Lokhorst H M, Breukink H J
Tijdschr Diergeneeskd. 1975 Jul 15;100(14):752-7.
Two cases of Auto-immune hemolytic anemia (AHA) in the horse are described. The pathogenesis of AHA in man is related to the findings in the horses. Besides from routine hematological and biochemical investigations specific data were obtained from the erythrocyte osmotic fragility test, the Coombs test, the serum haptoglobulin level and the cold agglutinin test. The first patient, a six month old Dutch standardbred colt, probably suffered from an acute attack of cold-induced hemoglobinuria with severe anemia and acronecrosis of the tops of both ears and of several parts of the skin that had been in close contact with the cold floor. The second patient, a nine years old Friesian mare, showed a type of AHA resembling the acute hemolyte type of cold agglutinin disease in man. This patient had a clear septicemic picture, extensive bacteriological examination, however, was negative.
本文描述了两例马的自身免疫性溶血性贫血(AHA)病例。人类AHA的发病机制与马的相关发现有关。除了常规血液学和生化检查外,还从红细胞渗透脆性试验、库姆斯试验、血清触珠蛋白水平和冷凝集素试验中获得了特定数据。第一例患者是一匹6个月大的荷兰标准bred马驹,可能患有冷诱导血红蛋白尿急性发作,伴有严重贫血以及双耳顶部和与冰冷地面密切接触的几个部位皮肤的肢端坏死。第二例患者是一匹9岁的弗里斯兰母马,表现出一种类似于人类急性溶血型冷凝集素病的AHA类型。该患者有明显的败血症表现,但广泛的细菌学检查结果为阴性。