Cagnotti Giulia, Giordano Cristina, Di Muro Giorgia, Ferrini Sara, Giudice Chiara, Borriello Giuliano, D'Angelo Antonio
Department of Veterinary Sciences, University of Turin, Turin, Italy.
Department of Veterinary Medicine and Animal Sciences, University of Milan, Milan, Italy.
Vet Q. 2025 Dec;45(1):2546825. doi: 10.1080/01652176.2025.2546825. Epub 2025 Aug 13.
Vitamin A in cattle is essential due to its antioxidant properties and importance in vision, immune function, reproduction, and cellular differentiation. This study investigates the clinical presentation, diagnosis, and treatment outcomes of hypovitaminosis A in 15 Piedmontese calves, referred to the Veterinary Teaching Hospital in Turin for vision impairment between 2016 and 2024. Neurological and ophthalmological evaluations revealed hypovision or blindness in 87% of cases, with additional epileptic seizures in 13%. Ophthalmological findings included papilledema, optic nerve atrophy, and retinal abnormalities, which were consistent predictors of poor prognosis for vision recovery. Serum vitamin A levels were below the reference range in all cases, confirming a primary dietary deficiency linked to the use of dry, preserved forages.Parenteral administration of vitamin A and dietary supplementation improved clinical outcomes in most cases, with 67% of affected calves achieving complete recovery. Histopathological analysis of one subject revealed ischemic degeneration presumably due to narrowed optic foramina caused by vitamin A deficiency. The findings emphasize the importance of early diagnosis through ocular and neurological assessments to prevent irreversible damage and economic loss in cattle herds. Prompt supplementation can mitigate health and productivity losses, emphasizing its critical role in herd management practices.
维生素A对牛至关重要,因为它具有抗氧化特性,且在视觉、免疫功能、繁殖和细胞分化中具有重要作用。本研究调查了15头皮埃蒙特小牛维生素A缺乏症的临床表现、诊断和治疗结果,这些小牛在2016年至2024年间因视力障碍被转诊至都灵的兽医教学医院。神经学和眼科评估显示,87%的病例存在视力减退或失明,13%的病例伴有癫痫发作。眼科检查结果包括视乳头水肿、视神经萎缩和视网膜异常,这些都是视力恢复预后不良的一致预测指标。所有病例的血清维生素A水平均低于参考范围,证实主要是由于使用干燥的青贮饲料导致饮食缺乏。在大多数情况下,维生素A的肠胃外给药和饮食补充改善了临床结果,67%的患病小牛完全康复。对一只小牛的组织病理学分析显示,可能由于维生素A缺乏导致视神经孔变窄,进而出现缺血性变性。研究结果强调了通过眼部和神经学评估进行早期诊断的重要性,以防止牛群出现不可逆转的损害和经济损失。及时补充维生素A可以减轻健康和生产力损失,强调了其在牛群管理实践中的关键作用。