Multiple myeloma with associated polyneuropathy in a German shepherd dog

A 12-year-old female, neutered German shepherd dog developed progressive hindlimb followed by forelimb ataxia leading to tetraplegia. Neurological examination suggested lower motor dysfunction. Biochemical evaluation revealed a monoclonal hypergammaglobulinaemia, hypoalbuminaemia and hypercalcaemia. Multiple lytic lesions were identified radiographically in numerous bones. A bone marrow aspirate confirmed the diagnosis of multiple myeloma, with large numbers of plasma cells seen in clusters. An electromyogram revealed positive sharp waves and fibrillation potentials in the skeletal muscles of the limbs, suggesting a polyneuropathy. The dog was treated with chemotherapy using melphalan and prednisolone. Both the hypergammaglobulinaemia and the polyneuropathy resolved and the dog had normal motor function four weeks after commencing treatment. Polyneuropathy may occur as a paraneoplastic syndrome secondary to myeloma, and in this case was reversible following treatment of the underlying disease.     

BCR-ABL translocation in a dog with chronic monocytic leukemia

A 9-year-old female spayed mixed breed dog was evaluated at the University of Florida Small Animal Hospital for marked leukocytosis with no associated clinical signs. CBC abnormalities included marked leukocytosis (106,000/μL), marked monocytosis (78,000/μL), and the presence of 13% blast cells (13,832/μL), supporting a diagnosis of leukemia. Cytopenias and dysplastic changes in other cell lines were not present. Microscopic examination of bone marrow showed hypercellular uniparticles with a marginal increase in frequency of unclassified blast cells (2%), but was otherwise unremarkable. Flow cytometric immunophenotyping of blood cells determined that leukemic cells were CD45(+) , CD14(+) , and CD34(-) , and based on side scatter and CD45 reactivity the marrow contained 19% monoblasts. By immunocytochemical staining, the leukemic cells in the bone marrow were CD11b(+) , CD11c(+) , CD11d(+) , MHC-II(+) , MPO(+) , and CD34(-) . Fluorescence in situ hybridization (FISH) analysis of peripheral blood leukocytes documented a chromosomal translocation producing a BCR-ABL gene hybrid, similar to the "Philadelphia" chromosome abnormality recognized in human chronic myelogenous leukemia, as well as a phosphatase and tensin homolog (PTEN) gene deletion. Hydroxyurea therapy was attempted, but was ineffective; the dog died 7 months after initial presentation. Clinical and laboratory findings and the protracted course supported a diagnosis of chronic monocytic leukemia (CMoL) and, to our knowledge, this is the first case of CMoL with a BCR-ABL chromosomal abnormalitiy described in dogs. This may have clinical implications for treatment of dogs with chronic leukemias associated with particular genetic mutations. However, more case studies are needed to further characterize this disease.     

Multiple myeloma associated with the heavy chains of immunoglobulin A in a dog

On the basis of microscopic evaluation of bone marrow aspirate, multiple myeloma and secondary marrow hypoplasia was diagnosed in a 7-year-old female Doberman Pinscher. Electrophoresis, radial gel diffusion, and immunoaffinity chromatography indicated that serum and urine specimens contained alpha immunoglobulins without kappa or lambda light chains. Whole immunoglobulins (Ig) A, IgG, or IgM were not found. The dog was treated with prednisolone and melphalan for 11 weeks, after which time the owner refused examination and treatment of the dog.     

Multiple myeloma in a dog

This paper describes a case of multiple myeloma in a 3-year-old mongrel bitch. The diagnosis was established by histopathological examination of post-mortem material. The tumour formed nodular masses on the fourth left rib and third and fourth lumbar vertebrae; it also involved the sternal lymph nodes, spleen, liver and kidneys. Demonstration of amyloid deposits in the kidney was inconclusive.
Résumé. Observation d'un cas de myélome multiple chez une chienne bâtarde de 3 ans. Le diagnostic a été fait d'après les données histopathologiques après autopsie. La tumeur formait des masses nodulaires au niveau de la 4éme côte gauche et des vertèbres L 3 et L 4; elle intéressait aussi les ganglions lymphatiques parasternaux, la rate, le foier et les reins. La présence de dépôts amyloïdes dans le rein n'apportait aucun renseignement complémentaire.
Zusammenfassung. Diese Abhandlung beschreibt einen Fall von multiplem Myelom bei einer 3 Jahre alten Bastardhündin. Die Diagnose beruhte auf der histopathologischen Untersuchung von Autopsiematerial. Der Tumor bildete nodulare Massen an der vierten Rippe links und am dritten und vierten Lendenwirbel; er involvierte auch die sternalen Lymphknoten, Milz, Leber und Nieren. Der Nachweis von Amyloidablagerungen in der Niere war nicht überzeugend.     

Chylothorax associated with blastomycosis in a dog

Respiratory distress caused by pleural effusion resulted from chylothorax. Thoracic drainage and lowfat dietary therapy was effective in removing and preventing significant recurrence of the chylothorax; however, the patient died unexpectedly. At necropsy a blastomycotic granuloma found at the precava was considered the cause of the chylothorax. There had been no recognizable antemortem signs of blastomycosis. Blastomycosis can be considered as a rare cause of chylothorax.     

Placentitis associated with leishmaniasis in a dog

A 1.5-year-old Coonhound from Maryland aborted 7 fetuses. Placenta and internal tissues of 1 fetus were examined histologically. The predominant lesion was placentitis characterized by necrosis and infiltration of mixed leukocytes. Numerous Leishmania spp amastigotes were identified in placental trophoblasts, and the diagnosis was confirmed by use of immunohistochemical staining with Leishmania-specific antibodies. Protozoa were not found in the fetal tissues. An indirect fluorescent antibody test yielded a serum titer of 1:100, and a recombinant K39 immunoassay of serum yielded positive results for the K39 Leishmania antigen.     

Multiple myeloma in a dog with some unusual features

Multiple myeloma with widespread lesions in skin, muscles and internal organs is described in an 8-month-old Boxer dog. The occurrence in such a young dog, the presence of extensive skin lesions and the absence of marked bone involvement are unusual features.
Résumé. On décrit des myélomes multiples avec des lésions répandues de la peau, des muscles et des organes internes, chez un Boxer de huit mois. L'occurrence de cette maladie chez un chien si jeune, la présence d'extensives lésions cutanées et le fait que les os n'aient pas été perceptiblement attaqués, sont des traits peu communs.
Zusammenfassung. KAHLER Syndrom mit weitverbreiteten Läsionen der Haut, Muskeln und der inneren Organe, ist in einem 8 Monate alten Boxer-Hund beschrieben. DieKrankheitserscheinung in solch einem jungen Hund, die vorhandenen ausgedehnten Haut Läsionen und das Fehlenvon wahrnehmbarer Auswirkung auf die Knochen, sind ungewöhnliche Merkmale.     

Multiple dermatophyte infections in a dog

A case of multiple infections of the skin of a dog with Microsporum gypseum, Trichophyton mentagrophytes and Candida albicans is reported and described. As immunodepression was suspected, an immunostimulatory course of levamisole, together with the antifungal agent, griseofulvin, was prescribed. Bone marrow depression was countered with anabolic steroids and a vitamin-iron compound. A 10% w/v solution of etisazole (Ectimar, Bayer) was applied topically to the lesions. Complete resolution of the infection was obtained after 5 months therapy.     

Multiple cartilaginous exostoses in a dog

A case of multiple cartilaginous exostoses (osteochondromatosis) in a 9-month-old Kelpie cross dog is described. This uncommon dyschondroplasia, which resembled multiple cartilaginous exostoses in man, involved the radius, the femur, a metacarpal and metatarsal bone, the phalanges of three extremities, the pelvis, the ribs and cervical, thoracic and coccygeal vertebrae.     

Multiple cutaneous ganglioneuromas in a dog

A 3-year-old male Labrador retriever dog was presented with multifocal small cutaneous nodules, distributed mainly over the thoracic wall, the flank and the scrotum. The dog was otherwise in good health and had no significant past medical history. Radio- and sonographic examination revealed no evidence of internal tumours, including endocrine tumours. Histological examination of two excised samples revealed round, non-ulcerated nodules in the superficial corium, characterized by two different neoplastic cell components and mild inflammation. The first tumour cell population showed histomorphological characteristics of mature ganglion cells; the second featured small, spindle-shaped tumour cells with scant cytoplasm. Both neoplastic cell components expressed vimentin, neurofilament protein, pan-neuronal neurofilament, amyloid-precursor protein and chromogranin A. In addition, the spindle-shaped tumour cells were positive for 2', 3'-cyclicnucleotide 3'-phosphodiesterase. The findings had many histological and immunohistochemical features in common with primary cutaneous ganglioneuromas in humans, enabling the canine tumours to be also classified as multiple cutaneous ganglioneuromas.     

Hyperthyroidism associated with a thyroid adenoma in a dog

Hyperthyroidism associated with thyroid adenoma was diagnosed in a dog. Typical clinical signs of hyperthyroidism were resolved with surgical excision of the adenoma. Hyperthyroidism in dogs usually is associated with thyroid carcinoma, which has a poor prognosis. This case emphasizes the importance of obtaining a histologic diagnosis of thyroid tumors in hyperthyroid dogs before giving a prognosis.     

Diarrhea associated with myenteric ganglionitis in a dog

Diarrhea in a Border Terrier was associated with inflammatory lesions of the myenteric plexus. This lesion has been documented rarely in dogs. It is speculated that the myenteric plexus lesions were responsible for an autonomic nervous system dysfunction, which resulted in extreme intestinal hypermotility and subsequent diarrhea. Suggested tests for dogs suspected to have autonomic dysfunction are given.     

Hypercalcemia associated with gastric pythiosis in a dog

A 20-month-old castrated male Labrador Retriever with a 3-month history of anorexia, weight loss, and vomiting was evaluated. Plasma biochemical abnormalities included marked hyperglobulinemia and hypercalcemia. Serum levels of parathyroid hormone, parathyroid hormone-related protein, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D were either low or within reference intervals. Gastric wall thickening and abdominal lymphadenomegaly were observed with abdominal ultrasonography. Cytologic evaluation of a sample obtained via fine-needle aspiration of the gastric wall revealed pyogranulomatous inflammation and numerous poorly stained hyphae. Partial gastrectomy was performed, and a diagnosis of gastric pythiosis was made by immunohistochemical staining of infected gastric tissue, as well as by immunoblot serology. This case demonstrates that diagnostic samples for cytologic evaluation can be obtained by fine-needle aspiration of Pythium insidiosum-infected tissues and that a presumptive diagnosis can be made by examination of a Romanowsky-stained smear. Furthermore, pythiosis should be considered as a differential diagnosis for hypercalcemia, especially in young dogs with inflammatory lesions that have a granulomatous component. The mechanism for the hypercalcemia in this dog was not determined; however, calcium concentrations normalized after surgical resection of the gastric lesion.     

Osteomyelitis associated with Nocardiopsis composta in a dog

We report the first detection of Nocardiopsis composta in association with osteomyelitis in a young male miniature Australian shepherd dog. Findings included suppurative osteomyelitis containing intralesional Fite’s acid fast bacilli, aerobic culture of branching Gram-positive rods, and positive identification via phenotypic analysis and 16S rDNA sequencing.     

Secondary erythrocytosis associated with schwannoma in a dog

An 11-year-old, spayed female mixed-breed dog showed clinical signs of right forelimb lameness and pain by palpation around the neck. Radiography and computed tomography (CT) revealed an extradural mass at the 6th and 7th cervical vertebrae, which compressed the spinal cord. The mass was surgically removed and histopathologically diagnosed as schwannoma. The dog recovered her normal gait after hemilaminectomy and removal of the mass. Ten months after the surgery, the tumor recurred with absolute erythrocytosis and was surgically removed again. This removal temporarily resolved the erythrocytosis with a decrease in plasma erythropoietin (EPO) concentration. EPO protein was detected immunohistochemically in the tumor cells. Erythrocytosis in this dog may be caused by ectopic EPO produced in the schwannoma tissues.