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CLINICAL CORRELATES ASSOCIATED WITH GLOMERULAR PATHOLOGY IN DOGS

机译:与狗肾小球病理相关的临床关联

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Glomerular diseases have become recognized increasingly as a major cause of acute and chronic kidney injury in dogs.1'2'3 There are numerous causes and pathogenic mechanisms for glomerular diseases whose etiopathogenesis may be linked to genetic mutations, infectious agents, inflammatory diseases, neoplastic diseases, autoimmune diseases, and other causes. In many instances the underlying cause remains unknown, and the disease is classified as idiopathic. Glomerular diseases are detected easily on the basis of routine laboratory parameters and screening, as well as quantitative, urine tests.4 The clinical consequences of glomerular diseases also are readily recognizable admixtures of weight loss, hypoalbuminemia, hyperlipidemia, progressive renal dysfunction, hypertension, and fluid disorders. What has remained poorly characterized is the spectrum and correlation of these laboratory and clinical features to the distinctive pathologic subclassifications of glomerular injury that have become recognized recently when glomerular pathology is evaluated by more comprehensive diagnostic imaging.3 In human beings, specific glomerular diseases, identified by their light microscopic, immunopathologic, and electron microscopic features, often are correlatedwith clinical and clinicopathologic findings that further characterize the disease entity. In veterinary medicine, the clinical features of glomerular diseases are brushed broadly with general descriptors that preclude or prevent their potential for more specific classification and prognostic and therapeutic characterization.
机译:肾小球疾病已被认为是狗急性和慢性肾损伤的主要原因,如狗的肾脏损伤。疾病,自身免疫性疾病和其他原因。在许多情况下,潜在的原因仍然是未知的,并且该疾病被归类为特发性。在常规实验室参数和筛选的基础上轻易检测肾小球疾病,以及定量尿液试验.4肾小球疾病的临床后果也易于识别减肥,低聚血症,高脂血症,进行性肾功能障碍,高血压和液体疾病。表征差异较差的是这些实验室和临床特征的频谱和相关性对最近被人类更全面的​​诊断成像评估了肾小球病理学的肾小球损伤的独特病理血管分类的思考和相关性。通过它们的光学显微镜,免疫病理学和电子显微特征,通常与临床和临床病理学发现相关的临床和临床病理发现,其进一步表征疾病实体。在兽医中,肾小球疾病的临床特征宽泛地用一般描述符刷涂,抑制或防止其潜力更具体的分类和预后和治疗表征。

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