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直接抗球蛋白试验阳性在贫血猫中的诊断意义

The diagnostic significance of a positive direct antiglobulin test in anemic cats.

作者信息

Dunn J K, Searcy G P, Hirsch V M

出版信息

Can J Comp Med. 1984 Oct;48(4):349-53.

PMID:6095976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1236081/
Abstract

The preparation of a feline Coombs serum (rabbit antifeline gamma globulin) is described. The direct antiglobulin test using this serum was performed on 20 anemic and 20 healthy control cats. Red cell membrane antibodies were detected in cats with feline leukemia virus infection and in others with inflammatory and neoplastic diseases. A low titre of cold agglutinating antibody was present in a high proportion of the control cats. Positive direct antiglobulin tests were noted in cats without overt hemolytic disease. It was concluded that the direct antiglobulin test in anemic cats has certain diagnostic limitations. A positive reaction should be interpreted cautiously especially when there is no clinical or laboratory evidence to support a diagnosis of autoimmune hemolytic anemia.

摘要

本文描述了猫库姆斯血清(兔抗猫γ球蛋白)的制备方法。使用该血清对20只贫血猫和20只健康对照猫进行了直接抗球蛋白试验。在感染猫白血病病毒的猫以及其他患有炎症和肿瘤性疾病的猫中检测到红细胞膜抗体。高比例的对照猫存在低滴度的冷凝集抗体。在无明显溶血性疾病的猫中也观察到直接抗球蛋白试验阳性。得出的结论是,贫血猫的直接抗球蛋白试验有一定的诊断局限性。尤其是在没有临床或实验室证据支持自身免疫性溶血性贫血诊断的情况下,对阳性反应应谨慎解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd61/1236081/6e25cbea48c6/compmed00008-0011-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd61/1236081/8473f65c31b0/compmed00008-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd61/1236081/6e25cbea48c6/compmed00008-0011-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd61/1236081/8473f65c31b0/compmed00008-0010-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd61/1236081/6e25cbea48c6/compmed00008-0011-a.jpg

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本文引用的文献

1
The diagnostic significance of the direct antiglobulin test (DAT) in anemic dogs.直接抗球蛋白试验(DAT)在贫血犬中的诊断意义。
Vet Immunol Immunopathol. 1979 Nov;1(1):49-59. doi: 10.1016/0165-2427(79)90007-2.
2
C-type virus in bone marrow cells of cats with myeloproliferative disorders.患有骨髓增殖性疾病的猫的骨髓细胞中的C型病毒。
J Natl Cancer Inst. 1970 Feb;44(2):339-48.
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Characterization of anemias associated with neoplasia in small animals.
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美国兽医内科学会关于犬猫免疫介导性溶血性贫血诊断的共识声明。
J Vet Intern Med. 2019 Mar;33(2):313-334. doi: 10.1111/jvim.15441. Epub 2019 Feb 26.
4
Demographic Characteristics, Survival and Prognostic Factors for Mortality in Cats with Primary Immune-Mediated Hemolytic Anemia.原发性免疫介导性溶血性贫血猫的人口统计学特征、生存情况及死亡预后因素
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J Vet Intern Med. 2007 Mar-Apr;21(2):287-92. doi: 10.1892/0891-6640(2007)21[287:anrbgi]2.0.co;2.
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FeLV Infection, Hemolytic Anemia and Hypocellular Bone Marrow in a Cat: Treatment with Protein A and Prednisone.一只猫的猫白血病病毒感染、溶血性贫血和低细胞性骨髓:用蛋白A和泼尼松治疗
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Myeloproliferative disease and abnormal erythrogenesis in the cat.
J Am Vet Med Assoc. 1969 Sep 15;155(6):879-88.
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Interpretations in feline bone marrow cytology.
J Am Vet Med Assoc. 1972 Dec 1;161(11):1418-25.
6
Replication of feline C-type virus at the plasma membrane of erythrocytes.猫C型病毒在红细胞质膜上的复制。
J Natl Cancer Inst. 1972 May;48(5):1419-24.
7
Erythroid hypoplasia in cats inoculated with feline leukemia virus.接种猫白血病病毒的猫的红细胞生成减少。
J Natl Cancer Inst. 1974 Nov;53(5):1271-6. doi: 10.1093/jnci/53.5.1271.
8
Autoimmunity and neoplasia. The possible role of C-type viruses.自身免疫与肿瘤形成。C型病毒的可能作用。
Am J Clin Pathol. 1974 Aug;62(2):258-80. doi: 10.1093/ajcp/62.2.258.
9
Feline preleukemia: an animal model of human disease.猫白血病前期:一种人类疾病的动物模型。
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