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Case report
Abstract This study evaluated the clinical and histopathological features and results of light and electron
scanning microscopy assessments of follicular dysplasia in five Weimar Pointers. The data were compared with
those obtained in three normal Weimaraners. In our study, this dermatosis affected young adults that showed
progressive alopecia of the trunk (head and limbs were spared) associated with recurrent folliculitis/furunculosis.
Exclusion of other dermatoses and the presence of histopathological lesions and hair shafts abnormalities seen
in light and/or scanning electron microscopy similar to colour dilution alopecia led to the diagnosis of follicular
dysplasia. The lesions we observed are the same as those described previously in colour dilution alopecia, but
they were less pronounced in all our samples.
Keywords: colour dilution alopecia, follicular dysplasia, Weimaraners.
INTRODUCTION
The follicular dysplasias make up a group of recently
discovered, partially understood and controversial
genodermatoses. The term, dysplasia, is itself now in
disrepute as it can have many different meanings.
In veterinary dermatology, it defines a collection of
conditions of the hair follicle, which have a strong
hereditary basis but are not congenital; abnormal hair
follicle development leads to structural abnormalities
and alopecia.1 The bounds of this group are quite
vague and vary with different authors but in essence it
can be divided as follows:
colour-linked follicular dysplasias;
noncolour-linked, cyclical follicular dysplasias;
noncolour-linked, noncyclical follicular dysplasias.
Colour-linked follicular dysplasias
These are the best known and are linked to coat colour.
They include colour dilution alopecia and black hair
follicular dysplasia, which some authors consider to
be clinically identical.24 Colour dilution alopecia has
been reported in colour dilute individuals of many breeds:
Doberman,2,410 Yorkshire Terrier,2,8,1115 Miniature
Pinscher,2,7 Great Dane,4,5,8 Whippet,4,5,8 Italian
Greyhound,2,8,16 Saluki,8,12 Chow-chow,5,8 Smooth-haired
Dachshund,4,5,8 Wire-haired Dachshund,3 Silky Terrier,17
Boston Terrier,18 Newfoundland,18 Bernese Mountain Dog,18,19 Shetland Sheepdog,18,19 Schipperke,18,19
Correspondence: Catherine Laffort-Dassot, Cabinet de dermatologie
vtrinaire, Hliopolis B3, avenue de Magudas, F-33700 Bordeaux
Mrignac, France.
2002 Blackwell Science Ltd
Chihuahua,2,7 Poodle,2,6,8 Irish Setter4,5,8 and crossbreed.20 Black hair follicular dysplasia has been
reported in young bicoloured or tricoloured animals of
the following breeds: Dachshund,6 Papillon,6 Saluki,21,22
Bearded Collie,23 Cavalier King Charles Spaniel,24
Border Collie,24,25 Beagle,18,19 Basset Hound,18,19 Cocker
Spaniel,2 Pointer,2 Gordon Setter,2 Schipperke18 and
cross-breed.26,27
Diagnosis of these two conditions is based on a
combination of clinical signs, hair microscopy and
skin histopathology. Clinical signs consist of alopecia or
progressive hypotrichosis in a young animal of predisposed colour and breed. Tan areas are spared in colour
dilution alopecia and only black areas are affected
in black hair follicular dysplasia.18,19,28 Hair examination shows numerous large melanin clumps in the
cortex and medulla of hairs from the affected area and
defects and fractures of the hair cuticle.3,9,21,29,30 The
histopathological features are epidermal and follicular
orthokeratotic hyperkeratosis, dystrophy of hair follicles
and shafts, free melanin deposits at every level of the
hair follicle and shaft, numerous perifollicular, and in
particular peribulbar, melanophages and pigmentary
incontinence.2,8,9,19,21,29,31
The genetic basis of colour dilution alopecia and
its autosomal recessive mode of transmission has been
demonstrated in a family of wire-haired Dachshunds3
and is strongly suspected in other breeds. Analysis
of the pedigree of a family of dogs with black hair
follicular dysplasia has also suggested an autosomal
recessive mode of inheritance.32 The fact that both
colour dilution alopecia and black hair follicular
dysplasia have the same mode of inheritance is another
253
254
C. Laffort-Dassot et al.
255
RESULTS
Clinical aspects and preliminary tests
One entire female, three entire males and one castrated
male animals were studied (Table 1). The age at onset
of signs varied between 1 and 3 years (average 2.2 years).
As the condition developed, lesions underwent phases
of exacerbation and remission. In all cases, alopecia
involved the back (from the back of the neck to the
base of the tail), thorax (lateral and ventral sides),
flanks and abdomen. In dog 1, it spread to the sternum
and in dog 4, it also affected the tail. Head and limbs
were always spared.
Lesions were consistent in the five cases and consisted of diffuse bilaterally symmetrical partial alopecia
(hypotrichosis, Fig. 1), hairs dry and harsh to the touch,
a moderate degree of fine scaling, and numerous
hypomelanotic macules notably on the flanks and
abdomen (Fig. 2). Rarely, some hyperpigmented
macules and hairs were present (Fig. 3). In dogs 3 and
4, numerous comedones, papules and pustules were
present. Cytological examination of pustular contents
revealed lots of neutrophils phagocytosing cocci,
suggesting a bacterial folliculitis. In all cases, the owners
reported recurrent bouts of folliculitis/furunculosis,
controlled with various antibiotic treatments. There
was no pruritus even when pyoderma was present.
Skin scrapings did not demonstrate any evidence
of pathogenic agents. The results of haematology,
biochemistry and endocrine profiles were within the
macules
in
Age
(years)
Sex
Age of
onset (years)
10
MN
T4
T4
Testosterone
Castration
256
C. Laffort-Dassot et al.
Samples taken from three normal Weimaraners Melanocytes containing large melanosomes were present in
the epidermis. Hair follicles were in anagen phase.
Few or no keratin plugs, or free intrafollicular melanin
deposits, were present. On average, 20% of follicles
were dysplastic, in that they were distorted in their
shape or outer contour. Other epidermal adnexae
were normally represented. No dermal melanophages
were seen.
Samples taken from normal area (head) of affected
Weimaraners (two of five dogs) Biopsies from normal
areas (head) were taken in only two dogs. Owners of
three dogs refused to have biopsies taken from this
region. The epidermis and dermis were close to normal,
as described above. Some follicular sections showed very
mild changes consisting of a few, small melanin deposits
in the hair shafts and slight orthokeratotic hyperkeratosis.
Fifty per cent of hair follicles were dysplastic.
Samples taken from affected area (all five dogs) The epidermis was of normal thickness. Slight hyperplasia and
orthokeratotic hyperkeratosis were sometimes seen.
Basal melanocytes were engorged with melanin and
there were a lot more numerous than those seen in
the three normal Weimaraners (Fig. 4). The majority of
the hair follicles had an abnormal aspect (Fig. 5). On
average, 72% were dysplastic, with marked orthokeratotic
hyperkeratosis and keratin plug formation. Voluminous
melanin clumps were present within hair keratin.
Sebaceous and sweat glands were normally represented
in dogs 3 and 4, but were sometimes sparse in dog 5.
Very large keratin plugs were seen in dog 5. The dermis
was usually not inflamed. A few melanophages were
seen around the periphery of the hair follicles. A
pyogranulomatous inflammatory infiltrate was present
in the perifollicular region in dogs 3 and 4, indicating a
folliculitis/furunculosis.
Hair examination using light microscopy
Hairs taken from three normal Weimaraners These hairs
contained melanin aggregates in the cortex and
2002 Blackwell Science Ltd, Veterinary Dermatology, 13, 253 260
Healthy
dogs
Affected dogs
Normal area
Alopecic
region
0 50
51100
> 100
57% (51)
33% (30)
10% (9)
43% (39)
50% (45)
7% (6)
21% (32)
37% (55)
42% (63)
257
Healthy
dogs
Affected dogs
Normal area
Alopecic
region
None
Bulges, craters
Numerous craters
100% (30)
0
0
50% (15)
50% (15)
0
50% (25)
0
50% (25)
DISCUSSION
In each of the five cases presented in this study, the
history and clinical picture were very similar: age of
onset of lesions was between 1 and 3 years and initial
presentation was a diffuse truncal hypotrichosis which
worsened progressively. Apart from the head and limbs,
the dogs became practically hairless. All dogs had
episodes of folliculitis/furunculosis that responded well
to antibiotics.
The differential diagnosis included endocrinopathy,
in particular hypothyroidism and hyperadrenocorticism
258
C. Laffort-Dassot et al.
CONCLUSION
Follicular dysplasia of the Weimaraner is a skin condition of young adults. It manifests clinically as diffuse,
nonpruritic, truncal alopecia and recurrent pyoderma.
Diagnosis is based on history and clinical signs,
microscopic and ultramicroscopic hair lesions, and
compatible histopathology. Endocrinopathy should be
considered in the differential diagnosis. There is
currently no known treatment. Studies investigating
259
Table 4. Study of the different diagnostic parameters for the three differentials
Skin lesion
Abnormal serum hormone levels
Associated nondermatological signs
No response to specific hormonal supplementation
Orthokeratotic hyperkeratosis
Follicular hyperkeratosis
Hair follicles in telogen
Sebaceous gland atrophy
Pigmentary abnormalities
Melanin clumps in hair keratin
Numerous dysplastic hair follicles
Craters/cuticular defects
Familial
Endocrinopathy
Colour dilution
alopecia and
black hair
follicular dysplasia
Other follicular
dysplasias
(noncolour
linked)
Follicular
dysplasia of
the Weimaraner Skin
++
++
++
++
++
++
++
+/
++
+/
++
++
++
++
++
++
++
++
++
+
+/
++
++
++
++
+
+
++
?
++
++
+/
++
++
++
++
+/
+
+
++
+
?
++, Strongly suggestive; +, slightly suggestive; ?, uncertain; , strongly against; , slightly against; +/, occasionally present.
ACKNOWLEDGEMENTS
The authors would like to thank Dr Morard for
microscopical slides, Mr Charlier for the electron
microscopy and Drs Mathet, Ximenes and Boulet for
their assistance. C. Laffort-Dassot would also like to
thank Pfizer, Schering-Plough, Sepval, Vetoquinol and
Virbac for their support during her ECVD residency
program.
REFERENCES
1. Ferrer, L. Follicular dysplasias. Proceedings of the
4th European FECAVA SCIVAC Congress, Pisa, 1998,
467 9.
2. Carlotti, D.N. Canine hereditary black hair follicular
dysplasia and colour mutant alopecia. Clinical and
histopathological aspects. In: Von Tscharner, C.,
Halliwell, R.E.W., eds. Advances in Veterinary Dermatology, Vol. 1. Philadelphia: Baillire Tindall, 1990: 436.
3. Beco, L., Fontaine, J., Gross, T.L. et al. Colour dilution
alopecia in seven Dachshunds. A clinical study and the
hereditary, microscopical and ultrastructural aspect of
the disease. Veterinary Dermatology 1995; 7: 917.
4. Austin, V.H. Blue dog disease. Modern Veterinary Practice 1975; 56: 31 4.
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Veterinary Practice 1979; 60: 1304.
6. ONeil, C. Hereditary disease in the dog and cat.
Compendium on Continuing Education for the Praticing
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7. Langebaeck, R. Variation in hair coat and skin texture
in blue dogs. Nordisk Veterinaer Medicin 1986; 38: 3837.
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incidence and histopathology of this disorder. Veterinary
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chez un Doberman Pinscher bleu. Pratique Medicale et
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11. Ferrer, L., Durral, I., Closa, J., Mascort, J. Colour
mutant alopecia in Yorkshire Terriers. Veterinary Record
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40: 729812.
15. Roperto, F., Cerundulo, R., Restucci, B. et al. Colour
dilution alopecia (CDA) in ten Yorkshire Terriers.
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16. Briggs, O.M., Botha, W.S. Colour mutant alopecia in a
blue Italian Greyhound. Journal of the American Animal
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17. Malik, R., France, M.P. Hyperpigmentation and
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18. Scott, D.W., Miller, W.H., Griffin, C.E. Muller and Kirks
Small Animal Dermatology, 5th edn. Philadelphia: W.B.
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2002 Blackwell Science Ltd, Veterinary Dermatology, 13, 253260
260
C. Laffort-Dassot et al.
Rsum Cette tude a valu les aspects cliniques, histopathologiques et ultrastructuraux de cinq cas de
dysplasie folliculaire chez des Braque de Weimar. Ces donnes ont t compares avec celles obtenues chez trois
Braque de Weimar sains. Dans notre tude, la dermatose atteignait des adultes jeunes, avec une alopcie progressive du tronc pargnant la tte et les extrmits, associe des pisodes rcidivants de folliculite et de furonculose.
Le diagnostic de dysplasie folliculaire a t fait en excluant les autres hypothses diagnostiques, au vu des images
histopathologiques et des lsions en microscopie optique et lectronique, semblables celles observes dans les
alopcies des robes dilues. Les lesions observes ici sont les mmes que celles dcrites en cas dalopcie des robes
dilues, mais elles taient moins prononces dans tous les prlvements examins.
Resumen Este estudio evaluaba las caractersticas clnicas e histopatolgicas y los resultados del examen con
microscopa ptica y electrnica de barrido, de la displasia folicular de cinco pointers Weimar. Estos datos compararon con los obtenidos en tres Weimaraners normales. En nuestro estudio, esta dermatosis afectaba adultos
jvenes que mostraban una alopecia progresiva del tronco (cabeza y extremidades no se encontraban afectadas)
asociadas a una foliculitis/furunculosis recidivante. La exclusin de otras dermatosis y la presencia de lesiones
histopatolgicas y de anomalas en el pelo observadas en microscopa pica o electrnica de barrido similares a la
alopecia de color diluido, llev a un diagnstico de displasia folicular. Las lesiones observadas son iguales a las
descritas previamente en la alopecia de color diluido, pero eran menos pronunciadas en todas nuestras muestras.
Zusammenfassung Diese Studie befasste sich mit den klinischen und histopathologischen Merkmalen und den
Ergebnissen licht- und elektronenmikroskopischer Untersuchung follikulrer Dysplasien bei fnf Weimaraner
Vorstehhunden. Diese Daten wurden mit denjenigen dreier normaler Weimaraner verglichen. In unserer Studie
betraf diese Dermatose junge erwachsene Hunde, die eine fortschreitende Alopezie des Krperstammes (Kopf
und Extremitten blieben ausgespart) mit rezidivierender Follikulitis/Furunkulose zeigten. Die Diagnose einer
follikulren Dysplasie wurde anhand des Ausschlusses anderer Dermatosen und des licht- und/oder elektronenmikroskopischen Nachweises von histopathologischen Vernderungen und Haarschaftanomalien hnlich denen
der Farbverdnnungsalopezie gestellt. Die Befunde waren mit denen der Farbverdnnngsalopezie identisch,
jedoch in allen Proben weniger markant.
2002 Blackwell Science Ltd, Veterinary Dermatology, 13, 253 260