Hanson S M, Smith M O, Walker T L, Shelton G D
Southern California Veterinary Surgical Group, Irvine, USA.
J Vet Intern Med. 1998 Mar-Apr;12(2):103-8. doi: 10.1111/j.1939-1676.1998.tb02103.x.
Two juvenile Rottweiler siblings were presented with the complaint of decreased activity and various postural abnormalities, including plantigrade and palmigrade stance and splayed forepaw digits. The neurologic examinations were otherwise normal. Electromyography revealed rare fibrillation potentials and positive sharp waves. Motor nerve conduction velocities were normal, whereas compound muscle action potentials from the interosseous muscles were decreased. These findings were consistent with a primary myopathy. A 3rd pup from a different litter and a 4th pup from a litter with 3 of 8 affected dogs had similar clinical presentations. Histopathologic changes in fresh-frozen muscle biopsy samples were similar in all pups and consisted of myofiber atrophy with mild myonecrosis, endomysial fibrosis and replacement of muscle with fatty tissue. These changes were more severe in distal muscles than in proximal muscles. Plasma carnitine concentrations (total and free) were decreased in all pups. Muscle carnitine concentrations (total and free) were decreased in 3 of 4 pups and the least affected pup had a borderline low free muscle carnitine concentration. Abnormalities involving major metabolic pathways were not found on quantification of organic and amino acids. Dystrophin immunocytochemistry was normal in 2 dogs tested. Distal myopathies in humans are classified under the dystrophic group of muscle disorders. These 4 cases represent a form of muscular dystrophy apparently not previously reported in dogs.
两只罗威纳幼犬出现活动减少和多种姿势异常的症状,包括跖行和掌行姿势以及前爪趾分开。其他方面的神经学检查正常。肌电图显示偶见纤颤电位和正锐波。运动神经传导速度正常,而骨间肌的复合肌肉动作电位降低。这些发现与原发性肌病相符。来自另一窝的第三只幼犬和一窝中有8只受影响的3只中的第四只幼犬有相似的临床表现。所有幼犬新鲜冷冻肌肉活检样本的组织病理学变化相似,包括肌纤维萎缩伴轻度肌坏死、肌内膜纤维化以及肌肉被脂肪组织替代。这些变化在远端肌肉比近端肌肉更严重。所有幼犬的血浆肉碱浓度(总浓度和游离浓度)均降低。4只幼犬中有3只的肌肉肉碱浓度(总浓度和游离浓度)降低,受影响最小的幼犬游离肌肉肉碱浓度略低于临界值。对有机和氨基酸进行定量分析时未发现涉及主要代谢途径的异常。对2只受试犬进行的抗肌萎缩蛋白免疫细胞化学检查结果正常。人类的远端肌病归类于肌肉疾病的营养不良组。这4例病例代表了一种显然此前未在犬类中报道过的肌肉营养不良形式。