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犬外周血嗜酸性粒细胞增多:患病率及相关疾病。

Peripheral blood eosinophilia in dogs: Prevalence and associated diseases.

机构信息

Department of Pathobiology, Clinical Pathology Platform, University of Veterinary Medicine Vienna, Vienna, Austria.

Korneuburg, AniCura Tierklinik, Korneuburg, Austria.

出版信息

Vet Med Sci. 2022 Jul;8(4):1458-1465. doi: 10.1002/vms3.832. Epub 2022 Jun 2.

Abstract

BACKGROUND

Canine eosinophilia has not been evaluated over the last two decades. As in human local differences, changes in the prevalence and associated diseases over time can be expected.

OBJECTIVE

This study aims to determine the prevalence and causes of marked blood eosinophilia in dogs.

METHODS

Retrospective study. A total of 317 clinical histories of dogs with an eosinophil concentration > 1.5 × 10 /L (marked eosinophilia) between 2013 and 2017 were evaluated. Patients were allocated to 10 groups according to their major clinical findings.

RESULTS

Eosinophilia was present in 1,592 of 10,829 dogs (14.7%); it was mild (0.8-1.49 × 10 /L) in 78.4%, moderate (1.5 - 4.9 × 10 /L) in 20.5% and severe (> 5 × 10 /L) in 1.1% of cases. Rottweilers were overrepresented (16.1%). Of 317 cases with marked eosinophilia, 19.6% had neoplasia, 19.1% gastrointestinal disorders, 13.6% health check, 10.4% endoparasites, 6% respiratory, 5.4% neurologic, 5.4% dermatologic, 4.8% urogenital, 3.2% endocrine disorders and 12.6% miscellaneous. Lymphomas (29%) and mast cell tumours (12.9%) were the most frequent tumours in the neoplasia group. A total of 72.6% of tumour-bearing dogs were older than 8 years, while 63.6% of dogs had endoparasites, and 86% of apparently healthy dogs were younger than 5 years. Eosinophilia was significantly higher in patients with respiratory disorders (p < 0.0146). Leukocytosis was found in 50.2% of cases.

CONCLUSION

Malignancy was the most common cause of marked blood eosinophilia in older dogs and endoparasitism in younger dogs. Eosinophilia was common in apparently healthy young dogs and may be related to undiagnosed parasitic infestations.

摘要

背景

在过去的二十年中,犬类嗜酸性粒细胞增多症并未得到评估。与人类一样,随着时间的推移,预计其流行率和相关疾病会发生变化。

目的

本研究旨在确定犬类显著血液嗜酸性粒细胞增多的流行率和病因。

方法

回顾性研究。评估了 2013 年至 2017 年间 317 例嗜酸性粒细胞浓度>1.5×10 /L(显著嗜酸性粒细胞增多)的犬的临床病史。根据主要临床发现,将患者分为 10 组。

结果

在 10829 只犬中,有 1592 只(14.7%)存在嗜酸性粒细胞增多症;其中轻度(0.8-1.49×10 /L)占 78.4%,中度(1.5-4.9×10 /L)占 20.5%,重度(>5×10 /L)占 1.1%。罗威纳犬的比例过高(16.1%)。在 317 例有显著嗜酸性粒细胞增多的病例中,19.6%患有肿瘤,19.1%患有胃肠道疾病,13.6%为健康检查,10.4%患有内寄生虫病,6%患有呼吸道疾病,5.4%患有神经系统疾病,5.4%患有皮肤病,4.8%患有泌尿生殖系统疾病,3.2%患有内分泌疾病,12.6%为其他疾病。在肿瘤组中,淋巴瘤(29%)和肥大细胞瘤(12.9%)是最常见的肿瘤。患有肿瘤的犬中,72.6%的犬年龄大于 8 岁,而 63.6%的犬有内寄生虫病,86%的看似健康的犬年龄小于 5 岁。患有呼吸道疾病的犬嗜酸性粒细胞增多显著升高(p<0.0146)。白细胞增多见于 50.2%的病例。

结论

在老年犬中,恶性肿瘤是导致显著血液嗜酸性粒细胞增多的最常见原因,而在年轻犬中则与内寄生虫感染有关。在看似健康的年轻犬中,嗜酸性粒细胞增多很常见,可能与未诊断的寄生虫感染有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22d/9297770/ce752b082f9d/VMS3-8-1458-g002.jpg

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