Crawford M A, Schall W D, Jensen R K, Tasker J B
J Am Vet Med Assoc. 1985 Dec 15;187(12):1343-50.
Chronic active hepatitis with increased hepatic copper concentration was diagnosed in 25 female and 1 male Doberman Pinscher dogs. Common clinical signs included polyuria/polydipsia, weight loss, anorexia, icterus, and ascites. Increased liver enzyme activities and abnormal liver function test results were the most consistent clinicopathologic changes. The dogs were assigned to 3 groups on the basis of clinical course of the disease. Group 1 dogs (n = 12) had clinical signs of advanced liver failure and died within one week. Group 2 dogs (n = 7) had less severe clinical signs of liver disease and died within one month. Group 3 dogs (n = 5) did not have clinical signs of illness or had mild clinical signs of liver disease and died 1 to 42 months after initial evaluation. One dog could not be reevaluated and another dog was alive 3 months after initial examination. Treatments consisted of supportive care for dogs in group 1, and dietary manipulations and corticosteroids for dogs in groups 2 and 3. The association of increased liver copper concentration and chronic active hepatitis is not known.
25只雌性和1只雄性杜宾犬被诊断患有慢性活动性肝炎,且肝脏铜浓度升高。常见的临床症状包括多尿/多饮、体重减轻、厌食、黄疸和腹水。肝酶活性升高和肝功能测试结果异常是最一致的临床病理变化。根据疾病的临床病程,这些狗被分为3组。第1组的狗(n = 12)有晚期肝功能衰竭的临床症状,并在一周内死亡。第2组的狗(n = 7)有较轻的肝脏疾病临床症状,并在一个月内死亡。第3组的狗(n = 5)没有疾病的临床症状或有轻度的肝脏疾病临床症状,并在初次评估后1至42个月死亡。一只狗无法进行重新评估,另一只狗在初次检查后3个月仍然存活。治疗方法包括对第1组的狗进行支持性护理,对第2组和第3组的狗进行饮食调整和使用皮质类固醇。肝脏铜浓度升高与慢性活动性肝炎之间的关联尚不清楚。