Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog

ABSTRACT A 7‐year‐old neutered female Shih Tzu presented with bilateral skin lesions and a subcutaneous mass in the submandibular region. The initial lesion on the right appeared as a plaque, followed by the development of an ulcer on the opposite side 2–3 days later. Despite treatment with antibiot...

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Main Authors: Sungjae Lee, Jooyoung Park, Yeon Chae, Hakhyun Kim, Taesik Yun, Byeong‐Teck Kang
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.70327
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author Sungjae Lee
Jooyoung Park
Yeon Chae
Hakhyun Kim
Taesik Yun
Byeong‐Teck Kang
author_facet Sungjae Lee
Jooyoung Park
Yeon Chae
Hakhyun Kim
Taesik Yun
Byeong‐Teck Kang
author_sort Sungjae Lee
collection DOAJ
description ABSTRACT A 7‐year‐old neutered female Shih Tzu presented with bilateral skin lesions and a subcutaneous mass in the submandibular region. The initial lesion on the right appeared as a plaque, followed by the development of an ulcer on the opposite side 2–3 days later. Despite treatment with antibiotics, antifungal drugs and anti‐inflammatory steroids, lesions persisted. There was an initial improvement with steroids; however, the lesions developed into scars, erythema and papules. A biopsy revealed eosinophilic and mixed‐cell dermatitis requiring treatment with immunosuppressive steroids and cyclosporine, which resolved the plaque and ulcer but only partially reduced the subcutaneous mass. Surgical resection was considered, and subsequent skull radiography revealed alveolar bone loss. During surgery, a sinus tract was identified extending from teeth 309 to 409, indicating that the tissue changes were likely due to drainage from the periodontal disease. Based on clinical history and examination results, the case was definitively diagnosed as an odontogenic cutaneous sinus tract (OCST). Following surgery, no recurrence of the lesion or mass was observed. This is the first case report describing the histopathological features of a submandibular OCST in a dog, highlighting the importance of considering this condition when submandibular lesions do not fully respond to immunosuppressive therapy.
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spelling doaj-art-3464eced4cfd4862b2d55dd3b3b0e76a2025-08-20T02:30:06ZengWileyVeterinary Medicine and Science2053-10952025-05-01113n/an/a10.1002/vms3.70327Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a DogSungjae Lee0Jooyoung Park1Yeon Chae2Hakhyun Kim3Taesik Yun4Byeong‐Teck Kang5Laboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaLaboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaLaboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaLaboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaLaboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaLaboratory of Veterinary Internal Medicine, College of Veterinary Medicine Chungbuk National University Cheongju Chungcheongbuk Republic of South KoreaABSTRACT A 7‐year‐old neutered female Shih Tzu presented with bilateral skin lesions and a subcutaneous mass in the submandibular region. The initial lesion on the right appeared as a plaque, followed by the development of an ulcer on the opposite side 2–3 days later. Despite treatment with antibiotics, antifungal drugs and anti‐inflammatory steroids, lesions persisted. There was an initial improvement with steroids; however, the lesions developed into scars, erythema and papules. A biopsy revealed eosinophilic and mixed‐cell dermatitis requiring treatment with immunosuppressive steroids and cyclosporine, which resolved the plaque and ulcer but only partially reduced the subcutaneous mass. Surgical resection was considered, and subsequent skull radiography revealed alveolar bone loss. During surgery, a sinus tract was identified extending from teeth 309 to 409, indicating that the tissue changes were likely due to drainage from the periodontal disease. Based on clinical history and examination results, the case was definitively diagnosed as an odontogenic cutaneous sinus tract (OCST). Following surgery, no recurrence of the lesion or mass was observed. This is the first case report describing the histopathological features of a submandibular OCST in a dog, highlighting the importance of considering this condition when submandibular lesions do not fully respond to immunosuppressive therapy.https://doi.org/10.1002/vms3.70327eosinophilic and mixed‐cell dermatitisgranulomaimmunosuppressive therapyodontogenic cutaneous sinus tract
spellingShingle Sungjae Lee
Jooyoung Park
Yeon Chae
Hakhyun Kim
Taesik Yun
Byeong‐Teck Kang
Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
Veterinary Medicine and Science
eosinophilic and mixed‐cell dermatitis
granuloma
immunosuppressive therapy
odontogenic cutaneous sinus tract
title Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
title_full Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
title_fullStr Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
title_full_unstemmed Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
title_short Eosinophilic and Mixed‐Cell Infiltration in Odontogenic Cutaneous Sinus Tracts of a Dog
title_sort eosinophilic and mixed cell infiltration in odontogenic cutaneous sinus tracts of a dog
topic eosinophilic and mixed‐cell dermatitis
granuloma
immunosuppressive therapy
odontogenic cutaneous sinus tract
url https://doi.org/10.1002/vms3.70327
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