Woolcock A D, Keenan A, Cheung C, Christian J A, Moore G E
Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, IN.
Department of Comparative Pathobiology, Purdue University, West Lafayette, IN.
J Vet Intern Med. 2017 Nov;31(6):1691-1699. doi: 10.1111/jvim.14831. Epub 2017 Sep 12.
Thrombocytosis is a hematologic abnormality in dogs that has been associated with various neoplastic, metabolic, and inflammatory conditions.
To classify thrombocytosis in dogs based on severity and evaluate whether there are associations between severity and underlying disease processes.
Seven hundred and fifteen dogs with thrombocytosis and 1,430 dogs with normal numbers of platelets.
Retrospective study. Medical records of dogs with increased (>500 × 10 /μL; thrombocytosis group) and normal (300-500 × 10 /μL; control group) platelet counts between 2011 and 2015 were reviewed. Dogs were characterized by severity of platelet increase and diagnosis. Diagnostic categories included neoplasia, endocrine disease, inflammatory disease, or miscellaneous.
A total of 1,254 complete blood counts with thrombocytosis from 715 dogs were included in the study. Median platelet count in this population was 582 × 10 /μL (500-1,810 × 10 /μL). No correlation between severity of thrombocytosis and diagnosis was identified. Causes of secondary thrombocytosis included neoplasia (55.7%), endocrine disease (12.0%), and inflammatory disease (46.6%). Immune-mediated disease was common (22.2%), associated with frequent glucocorticoid administration, and had a significantly higher median platelet count (636 × 10 /μL [500-1,262 × 10 /μL] versus 565 × 10 /μL [500-1,810 × 10 /μL]) when compared to the other inflammatory processes (P < 0.001). The diagnoses in the thrombocytosis dogs differed significantly from the control population (P < 0.001).
Thrombocytosis is commonly associated with carcinoma and immune-mediated disease in dogs.
血小板增多症是犬类的一种血液学异常,与多种肿瘤、代谢和炎症性疾病相关。
根据严重程度对犬类血小板增多症进行分类,并评估严重程度与潜在疾病过程之间是否存在关联。
715只患有血小板增多症的犬和1430只血小板数量正常的犬。
回顾性研究。回顾了2011年至2015年间血小板计数升高(>500×10⁹/μL;血小板增多症组)和正常(300 - 500×10⁹/μL;对照组)的犬的病历。根据血小板升高的严重程度和诊断对犬进行特征描述。诊断类别包括肿瘤、内分泌疾病、炎症性疾病或其他。
该研究共纳入了715只犬的1254份伴有血小板增多症的全血细胞计数。该群体的血小板计数中位数为582×10⁹/μL(500 - 1810×10⁹/μL)。未发现血小板增多症的严重程度与诊断之间存在相关性。继发性血小板增多症的原因包括肿瘤(55.7%)、内分泌疾病(12.0%)和炎症性疾病(46.6%)。免疫介导性疾病很常见(22.2%),与频繁使用糖皮质激素有关,与其他炎症过程相比,其血小板计数中位数显著更高(636×10⁹/μL [500 - 1262×10⁹/μL] 对 565×10⁹/μL [500 - 1810×10⁹/μL])(P < 0.001)。血小板增多症犬的诊断与对照组有显著差异(P < 0.001)。
血小板增多症在犬类中通常与癌症和免疫介导性疾病有关。