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猫慢性龈口炎伴食管炎

Chronic Gingivostomatitis with Esophagitis in Cats.

作者信息

Kouki M I, Papadimitriou S A, Psalla D, Kolokotronis A, Rallis T S

机构信息

Companion Animal Clinic, Surgery and Obstetrics Unit, School of Veterinary Medicine, Aristotle University, Thessaloniki, Greece.

Laboratory of Pathology, School of Veterinary Medicine, Aristotle University, Thessaloniki, Greece.

出版信息

J Vet Intern Med. 2017 Nov;31(6):1673-1679. doi: 10.1111/jvim.14850. Epub 2017 Sep 27.

DOI:10.1111/jvim.14850
PMID:28960466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697197/
Abstract

BACKGROUND

Chronic gingivostomatitis in cats (FCG) is a debilitating disease with potentially deleterious effects on overall health.

HYPOTHESIS/OBJECTIVES: Little is known about the pathophysiology and overall impact of FCG. The aims of our study were to investigate whether gingivostomatitis occurs concurrently with esophagitis, if FCG treatment contributes to esophagitis and if esophagitis exacerbates signs of FCG.

ANIMALS

Fifty-eight cats with clinical signs of FCG and 12 healthy control cats exhibiting no signs of oral disease, all client-owned.

METHODS

Prospective study. Physical, oral and endoscopic examinations were performed on all cats. Measurements of salivary and esophageal lumen pH were obtained from both groups. Biopsies were acquired from sites of esophageal inflammation in cats with FCG and from normal-appearing esophageal mucosa in control cats.

RESULTS

The majority of cats with clinical signs of FCG exhibited some degree of esophagitis especially in the proximal (44/58) and distal (53/58) parts (P < 0.001) with or without columnar metaplasia, compared to controls. All cats lacked signs related to gastrointestinal disease. Salivary and esophageal lumen pH were not statistically different compared to controls.

CONCLUSIONS AND CLINICAL IMPORTANCE

Feline chronic gingivostomatitis seems to occur concurrently with esophagitis. Esophagitis also should be managed in cats with chronic gingivostomatitis because it may aggravate the existing condition.

摘要

背景

猫慢性龈口炎(FCG)是一种使人衰弱的疾病,可能对整体健康产生有害影响。

假设/目标:关于FCG的病理生理学和总体影响知之甚少。我们研究的目的是调查龈口炎是否与食管炎同时发生,FCG治疗是否会导致食管炎,以及食管炎是否会加重FCG的症状。

动物

58只患有FCG临床症状的猫和12只无口腔疾病迹象的健康对照猫,均为客户拥有。

方法

前瞻性研究。对所有猫进行体格、口腔和内镜检查。两组均测量唾液和食管腔pH值。从患有FCG的猫的食管炎症部位和对照猫外观正常的食管黏膜获取活检组织。

结果

与对照组相比,大多数有FCG临床症状的猫表现出一定程度的食管炎,尤其是在近端(44/58)和远端(53/58)部分(P<0.001),有或无柱状化生。所有猫均无胃肠道疾病相关体征。与对照组相比,唾液和食管腔pH值无统计学差异。

结论及临床意义

猫慢性龈口炎似乎与食管炎同时发生。对于患有慢性龈口炎的猫也应治疗食管炎,因为它可能会加重现有病情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/8610398b05a4/JVIM-31-1673-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/d1de78f0a338/JVIM-31-1673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/f3c418678d7b/JVIM-31-1673-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/8610398b05a4/JVIM-31-1673-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/d1de78f0a338/JVIM-31-1673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/f3c418678d7b/JVIM-31-1673-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7259/5697197/8610398b05a4/JVIM-31-1673-g003.jpg

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