Journal of Veterinary Internal Medicine最新文献

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A systematic review and meta-analysis of prevalence of complications after tracheal stenting in dogs 犬气管支架植入术后并发症发生率的系统回顾和荟萃分析。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-31 DOI: 10.1111/jvim.17117
Thibaud Robin, Elisabeth Robin, Kevin Le Boedec
{"title":"A systematic review and meta-analysis of prevalence of complications after tracheal stenting in dogs","authors":"Thibaud Robin,&nbsp;Elisabeth Robin,&nbsp;Kevin Le Boedec","doi":"10.1111/jvim.17117","DOIUrl":"10.1111/jvim.17117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stenting has become popular to treat tracheal collapse in dogs, but complications might arise and negatively affect treatment outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Determine the overall prevalence of complications of tracheal stenting in dogs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A bibliographic search was performed of publications from 2000 to 2020. Studies were assessed for quality of evidence and measured prevalence of the 8 most commonly reported complications after tracheal stenting in dogs (stent fracture, stent migration, relapsing collapse, granuloma formation, tracheobronchial infections, and early, late, and clinically relevant late cough). Random effects meta-analyses were used to estimate pooled complications prevalence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies met inclusion criteria. Cough (early: 99%; 95% confidence interval [95% CI]: 95%–100%, late: 75%; 95% CI: 63%–85%, and clinically relevant: 52%; 95% CI: 42%–61%), tracheobronchial infections (24%; 95% CI: 14%–35%), and granulomas (20%; 95% CI: 11%–30%) were common after tracheal stenting. Stent fractures (12%; 95% CI: 5%–20%), relapsing collapse (10%; 95% CI: 5%–15%), and stent migration (5%; 95% CI: 1%–9%) were less frequent. Significant heterogeneity among studies was identified for the estimated prevalence of stent fracture, granulomas, infections, and late cough.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Tracheal stenting in dogs is associated with a high risk of coughing and a moderate risk of tracheobronchial infections and granuloma formation. Because most complications will impact a dog's quality of life, owners must be informed that tracheal stenting is a second-line procedure that does not necessarily alleviate the need for medical treatment and frequent follow-up visits. Additional studies are warranted to identify the risk factors of these complications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urinary syndecan-1 in dogs anesthetized with isoflurane or sevoflurane: A randomized, prospective study 用异氟烷或七氟烷麻醉狗的尿中辛迪加-1:一项随机前瞻性研究。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-30 DOI: 10.1111/jvim.17121
Stephanie Harris, Katherine Gerken, Stuart Clark-Price, Ellan Hung, Tom Jukier, Amy Yanke, Kendon Kuo, Maureen McMichael
{"title":"Urinary syndecan-1 in dogs anesthetized with isoflurane or sevoflurane: A randomized, prospective study","authors":"Stephanie Harris,&nbsp;Katherine Gerken,&nbsp;Stuart Clark-Price,&nbsp;Ellan Hung,&nbsp;Tom Jukier,&nbsp;Amy Yanke,&nbsp;Kendon Kuo,&nbsp;Maureen McMichael","doi":"10.1111/jvim.17121","DOIUrl":"10.1111/jvim.17121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Syndecan-1 (SDC1) is an established marker of endothelial glycocalyx shedding. Most research on SDC1 has focused on plasma or serum concentrations, and little is known about urine concentrations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Measure urinary SDC1 concentrations in dogs undergoing anesthesia with either sevoflurane or isoflurane and assess the effects of anesthesia duration and IV crystalloids on urinary SDC1 concentrations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Thirty-one client-owned dogs undergoing anesthesia for magnetic resonance imaging (MRI) with or without surgery for suspected intervertebral disk disease (IVDD) were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Dogs with suspected IVDD were randomized to undergo anesthesia with either sevoflurane or isoflurane. Urine was collected before and immediately after anesthesia for the analysis of SDC1. Urinary creatinine concentrations also were measured, and the ratio of urinary SDC1 to urinary creatinine (USCR) was used to account for dilution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Median (range) USCR was significantly higher after anesthesia compared with baseline for all groups combined (<i>P</i> &lt; .05). No significant difference was found between the groups for age, sex, weight, and type of anesthesia. Multiple regression analysis of the effect of the independent variables inhalant type, age, weight, sex, anesthesia time, surgery, and quantity of IV fluids on the dependent variable SDC1 found that only the quantity of IV fluids significantly predicted a change (<i>P</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>The total volume of lactated Ringer's solution administered to anesthetized dogs may affect USCR. Further investigations are warranted to evaluate the relationship between IV fluids and SDC1.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survival in dogs with meningoencephalomyelitis of unknown etiology with and without lesions detected by magnetic resonance imaging 病因不明的脑膜脑脊髓炎狗的存活率,以及磁共振成像检测到的病变和未检测到病变的狗的存活率。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-28 DOI: 10.1111/jvim.17109
Arielle Ostrager, R. Timothy Bentley, Melissa J. Lewis, George E. Moore
{"title":"Survival in dogs with meningoencephalomyelitis of unknown etiology with and without lesions detected by magnetic resonance imaging","authors":"Arielle Ostrager,&nbsp;R. Timothy Bentley,&nbsp;Melissa J. Lewis,&nbsp;George E. Moore","doi":"10.1111/jvim.17109","DOIUrl":"10.1111/jvim.17109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The prognosis of individual dogs with meningoencephalomyelitis of unknown etiology (MUE) remains difficult to predict. MUE cases with no lesions detected by magnetic resonance imaging (MRI) occur, but it is unknown whether this finding is associated with prognosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Hypothesis</h3>\u0000 \u0000 <p>MUE cases without detectable lesions on MRI have a better outcome than cases with detectable lesions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Study included 73 client-owned dogs with MUE presenting to Purdue University Veterinary Hospital from 2010 to 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective study. Dogs with a clinical diagnosis of MUE were identified by medical record search. MRI reports were reviewed for presence or absence of lesions consistent with MUE. Clinical findings at presentation, treatment, disease-specific survival, and outcomes including rates of remission and relapse were compared between cases with normal MRI or abnormal MRI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 54 dogs (74%) were classified as abnormal MRI, and 19 dogs (26%) were classified as normal MRI cases. Death caused by MUE occurred in 1/19 (5%) normal MRI dogs and 18/54 (33%) abnormal MRI dogs (<i>P</i> = .016). Median survival was &gt;107 months in both groups, but survival was significantly longer in the normal MRI group (<i>P</i> = .019). On multivariate analysis, abnormal MRI was significantly related to death (hazard ratio, 7.71; 95% confidence interval 1.03-58.00, <i>P</i> = .0470), whereas significant relationships with death were not identified for either the use of secondary immunosuppressive medications or cerebrospinal fluid nucleated cell count.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>MUE dogs with no detectable lesions on MRI have reduced disease-related death compared with dogs with abnormal MRI. The presence or absence of MRI lesions in MUE dogs is prognostically relevant.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Hemoplasma spp. positivity in potential feline blood donors and study of the association with selected clinical variables 猫科动物潜在献血者血浆阳性率以及与选定临床变量的关联研究。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-27 DOI: 10.1111/jvim.17119
Elodie Roels, Chiara Debie, Sophie Giraud, Rui Ferreira, Kris Gommeren
{"title":"Prevalence of Hemoplasma spp. positivity in potential feline blood donors and study of the association with selected clinical variables","authors":"Elodie Roels,&nbsp;Chiara Debie,&nbsp;Sophie Giraud,&nbsp;Rui Ferreira,&nbsp;Kris Gommeren","doi":"10.1111/jvim.17119","DOIUrl":"10.1111/jvim.17119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hemotropic mycoplasmas, hemoplasmas, are epi-erythrocytic parasitic bacteria that can be transmitted through blood transfusion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To study the prevalence of hemoplasma infection of potential feline blood donors and investigate the association between <i>Hemoplasma</i> spp. quantitative polymerase chain reaction (qPCR) positivity in blood units and selected variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Seven thousand five hundred seventy-three blood units from 4121 privately-owned potential donor cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective observational cross-sectional study. The Banco Sangue Animal (BSA)—Animal Blood Bank medical database was reviewed for all feline donations performed in 2022 in Portugal, Spain, and Belgium. Baseline characteristics and results of blood-borne pathogens screening tests were extracted from the medical records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred twelve of 4034 Portuguese donor cats and 2 of 70 Spanish donor cats tested positive for <i>Hemoplasma</i> spp. qPCR in 2022 leading to an overall estimated prevalence of 5.2% (95% CI: 4.5%-5.9%) in potential blood donors. Using multivariable generalized estimation equation models, <i>Hemoplasma</i> spp. qPCR was more often positive among blood units issued from male cats (OR = 1.9, 95% CI: 1.4-2.6, <i>P</i> &lt; .0001), units positive for FeLV (OR = 2.8, 95% CI: 1.4-5.6, <i>P</i> = .0023), and units collected in winter months (OR = 2.5, 95% CI: 1.7-3.6, <i>P</i> &lt; .0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>This study underscores the importance of <i>Hemoplasma</i> spp. and other relevant blood-borne pathogens screening at every donation. Implementing stringent screening protocols is crucial to mitigate the risk of hemoplasma transmission via blood transfusions, thereby safeguarding the health and welfare of cats receiving transfusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ECEIM consensus statement on equine kidney disease ECEIM 关于马肾病的共识声明。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-27 DOI: 10.1111/jvim.17101
Gaby van Galen, Thomas J. Divers, Victoria Savage, Harold C. Schott II, Natalia Siwinska
{"title":"ECEIM consensus statement on equine kidney disease","authors":"Gaby van Galen,&nbsp;Thomas J. Divers,&nbsp;Victoria Savage,&nbsp;Harold C. Schott II,&nbsp;Natalia Siwinska","doi":"10.1111/jvim.17101","DOIUrl":"10.1111/jvim.17101","url":null,"abstract":"<p>The aim of this consensus statement is to summarize and appraise scientific evidence and combine this with the clinical experience of a panel of experts to optimize recommendations on how to recognize and manage kidney disease in horses.</p>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical efficacy and tolerability of zonisamide monotherapy in dogs with newly diagnosed idiopathic epilepsy: Prospective open-label uncontrolled multicenter trial 唑尼沙胺单药治疗新确诊特发性癫痫犬的临床疗效和耐受性:前瞻性开放标签无对照多中心试验。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-23 DOI: 10.1111/jvim.17108
Miyoko Saito, Akinori Nomura, Daisuke Hasegawa, Naoyuki Watanabe, Keiko Uchida, Seiichi Okuno, Masahiro Nakai, Kensuke Orito
{"title":"Clinical efficacy and tolerability of zonisamide monotherapy in dogs with newly diagnosed idiopathic epilepsy: Prospective open-label uncontrolled multicenter trial","authors":"Miyoko Saito,&nbsp;Akinori Nomura,&nbsp;Daisuke Hasegawa,&nbsp;Naoyuki Watanabe,&nbsp;Keiko Uchida,&nbsp;Seiichi Okuno,&nbsp;Masahiro Nakai,&nbsp;Kensuke Orito","doi":"10.1111/jvim.17108","DOIUrl":"10.1111/jvim.17108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Zonisamide (ZNS) is a newer generation antiseizure medication (ASM) used to treat epilepsy in dogs and cats. However, scientific and clinical information, particularly regarding monotherapy, is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate the antiseizure efficacy and tolerability of ZNS monotherapy in dogs with newly diagnosed idiopathic epilepsy (IE).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Study included 56 client-owned dogs newly diagnosed with IE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a prospective multicenter, open-label, uncontrolled study. All dogs were ASM-naïve and had ≥2 seizures within 12 weeks. Dogs were administered 2.7-14.4 mg/kg ZNS PO q12h and followed up for ≥12 weeks. Data from the 12-week maintenance treatment period were compared with those from the 4- to 12-week pretreatment period for efficacy evaluation. Data from the entire ZNS administration period were used to assess tolerability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-six dogs were included in our study. Of the dogs, 53 were assessed for efficacy; 40 (76%) had a ≥ 50% reduction in seizure frequency, and 29 (55%) achieved seizure freedom. For 90% of the dogs with ≥50% reduction in seizure frequency, the mean ZNS dose was 4.8 (range, 2.7-8.6) mg/kg q12h and the mean trough plasma ZNS concentration was 18.9 (range, 8.0-48.0) μg/mL. In 7 of the 56 dogs (13%), reduced activity, decreased appetite, vomiting, hindlimb weakness, soft stools, or constipation was observed, albeit mild and temporary. Laboratory tests revealed no relevant changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Our study suggests that ZNS monotherapy is effective and well-tolerated in dogs with newly diagnosed IE.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACVIM consensus statement on the treatment of immune thrombocytopenia in dogs and cats ACVIM 关于治疗猫狗免疫性血小板减少症的共识声明。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-23 DOI: 10.1111/jvim.17079
Dana N. LeVine, Robert Goggs, Barbara Kohn, Andrew J. Mackin, Linda Kidd, Oliver A. Garden, Marjory B. Brooks, Erin R. B. Eldermire, Anthony Abrams-Ogg, Elizabeth H. Appleman, Todd M. Archer, Domenico Bianco, Shauna L. Blois, Benjamin M. Brainard, Mary Beth Callan, Claire L. Fellman, Jillian M. Haines, Anne S. Hale, Alice A. Huang, John M. Lucy, Shana K. O'Marra, Elizabeth A. Rozanski, John M. Thomason, Jenny E. Walton, Helen E. Wilson
{"title":"ACVIM consensus statement on the treatment of immune thrombocytopenia in dogs and cats","authors":"Dana N. LeVine,&nbsp;Robert Goggs,&nbsp;Barbara Kohn,&nbsp;Andrew J. Mackin,&nbsp;Linda Kidd,&nbsp;Oliver A. Garden,&nbsp;Marjory B. Brooks,&nbsp;Erin R. B. Eldermire,&nbsp;Anthony Abrams-Ogg,&nbsp;Elizabeth H. Appleman,&nbsp;Todd M. Archer,&nbsp;Domenico Bianco,&nbsp;Shauna L. Blois,&nbsp;Benjamin M. Brainard,&nbsp;Mary Beth Callan,&nbsp;Claire L. Fellman,&nbsp;Jillian M. Haines,&nbsp;Anne S. Hale,&nbsp;Alice A. Huang,&nbsp;John M. Lucy,&nbsp;Shana K. O'Marra,&nbsp;Elizabeth A. Rozanski,&nbsp;John M. Thomason,&nbsp;Jenny E. Walton,&nbsp;Helen E. Wilson","doi":"10.1111/jvim.17079","DOIUrl":"10.1111/jvim.17079","url":null,"abstract":"<p>Management of immune thrombocytopenia (ITP) in dogs and cats is evolving, but there are no evidence-based guidelines to assist clinicians with treatment decisions. Likewise, the overall goals for treatment of ITP have not been established. Immunosuppressive doses of glucocorticoids are the first line treatment, but optimal treatment regimens beyond glucocorticoids remain uncertain. Additional options include secondary immunosuppressive drugs such as azathioprine, modified cyclosporine, and mycophenolate mofetil, usually selected based on clinician preference. Vincristine, human IV immunoglobulin (hIVIg), and transfusion of platelet or red blood cell–containing products are often used in more severe cases. Splenectomy and thrombopoietin receptor agonists are usually reserved for refractory cases, but when and in which patient these modalities should be employed is under debate. To develop evidence-based guidelines for individualized treatment of ITP patients, we asked 20 Population Intervention Comparison Outcome (PICO) format questions. These were addressed by 17 evidence evaluators using a literature pool of 288 articles identified by a structured search strategy. Evidence evaluators, using panel-designed templates and data extraction tools, summarized evidence and created guideline recommendations. These were integrated by treatment domain chairs and then refined by iterative Delphi survey review to reach consensus on the final guidelines. In addition, 19 non-PICO questions covering scenarios in which evidence was lacking or of low quality were answered by expert opinion using iterative Delphi surveys with panelist integration and refinement. Commentary was solicited from multiple relevant professional organizations before finalizing the consensus. The rigorous consensus process identified few comparative treatment studies, highlighting many areas of ITP treatment requiring additional studies. This statement is a companion manuscript to the ACVIM Consensus Statement on the Diagnosis of Immune Thrombocytopenia in Dogs and Cats.</p>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period 在 1 年时间里,温血马群体的双侧支气管肺泡灌洗细胞学概况。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-23 DOI: 10.1111/jvim.17118
Nanna Rasmussen, Pernille Karlsen, Nina D. Otten, Julie Fjeldborg, Sanni Hansen
{"title":"Bilateral bronchoalveolar lavage cytology profiles in a warmblood horse population during a 1-year period","authors":"Nanna Rasmussen,&nbsp;Pernille Karlsen,&nbsp;Nina D. Otten,&nbsp;Julie Fjeldborg,&nbsp;Sanni Hansen","doi":"10.1111/jvim.17118","DOIUrl":"10.1111/jvim.17118","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bronchoalveolar lavage (BAL) cytology results from 1 lung might not be representative of both lungs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To determine whether the lung site sampled would influence the horse's BAL cytology profile, and if a pooled BAL sample would be superior with regard to BAL cytology diagnosis in a cohort of healthy and subclinical asthmatic warmblood horses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Fifty-nine horses in 2021 and 70 horses in 2022, the follow-up included 53 of the same in each year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study with follow-up included BAL cytology samples from individual lungs and from pooled BAL samples. The BAL samples were enumerated and differential cell count were applied to categorize the horses as control or with airway inflammation (AI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Bronchoalveolar lavage mast cell count was higher in left lung compared to right lung (2021; median 1.6 [range, 0.6-3.3] vs 1.2 [0.7-1.5] <i>P</i> = .009, 2022; median 3.1 [2.1-4.2] vs 2.4 [1.7-3.4], <i>P</i> &lt; .001) and compared to pooled samples (2022; median 2.6 [1.7-3.7], <i>P</i> &lt; .001). Between year 2021 and 2022, 17 of the horses had changes in BAL cytology from control to AI or vice versa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Pooled BAL sample was the least reliable for detecting AI, and was not representative of the overall lung condition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of neurofilament light chain to identify structural brain diseases in dogs 利用神经丝蛋白轻链识别狗的脑结构性疾病。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-22 DOI: 10.1111/jvim.17110
Jookyung Sung, Yeon Chae, Taesik Yun, Yoonhoi Koo, Dohee Lee, Hakhyun Kim, Mhan-Pyo Yang, Byeong-Teck Kang
{"title":"Use of neurofilament light chain to identify structural brain diseases in dogs","authors":"Jookyung Sung,&nbsp;Yeon Chae,&nbsp;Taesik Yun,&nbsp;Yoonhoi Koo,&nbsp;Dohee Lee,&nbsp;Hakhyun Kim,&nbsp;Mhan-Pyo Yang,&nbsp;Byeong-Teck Kang","doi":"10.1111/jvim.17110","DOIUrl":"10.1111/jvim.17110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neurofilament light chain (NfL) is released into the peripheral circulation by damaged axons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective<b>s</b></h3>\u0000 \u0000 <p>To evaluate the diagnostic value of serum NfL concentration in dogs with intracranial diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Study included 37 healthy dogs, 31 dogs with idiopathic epilepsy (IE), 45 dogs with meningoencephalitis of unknown etiology (MUE), 20 dogs with hydrocephalus, and 19 dogs with brain tumors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cohort study. Serum NfL concentrations were measured in all dogs using single-molecule array technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Serum NfL concentration in dogs with each structural disease was significantly higher than in healthy dogs and dogs with IE (<i>P</i> = .01). The area under the receiver operating characteristic curve of NfL for differentiating between dogs with structural diseases and IE was 0.868. An optimal cutoff value of the NfL 27.10 pg/mL had a sensitivity of 86.67% and a specificity of 74.19% to differentiate the dogs with IE from those with structural brain diseases. There were significant correlations between NfL concentrations and lesion size: (1) MUE, <i>P</i> = .01, <i>r</i> = 0.429; (2) hydrocephalus, <i>P</i> = .01, <i>r</i> = 0.563.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Serum NfL could be a useful biomarker for distinguishing IE from structural diseases in dogs and predicting the lesion sizes of MUE and hydrocephalus.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Platelet hyperresponsiveness and increased platelet-neutrophil aggregates in dogs with myxomatous mitral valve disease and pulmonary hypertension 患有肌瘤性二尖瓣疾病和肺动脉高压的狗的血小板高反应性和血小板-中性粒细胞聚集增加。
IF 2.1 2区 农林科学
Journal of Veterinary Internal Medicine Pub Date : 2024-05-21 DOI: 10.1111/jvim.17067
Laetitia Duler, Lance Visser, Nghi Nguyen, Lynelle R. Johnson, Joshua A. Stern, Ronald H. L. Li
{"title":"Platelet hyperresponsiveness and increased platelet-neutrophil aggregates in dogs with myxomatous mitral valve disease and pulmonary hypertension","authors":"Laetitia Duler,&nbsp;Lance Visser,&nbsp;Nghi Nguyen,&nbsp;Lynelle R. Johnson,&nbsp;Joshua A. Stern,&nbsp;Ronald H. L. Li","doi":"10.1111/jvim.17067","DOIUrl":"10.1111/jvim.17067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pulmonary hypertension (PH) in dogs with myxomatous mitral valve disease (MMVD) is caused by increased pulmonary venous pressure. Thrombosis, vascular remodeling, and vasoconstriction mediated by platelets could exacerbate PH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Hypothesis</h3>\u0000 \u0000 <p>Dogs with PH will exhibit a hypercoagulable state, characterized by increased platelet activation, platelet-leukocyte, and platelet-neutrophil aggregate formation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Eleven dogs (≥3.5 kg) diagnosed with MMVD and PH and 10 dogs with MMVD lacking PH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective cohort ex vivo study. All dogs underwent echocardiographic examination, CBC, 3-view thoracic radiographs, and heartworm antigen testing. Severity of PH and MMVD were assessed by echocardiography. Viscoelastic monitoring of coagulation was assessed using thromboelastography (TEG). Platelet activation and platelet-leukocyte/platelet-neutrophil interactions were assessed using flow cytometry. Plasma serotonin concentrations were measured by ELISA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Unstimulated platelets from dogs with MMVD and PH expressed more surface P-selectin than MMVD controls (<i>P</i> = .03). Platelets from dogs with MMVD and PH had persistent activation in response to agonists. The number of platelet-leukocyte aggregates was higher in dogs with MMVD and PH compared with MMVD controls (<i>P</i> = .01). Ex vivo stimulation of whole blood resulted in higher numbers of platelet-neutrophil aggregates in dogs with MMVD and PH (<i>P</i> = .01). Assessment of hypercoagulability based on TEG or plasma serotonin concentrations did not differ between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Clinical Importance</h3>\u0000 \u0000 <p>Platelet hyperresponsiveness and increased platelet-neutrophil interaction occur in dogs with MMVD and PH, suggesting that platelets play a role of in the pathogenesis of PH. Clinical benefits of antiplatelet drugs in dogs with MMVD and PH require further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11256165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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