Munday J S, Shelton G D, Willox S, Kingsbury D D
Institute of Veterinary, Animal, and Biomedical Sciences, Massey University, Palmerston North, New Zealand.
Department of Pathology, School of Medicine, University of California San Diego, La Jolla, CA, USA.
J Small Anim Pract. 2015 Jun;56(6):414-6. doi: 10.1111/jsap.12306. Epub 2014 Dec 5.
A four-month-old female Dobermann presented with myalgia, dysphagia, progressive weakness and loss of body condition. Diagnostic evaluation at nine months of age revealed markedly elevated serum creatine kinase activity, electromyographic abnormalities and histological evidence of chronic-active muscle necrosis. Imaging confirmed dysphagia and aspiration pneumonia. Muscular dystrophy was suspected and immunohistochemical staining of muscle cryosections demonstrated reduced sarcoglycans. Treatment consisted of gastrostomy, and over the next 5 months the dog gained weight, despite continued loss of muscle mass. The dog died at 14 months of age after developing clinical signs of aspiration pneumonia. To the authors' knowledge, this is the first report of muscular dystrophy in a Dobermann and only the second detailed report of a canine sarcoglycanopathy. Supportive care resulted in an acceptable quality of life for 10 months after clinical signs were first observed.
一只四个月大的雌性杜宾犬出现了肌痛、吞咽困难、进行性虚弱和身体状况下降的症状。九个月大时的诊断评估显示血清肌酸激酶活性显著升高、肌电图异常以及慢性活动性肌肉坏死的组织学证据。影像学检查证实存在吞咽困难和吸入性肺炎。怀疑患有肌肉萎缩症,肌肉冰冻切片的免疫组织化学染色显示肌聚糖减少。治疗包括胃造口术,在接下来的5个月里,这只狗体重增加,尽管肌肉质量持续减少。这只狗在14个月大时出现吸入性肺炎的临床症状后死亡。据作者所知,这是杜宾犬肌肉萎缩症的首例报告,也是犬类肌聚糖病的第二份详细报告。在首次观察到临床症状后的10个月里,支持性护理使生活质量尚可接受。