Kidd Linda, Rasmussen Rachel, Chaplow Emilie, Richter Keith, Hill Steve, Slusser Peter G
Western University of Health Sciences College of Veterinary Medicine, Pomona, CA.
J Vet Emerg Crit Care (San Antonio). 2014 May-Jun;24(3):311-5. doi: 10.1111/vec.12186. Epub 2014 Apr 21.
To determine if there is seasonal variation in the incidence of canine idiopathic immune-mediated hemolytic anemia (IMHA) at 2 specialty hospitals in southern California.
Retrospective study. To determine seasonality, cases of idiopathic IMHA presenting between June 2006 and June 2012 were identified by searching medical record databases of 2 large specialty hospitals. The presence of anemia with autoagglutination, spherocytosis or a positive Coomb's test and no identifiable underlying cause were required for inclusion. Dogs with a history of recent travel (within 1 year) were excluded. One hundred and twenty-six dogs, 57 from a practice in San Diego, and 69 from a practice in Los Angeles, met the criteria.
The pattern of seasonality differed with practice location (P = 0.02). More cases of idiopathic IMHA presented during spring and summer (n = 39) than winter and fall (n = 18) for the San Diego practice (P = 0.008) but not the Los Angeles practice (n = 32 and 37, respectively, P = 0.63).
The incidence of idiopathic IMHA in dogs presenting to specialty hospitals located in 2 different climates of southern California was different, suggesting environmental triggers may be involved. Larger, prospective studies are needed to determine whether environmental parameters or undetected infectious disease account for some cases of idiopathic IMHA in dogs.
确定在南加州的两家专科医院中,犬特发性免疫介导性溶血性贫血(IMHA)的发病率是否存在季节性变化。
回顾性研究。为了确定季节性,通过检索两家大型专科医院的病历数据库,识别出2006年6月至2012年6月期间出现的特发性IMHA病例。纳入标准为存在伴有自身凝集、球形红细胞增多或库姆斯试验阳性的贫血且无明确潜在病因。排除近期(1年内)有旅行史的犬只。126只犬符合标准,其中57只来自圣地亚哥的一家诊所,69只来自洛杉矶的一家诊所。
季节性模式因诊所地点而异(P = 0.02)。圣地亚哥诊所春季和夏季出现的特发性IMHA病例(n = 39)多于冬季和秋季(n = 18)(P = 0.008),但洛杉矶诊所并非如此(分别为n = 32和37,P = 0.63)。
在位于南加州两种不同气候地区的专科医院就诊的犬只中,特发性IMHA的发病率不同,提示可能涉及环境触发因素。需要开展更大规模的前瞻性研究,以确定环境参数或未检测到的传染病是否导致了部分犬只特发性IMHA病例的发生。