Autoimmune diseases – what is happening in my dog's body?

When the body develops antibodies against its own structures, this is referred to as an autoimmune disease. The immune system mistakenly attacks parts of the body, damaging certain functions and organs and even destroying them completely. Autoimmune diseases in dogs include individual forms of pemphigus and lupus, which will be explained in more detail below. The individual diseases are distinguished based on the different target structures in the body.

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Pemphigus complex Lupus complex General forecast
Pemphigus complex

Pemphigus foliaceus

In pemphigus disorders, the body produces immune cells that attack certain proteins that bind skin cells together. Pemphigus foliaceus is the most common form of pemphigus in dogs.

Development and symptoms

The destruction of cell connections causes large pustules to form on the skin, which become inflamed and eventually cause the top layers of skin to detach and die. Large open skin wounds form, which heal poorly and are prone to infection. The symptoms are particularly noticeable on the nose, bridge of the nose, around the eyes, ears, and paws, usually in the form of crusts, scales, or redness. In severe cases, fever and loss of appetite also occur.

Diagnosis

The characteristic clinical picture allows the veterinarian to make an initial diagnosis, while the examination of a tissue sample (biopsy) or the examination of cell material from an opened pustule in combination with a blood sample provides certainty and thus enables a reliable diagnosis.

Pemphigus vulgaris

In pemphigus vulgaris, the body's immune response targets cell connections located much deeper in the skin, which manifests itself in the appearance of the disease through significantly more severe skin changes.

Symptoms

At the onset of the disease, blister-like changes also appear, but these quickly develop into deeper tissue damage with an ulcerative character. In contrast to pemphigus foliaceus, these changes are not only found on the skin, but also in the oral cavity and at the transitions from skin to mucous membrane. Affected animals often also show general symptoms such as fever and loss of appetite.

Bullous pemphigoid

Collies, Shelties, and Dobermans are predisposed (particularly susceptible) to this very rare form of pemphigus.

Symptoms

The disease begins with the formation of small blisters or vesicles, which are caused by the destruction of the deeper connecting structures of the skin. However, this stage is short-lived and the disease is usually only recognized when highly inflamed, ulcerated skin lesions appear, most commonly in the armpits, groin, and mouth. The symptoms are difficult to distinguish from those of pemphigus vulgaris.

Pemphigus erythematosus

Development and causes

This form of pemphigus, which is thought to be a benign or early form of pemphigus foliaceus or systemic lupus, can be triggered by medication, viruses, or UV light in people with a genetic predisposition.

Symptoms

The immune system's overreaction is mainly directed against cell connections in the area where the skin and mucous membranes meet, such as the nose, eyes, lips, anus, vagina, and foreskin. The skin changes are similar to those of pemphigus foliaceus, but the general condition of the affected dogs is not impaired.

Treatment of pemphigus diseases

All forms of pemphigus are treated with medications that suppress the immune system's overreaction and allow the inflammation to heal. The destruction of the uppermost layers of the skin leads to increased sensitivity to sunlight, which is why protection from strong sunlight must be an essential part of therapy to prevent long-term damage.

Microscopic image of pemphigus
Microscopic image of a skin lesion caused by pemphigus disease
Lupus complex

Systemic lupus erythematosus

Unlike pemphigus diseases, lupus diseases attack the cell nuclei instead of the cell connections.

Cause and development

Systemic lupus erythematosus can be triggered or exacerbated by many different diseases, physical influences, and medications. In this case, the body's immune response targets a wide variety of cells in all organ systems and tissues of the body.

Symptoms

Depending on the location of the immune response, the disease manifests itself through a variety of skin and organ symptoms, some of which are severe. In addition to the redness and ulcerative skin changes on the head and limbs that occur in most cases, systemic lupus often causes fatigue, fever, joint and muscle pain, or tiredness. If left untreated, the disease can quickly lead to death.

Diagnosis

The wide range of possible organ and skin symptoms makes diagnosis difficult. The examination of tissue samples and the detection of autoantibodies in the blood are essential to rule out all possible differential diagnoses (diseases with similar symptoms).

Discoid lupus erythematosus

Discoid lupus erythematosus describes the benign form of lupus, which is limited to certain areas of the skin. It occurs relatively frequently in dogs, with German shepherds, huskies, collies, and shelties being particularly affected.

Symptoms

The first noticeable symptoms are usually pigment loss, redness, and ulceration (formation of sores) around the nose, and less commonly on the lips, eyelids, and ears. The changes sometimes heal spontaneously, but remain very sensitive and can quickly reopen and bleed. UV light and secondary infections can lead to a significant worsening of symptoms.

Diagnosis

A biopsy is also necessary here to make a clear diagnosis and rule out other skin and autoimmune diseases.

Treatment of lupus

Affected animals must also be consistently protected from strong sunlight due to the extensive depigmentation. This can be achieved by administering special vitamins and applying UV protection ointments to the affected areas.


General forecast

A cautious prognosis must always be assumed for all autoimmune skin diseases. Pemphigus foliaceus has the most favorable prognosis of all forms of lupus and pemphigus. The deeper the skin damage, the more severe the course of the disease. However, dogs treated with appropriate medication usually have a good chance of living with the disease. Treatment must usually be continued for life, however.