Pyogranulomatous mural folliculitis in a cat treated with methimazole

作者:Castro Lopez Jorge; Lloret Albert; Ravera Ivan; Nadal Aina; Ferrer Lluis; Bardagi Mar*
来源:Journal of Feline Medicine and Surgery, 2014, 16(6): 527-531.
DOI:10.1177/1098612X13507072

摘要

An 11-year-old spayed female domestic shorthair cat was presented for polydipsia, hyperactivity and bilateral thyroid gland enlargement. Total T-4 (TT4) was in the upper interval range; therefore, an early hyperthyroidism was suspected. A treatment trial with methimazole was started, as the owner refused further tests. Six months later the owner stopped the treatment. One year later, clinical signs persisted and TT4 was still in the upper interval range. Methimazole was re-introduced but 48 h later the cat presented non-pruritic alopecia with erythema, scales and perilesional yellowish crusts. Pyogranulomatous mural folliculitis was diagnosed by histopatological examination of the skin biopsies. Methimazole was withdrawn and macroscopic lesions healed and disappeared histologically in 15 days. An idiosyncratic drug reaction to methimazole was suspected. To the best of our knowledge, this is the first report of feline pyogranulomatous mural folliculitis likely secondary to an adverse drug reaction to methimazole administration.

  • 出版日期2014-6