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Tierarztl Prax Ausg K Kleintiere Heimtiere 2005; 33(05): 329-332
DOI: 10.1055/s-0037-1622482
Hund/Katze
Schattauer GmbH

Ätiologie, klinische Symptome und Therapie der Perianalfisteln beim Hund

Aetiology, clinical signs and therapy of perianal fistulas in the dog
Kathrin Jaeger
1   Aus der Medizinischen Kleintierklinik (Vorstand: Prof. Dr. K. Hartmann) der Ludwig-Maximilians-Universität München
,
R. S. Mueller
1   Aus der Medizinischen Kleintierklinik (Vorstand: Prof. Dr. K. Hartmann) der Ludwig-Maximilians-Universität München
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Publication History

Publication Date:
05 January 2018 (online)

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Zusammenfassung

Es wird eine Literaturübersicht über Ätiologie, klinische Symptome und Therapie der Perianalfisteln beim Hund gegeben. Die Erkrankung betrifft überwiegend Deutsche Schäferhunde mittleren Alters und ist durch einzelne oder multiple, ulzerierte perianale Hautläsionen und Fissuren gekennzeichnet. Zu den häufigsten klinischen Symptomen zählen Tenesmus, Dyschezie und gehäuftes Belecken der Perianalregion. Therapeutisch kommen chirurgische Verfahren und der Einsatz verschiedener Medikamente in Betracht. Letztere konzentrieren sich auf immunmodulierende Wirkstoffe.

Summary

This article reviews the literature regarding the aetiology, clinical signs and therapy of perianal fistulas in the dog. Middle aged German shepherd dogs are predisposed and show single or multiple perianal ulcers and fistulation. Clinical signs commonly observed comprise tenesmus, dyschezia und frequent licking of the perianal region. There are surgical and medical treatment options, the latter focusing on immunmodulation.

Schlüsselwörter

Perianalfisteln - Deutscher Schäferhund - immunmediierte Erkrankung - Zyklosporin

Key words

Perianal fistulas - German shepherd dog - Immunmediated disease - Cyclosporine
 

  • Literatur

  • 1 Blackwood L, German AJ, Stell AJ, O’Neill T. Multicentric lymphoma in a dog after cyclosporine therapy. J Small Anim Pract 2004; 45: 259-62.
    CrossrefPubMedSearch in Google Scholar
  • 2 Budsberg SC, Spurgeon TL, Liggitt HD. Anatomic predisposition to perianal fistulae formation in the German shepherd dog. Am J Vet Res 1985; 46: 1468-72.
    PubMedSearch in Google Scholar
  • 3 Day MJ, Weaver BM. Pathology of surgically resected tissue from 305 cases of anal furunculosis in the dog. J Small Anim Pract 1992; 33: 583-9.
    CrossrefPubMedSearch in Google Scholar
  • 4 Ellison GW, Bellah JR, Stubbs WP, Van Gilder J. Treatment of perianal fistulas with ND:YAG laser- results in twenty cases. Vet Surg 1995; 24: 140-7.
    CrossrefPubMedSearch in Google Scholar
  • 5 Elllison G. Treatment of perianal fistulas in dogs. J Am Vet Med Assoc 1995; 206: 1680-2.
    PubMedSearch in Google Scholar
  • 6 Griffiths LG, Sullivan M, Borland WW. Cyclosporin as the sole treatment for anal furunculosis: preliminary results. J Small Anim Pract 1999; 40: 569-72.
    CrossrefPubMedSearch in Google Scholar
  • 7 Guaguere E, Steffan J, Olivry T. Cyclosporin A: a new drug in the field of canine dermatology. Vet Dermatol 2004; 15: 61-74.
    PubMedSearch in Google Scholar
  • 8 Hardie RJ, Gregory SP, Tomlin J, Sturgeon C, Lipscomb V, Ladlow J. Cyclosporine treatment of anal furunculosis in 26 dogs. J Small Anim Pract 2005; 46: 3-9.
    CrossrefPubMedSearch in Google Scholar
  • 9 Harkin KR, Walshaw R, Mullaney TP. Association of perianal fistula and colitis in the German shepherd dog: response to high-dose prednisone and dietary therapy. J Am Anim Hosp Assoc 1996; 32: 515-20.
    CrossrefPubMedSearch in Google Scholar
  • 10 Harvey CE. Perianal fistula in the dog. Vet Rec 1972; 91: 25-32.
    CrossrefPubMedSearch in Google Scholar
  • 11 Jamieson PM, Simpson JW, Kirby BM, Else RW. Association between anal furunculosis and colitis in the dog: preliminary observations. J Small Anim Pract 2002; 43: 109-14.
    CrossrefPubMedSearch in Google Scholar
  • 12 Killingsworth CR, Walshaw R, Dunstan RW, Rosser Jr EJ. Bacterial population and histologic changes in dogs with perianal fistula. Am J Vet Res 1988; 49: 1736-41.
    PubMedSearch in Google Scholar
  • 13 Killingsworth CR, Walshaw R, Reimann KA, Rosser Jr EJ. Thyroid and immunologic status of dogs with perianal fistula. Am J Vet Res 1988; 49: 1742-6.
    PubMedSearch in Google Scholar
  • 14 Maeda K, Okada M, Yao T, Sakurai T, Iida M, Fuchigami T, Yoshinaga K, Imamura K, Okada Y, Sakamoto K. et al. Intestinal and extraintestinal complications of Crohn’s disease: predictors and cumulative probability of complications. J Gastroenterol 1994; 29: 577-82.
    CrossrefPubMedSearch in Google Scholar
  • 15 Mathews KA, Sukhiani HR. Randomized controlled trial of cyclosporine for treatment of perianal fistulas in dogs. J Am Vet Med Assoc 1997; 211: 1249-53.
    PubMedSearch in Google Scholar
  • 16 Matushek KJ, Rosin E. Perianal fistulas in dogs. Comp Cont Educ Small Anim Pract 1991; 13: 621-7.
    PubMedSearch in Google Scholar
  • 17 Misseghers BS, Binnington AG, Mathews KA. Clinical observations of the treatment of canine perianal fistulas with topical tacrolimus in 10 dogs. Can VetJ 2000; 41: 623-7.
    PubMedSearch in Google Scholar
  • 18 Mohitmafi S. Anal sac myiasis. Vet Dermatol 2004; 15: 41-69.
    PubMedSearch in Google Scholar
  • 19 Mouatt JG. Cyclosporin and ketoconazole interaction for treatment of perianal fistulas in the dog. Aust VetJ 2002; 80: 207-11.
    PubMedSearch in Google Scholar
  • 20 O’Neill T, Edwards GA, Holloway S. Efficacy of combined cyclosporine A and ketoconazole treatment of anal furunculosis. J Small Anim Pract 2004; 45: 238-43.
    CrossrefPubMedSearch in Google Scholar
  • 21 Tarello W. Les babesioses: un facteur sóus-jacent influencant la severite et la duree des fistules perianales chez le chien. Revue de Medicine Veterinaire 2001; 152: 83-8.
    PubMedSearch in Google Scholar
  • 22 Tisdall PL, Hunt GB, Beck JA, Malik R. Management of perianal fistulae in five dogs using azathioprine and metronidazole prior to surgery. Aust VetJ 1999; 77: 374-8.
    PubMedSearch in Google Scholar
  • 23 Van Ee RT, Palminteri A. Tail amputation for treatment of perianal fistulas in dogs. J Am Anim Hosp Assoc 1987; 23: 95-100.
    PubMedSearch in Google Scholar
  • 24 Vasseur PB. Results of surgical excision of perianal fistulas in dogs. J Am Vet Med Assoc 1984; 185: 60-2.
    PubMedSearch in Google Scholar
  • 25 Wyatt KM. Perianal fistula - an immune-mediated disease. Aust Vet Pract 1998; 28: 170-2.
    PubMedSearch in Google Scholar
  • 26 Zoran DL. Rectoanal disease. In: Textbook of Veterinary Internal Medicine. 6th ed.. Ettinger SJ, Feldman EC. eds. Philadelphia: Elsevier Saunders; 2005: 1408-22.
    Search in Google Scholar