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Presumptive Ischemic Brain Infarction in a Dog with Evans’ Syndrome

机译:埃文斯综合征狗的推测性缺血性脑梗死

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A ten-year-old neutered female mixed breed dog was referred for pale mucous membrane and acute onset of right prosencephalic clinical signs. Brain magnetic resonance imaging was suggestive for right middle cerebral artery ischemic stroke. Based on cell blood count, serum biochemistry and serologic tests and flow cytometric detection of anti-platelets and anti-red blood cells antibodies, a diagnosis of immunomediated haemolytic anemia associated with thrombocytopenia of suspected immunomediated origin was done. Immunosuppresive therapy with prednisone was started and the dog clinically recovered. Two months later complete normalization of CBC and serum biochemistry was documented. The dog remained stable for 7 months without therapy; then she relapsed. CBC revealed mild regenerative anemia with spherocytosis and thrombocytopenia. A conclusive Evans’ syndrome diagnosis was done and prednisone and cyclosporine treatment led to normalization of physical and CBC parameters. The dog is still alive at the time the paper submitted. Possible thrombotic etiopathogenetic mechanisms are illustrated in the paper and the authors suggest introducing Evans’ syndrome in the differential diagnosis list for brain ischemic stroke in dogs.
机译:一只十岁绝育的雌性混种犬因出现了粘膜苍白和右脑前临床症状的急性发作而被转诊。脑磁共振成像提示右中脑动脉缺血性卒中。根据细胞血计数,血清生化和血清学检测以及抗血小板和抗红细胞抗体的流式细胞仪检测,对与可疑免疫介导的血小板减少相关的免疫介导的溶血性贫血进行了诊断。开始用泼尼松进行免疫抑制治疗,临床上使狗康复。两个月后,记录了CBC的完全正常化和血清生物化学。该狗未经治疗可保持稳定7个月。然后她复发了。 CBC表现为轻度的再生性贫血,伴有细胞增多症和血小板减少症。做出了结论性的埃文斯综合症诊断,泼尼松和环孢素治疗导致身体和CBC参数正常化。提交论文时,那只狗还活着。论文阐述了可能的血栓形成病因机制,作者建议在犬脑缺血性中风的鉴别诊断清单中引入埃文斯综合症。

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