Occurrence of porcine dermatitis and nephropathy syndrome in Hungary

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Abstract
In the past few years a characteristic, often fatal disease associated with cutaneous lesions and nephropathy has been observed in several large pig herds and household pig stocks of Hungary. In addition to general symptoms and slight fever in several cases, the disease was characterised by cutaneous lesions occurring mostly on the ventral part of the thorax and abdomen, on the extremities and ear pinnae, and in the nasal and perianal region. In the acute phase, circumscribed hyperaemic, confluent, crust-covered areas were seen. Histological examination revealed necrosis of the epithelial layer and lympho-histiocytic vasculitis in the corium, here and there accompanied by thrombosis and fibrinoid degeneration. The kidneys were pale brown and harder to tear, with cortical petechiae in most cases. By histopathological examination, intra- and extracapillary glomerulonephritis accompanied by fibrinoid exudation was seen. Some of the renal tubules were dilated, others were atrophied, and in advanced cases proliferation of the intertubular connective tissue and inflammatory cell infiltration also occurred. Necrotic vasculitis was also observed in some cases. By immunohistochemical examination IgA, IgG and IgM, and in a single case C3 belonging to the complement system were observed in the pathologically changed skin areas and kidneys. By polymerase chain reaction (PCR), porcine circovirus type 2 (PCV-2) was detected. Bacteriological and serological examinations did not reveal infections of aetiological importance.