Evaluation of ultrasonography for measurement of skin thickness in Shar-Peis

Giordana Zanna Department of Animal Medicine and Surgery, School of Veterinary Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain.

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Dolors Fondevila Department of Animal Medicine and Surgery, School of Veterinary Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain.

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Lluis Ferrer Department of Animal Medicine and Surgery, School of Veterinary Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain.

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Yvonne Espada Department of Animal Medicine and Surgery, School of Veterinary Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Barcelona, Spain.

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Abstract

Objective—To determine whether high-frequency diagnostic ultrasonography is useful for assessment of skin thickness in Shar-Peis.

Animals—10 healthy Shar-Peis and 10 healthy Beagles used as controls.

Procedures—Ultrasonographic examination of the skin was performed on 4 cutaneous sites by use of a 13-MHz linear-array transducer, and the mean of 3 measurements was calculated. Ultrasonography results were compared with histologic findings of skin specimens stained with H&E, Alcian blue at a pH of 2.5, and Masson trichrome stains, with histometric measurements of skin thickness made by use of a microscope, and with measurements of skin thickness made by use of a plicometer. Ultrasonograpy results were also compared via age and sex of selected animals.

Results—A clear correlation was detected between ultrasonography results and results of histologic and histometric analysis in both groups. In Shar-Peis, no correlation was found between ultrasonography results and age and sex, whereas in Beagles, a weak positive correlation was found only between skin thickness in dorsal cervical and frontal (on the rostral margins of the supraorbital processes) regions and age. A positive overall correlation was found in Shar-Peis between measurements made via ultrasonography and plicometery.

Conclusions and Clinical Relevance—Ultrasonography was a useful tool to assess skin thickness, and in Shar-Peis, it might be considered a valid alternative to invasive methods such as histologic examination to objectively estimate the severity of hereditary cutaneous hyaluronosis.

Abstract

Objective—To determine whether high-frequency diagnostic ultrasonography is useful for assessment of skin thickness in Shar-Peis.

Animals—10 healthy Shar-Peis and 10 healthy Beagles used as controls.

Procedures—Ultrasonographic examination of the skin was performed on 4 cutaneous sites by use of a 13-MHz linear-array transducer, and the mean of 3 measurements was calculated. Ultrasonography results were compared with histologic findings of skin specimens stained with H&E, Alcian blue at a pH of 2.5, and Masson trichrome stains, with histometric measurements of skin thickness made by use of a microscope, and with measurements of skin thickness made by use of a plicometer. Ultrasonograpy results were also compared via age and sex of selected animals.

Results—A clear correlation was detected between ultrasonography results and results of histologic and histometric analysis in both groups. In Shar-Peis, no correlation was found between ultrasonography results and age and sex, whereas in Beagles, a weak positive correlation was found only between skin thickness in dorsal cervical and frontal (on the rostral margins of the supraorbital processes) regions and age. A positive overall correlation was found in Shar-Peis between measurements made via ultrasonography and plicometery.

Conclusions and Clinical Relevance—Ultrasonography was a useful tool to assess skin thickness, and in Shar-Peis, it might be considered a valid alternative to invasive methods such as histologic examination to objectively estimate the severity of hereditary cutaneous hyaluronosis.

Contributor Notes

Presented in abstract form at the North American Veterinary Dermatology Forum, Savannah, Ga, April 2009, and at the European Association of Veterinary Diagnostic Imaging Meeting, Giessen, Germany, July 2010.

The authors thank Dr. Vito D'Agostino for statistical support and Rosa Bellés, Nuria Verdés, Dr. Rafael Ruiz de Gopegui, and Dr. Anna Puigdemont for technical support.

Funded through project SAF-2010–19791 of the Spanish Ministry of Science and Innovation

Address correspondence to Dr. Zanna (giordanazanna@libero.it).
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