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OBJECTIVE: The purpose of this study is to describe clinical and histologic findings, treatment, and outcome of horses with suspected immune-mediated keratitis (IMMK). DESIGN: Retrospective study. ANIMALS: Nineteen horses that presented to NCSU-VTH from 1998 to 2004 with IMMK. Procedures Information retrieved from the medical records included signalment, duration of clinical signs, therapy prior to initial examination, ophthalmic abnormalities, diagnostics performed, therapy instituted, and long-term vision. RESULTS: Nineteen horses (22 eyes) were diagnosed with IMMK. Three distinct clinical groups were identified based on the depth of the lesion in the cornea: superficial stromal (n = 11 eyes), midstromal (n = 6 eyes), or endothelial (n = 5 eyes). Horses ranged from 5 to 19 years of age, with a mean age +/- SD of 11.9 +/- 3.6 years. Eleven horses had 12 months or greater duration of clinical signs of corneal disease prior to referral. Overall there was a mean duration of 11.8 +/- SD 8.3 months. Superficial stromal keratitis appeared as a superficial stromal cellular infiltrate with diffuse vascularization. Midstromal keratitis appeared as midstromal cellular infiltrate with mild, surrounding corneal edema and vascularization. Endothelial disease appeared as endothelial cellular infiltrate with diffuse corneal edema. In all types of IMMK, signs of uveitis or severe discomfort were not observed. CONCLUSIONS AND CLINICAL RELEVANCE: Horses with superficial IMMK responded to topical medical therapy, but responded best to surgical removal of the lesion. Horses with midstromal keratitis responded to topical cyclosporine therapy. Endothelial disease was the least amenable to therapy. 相似文献
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Terrazzano G Cortese L Piantedosi D Zappacosta S Di Loria A Santoro D Ruggiero G Ciaramella P 《Veterinary immunology and immunopathology》2006,110(3-4):331-337
Thirty-three dogs, naturally infected by Leishmania infantum, were enrolled in the study and were classified as oligo-symptomatic (n. 15) and symptomatic or markedly symptomatic (n. 18). A control group was 10 healthy dogs. A haematological profile was obtained and the dogs serum was employed to assess the presence of platelet binding IgM and IgG antibodies (PBIgM, PBIgG) using flow cytometry. FITC labelled goat anti-dog IgM or IgG were used to detect PBIgM and PBIgG. Samples with a mean fluorescence intensity (MFI) that was 100 channels higher on a log scale for more than 30% of the platelets than seen in negative control platelets from a healthy dog were considered positive for the presence of anti-platelet antibodies (PBIg). Twenty-one (63.3%) dogs revealed the presence of PBIg. Six of them were oligo-symptomatic while 15 showed moderate or severe clinical signs of illness. All the dogs with PBIg showed the presence of PBIgM, with nine animals showing both PBIgM and PBIgG. Nine of 18 symptomatic or markedly symptomatic dogs showed thrombocytopenia, while normal platelet counts were observed in all oligo-symptomatic animals. Eight of 9 thrombocytopenic animals showed the presence of PBIgM, while six of them showed PBIgG. One thrombocytopenic dog was negative for PBIg. This study is the first report documenting the presence of PBIg in natural canine leishmaniasis implying a pathogenic association between thrombocytopenia and the presence of antibody against platelet membrane. 相似文献
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A. J. Venker‐van Haagen R. J. G. Siemelink G. F. Smoorenburg 《The Veterinary quarterly》2013,33(3):129-137
Summary The latencies of the peaks in brainstem responses and the threshold response were determined in 18 healthy beagles. In the first series of measurements the dogs were sedated and the stimulus was delivered via an in‐the‐ear transducer. The latencies, the threshold levels, and the influence of the stimulus repetition rate on the latencies were measured. Using a miniature electret microphone in the outer ear canal near the tympanic membrane, it was found that at a level setting corresponding to 0 dB human level (HL) the major peak in damped oscillation during condensation reached a sound pressure level (SPL) of about 27 dB and the secondary rarefaction peak reached 24 dB SPL. In the second series of measurements the dogs were not sedated and the stimulus was delivered via a headphone. The wave forms, the mean latencies for peaks I to V as a function of the stimulus level, and the threshold of each wave are presented from both series. In the first series the latency values at 80 dB HL (107 dB SPL) were 1.21, 1.97, 2.67, 3.12 and 3.61 ms for peaks I, II, III, IV and V, respectively. The thresholds for peaks I to V were 47.5 ± 9.5, 47.5 ± 11.5, 41.3 ± 13.0, 63.3 ± 17.4 and 28.0 ± 9.7 dB HL, respectively. The difference in peak latency between the first and the second series was 0.065 ms. This difference corresponded to the difference in length of the acoustic pathways. Analysis of variance was used to determine whether the successive peaks in the response followed at a constant time interval, i.e., whether a shift in the first peak with a change in the stimulus level was followed by the same shift in subsequent peaks. The analysis showed a significant (P < 0.001) interaction between the inter‐peak latency differences and the effect of stimulus level. This inter‐peak latency depended on stimulus level, although the effect was small. The use of the in‐the‐ear transducer and sedation resulted in a far more efficient procedure than the use of the headphone without sedation. 相似文献
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Geert Paes Dominique Paepe Evelyne Meyer Annemarie T Kristensen Luc Duchateau Miguel Campos Sylvie Daminet 《Acta veterinaria Scandinavica》2013,55(1):74
Background
Diagnosing canine immune-mediated haemolytic anaemia (IMHA) is often challenging because all currently available tests have their limitations. Dogs with IMHA often have an increased erythrocyte osmotic fragility (OF), a characteristic that is sometimes used in the diagnosis of IMHA. Since the classic osmotic fragility test (COFT) is time-consuming and requires specialized equipment, an easy and less labour-intensive rapid osmotic fragility test (ROFT) has been used in some countries, but its diagnostic value has not yet been investigated.This study aimed to evaluate erythrocyte osmotic fragility in dogs with and without IMHA, to compare results of the classic (COFT) and rapid (ROFT) test and to assess the value of the ROFT as diagnostic test for canine IMHA.Nineteen dogs with IMHA (group 1a), 21 anaemic dogs without IMHA (group 1b), 8 dogs with microcytosis (group 2), 13 hyperlipemic dogs (group 3), 10 dogs with lymphoma (group 4), 8 dogs with an infection (group 5) and 13 healthy dogs (group 6) were included.In all dogs, blood smear examination, in-saline auto-agglutination test, Coombs’ test, COFT and ROFT were performed. In the COFT, OF5, OF50 and OF90 were defined as the NaCl concentrations at which respectively 5, 50 and 90% of erythrocytes were haemolysed.Results
Compared with healthy dogs, OF5 and OF50 were significantly higher in group 1a (P < 0.001) and OF5 was significantly higher in group 3 (P = 0.0266). The ROFT was positive in 17 dogs with IMHA, 10 hyperlipemic dogs, one anaemic dog without IMHA and one healthy dog.Conclusions
Osmotic fragility was increased in the majority of dogs with IMHA and in dogs with hyperlipidemia, but not in dogs with microcytosis, lymphoma or an infection. Although more detailed information was obtained about the osmotic fragility by using the COFT, the COFT and ROFT gave similar results. The ROFT does not require specialized equipment, is rapid and easy to perform and can be used easily in daily practice. Although, the ROFT cannot replace other diagnostic tests, it may be a valuable additional tool to diagnose canine IMHA. 相似文献8.
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