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Juvenile cellulitis : ウィキペディア英語版 | Juvenile cellulitis
Juvenile cellulitis is a disease of dogs. Symptoms include dermatitis, lethargy, depression and lameness. When puppies are first presented with what appears to be staphylococcal pyoderma, juvenile cellulitis, a relatively rare condition, may not be considered. It is also known as puppy head gland disease, puppy strangles and juvenile pyoderma. == Symptoms == Symptoms of juvenile cellulitis are dermatitis of the face, otitis externa, regional lymphadenopathy, lethargy, depression and limb lameness. It is common for symptoms to appear after the puppy's initial vaccination at about 6 weeks of age. Puppies with juvenile cellulitis are quiet, alert and responsive. Investigation into the limb lameness will reveal no abnormalities. Tests on the puppy's ears will reveal no ear mites. Heart and respiratory rates remain within normal range. As the condition worsens many papules become visible on both pinnae. Small pimples begin to develop on the puppies face and severe lethargy begins to set in. Eating and drinking remain unchanged and there is no vomiting or diarrhea. Numerous pustules begin to develop on the muzzle, the pinnae and around the eyes. As the condition worsens, puppies become unwilling to walk or stand. Submandibular lymph nodes and prescapular lymph nodes become enlarged. Shoulders, elbows, and carpi can be bilaterally painful on flexion and extension.〔 Lesions may also appear on the feet, abdomen, thorax, vulva, prepuce, or anus. Lesions typically fistulate, drain, and crust. Marked pustular otitis externa is common, with the pinnae frequently being thickened and edematous. Affected skin is often painful but not pruritic. Approximately 50% of affected puppies are lethargic and depressed, as in this case. Pyrexia, anorexia, and sterile suppurative arthritis, manifesting as joint pain, are inconsistent findings. Leukocytosis with neutrophilia, and normocytic, normochromic anemia may also be seen.〔
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