Murakami Akira, Shibahashi Ayami, Iwasaki Ryota, Kawabe Mifumi, Murakami Mami, Sakai Hiroki, Mori Takashi
From the Laboratory of Veterinary Clinical Oncology (A.M., A.S., R.I., M.K., M.M., T.M.) and Laboratory of Veterinary Pathology (H.S.), Faculty of Applied Biological Sciences, Gifu University, Gifu, Japan.
J Am Anim Hosp Assoc. 2018 May/Jun;54(3):161-166. doi: 10.5326/JAAHA-MS-6663. Epub 2018 Mar 20.
Inflammatory colorectal polyps (ICRP), which are more commonly recognized in miniature dachshunds, are thought to represent an immune-mediated disease. This retrospective case series describes six miniature dachshunds with refractory ICRP, who were treated with chlorambucil (CLB) combined with firocoxib or prednisolone. Improvement in clinical manifestations was seen in five of the six dogs by the end of the study period; four were treated with CLB/firocoxib and one with CLB/prednisolone. One dog had nonregenerative anemia after 23 mo of treatment with CLB, but whether there was a causative relationship was unclear. No severe adverse events were observed during treatment in the remaining five dogs. CLB in combination with firocoxib or prednisolone appears to be an effective alternative treatment for ICRP in dogs. Further studies are needed to confirm the effectiveness and long-term complications of CLB treatment for ICRP in dogs.
炎症性结肠息肉(ICRP)在迷你腊肠犬中更为常见,被认为是一种免疫介导性疾病。本回顾性病例系列描述了6只患有难治性ICRP的迷你腊肠犬,它们接受了苯丁酸氮芥(CLB)联合非罗考昔或泼尼松龙治疗。在研究期结束时,6只犬中有5只的临床表现有所改善;4只接受CLB/非罗考昔治疗,1只接受CLB/泼尼松龙治疗。1只犬在接受CLB治疗23个月后出现非再生性贫血,但因果关系尚不清楚。其余5只犬在治疗期间未观察到严重不良事件。CLB联合非罗考昔或泼尼松龙似乎是犬ICRP的一种有效替代治疗方法。需要进一步研究以证实CLB治疗犬ICRP的有效性和长期并发症。