Demographic Characteristics, Survival and Prognostic Factors for Mortality in Cats with Primary Immune-Mediated Hemolytic Anemia.

作者: J.W. Swann , B. Szladovits , B. Glanemann

DOI: 10.1111/JVIM.13658

关键词: MedicineYoung adultDiseaseHemolytic anemiaOdds ratioAutoagglutinationImmunologyCATSProportional hazards modelInternal medicineAnemia

摘要: Background Immune-mediated hemolytic anemia (IMHA) is uncommon in cats, but may result severe disease. Demographic predispositions for development of the disease and prognostic factors mortality have not been investigated previously. Hypothesis/Objectives To explore possible demographic primary IMHA cats to investigate mortality. Animals 107 client-owned with IMHA, which 72 had 35 secondary 9,194 control cats. Methods Data were collected retrospectively from records defined by presence concurrent autoagglutination, ghost cells without oxidative damage on fresh blood smear, positive titer a direct antiglobulin test, or evidence phagocytosis erythroid precursors bone marrow. Odds ratios calculated assess risk different groups Cox proportional hazards analysis was conducted evaluate factors. Results No sex breed predisposition identified comparison age range 2.1–5.9 years predisposed. Higher total bilirubin concentration significant negative higher lymphocyte numbers serum globulin multivariable model. Conclusions Clinical Importance Young adult more likely develop than other groups, no apparent male this study, contrary previous reports. Several identified, be helpful guiding clinical practice future.

参考文章(30)
J K Dunn, G P Searcy, V M Hirsch, The diagnostic significance of a positive direct antiglobulin test in anemic cats. Canadian journal of comparative medicine. ,vol. 48, pp. 349- 353 ,(1984)
Carlo Visco, Wilma Barcellini, Francesco Maura, Antonino Neri, Agostino Cortelezzi, Francesco Rodeghiero, Autoimmune cytopenias in chronic lymphocytic leukemia. American Journal of Hematology. ,vol. 89, pp. 1055- 1062 ,(2014) , 10.1002/AJH.23785
M. W. Campbell, P. R. Hess, L. E. Williams, Chronic lymphocytic leukaemia in the cat: 18 cases (2000–2010) Veterinary and Comparative Oncology. ,vol. 11, pp. 256- 264 ,(2013) , 10.1111/J.1476-5829.2011.00315.X
Mathilde Roumier, Valentine Loustau, Constance Guillaud, Laetitia Languille, Matthieu Mahevas, Mehdi Khellaf, Nicolas Limal, France Noizat-Pirenne, Bertrand Godeau, Marc Michel, Characteristics and outcome of warm autoimmune hemolytic anemia in adults: New insights based on a single-center experience with 60 patients American Journal of Hematology. ,vol. 89, pp. 150- ,(2014) , 10.1002/AJH.23767
H U Lutz, G Wipf, Naturally occurring autoantibodies to skeletal proteins from human red blood cells. Journal of Immunology. ,vol. 128, pp. 1695- 1699 ,(1982)
K. Jane Wardrop, Coombs' Testing and Its Diagnostic Significance in Dogs and Cats Veterinary Clinics of North America-small Animal Practice. ,vol. 42, pp. 43- 51 ,(2012) , 10.1016/J.CVSM.2011.09.005
Linda L. Werner, Neil T. Gorman, Immune-mediated disorders of cats. Veterinary Clinics of North America-small Animal Practice. ,vol. 14, pp. 1039- 1064 ,(1984) , 10.1016/S0195-5616(84)50106-5
Sabine E. Gleich, Stefan Krieger, Katrin Hartmann, Prevalence of feline immunodeficiency virus and feline leukaemia virus among client-owned cats and risk factors for infection in Germany. Journal of Feline Medicine and Surgery. ,vol. 11, pp. 985- 992 ,(2009) , 10.1016/J.JFMS.2009.05.019
Bradley C. Gehrs, Richard C. Friedberg, Autoimmune hemolytic anemia American Journal of Hematology. ,vol. 69, pp. 258- 271 ,(2002) , 10.1002/AJH.10062
Douglas J. Weiss, Differentiating Benign and Malignant Causes of Lymphocytosis in Feline Bone Marrow Journal of Veterinary Internal Medicine. ,vol. 19, pp. 855- 859 ,(2005) , 10.1111/J.1939-1676.2005.TB02777.X