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144 DISC
Veterinary Dermatology 2000, 11, 5360
Case report
Sebaceous adenitis in four domestic rabbits
(Oryctatagus cuniculus)
STEPHEN D. WHITE,* KEITH E. LINDER,{ PATRICIA SCHULTHEISS, KATHRYN V.
SCOTT}, PAGE GARNETT}, M. TAYLOR**, S. J. BEST{{, EMILY J. WALDER{{,
WAYNE ROSENKRANTZ }} and JULIE A. YAEGER*
Department of Clinical Sciences, {Department of Pathology, }Veterinary Teaching Hospital, College of
Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, 80526, USA
*Department of Pathobiology, **Department of Clinical Studies, University of Guelph, Guelph, Ontario,
N1G 2 W1, Canada,
}Care Animal Hospital, 8044 Kipling Street, Arvada, Colorado, 80005, USA
{{Yager-Best Histovet, PO Box 66, Rockwood, Ontario, N0B 2K0, Canada
{{An Independent Biopsy Service, 626 Venice Boulevard, Venice, California, 90291, USA
}}Animal Dermatology Clinic, 13132 Garden Grove Boulevard #B, Garden Grove, California 92643, USA
(Received 3 November 1997; accepted 10 August 1998)
Abstract Four domestic rabbits were presented with a history of nonpruritic scale. Multiple skin biopsies
revealed ndings compatible with sebaceous adenitis as reported in other species: inammation directed at
the sebaceous gland, and/or an absence of sebaceous glands, a perifollicular lymphocytic inltrate at the level
of the absent sebaceous glands, hyperkeratosis, follicular keratosis, follicular dystrophy, perifollicular
brosis, and a mural inltrative lymphocytic folliculitis. Histological changes not consistent with sebaceous
adenitis in other species were interface dermatitis and interface folliculitis with single cell necrosis and basal
cell hydropic degeneration.
Keywords: rabbit, retinoids, sebaceous adenitis.
Ref start
CASE REPORTS
Case 1
A 7.5-years-old male silver fox rabbit weighing 3 kg
was presented to the Veterinary Teaching Hospital,
Colorado State University (VTHCSU) with a
history of a nonpruritic scaling dermatosis. The
owner reported that the scaling had been conned
to the dewlap area for 1.5 years. During the 3 months
prior to examination at the VTHCSU the scaling
had become generalized. There was another rabbit in
the household; neither it nor the owner had
cutaneous lesions. Both rabbits had free range of
the house, and were fed a commercial rabbit pellet
diet, supplemented with fresh lettuce and parsley.
Skin scrapings and a dermatophyte culture performed by the referring veterinarian were negative
for ectoparasites or dermatophytes, respectively.
Prior medications given included procaine penicillin
(84 000 U kg71 subcutaneously every 7 days for three
treatments) for presumed Treponema cuniculi infection, ivermectin (0.4 mg kg71 subcutaneously every 7
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S. D. White et al.
144 DISC
Sebaceous adenitis in four rabbits
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S. D. White et al.
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Sebaceous adenitis in four rabbits
57
Multiple cellophane tape preparations, a dermatophyte culture and wet mounts (for fungi) were
negative for organisms. While attempting to take
additional skin biopsies, the rabbit died due to
anaesthetic complications. Multiple skin samples,
obtained at post-mortem, lacked distinct sebaceous
glands. However, sections from the ears contained
sebaceous glands normal in appearance and without
inammation. Other histological ndings included
orthokeratotic hyperkeratosis, follicular keratosis
and perifollicular brosis. Plasma cell and fewer
lymphocytes were present throughout the mid-dermis
at the level of the sebaceous glands. A relatively cellpoor lymphocytic interface dermatitis and interface
folliculitis (Fig. 10) were present and spared only the
inferior portion of hair follicles. Individually necrotic
keratinocytes were seen at all levels of the epidermis,
but were more common in the basal cell layer, where
they were associated with basal cell vacuolar degeneration. Interestingly, the interface dermatitis was
prominent in the footpads, and an occasional intra-
144 DISC
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S. D. White et al.
Case 4
An adult male French Lop rabbit weighing 2.4 kg
was presented to the Animal Dermatology Clinic
with a history of at least 3 months of a nonpruritic
scaling dermatosis. The rabbit was fed a diet of
commercial rabbit pellets. Skin scrapings were
negative and the referring veterinarian had treated
with ivermectin (0.3 mg kg71 subcutaneously every 7
Sebaceous adenitis (granulomatous sebaceous adenitis, idiopathic sebaceous adenitis) has been reported in
dogs5,6,8 cats9,10 and human beings.11,12 It typically
presents with varying degrees of exfoliation and
144 DISC
Sebaceous adenitis in four rabbits
alopecia, pruritus generally being absent unless a
pyoderma is concurrent. Histology in the early stages
of the disease shows a neutrophilic to pyogranulomatous inammatory inltrate, centred around and
within the sebaceous glands. As the disease progresses, a granulomatous or lymphocytic inltrate is
more common. In end-stage sebaceous adenitis, the
sebaceous glands are absent, the inltrate may have
resolved or be represented by a few cells in the vicinity
of the absent sebaceous glands, and hyperkeratosis,
follicular keratosis and follicular dystrophy, and/or
perifollicular brosis may all be present.2,3 An
inltrative mural folliculitis may be present.4 Clinical
ndings persist in the absence of inammation.
The aetiology of sebaceous adenitis is unknown.
Hypotheses of an immunological response directed
against the sebaceous gland, a genetically programmed destruction of the sebaceous gland, a
keratinization disorder, or a metabolic defect in lipid
metabolism have all been advanced and reviewed
elsewhere.5,8 Alopecia may be due to inammation in
the putative follicular `bulge' region.4
The rabbits in this report had clinical and
histological ndings similar to sebaceous adenitis as
described in the dog. They had exfoliative nonpruritic
dermatosis, which on histological examination
showed either sebaceous gland destruction or an
absence of sebaceous glands. Histological changes
also showed hyperkeratosis, follicular keratosis and
follicular dystrophy, perifollicular brosis, a perifollicular lymphocytic inltrate at the level of where the
sebaceous glands are normally found, and a mural
inltrative lymphocytic folliculitis.
However, the presence of an interface dermatitis,
interface folliculitis, and individually necrotic keratinocytes suggests that the sebaceous adenitis may
be only one aspect of a more generalized disorder.
This is supported by the development of ulcerative
pododermatitis in cases 1 and 2, and the lymphocytic myocarditis and anterior mediastinal cyst in
case 3. Some features of these rabbits bear similarity
to a skin disease reported in cats, typied by
exfoliative dermatoses, and a hydropic to lichenoid
interface reaction with pronounced single cell
necrosis of epidermal keratinocytes. This dermatosis is associated with the presence of a thymoma or
thoracic lymphoma.13,14 However, sebaceous gland
destruction or absence was not reported in these
cats and there was no evidence of thoracic neoplasia
on thoracic radiographs of case 1 or necropsy of
case 2.
Treatment options for dogs for sebaceous adenitis
include retinoids,5,6 topical oil soaks or sprays,7 and
fatty acids.7 The owner of case 1 found the retinoids
in capsule form impractical to administer, and the
other treatments ineective. Case 4 failed to respond
59
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S. D. White et al.
Resume Quatre lapins domestiques ont ete presentes pour une dermatose squameuse non prurigineuse. Des
biopsies cutanees nombreuses ont montre des lesions compatibles avec une adenite sebacee comme rapporte
dans d'autres especes: inammation centree sur les glandes sebacees, et/ou absence de glande sebacee, inltrat
lymphocytaire perifolliculaire au niveau des glande sebacees disparues, hyperkeratose, keratose folliculaire,
dystrophie folliculaire, brose perifolliculaire et une folliculite murale inltrante. Les modications
histopathologiques observees qui n'etaient pas en faveur d'une adenite sebacee comme dans les autres
especes etaient une dermatite d'interface et une folliculite d'interface avec une necrose et une degenerescence
hydropique des cellules de la couche basale. [White, S. D., Linder, K. E., Schultheiss, P., Scott, K. V., Garnett,
P., Taylor, M., Best, S. J., Walder, E. J., Rosenkrantz, W. et Yaeger, J. A. (Quatre cas d'adenite sebacee chez
le lapin domestique (Oryctatagus cuniculus).) Veterinary Dermatology 2000; 11: 5360.]
Resumen Cuatro conejos domesticos presentaban una historia de descamacion no-prur tica. Multiples
muestras de biopsia revelaron hallazgos compatibles con adenitis sebacea, tal como se describe en otras
especies: inamacion dirigida a las glandulas sebaceas y/o ausencia de glandulas sebaceas, un inltrado
linfoc tico perifolicular a nivel de las glandulas sebaceas ausentes, hiperqueratosis, queratosis folicular,
distroa folicular, brosis perifolicular y foliculitis mural linfoc tica inltrativa. Las alteraciones histologicas
no compatibles con adenitis sebacea en otras especies eran dermatitis de la union dermo-epidermica y dermoepitelial en los fol culos, con necrosis celular aislada y degeneracion hidropica de celulas basales. [White, S. D.,
Linder, K. E., Schultheiss, P., Scott, K. V., Garnett, P., Taylor, M., Best, S. J., Walder, E. J., Rosenkrantz, W.
y Yaeger, J. A. (Adenitis sebacea en cuatro conejos domesticos (Oryctatagus cuniculus).) Veterinary
Dermatology 2000; 11: 5360.]
Zusammenfassung Vier Hauskaninchen wurden mit Schuppenbildung ohne Juckreiz vorgestellt. Mehrere
Hautbiopsien ergaben Befunde vergleichbar mit Talgdrusenentzundung bei anderen Spezies: Gegen die
Talgdrusen gerichtete Entzundung und/oder ein Fehlen der Talgdrusen, ein perifollikulares lymphozytares
Inltrat an der Stelle der fehlenden Talgdrusen, Hyperkeratose, follikulare Keratose, follikulare Dystrophie,
perifollikulare Fibrose und murale inltrative lymphozytare Follikulitis. Histologische Veranderungen, die bei
anderen Spezies nicht vorkommen, waren Entzundung der dermoepidermalen Grenzzone (`interface
dermatitis') von Haut und Follikeln mit Nekrose einzelner Keratinozyten and hydropischer Degeneration
der Basalzellen. [White, S. D., Linder, K. E., Schultheiss, P., Scott, K. V., Garnett, P., Taylor, M., Best, S. J.,
Walder, E. J., Rosenkrantz, W. und Yaeger, J. A. (Talgdrusenentzundung in vier Hauskaninchen (Orytatagus
cuniculus).) Veterinary Dermatology 2000; 11: 5360.]