Department of Veterinary Pathology, Hygiene and Public Health, University of Milan, Italy.
Vet J. 2010 Sep;185(3):341-3. doi: 10.1016/j.tvjl.2009.06.015. Epub 2009 Jul 25.
To determine whether microcytosis can be used to predict hyposideremia in dogs, mean corpuscular volume (MCV), iron and total iron binding capacity (TIBC) were measured in 12 control and 45 anaemic dogs. Hyposideremia was found in all dogs with chronic haemorrhage and occasionally in other dogs but mainly associated with inflammation. An ROC curve analysis demonstrated that microcytosis did not discriminate hyposideremic dogs or hyposideremic dogs with normal TIBC from non-hyposideremic dogs. At the optimised cut-off value determined using the ROC curve (MCV=60.9 fL), diagnostic sensitivity, specificity, and positive and negative likelihood ratios were 44.4%, 84.6%, 2.89 and 0.66 for hyposideremia, and 60.0%, 83.0%, 3.53 and 0.49 for hyposideremia not associated with decreased TIBC. The results indicate that microcytosis may not be a hallmark of hyposideremia in dogs.
为了确定小细胞性贫血是否可用于预测犬低血铁症,对 12 只对照犬和 45 只贫血犬进行了平均红细胞体积(MCV)、铁和总铁结合能力(TIBC)的测量。所有慢性出血犬均存在低血铁症,偶尔在其他犬中也存在,但主要与炎症相关。ROC 曲线分析表明,小细胞性贫血不能区分低血铁症犬或低血铁症且 TIBC 正常的犬与非低血铁症犬。在使用 ROC 曲线确定的最佳截断值(MCV=60.9fL)下,低血铁症的诊断灵敏度、特异性、阳性和阴性似然比分别为 44.4%、84.6%、2.89 和 0.66,与 TIBC 降低无关的低血铁症的诊断灵敏度、特异性、阳性和阴性似然比分别为 60.0%、83.0%、3.53 和 0.49。结果表明,小细胞性贫血可能不是犬低血铁症的标志。