Bexfield Nick
School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, School Road, Leicestershire LE12 5RD, UK.
Vet Clin North Am Small Anim Pract. 2017 May;47(3):645-663. doi: 10.1016/j.cvsm.2016.11.012. Epub 2017 Jan 4.
The World Small Animal Veterinary Association's Liver Standardization Group produced standardized criteria for the histologic diagnosis of canine chronic hepatitis (CH). They define CH by the presence of hepatocellular apoptosis or necrosis, a variable mononuclear or mixed inflammatory cell infiltrate, regeneration, and fibrosis. There are variations in histologic appearance between breeds. Hepatic copper accumulation is an important cause of canine CH. However, where copper accumulation has been ruled out, dogs are said to have idiopathic CH. This article reviews theories regarding the etiopathogenesis of canine CH other than copper accumulation, and its clinical features, diagnostic findings, and management.
世界小动物兽医协会肝脏标准化小组制定了犬慢性肝炎(CH)组织学诊断的标准化标准。他们将CH定义为存在肝细胞凋亡或坏死、可变的单核或混合性炎性细胞浸润、再生和纤维化。不同品种之间组织学表现存在差异。肝铜蓄积是犬CH的一个重要原因。然而,在排除铜蓄积的情况下,犬被认为患有特发性CH。本文综述了除铜蓄积外犬CH的病因发病机制相关理论,及其临床特征、诊断结果和治疗方法。