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皮肤和肾小球血管病变:我们目前了解多少?

Cutaneous and Renal Glomerular Vasculopathy: What Do We Know so Far?

作者信息

Jepson Rosanne E, Cardwell Jacqueline M, Cortellini Stefano, Holm Laura, Stevens Kim, Walker David

机构信息

Department of Clinical Science and Services, Royal Veterinary College, Queen Mother Hospital for Animals, Hawkshead Lane, North Mymms, Herts, London AL9 7TA, UK.

Department of Pathobiology and Population Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms, Herts, London AL9 7TA, UK.

出版信息

Vet Clin North Am Small Anim Pract. 2019 Jul;49(4):745-762. doi: 10.1016/j.cvsm.2019.02.010. Epub 2019 Apr 5.

Abstract

Cutaneous renal glomerular vasculopathy (CRGV), colloquially named "Alabama rot," is an emerging condition in the United Kingdom, previously reported from the United States and Germany. The cause of CRGV is not yet determined; no definitive link to an infectious agent has been made. Dogs diagnosed with CRGV initially develop cutaneous lesions, and a proportion of these dogs go on to manifest acute kidney injury, which may result in oligoanuric acute renal failure. Antemortem diagnosis is challenging given the lack of a specific diagnostic test, and confirmation of CRGV is therefore currently dependent on identification of thrombotic microangiopathy on renal histopathology.

摘要

皮肤肾肾小球血管病(CRGV),俗称“阿拉巴马rot”,是英国一种新出现的病症,此前在美国和德国也有报道。CRGV的病因尚未确定;尚未确定与传染源有明确关联。被诊断为CRGV的犬最初会出现皮肤病变,其中一部分犬会继而出现急性肾损伤,这可能导致少尿性急性肾衰竭。鉴于缺乏特异性诊断检测方法,生前诊断具有挑战性,因此目前CRGV的确诊依赖于肾脏组织病理学上血栓性微血管病的鉴定。

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