K. Ait Belkacem , N. Jousserand , N. Varin-Blank , J. Mortier , I. Lagrange , S. Blot , M. Kurtz
{"title":"Approche d’un cas de myélome multiple chez un chien : myélome non sécrétant, ou limite des méthodes diagnostiques ?","authors":"K. Ait Belkacem , N. Jousserand , N. Varin-Blank , J. Mortier , I. Lagrange , S. Blot , M. Kurtz","doi":"10.1016/j.anicom.2024.09.009","DOIUrl":"10.1016/j.anicom.2024.09.009","url":null,"abstract":"<div><div>Un chien mâle croisé de 12 ans est présenté pour l’exploration d’épisodes de dorsalgie évoluant depuis plusieurs mois. Les examens radiographiques révèlent des images d’ostéolyse multifocale en regard des vertèbres lombaires et du grand trochanter fémoral. La cytoponction échoguidée des lésions et la ponction de la moelle osseuse montre une infiltration plasmocytaire majeure, présentant des critères de malignité modérés. L’hypothèse principale est celle d’un myélome multiple. L’examen biochimique et l’électrophorèse des protéines sériques et urinaires ne révèlent toutefois pas de gammapathie, et la recherche d’une protéinurie de Bence-Jones par la technique du Western Blot s’avère négative. À ce stade des investigations, un myélome multiple non secrétant est suspecté (validation de 2 critères diagnostiques sur 4) bien que les investigations entreprises ne permettent pas d’exclure avec certitude l’absence de paraprotéinémie. La prise en charge thérapeutique est guidée par un traitement analgésique à base d’un bisphosphonate et d’une chimiothérapie à base de melphalan et prednisolone, permettant une rémission après quelques mois. Ce cas permet de discuter de la pertinence des critères diagnostiques actuels du myélome multiple en médecine vétérinaire et des moyens de certitudes de diagnostic d’un myélome multiple non secrétant.</div></div><div><div>A 12-year-old crossbred dog was presented with episodes of back pain of several months’ duration. Skeletal radiographs showed multifocal osteolytic lesions on the lumbar vertebrae and femoral greater trochanter. Cytologic examination of the bone lesions and bone marrow examination showed marked plasma cell infiltration with moderate signs of malignancy. The main hypothesis was multiple myeloma. However, biochemical examination and electrophoresis of serum and urine proteins showed no hyperglobulinemia. Urine analysis using the Western blot technique showed no Bence-Jones proteinuria. At this stage of the investigation, although the investigations performed could not exclude the absence of paraproteinemia with certainty, non-secreting multiple myeloma was the main suspicion (validation of 2 out of 4 diagnostic criteria). Therapeutic management consisted of analgesic treatment with bisphosphonate, and chemotherapy with melphalan and prednisolone, resulting in remission a few months after the start of treatment. This case provides an opportunity to discuss the relevance of the current diagnostic criteria for multiple myeloma in veterinary medicine and the tools by which a diagnosis of non-secretory multiple myeloma can be obtained with confidence.</div></div>","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 4","pages":"Pages 157-163"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hépatite de Rubarth : une maladie du passé ?","authors":"E. Lavergne, C. Boucraut-Baralon, K. Museux","doi":"10.1016/j.anicom.2024.09.002","DOIUrl":"10.1016/j.anicom.2024.09.002","url":null,"abstract":"","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 4","pages":"Pages 186-187"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Résultats de la prise en charge de 16 cas de luxations traumatiques de rotule chez le chien et le chat (2011–2021)","authors":"","doi":"10.1016/j.anicom.2024.05.004","DOIUrl":"10.1016/j.anicom.2024.05.004","url":null,"abstract":"","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 3","pages":"Pages 151-152"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traitement de sténose des narines chez les chats brachycéphales par ala-vestibuloplastie : 33 chats (2017–2023)","authors":"","doi":"10.1016/j.anicom.2024.05.006","DOIUrl":"10.1016/j.anicom.2024.05.006","url":null,"abstract":"","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 3","pages":"Pages 155-156"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cats in Tunisia, a big gap of knowledge","authors":"","doi":"10.1016/j.anicom.2024.05.008","DOIUrl":"10.1016/j.anicom.2024.05.008","url":null,"abstract":"<div><p>Cats<span> are present in North Africa since several centuries, they are well appreciated as companion animals in all social categories. Despite this status, compared to the other domestic Tunisian animal species few peer-reviewed studies were published on cats in Tunisia. There is a huge lack of knowledge concerning different aspects of both cats’ breeding and health, including Tunisian cat demography, percentage of vaccinated cats, dominant cats’ diseases… The authors present a review on Tunisian cats’ breeding and health and concluding that a lot of efforts are requested at different levels to improve both the knowledge about breeding and health status of Tunisian cats.</span></p></div><div><p>Les chats sont présents en Afrique du Nord depuis plusieurs siècles, ils sont très appréciés comme animaux de compagnie dans toutes les catégories sociales. Malgré ce statut, comparativement aux autres espèces, très peu d’études réalisées par des pairs ont été publiées sur les chats en Tunisie. Il y a un grand manque de connaissances concernant les différents aspects relatifs aussi bien à l’élevage qu’à la santé, incluant la démographie des chats tunisiens, le pourcentage de chats vaccinés, les principales affections… Les auteurs présentent une revue de la littérature de l’élevage et de la santé des chats tunisiens en concluant qu’il y a encore beaucoup d’efforts à fournir à différents niveaux pour améliorer les connaissances aussi bien à propos de l’élevage que de la santé des chats en Tunisie.</p></div>","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 3","pages":"Pages 122-131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disjonction sacro-iliaque stabilisée avec deux vis courtes chez le chat : étude rétrospective sur 65 cas (2014–2022)","authors":"","doi":"10.1016/j.anicom.2024.05.003","DOIUrl":"10.1016/j.anicom.2024.05.003","url":null,"abstract":"","PeriodicalId":38077,"journal":{"name":"Revue Veterinaire Clinique","volume":"59 3","pages":"Pages 148-150"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}