Jergens A E, Moore F M, Haynes J S, Miles K G
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames 50011.
J Am Vet Med Assoc. 1992 Nov 15;201(10):1603-8.
Idiopathic inflammatory bowel disease was the diagnosis for 58 dogs and 26 cats, with signs of persistent gastroenteritis, failed responses to dietary trials, and histologic evidence of cellular infiltrates unrelated to other causes of gastrointestinal tract inflammation. Clinical signs of large intestinal dysfunction, watery diarrhea, vomiting, and anorexia with weight loss were common. Nonspecific hematologic, biochemical, and radiographic abnormalities frequently were observed. Mucosal biopsy specimens, obtained endoscopically, were histologically evaluated for severity of mucosal epithelial damage. Mucosal erythema, friability, enhanced granularity, and ulceration or erosion were the predominant endoscopic lesions. Inflammatory bowel disease lesions of moderate severity predominated in the stomach, duodenum, and colon. Lymphocytic/plasmacytic infiltrates were limited to the lamina propria in biopsy specimens from all regions of the gastrointestinal tract. Inflammatory bowel disease commonly is associated with chronic gastroenteritis in dogs and cats.
特发性炎症性肠病是58只犬和26只猫的诊断结果,这些动物有持续性肠胃炎的症状,对饮食试验反应不佳,且有与其他胃肠道炎症原因无关的细胞浸润的组织学证据。大肠功能障碍、水样腹泻、呕吐以及伴有体重减轻的厌食是常见的临床症状。经常观察到非特异性血液学、生化和影像学异常。通过内镜获取的黏膜活检标本进行组织学评估,以确定黏膜上皮损伤的严重程度。黏膜红斑、易脆性、颗粒增强以及溃疡或糜烂是主要的内镜病变。中度严重程度的炎症性肠病病变在胃、十二指肠和结肠中占主导。淋巴细胞/浆细胞浸润局限于胃肠道所有区域活检标本的固有层。炎症性肠病在犬猫中通常与慢性肠胃炎相关。