a safe and feas...
Sub- and Supramolecular X-Ray Characterization of Engineered Tissues from Equine Tendon, Bovine Dermis, and Fish Skin Type-I Collagen.
Macromolecular bioscience    March 12, 2020   Volume 20, Issue 5 e2000017 doi: 10.1002/mabi.202000017
Terzi A, Gallo N, Bettini S, Sibillano T, Altamura D, Madaghiele M, De Caro L, Valli L, Salvatore L, Sannino A, Giannini C.Collagen represents one of the most widely used biomaterial for scaffolds fabrication in tissue engineering as it represents the mechanical support of natural tissues. It also provides physical scaffolding for cells and it influences their attachment, growth, and tissue regeneration. Among all fibrillary collagens, type I is considered one of the gold standard for scaffolds fabrication, thanks to its high biocompatibility, biodegradability, and hemostatic properties. It can be extracted by chemical and enzymatic protocols from several collagen-rich tissues, such as tendon and skin, of differen...
Interleukin 31 in insect bite hypersensitivity-Alleviating clinical symptoms by active vaccination against itch.
Allergy    February 6, 2020   Volume 75, Issue 4 862-871 doi: 10.1111/all.14145
Olomski F, Fettelschoss V, Jonsdottir S, Birkmann K, Thoms F, Marti E, Bachmann MF, Kündig TM, Fettelschoss-Gabriel A.Insect bite hypersensitivity (IBH) is the most common seasonal pruritic allergic dermatitis of horses occurring upon insect bites. In recent years, a major role for IL-31 in allergic pruritus of humans, monkeys, dogs, and mice was acknowledged. Here, we investigate the role of IL-31 in IBH of horses and developed a therapeutic vaccine against equine IL-31 (eIL-31). IL-31 levels were quantified in allergen-stimulated peripheral blood mononuclear cells (PBMCs) and skin punch biopsies of IBH lesions and healthy skin from IBH-affected and healthy horses. The vaccine consisted of eIL-31 covalently ...
Betulinic acid shows anticancer activity against equine melanoma cells and permeates isolated equine skin in vitro.
BMC veterinary research    February 5, 2020   Volume 16, Issue 1 44 doi: 10.1186/s12917-020-2262-5
Weber LA, Meißner J, Delarocque J, Kalbitz J, Feige K, Kietzmann M, Michaelis A, Paschke R, Michael J, Pratscher B, Cavalleri JV.Equine malignant melanoma (EMM) is a frequently occurring dermoepidermal tumor in grey horses. Currently available therapies are either challenging or inefficient. Betulinic acid (BA), a naturally occurring triterpenoid, is a promising compound for cancer treatment. To evaluate the potential of BA as a topical therapy for EMM, its anticancer effects on primary equine melanoma cells and dermal fibroblasts and its percutaneous permeation through isolated equine skin were assessed in vitro. Results: BA showed antiproliferative and cytotoxic effects on both primary equine melanoma cells and fibrob...
Massive Africanized honeybee stings in two hair sheep and a mare.
Toxicon : official journal of the International Society on Toxinology    January 28, 2020   Volume 177 35-40 doi: 10.1016/j.toxicon.2020.01.015
Veado HC, Conceição RS, Nogueira K, Fino TCM, Silva AS, Castro MB, Soto-Blanco B, Câmara ACL.The findings of massive Africanized honeybee stings in two hair sheep and a mare are reported. One sheep died 15 h after attack, and the survivors developed skin necrosis on the sting sites. Pathological evaluation revealed necrosis in the dermis, degeneration of the tubular epithelial cells, and multifocal hemorrhages in heart and spleen. The massive attack by Africanized honeybees induced lesions in the skin, heart, muscles, kidneys, and lungs.
Equine pastern vasculitis in a horse associated with a multidrug-resistant Pseudomonas aeruginosa isolate.
Veterinary dermatology    January 12, 2020   Volume 31, Issue 3 247-e55 doi: 10.1111/vde.12830
Panzuti P, Rocafort Ferrer G, Mosca M, Pin D.Equine pastern vasculitis is an uncommon disorder in horses. Underlying causes are difficult to assess, especially bacterial infections. Conclusions: A 13-year-old French saddle gelding horse presented for evaluation of a six weeks history of pastern dermatitis. Histopathological examination of skin biopsy samples revealed small vessel vasculitis. A pure growth of a multidrug-resistant Pseudomonas aeruginosa (MRPA) was obtained from a deep skin biopsy. Clinical remission was observed after a six week course of enrofloxacin and lesions did not recur. Conclusions: To the best of the authors' kno...
Multinodular Malignant Cutaneous Mast Cell Tumor in a Horse With Generalized Pruritus and Reactive Fibrosis: A Case Report.
Journal of equine veterinary science    January 11, 2020   Volume 87 102921 doi: 10.1016/j.jevs.2020.102921
Combarros D, Wilhelmi-Vilarrasa I, Lacroux C, Semin MO, Delverdier M, Grebert M, Trumel C, Cadiergues MC, Lallemand EA.Mast cell tumor (MCT) has long been considered as an uncommon neoplasm in horses. Cytological and behavioral evidence of its malignancy is usually lacking, and only a few reports have described MCT displaying malignant behavior. An 18-year-old Friesian stallion presented with a one-year history of intermittent and progressive skin lesions on the left forelimb associated with intense, generalized pruritus and apathy temporarily responsive to glucocorticoids and antibiotics. The horse was alert and responsive with poor body condition and marked generalized pruritus. The left forelimb was markedl...
Molecular and genomic characterization of a novel equine molluscum contagiosum-like virus.
The Journal of general virology    January 10, 2020   Volume 102, Issue 3 001357 doi: 10.1099/jgv.0.001357
Ehmann R, Brandes K, Antwerpen M, Walter M, V Schlippenbach K, Stegmaier E, Essbauer S, Bugert J, Teifke JP, Meyer H.Cases of pox-like lesions in horses and donkeys have been associated with poxviruses belonging to different genera of the family . These include the orthopoxviruses vaccinia virus (VACV), horsepoxvirus (HPXV) and cowpoxvirus (CPXV), as well as a potentially novel parapoxvirus and molluscum contagiosum virus (MOCV). However, with the exception of VACV, HPXV and CPXV, the genomic characterization of the causative agents remains largely elusive with only single short genome fragments available. Here we present the first full-length genome sequence of an equine molluscum contagiosum-like virus (EM...
Penetration Profiles of a Class IV Therapeutic Laser and a Photobiomodulation Therapy Device in Equine Skin.
Journal of equine veterinary science    December 4, 2019   Volume 85 102846 doi: 10.1016/j.jevs.2019.102846
Luna SPL, Schoen A, Trindade PHE, Rocha PBD.Photobiomodulation therapy (PBMT) effects depend on the energy settings and laser penetration. We investigated the penetration time profiles of two different light therapy devices, at the dark and light skin regions in horses. Six light skin and six dark skin adult clinically healthy Arab and Quarter horses were used. A cutometer was used to measure the width of the skin fold from both sides of the cervical area, followed by three measurements of the thickness of the same skin fold by transversal and longitudinal ultrasonography (US). The depth of light penetration was compared based on the pe...
Toll-like receptor-ligand induced thymic stromal lymphopoietin expression in primary equine keratinocytes.
Veterinary dermatology    November 21, 2019   Volume 31, Issue 2 154-162 doi: 10.1111/vde.12813
Cvitas I, Galichet A, Ling SC, Müller EJ, Marti E.Thymic stromal lymphopoietin (TSLP) plays a key role in the development of allergic inflammation. Little is known about possible triggers of equine TSLP expression. Objective: To investigate TSLP expression in equine insect bite hypersensitivity (IBH) skin lesions. The capacity of TLR 1-8 ligands (L) and of atopic cytokine milieu as potential triggers of TSLP and of interleukin (IL)-6 as a downstream effector molecule of TLR signalling, were examined in primary equine keratinocyte cultures. Methods: Lesional skin from IBH-affected and healthy skin from control-horses (n = 9 each group) was s...
Sinocutaneous fistula repair with a masseter muscle transposition flap combined with wound matrix and cancellous bone graft in a horse: A new technique.
Veterinary surgery : VS    November 21, 2019   Volume 49, Issue 4 818-824 doi: 10.1111/vsu.13352
Yoshimura S, Barber SM, Tucker ML, Bracamonte JL, Mund SJK, Thomas KL.To describe a new technique to repair a sinocutaneous fistula with a masseter muscle transposition flap. Methods: Case report. Methods: One 13-year-old thoroughbred stallion. Methods: One 13-year-old stallion with a 3.5 × 6-cm sinocutaneous fistula over the right caudal maxillary sinus was treated with a transpositional masseter muscle flap. This repair consisted of a commercial wound matrix dressing placed directly over the hole in the maxilla and secured with suture material; a cancellous bone graft collected from the right tuber coxa placed on the dressing; and a portion of the superfi...
Establishment and characterization of proliferating primary cultures of equine epidermal keratinocytes.
Animal biotechnology    November 18, 2019   Volume 32, Issue 3 282-291 doi: 10.1080/10495398.2019.1687091
Ogorevc J, Poklukar K, Dovč P.Skin-derived tissue cultures are a useful model to study molecular mechanisms of skin renewal and pathogenesis of dermal diseases. Horses often suffer from skin diseases, skin trauma and problems with proper wound healing, which could be improved by in vitro grown keratinocyte grafts. Herein we describe establishment and characterization of equine skin-derived primary cell cultures, using enzymatic and explant methods. The established cell lines of primary equine keratinocytes (peK) maintained high proliferative capacity for over five passages and expressed different epithelial/keratinocyte-s...
Skin Disorders of the Donkey and Mule.
The Veterinary clinics of North America. Equine practice    November 2, 2019   Volume 35, Issue 3 493-514 doi: 10.1016/j.cveq.2019.08.006
Knottenbelt DC.Skin disease in donkeys is less common than in horses, but is easily overlooked. Little published material exists on this important area of equine medicine. Skin tumors continue to challenge veterinarians working with donkeys. This article outlines the main disease entities that the author has encountered, although there are many other diseases and disorders that occur in different parts of the world that are not yet appreciated. When investigating a skin disease, a logical and comprehensive clinical approach should always be made; many conditions are similar in clinical presentation or are co...
Cutaneous Leishmaniosis caused by Leishmania martiniquensis in a Horse in Florida.
Journal of comparative pathology    October 31, 2019   Volume 173 13-18 doi: 10.1016/j.jcpa.2019.09.011
Menezes RC, Campos MP, Popielarczyk M, Kiupel M.We report a new case of cutaneous leishmaniosis caused by Leishmania (Mundinia) martiniquensis in a horse in Florida, USA. A 10-year-old neutered male Quarter horse was presented with multifocal to coalescing, raised, ulcerated and oozing, non-healing wounds on both pinnae of several weeks' duration. After a few months, the lesions regressed spontaneously. Biopsies of the lesions were performed with microscopical findings of epidermal hyperplasia with multifocal ulceration and focally extensive, dermal pyogranulomatous inflammation with numerous intact and degenerate neutrophils being surround...
1 5 6 7 8 9 32