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多卡氏瞪羚的肾髓质淀粉样变性

Renal medullary amyloidosis in Dorcas gazelles.

作者信息

Rideout B A, Montali R J, Wallace R S, Bush M, Phillips L G, Antonovych T T, Sabnis S G

机构信息

Department of Pathology, Smithsonian Institution, Washington, DC.

出版信息

Vet Pathol. 1989 Mar;26(2):129-35. doi: 10.1177/030098588902600205.

Abstract

Between January 1976 and September 1987 renal medullary amyloidosis (RMA) was diagnosed in 17 Dorcas gazelles; the necropsy prevalence rate was 17/32 (53%). The most severe amyloid deposits were in the renal medulla; glomeruli were spared. Renal cortical lesions of interstitial fibrosis and tubular atrophy and dilatation significantly correlated with RMA (P less than 0.01) and were considered to be secondary changes. There were varying degrees of lymphoplasmacytic inflammation and tubular cast formation which did not significantly correlate with RMA. Amyloid was confirmed histochemically and by electron microscopy and was identified as AA type by the permanganate method. Progressive renal failure was the cause of death or necessitated euthanasia in 7/17 (41%) gazelles. RMA in Dorcas gazelles does not appear to be familial. A high prevalence of chronic or recurring Actinomyces (Corynebacterium) pyogenes infections may be an important factor.

摘要

1976年1月至1987年9月期间,在17只小鹿瞪羚中诊断出肾髓质淀粉样变性(RMA);尸检患病率为17/32(53%)。最严重的淀粉样沉积物位于肾髓质;肾小球未受累。肾皮质间质纤维化、肾小管萎缩和扩张病变与RMA显著相关(P<0.01),被认为是继发性改变。存在不同程度的淋巴浆细胞炎症和肾小管管型形成,与RMA无显著相关性。淀粉样物质经组织化学和电子显微镜证实,并通过高锰酸钾法鉴定为AA型。7/17(41%)的瞪羚因进行性肾衰竭死亡或需要实施安乐死。小鹿瞪羚的RMA似乎不具有家族性。化脓放线菌(棒状杆菌属)慢性或复发性感染的高患病率可能是一个重要因素。

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