Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, CB3 0ES, UK.
Vet Rec. 2011 Oct 15;169(16):415. doi: 10.1136/vr.d4665. Epub 2011 Aug 18.
Medical records and liver histology of 68 English springer spaniels (ESS) with a histological diagnosis of CH were reviewed retrospectively. PCR was performed on liver tissue for canine adenovirus-1 (CAV-1), canine parvovirus, canine herpesvirus and pathogenic Leptospira species. Follow-up information was obtained to calculate survival times. Median age at presentation was three years seven months (range, seven months to eight years five months) and there were 48 female and 20 male dogs. Clinical signs were non-specific and five dogs were asymptomatic. All dogs had an increase in serum activity of one or more hepatobiliary enzymes. Histopathology demonstrated hepatocyte necrosis and apoptosis with varying amounts of fibrosis. A predominantly lymphoplasmacytic infiltrate throughout the hepatic parenchyma was found in all 68 dogs, but 45 of these dogs also had a neutrophilic component to the inflammatory infiltrate. There was no significant copper accumulation and no aetiological agent was identified by PCR. The median survival time was 189 days (range, 1 to 1211 days), 38 dogs died within three months and 12 dogs survived more than a year following diagnosis.
回顾性分析了 68 只英国史宾格犬(ESS)的病历和肝组织学诊断为 CH 的组织学检查。对肝组织进行了犬腺病毒-1(CAV-1)、犬细小病毒、犬疱疹病毒和致病性钩端螺旋体属的 PCR 检测。获得了随访信息以计算存活时间。就诊时的中位年龄为 3 岁 7 个月(范围为 7 个月至 8 岁 5 个月),其中 48 只为雌性,20 只为雄性。临床症状是非特异性的,有 5 只狗无症状。所有狗的血清中一种或多种肝胆酶的活性都增加了。组织病理学显示肝细胞坏死和凋亡,伴有不同程度的纤维化。所有 68 只狗的肝实质中均发现弥漫性淋巴浆细胞浸润,但其中 45 只狗的炎症浸润也有中性粒细胞成分。没有明显的铜积累,PCR 也没有确定病因。中位存活时间为 189 天(范围为 1 至 1211 天),38 只狗在 3 个月内死亡,12 只狗在诊断后存活超过 1 年。