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Case report
Abstract Two cases of zinc deficiency in dairy goats from different flocks and not associated with a zinc-deficient
diet are described. Hard, dry, hyperkeratotic skin, hair loss and pruritus especially prominent on the back, legs,
udder, face and ears were the most common clinical signs. Skin biopsy findings revealed a mixture of orthokeratotic and parakeratotic hyperkeratosis. On initial examination, serum zinc concentrations were low in both goats
(461 g L1 and 521 g L1, respectively). Although mild skin lesions persisted during the early stages of zinc supplementation, skin lesions completely resolved after prolonged oral zinc supplementation. Withdrawal of zinc
supplementation resulted in re-appearance of lesions in both animals. Case 2 gave birth to two kids, one of which
showed mild skin lesions at 8 months of age together with a low serum zinc concentration (434 g L1), suggestive
of hereditary zinc malabsorption. The other kid remained free of skin lesions and had a serum zinc concentration
(530 g L1) within the normal range. On the basis of historical and clinical findings, the cases presented here
more closely resemble Syndrome 1 hereditary zinc deficiency as seen in Nordic dog breeds rather than other zinc
deficiency conditions seen in other species. It is suggested that zinc deficiency in these goats was due to hereditary
malabsorption of dietary zinc. This is the first descriptive study of this condition in goats. Life-long zinc supplementation may be necessary in such patients.
IN TRO D U CT ION
Naturally occurring cases of zinc-responsive dermatosis in goats are rarely described. Field reports of zinc
deficiency in goats induced by feeding zinc-deficient
diets have been described by Nelson1 in pygmy goats,
by Reuter2 in Angora goats and by Schulze3 in Turkish
Angora goats. Caprine experimental zinc deficiency
has also been described.4,5 Limited stores of readily
available zinc in the body necessitate a daily supply
of zinc in the diet. A minimum of 0.70.8 mg zinc per
kilogram bodyweight is generally indicated.6 Zinc
absorption depends on feed composition, high calcium
and marginal zinc (40 mg/kg) in the ration may contribute to relative zinc deficiency in goats. This might
explain zinc deficiency in nonlactating does or male
goats kept on a high calcium lactating goat ration.
Most natural diets will supply sufficient zinc.
Brief reports in the literature have only alluded to the
possibility of a genetic predisposition to decreased zinc
absorption in sheep and goats. The implication is that,
when identified, such animals may require life-long
Correspondence: R. Krametter-Froetscher, Clinic for Ruminants,
Clinical Department for Farm Animals and Herd Management,
Veterinary University of Vienna, 1210 Vienna, Austria. E-mail:
reinhild.krametter@vu-wien.ac.at
2005 European Society of Veterinary Dermatology
270
C ASE REPO RT S
Case 1
A 2-year-old, female, cross-bred lactating goat was
presented with a 2-month history of crusted lesions
around the ears, mouth and on the feet. The owners
first recognized the skin lesions during pregnancy. The
goat originated from a flock of 200 dairy goats of purebred Saanen and German improved white goats. This
goat was the only affected animal in the herd and all
animals received the same ration. On physical exami-
271
272
Case 2
D IS C U S S IO N
273
274
ACKN OWLEDGE ME NT S
The authors would like to thank Dr Klemens Alton for
the photomicrograph and Dr Joachim Spergser for
technical assistance. I wish to thank Cameron McCulloch, PhD, for help with the manuscript.
R E FE R E N C E S
1. Nelson DR, Wolff WA, Blodgett DJ et al. Zinc deficiency
in sheep and goats: three field cases. Journal of the American Veterinary Medical Association 1984; 184: 14805.
2. Reuter R, Bowden M, Besier B et al. Zinc responsive
alopecia and hyperkeratosis in Angora goats. Australian
Veterinary Journal 1987; 64: 3512.
3. Schulze A, stdal KM. Mgliche Ursachen der Alopezie
trkischer Angora-Ziegen. Berliner Mnchner Tierrztliche Wochenschrift 1975; 88: 6673.
4. Miller WJ, Pitts WJ, Clifton CM. Experimentally
produced zinc deficiency in the goat. Journal of Dairy
Science 1964; 47: 5568.
5. Neathery MW, Miller WJ, Blackmon DM et al. Effects of
long term zinc deficiency on feed utilization, reproductive,
characteristics, and hair growth in sexually mature male
goat. Journal of Dairy Science 1973; 56: 98105.
6. Bostedt H, Ddie K. Zinkmangel. In: Bostedt H, Ddie K
eds. Schaf- und Ziegenkrankheiten, 2nd edn. Stuttgart:
Ulmer, 1996: 1623.
7. Mullowney P, Baldwin EW. Skin disease of goats. Veterinary Clinics of North America: Large Animal Practice
1984; 6: 14354.
8. Smith MC, Sherman DM. Zinc deficiency. In: Smith MC,
Sherman DM eds. Goat Medicine, 1st edn. Philadelphia:
Lea & Febiger, 1994: 34.
9. Vesterweber JG, Leipold HW. Difficult dermatologic
diagnosis. Journal of the American Veterinary Medical
Association 1994; 10: 15678.
10. OBrien JK. Inherited parakeratosis in two Frisian
calves. Veterinary Record 1986; 119: 2067.
11. Vogt DW, Carlton CG, Miller RB. Hereditary parakeratosis in Shorthorn beef calves. American Journal
of Veterinary Research 1988; 49: 1201.
12. Schlerka G, Baumgartner W. Parakeratose bei einem
Hhenfleckviehkalb. Wiener Tierrztliche Monatsschrift 1976; 63: 1922.
13. Smith MC. Caprine dermatologic problems: a review.
Journal of the American Veterinary Medical Association
1981; 178: 7249.
14. Scott DW, Smith MC. Caprine dermatology. Part II.
Viral, nutritional, environmental, and congenitohereditary disorders. Compendium of Continuing Education
1984; 6: 47384.
15. Scott DW. Hereditary zinc deficiency. In: Scott DW ed.
Large Animal Dermatology, 1st edn. Philadelphia:
Saunders, 1988: 3657.
16. Baumgartner W. Klinische Untersuchung. In:
Baumgartner W ed. Propaedeutik der inneren
Krankheiten der Haus- und Heimtiere, 5th edn. Berlin:
Parey, 2002: 87250.
17. Pierson RE. Zinc deficiency in young lambs. Journal of
the American Veterinary Medical Association 1966; 149:
127982.
18. Suliman HB, Abdelrahim AI, Zakia AM et al. Zinc
deficiency in sheep: field cases. Tropical Animal Health
Production 1988; 20: 4751.
19. Lofstedt J. Dermatologic disease of sheep. Veterinary Clinics
of North America: Large Animal Practice 1983; 5: 42748.
20. Haenlein GFW. Mineral nutrition of goats. Journal of
Dairy Science 1980; 63: 172948.
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acrodermatitis in Bull Terriers. Journal of the American
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275
Rsum Deux cas de dficit en zinc chez des chvres de diffrents troupeaux, non associes un dficit en zinc
alimentaire sont rapports. Des lsions cutanes sches, hyperkratosiques, associes une chute de poils et un
prurit, particulirement marqu sur le dos, les membres, les mamelles, la face et les pavillons auriculaires taient
nots. Les biopsies ont montr une hyperkratose orthokratosique et parakratosique. Les taux de zinc srique
taient faibles chez les deux animaux (461 g/l et 521 g/l respectivement). Bien que des lsions cutanes
minimes aient persist au dbut de la supplmentation en zinc, les lsions ont totalement disparu aprs une
supplmentation prolonge. Larrt de la supplmentation sest accompagn dans les deux cas dune rechute des
lsions cutanes. Le cas 2 a eu deux petits, un desquels a prsent lge de 8 mois des lsions cutanes modres
avec des taux faibles de zinc (434 g/l), ce qui est vocateur dune malabsorption hrditaire du zinc. Lautre petit
avait un taux de zinc dans les normes (530 g/l) sans lsion cutane. Sur la base des donnes anamnestiques et
cliniques, les cas prsents ici ressemblent plus la dermatose amliore par le zinc de type I dcrite chez les chiens
nordiques quaux autres dficits en zinc rencontrs dans dautres espces. Il est suggr que le dficit en zinc
observ chez ces chvres est li une malabsorption hrditaire du zinc. Il sagit de la premire description de
cette maladie chez la chvre. Une supplmentation vie en zinc peut tre ncessaire chez ces patients.
Resumen A continuacin describimos dos casos de deficiencia en zinc en cabras lecheras de diferentes rebaos,
no asociados a una dieta deficiente en zinc. Los signos clnicos ms caractersticos observados fueron piel seca,
endurecida y con hiperqueratosis, prdida de pelo y prurito, especialmente en el dorso, extremidades, ubre, cara
y orejas. Mediante biopsia de piel observamos una mezcla de hiperqueratosis ortoquerattica y paraquerattica.
En el examen inicial, la concentracin de zinc en el suero sanguneo era baja en ambas cabras (461 g/l y 521 g/
l, respectivamente). Aunque algunas lesiones leves persistieron durante los estadios tempranos del tratamiento
con suplemento de zinc, stas desaparecieron completamente tras una administracin ms prolongada. En ambas
cabras las lesiones reaparecieron tras suspender el suplemento de zinc. El caso nmero 2 pari dos cabritos, uno
de los cuales present lesiones leves a los ocho meses de edad, a la vez que tena una concentracin baja de zinc
en el suero sanguneo (434 g/l), indicativo de una malabsorcin hereditaria de zinc. El segundo cabrito no present lesiones y tena una concentracin normal de zinc en suero (530 g/l). Basados en los hallazgos e historia
clnica, los casos que presentamos tienen mayor semejanza con el Sndrome de Deficiencia Hereditaria en Zinc
de Tipo I, tal y como se observa en perros de raza Nrdica, en lugar de otras deficiencias en zinc observadas en
diferentes especies. Por lo tanto, sugerimos que la deficiencia en zinc en estas dos cabras fue debida a malabsorcin
hereditaria. Este es el primer estudio descriptivo de esta condicin en cabras. Pacientes con este sndrome
requeriran suplemento de zinc de por vida.
Zusammenfassung Zwei Flle von Zinkmangel bei Milchziegen von verschiedenen Herden, der nicht im
Zusammenhang stand mit einer Zink-Mangelernhrung, wird beschrieben. Die hufigsten klinischen
Vernderungen waren harte, trockene, hyperkeratotische Haut, Haarausfall und Juckreiz, welche vor allem am
Rcken, Extremitten, Euter, Gesicht und Ohren auffllig waren. Die Analyse von Hautbiopsien ergab eine
Mischung aus orthokeratotischer und parakeratotischer Hyperkeratose. Bei der Erstuntersuchung waren
die Zink Konzentrationen im Serum bei beiden Ziegen niedrig (461 g/l bzw. 521 g/l). Obwohl leichte
Hautvernderungen whrend der Anfangsphasen der Zinkergnzung bestehen blieben, verschwanden diese zur
Gnze nach prolongiertem oralen Zinkzusatz. Das Absetzen der Zinkergnzung fhrte zur Wiederkehr der
Hautlsionen bei beiden Tieren. Fall 2 gebar zwei Zicklein, von denen eines im Alter von acht Monaten leichte
Hautvernderungen zusammen mit einer niedrigen Zink-Konzentration im Serum (434 g/l) zeigte, was auf eine
erbliche Zink Malabsorption hinwies. Das andere Zicklein blieb ohne Hautvernderungen und hatte eine Serum
Zink-Konzentration im Normalbereich (530 g/l). Basierend auf Anamnese und klinischen Befunden sind die
hier prsentierten Flle dem Syndrom I des hereditren Zinkmangels, die man bei nordischen Hunderassen sieht
hnlicher, als anderen Zinkmangel-Krankheiten von anderen Spezies. Es wird nahegelegt, dass der Zinkmangel
bei diesen Ziegen wegen einer erblichen Malabsorption von Zink aus der Nahrung vorlag. Es handelt sich hierbei
um die erste deskriptive Studie dieser Krankheit bei Ziegen. Bei diesen Patienten kann eine lebenslange
Zinkergnzung notwendig sein.
2005 European Society of Veterinary Dermatology, Veterinary Dermatology, 16, 269275