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24只犬的淋巴细胞-浆细胞性肠炎

Lymphocytic-plasmacytic enteritis in 24 dogs.

作者信息

Jacobs G, Collins-Kelly L, Lappin M, Tyler D

机构信息

Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30602.

出版信息

J Vet Intern Med. 1990 Mar-Apr;4(2):45-53.

PMID:2342021
Abstract

Lymphocytic-plasmacytic enteritis (LPE) was diagnosed by intestinal biopsy in 24 dogs with chronic small intestinal diarrhea. Vomiting, weight loss, and reduced appetite were frequent. Breed predispositions were not documented, although four patients were German Shepherd dogs. Hypoproteinemia, hypoalbuminemia, and hypoglobulinemia were common and most likely a result of protein-losing enteropathy. Other biochemical abnormalities were uncommon. Intestinal malabsorption was common. Neutrophilia (sometimes with increased band neutrophils), monocytosis, lymphopenia, and eosinopenia were the most consistent hematologic abnormalities. The severity of the lymphocytic-plasmacytic infiltration was not significantly different (P greater than 0.05) between regions of small intestine. However, the severity of cellular infiltration often varied among different regions of small intestine in the same dog. Changes in villous architecture and lacteal dilation were common. Intestinal nematode infestation was diagnosed in five dogs, and pancreatic exocrine insufficiency was diagnosed in one dog. In the remaining 18 dogs, besides LPE, no other associated or concurrent intestinal disease was diagnosed.

摘要

通过肠道活检,对24只患有慢性小肠腹泻的犬诊断出淋巴细胞 - 浆细胞性肠炎(LPE)。呕吐、体重减轻和食欲减退很常见。尽管有4只病犬为德国牧羊犬,但未记录到品种易感性。低蛋白血症、低白蛋白血症和低球蛋白血症很常见,最可能是蛋白丢失性肠病的结果。其他生化异常不常见。肠道吸收不良很常见。中性粒细胞增多(有时杆状中性粒细胞增加)、单核细胞增多、淋巴细胞减少和嗜酸性粒细胞减少是最一致的血液学异常。小肠各区域之间淋巴细胞 - 浆细胞浸润的严重程度无显著差异(P大于0.05)。然而,在同一只犬的小肠不同区域,细胞浸润的严重程度常常有所不同。绒毛结构改变和乳糜管扩张很常见。5只犬被诊断出肠道线虫感染,1只犬被诊断出胰腺外分泌功能不全。在其余18只犬中,除了LPE外,未诊断出其他相关或并发的肠道疾病。

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