Nishitani Y, Kitoh K
Joint Department of Veterinary Medicine, Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu, 501-1193, Japan.
J Small Anim Pract. 2021 Jun;62(6):496-499. doi: 10.1111/jsap.13198. Epub 2020 Jul 27.
A spayed female mixed-breed dog was presented with excessive bleeding from a wound in the mouth. The dog had a history of self-limiting bleeding following ovariohysterectomy. A coagulation test revealed prolongation of the activated partial thromboplastin time (20.2 seconds; reference interval: 11.0-15.0 seconds), prothrombin time was normal and factor VIII activity was markedly decreased (1.9%; reference interval: >50%). The von Willebrand factor antigen concentration was 158% (reference interval: >50%). A cross-mixing test indicated that the diminished factor VIII activity was due to deficiency or dysfunction of factor VIII rather than inhibition of factor VIII activity. Based on these results, the dog was diagnosed with haemophilia A. Haemophilia A should be considered in the differential diagnosis of bleeding disorders also in female mixed-breeds dogs.
一只绝育的雌性混种犬因口腔伤口出血过多前来就诊。这只犬在卵巢子宫切除术后有自限性出血史。凝血试验显示活化部分凝血活酶时间延长(20.2秒;参考区间:11.0 - 15.0秒),凝血酶原时间正常,因子VIII活性显著降低(1.9%;参考区间:>50%)。血管性血友病因子抗原浓度为158%(参考区间:>50%)。交叉混合试验表明,因子VIII活性降低是由于因子VIII缺乏或功能障碍,而非因子VIII活性受到抑制。基于这些结果,该犬被诊断为甲型血友病。在雌性混种犬出血性疾病的鉴别诊断中也应考虑甲型血友病。