2019 JFMS Resident Best Paper Award Winner
We are delighted to announce the winner of this year’s award – Carolina Albuquerque – for her paper ‘Priorities on treatment and monitoring of diabetic cats from the owners’ points of view’, which can be read for free at: bit.ly/2WdOWUy.
The winning paper evaluated owners’ perceptions and priorities on the treatment and monitoring of feline diabetes mellitus, the perceived effectiveness of the communication between veterinarians and clients regarding disease management, and the impact diabetes mellitus has on the owners’ everyday lives and human–pet bonds.
The judges commented that it was a ‘much needed study on the factors that may potentially influence outcomes in diabetic patients, determined through owner survey’ and that it ‘highlights many important areas requiring improvement in veterinary management, all of which directly impact the patient’. The study was also described as an ‘in-depth analysis of owners’ perceptions on managing their diabetic cats that provides actionable areas for practitioners’ and as being ‘most useful to cats and vets and owners!’. Two papers were awarded ‘highly commended’ status: ‘Efficacy and toxicity of mustargen, vincristine, procarbazine and prednisone (MOPP) for the treatment of relapsed or resistant lymphoma in cats’ by Martha A MaloneyHuss et al: bit.ly/38LUUyS. ‘Effects of dexmedetomidine on glucose homeostasis in healthy cats’ Juliette Bouillon et al: bit.ly/33biHah.
ISFM Member Monday
High-quality, high-volume spay–neuter: access to care and the challenge to private practitioners
Low-cost spay–neuter clinics were first established in the 1970s in the USA, as a response to the high number of dogs and cats euthanized in animal shelters. Since then, high-quality, high-volume spay–neuter (HQHVSN) clinics have been established across the USA, leading to a significant reduction in euthanasia in animal shelters. These clinics specialise in efficient systems and surgical techniques, and can provide an avenue for clients who cannot afford surgery to sterilize their pets. While some veterinary practitioners have recognised the need for such clinics, others have raised concerns about the quality of care provided or fear the loss of clientele. However, costs of veterinary care, including spay–neuter surgery, have increased, meaning that more pets are going without veterinary care; for example, 25% of pet-owning households in the USA experienced difficulties in obtaining veterinary care for their pets and the most frequent barrier was financial, according to a survey carried out in 2018 by the Access to Veterinary Care Coalition. In this Clinical Review, Philip A Bushby looks at the reality of HQHVSN clinics and what they mean for private practitioners. The basic principles for efficient spay–neuter are covered, efficient surgical techniques are described and a review of the successes and challenges are outlined.
ISFM veterinary members can access this article by logging into the ISFM member portal (members.icatcare.org/login) and then visiting: bit.ly/39cGV68. To become an ISFM veterinary member and gain access to this and all other JFMS articles and ISFM benefits, sign up at icatcare.org/isfm-membership
Free Access Friday
Clinical and histological recovery of non-thymoma-associated exfoliative dermatitis in a cat treated with ciclosporin A
Infiltration and destruction of the sebaceous glands by inflammatory cells (sebaceous adenitis) in cats, unlike dogs, is usually associated with other histological elementary lesions, such as interface dermatitis, mural folliculitis or pan-epidermal keratinocyte apoptosis. Clinical expression includes severe exfoliation, scaling and crusting, with variable levels of pruritus. In some instances, these clinical and histological signs have been associated with thymoma, but not consistently. Because this histological syndrome shares some features with cutaneous lupus erythematosus or erythema multiforme, attempts to assign a specific name to the disease, in the absence of thymoma, have resulted in confusion, with authors describing similar cases as sebaceous adenitis, lupus-like dermatitis, drug reaction or ‘non-thymoma-associated exfoliative dermatitis’. Although the pathogenesis of this disease (or these diseases) has not been elucidated, an immunopathological response to an undefined trigger is highly suspected. This case report describes a cat that developed generalised dermatosis characterised by alopecia, scaling, comedones and follicular casts, with histological signs of sebaceous adenitis, interface lymphocytic dermatitis and mural interface folliculitis, which fully responded to ciclosporin A. This is the first report showing that ciclosporin A may be useful as a treatment option for non-thymoma-associated exfoliative dermatitis, allowing resolution of both clinical and histological signs of the disease.
Read this article for free at: bit.ly/2uZDHUP