In this issue – April 2012

Financial effect of bovine Johne's disease · Detection of rotavirus and coronavirus in calf faeces · Canine vector‐borne diseases · Parvovirus in the bone marrow of cats · Toxoplasmosis in flying foxes · Poxvirus infection in common ringtails · Inferior alveolar nerve blocks in horses · Chewing disease in grazing horses     

Effect of signalment on the presentation of canine patients suffering from cranial cruciate ligament disease

Objective : To determine the effect of signalment on the incidence and presentation of patients suffering from cranial cruciate ligament disease. Methods : Data relating to 426 dogs (44 breeds) that met specific selection criteria were obtained from the hospital archive (2002 to 2008). Cases were followed up for 2 years. Results : The breeds most commonly presented with cranial cruciate ligament disease were Labrador retriever (16%), Rottweiler (15%), golden retriever (12%) and boxer (9%). Rottweilers were significantly more likely (69%; P=0·05) to develop and present with (50%; P=0·03) bilateral cranial cruciate ligament disease. Rottweilers presenting with cranial cruciate ligament disease were significantly younger (median 977 days; P<0·0001) than other breeds; golden retrievers being significantly older at presentation (median 1994 days; P=0·004). Neither sex nor neutered status significantly affected the incidence of developing (P=0·77 and P=0·30, respectively) or presenting with (P=0·62 and P=0·35, respectively) bilateral cranial cruciate ligament disease. Entire dogs were significantly younger than neutered dogs at presentation (P=0·0004). Entire female dogs presented significantly younger than neutered females (P=0·0002), entire males (P=0·01) and neutered males (P=0·0001). Clinical Significance : Breed affects the incidence of developing and presenting with bilateral cranial cruciate ligament disease. Breed and sex both affect the age that patients present with cranial cruciate ligament disease.     

Hypovitaminosis D in dogs with inflammatory bowel disease and hypoalbuminaemia

Objectives : To compare serum vitamin D metabolites and plasma parathyroid hormone concentrations in dogs with inflammatory bowel disease and normal albumin concentration, dogs with inflammatory bowel disease and hypoalbuminaemia, healthy dogs and hospitalised ill dogs with non‐gastrointestinal illness. Methods : Serum 25 hydroxyvitamin D and 1,25 dihydroxyvitamin D concentrations were measured in 36 healthy dogs, 49 hospitalised ill dogs with non‐gastrointestinal illnesses, 21 dogs with inflammatory bowel disease and normoalbuminaemia and 12 dogs with inflammatory bowel disease and hypoalbuminaemia. Plasma parathyroid hormone and ionised calcium concentrations were measured in a subset of these dogs. Results : Concentrations of serum 25 hydroxyvitamin D were lower in hypoalbuminaemic dogs with inflammatory bowel disease than in the healthy dogs (P<0·001), hospitalised ill dogs (P<0·001) and normoalbuminaemic dogs with inflammatory bowel disease (P<0·001). Dogs with inflammatory bowel disease and hypoalbuminaemia had a higher plasma concentration of parathyroid hormone (P<0·01) and lower plasma concentration of ionised calcium (P<0·001) than hospitalised ill dogs. Dogs with inflammatory bowel disease had a positive correlation between serum 25 hydroxyvitamin D concentrations and serum albumin (P<0·0001), serum calcium (P<0·0001) and plasma ionised calcium (P<0·0005) concentrations. Clinical Significance : Dogs with inflammatory bowel disease and hypoalbuminaemia frequently have ionised hypocalcaemia, high parathyroid hormone and low serum 25 hydroxyvitamin D concentrations. Further studies are indicated to establish the pathogenesis of this disease complication as well as therapeutic strategies to reverse this state.     

SCIENTIFIC AND CLINICAL: In this issue – September 2010

Agricultural shows and communicable disease transmission in poultry · Capsule endoscopy in horse small intestine · Acute lameness from a bone metastasis in a horse · Tidal breathing flow volume loop in dogs with tracheal masses · Intracranial meningioma and facial myokymia in a dog · Caudal epidural flank anaesthesia using multiport catheters in cattle · Needle-free vaccination in sheep · Smoking vets in Australia     

In this issue – April 2011

Lomustine‐associated toxicity · Iliopsoas fibrotic myopathy · Porcine circovirus‐associated disease in weaner pigs · Measures of welfare in Bos indicus heifers · eFSH for superovulation in mares · Recurrent Actinobacillus peritonitis in a horse     

Comparisons between cats with normal and increased fPLI concentrations in cats diagnosed with inflammatory bowel disease

Objectives : The aim of this study was to compare age, serum albumin and cobalamin concentrations, serum alanine amino transferase and alkaline phosphatase activities, feline inflammatory bowel disease clinical disease activity index, pancreatic ultrasound findings, intestinal histopathology scores, outcome, treatment and clinical response between cats diagnosed with inflammatory bowel disease with normal or increased serum feline pancreatic lipase immunoreactivity concentrations. Methods : Medical records for 23 cats diagnosed with inflammatory bowel disease and with serum feline pancreatic lipase immunoreactivity concentrations available were reviewed. Three groups were compared; cats with serum feline pancreatic lipase immunoreactivity concentrations 2·0 to 6·8 µg/l (group A), 6·9 to 11·9 µg/l (group B) and ≥12·0 µg/l (group C). Results : Sixteen of the 23 cats had increased serum feline pancreatic lipase immunoreactivity concentrations; 9 cats in group B and 7 cats in group C. The remaining seven cats were in group A. Cats with serum feline pancreatic lipase immunoreactivity concentrations ≥12·0 µg/l had significantly lower median serum albumin and cobalamin concentrations. No significant differences were identified between the three groups for age, serum alanine amino transferase and alkaline phosphatase activities, feline inflammatory bowel disease clinical disease activity index, pancreatic ultrasound findings, intestinal histopathology scores, clinical outcome, treatment or clinical response. Clinical Significance : Hypoalbuminaemia and hypocobalaminaemia were more frequently observed in cats with serum feline pancreatic lipase immunoreactivity concentrations ≥12·0 µg/l.     

In this issue – October 2010

Computed tomography diagnosis of brain infarction in dogs · Tibial tuberosity advancement in canine stifles · Holter monitoring in dogs with mitral valve disease · Staggers in horses grazing paspalum infected with Claviceps paspali · Distal luxation of the patella in a horse · Escherichia coli and Salmonella serotypes in sheep at slaughter · Alzheimer type II astrocytes in the brains of pigs with salt poisoning · Classification of infectious bronchitis viruses in poultry field specimens · Mortality events in sea-caged yellowtail kingfish     

IN THIS ISSUE – June 2010

Surveillance for West Nile virus in Australia: role of the little raven · Fertility in mares after surgical correction of rectovaginal fistula · Development of method for serial blood sampling from conscious dogs · Specificity of a commercial snake venom detection kit in dog and cat urine · Femoral component failure in canine cemented total hip replacement · Hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia in a cat · Diclofenac sodium and flunixin meglumine with antibacterial treatment of respiratory disease of calves · Lead-free petrol reduces risk of acute lead poisoning in Australian cattle     

Causes of anaemia other than acute blood loss and their clinical significance in dogs

Objectives : To identify the causes of anaemia, other than acute blood loss, in dogs and to determine whether severity of anaemia provides clues to the diagnosis. Methods : The veterinary medical database of the Veterinary Campus Hospital, Lyon was searched. Dogs with anaemia (packed cell volume <37%) were included and assigned to different disease groups. Dogs with acute blood loss were excluded. The case records were examined for weakness at presentation, the severity and regeneration of anaemia and the final diagnosis including tumour type if applicable. Results : The case records of 456 dogs with low packed cell volume were included. Cancer‐related anaemia and anaemia of inflammatory disease accounted for 33·1 and 28·5% of cases, respectively. Most dogs with cancer‐related anaemia had solid tumours (73%). The prevalence of immune‐mediated anaemia increased with severity of anaemia (5·3, 15·5, 41·2 and 56·2% for mild, moderate, severe and very severe anaemia, respectively), whereas the prevalence of anaemia of inflammatory disease decreased (36·7, 22·5, 2·9 and 0% for mild, moderate, severe and very severe anaemia, respectively). Clinical Significance : Anaemia of inflammatory disease and cancer‐related anaemia were the most frequently identified causes of anaemia in dogs. The percentage of dogs with immune‐mediated anaemia increased with anaemia severity, whereas the percentage of dogs with anaemia of inflammatory disease decreased with anaemia severity. Thus, severity of anaemia may provide clues to the diagnosis.     

Initial evaluation of canine urinary cystatin C as a marker of renal tubular function

Objectives : To evaluate the performance of a particle‐enhanced turbidimetric assay for measuring canine urinary cystatin C and to investigate if the urinary cystatin C to creatinine ratio is higher in dogs with renal disease than in non‐renal disease dogs. Methods : Urinary cystatin C was measured by particle‐enhanced turbidimetric assay using an avian antihuman cystatin C antibody and the performance of this assay was evaluated. Clinical relevance was tested in 46 dogs that were divided into three groups: healthy dogs (n=14), non‐renal disease dogs (n=17) and dogs with renal disease (n=15). Results : The assay was linear (R2=0·99) and precise (mean intra‐ and inter‐assay coefficients of variation were 2·3 and 2·9%, respectively). The recovery was 111·5% and the limit of blank was 0·02 mg/L. Urinary cystatin C and urinary cystatin C to creatinine ratio differed significantly (P<0·001) between the three cohorts of dogs. Clinical Significance : Measurement of cystatin C by particle‐enhanced turbidimetric assay performed with high precision and linearity. This assay can be processed on automated clinical chemistry analysers making it widely available to commercial laboratories. Urinary cystatin C to creatinine ratio can differentiate dogs with renal disease from dogs without renal disease. These preliminary results suggest that urinary cystatin C to creatinine ratio is a promising marker for evaluating renal tubular function.     

A longitudinal assessment of periodontal health status in 53 Labrador retrievers

Objectives

To determine the incidence and rates of progression of gingivitis and periodontitis in Labrador retrievers.

Materials and Methods

Fifty‐three dogs, aged 1·1 to 5·9 years, had their periodontal health assessed every 6 months for up to 2 years. The extent of gingivitis and periodontitis was measured around the whole gingival margin of every tooth under general anaesthesia.

Results

All dogs had gingivitis at the initial assessment. The majority (64·2%) of tooth aspects had very mild gingivitis. The palatal/lingual aspect of all tooth types was most likely to show bleeding when probed: 63·0% of these aspects had mild or moderate gingivitis. Over 2 years, 56·6% of dogs developed periodontitis and dogs as young as 1·9 years were affected. There was a significant positive correlation between the proportion of teeth with periodontitis and age. In total, 124 teeth (5·7%) developed periodontitis; 88 (71·0%) of these were incisors. The palatal/lingual aspect of the incisors developed the disease first (2·8% of incisor aspects).

Clinical Significance

Periodontitis developed in regions that are difficult to see in conscious dogs implying that detection and treatment of disease requires periodic sedation or anaesthesia.     

Inherited copper toxicosis in the Bedlington terrier: the prevalence in asymptomatic dogs

Copper toxicosis in the Bedlington terrier is an inherited defect. This paper describes the investigation of 62 Bedlington terriers, none of which had shown any clinical signs of liver disease, in order to assess the prevalence of copper toxicosis in the breed in the United Kingdom. Twenty one (33·9 per cent) of the dogs investigated had abnormally high levels of copper in the liver. No reliable circulating haematological or biochemical parameters were found to identify those dogs with increased hepatic copper levels and the diagnosis could only be established by liver biopsy. Affected dogs had liver copper levels of between 257·5 and 2558·0 μpg per g of wet weight (1163·8 ± 164 μg/g, mean ± SEM) compared with normal dogs which had between 9·9 and 118·6 μg/g of wet weight (49·0 & 4·4 μg/g, mean ± SEM). Copper accumulation in the liver of affected dogs could also be detected on histological examination using special stains.     

Histological examination of the intestine from dogs and cats with intussusception

Objectives : To review the histological findings in the intestine from dogs and cats with intussusception. Methods : Medical records and histopathology reports of dogs and cats with intussusception were reviewed retrospectively. Results : Fourty‐nine animals (31 dogs and 18 cats) were identified for inclusion. Tissues examined com‐prised the intussusception alone in 29 animals (16 dogs and 13 cats), and the intussusception with additional intestinal biopsies in 20 animals (15 dogs and 5 cats). Twenty‐eight of 49 (57·1%) animals, comprising 19 of 31 (61·3%) dogs and 9 of 18 cats (50%) had abnormalities detected on histological examination of tissue. Eleven of 29 (46·9%) cases where only the intussusception was submitted achieved a histological diagnosis, compared to 17 of 20 (85%) where additional biopsies were submitted (P=0·003). Cats (median age 36 months, range 2 to 174) were significantly older than dogs (median age 7·5 months, range 1 to 125 months, P=0·010) and were significantly more likely to have underlying neoplasia (5 of 9; 55·6%) compared to dogs who were more likely to have inflammatory causes (17 of 19; 89·5%, P=0·020). There was no association between histological diagnosis and location of the intussusception (P=1·000). Clinical Significance : Histological abnormalities were detected in more than half of the animals. Diagnosis of intestinal disease in animals with intussusception may be improved by submission of additional biopsy samples. Cats with intussusception are more likely to be older and have underlying neoplasia than dogs which are more likely to have inflammatory disease.     

Familial subvalvular aortic stenosis in golden retrievers: inheritance and echocardiographic findings

Objectives : To describe the echocardiographic findings and pedigree analysis of golden retrievers with subvalvular aortic stenosis. Methods : Seventy‐three golden retrievers were evaluated by auscultation and echocardiography. A subcostal continuous‐wave Doppler aortic velocity ê2·5 m/s and presence of a left basilar systolic ejection murmur were required for diagnosis of subvalvular aortic stenosis. Three echocardiographic characteristics were recorded: evidence of aortic insufficiency, subvalvular ridge or left ventricular hypertrophy. A disease status score was calculated by totalling the number of echocardiographic ‐characteristics per subject. Results : Thirty‐two of 73 dogs were affected and their aortic velocities were as follows: range 2·5 to 6·8 m/s, median 3·4 m/s and standard deviation 1·2 m/s. Echocardiographic characteristics of 32 affected dogs were distributed as follows: left ventricular hypertrophy 12 of 32, aortic insufficiency 20 of 32 and subvalvular ridge 20 of 32. Disease status score ranged from 0 to 3 with a median of 2. There was a statistically significant correlation between aortic velocity and disease status score (r=0·644, P<0·0001). Subvalvular aortic stenosis was observed in multiple generations of several families and appears familial. Clinical Significance : Subvalvular aortic stenosis in the golden retriever is familial. Severity of stenosis correlates well with cumulative presence of echocardiographic characteristics (left ventricular hypertrophy, subvalvular ridge and aortic insufficiency).     

Prevalence of adverse food reactions in 130 dogs in Italy with dermatological signs: a retrospective study

Objectives : To determine the prevalence of adverse food reactions (AFRs) in dogs with dermatological signs presented to the referral dermatological clinic of the University of Milan. Methods : The medical records of dogs with dermatological signs were reviewed. Prevalence of AFRs was calculated. Owner and clinician pruritus scores were compared. Breed, sex and age predisposition were statistically tested, as was the association between AFR and selected clinical features. Results : The prevalence of AFRs in dogs with dermatological signs was 12% (16 of 130). AFR was diagnosed in 26% of dogs with allergic disease and 48% of those subjected to a dietary trial. There was a significant association between AFRs and early onset of clinical signs (<1 year) (OR=3·8; P=0·0221, 95% CI=1·27 to 11·16). There was a significant association between AFRs and both otitis externa (OR=5·9; P=0·0015, 95% CI=2 to 17·9) and perianal fistula (OR=26·1; P=0·0058, 95% CI=2·52 to 269·4), although all dogs with perianal fistulas were German shepherd dogs. Clinical Significance : The prevalence of AFRs in the study population was higher than most reported values. Further studies are warranted to investigate the true prevalence of AFR and its possible association with perianal fistula and other potential markers.     

Multi-centre assessment of mycotic rhinosinusitis in dogs: a retrospective study of initial treatment success (1998 to 2008)

Objectives : To retrospectively review the first treatment response of dogs with mycotic rhinosinusitis to commonly utilised treatment techniques. Methods : Medical records of dogs treated for mycotic rhinosinusitis were obtained retrospectively via a manual review of the clinical databases of six veterinary referral centres for the period of January 1998 to June 2008, and first treatment outcome was evaluated. Historical and clinicopathological findings were also reviewed to evaluate their impact on treatment success or failure. Results : There was no significant difference in first treatment outcome between treatment groups (P=0·21). When all topical treatments were considered together (n=85), 39 dogs (45·8%) had a successful first treatment. Initial treatment success was associated with a younger age (56·3 versus 75·8 months; P=0·02) and was 2·7 times more likely in dogs with unilateral disease, although this was not significant (P=0·07). Adjunctive therapy with systemic antifungal agents was associated with treatment failure (PÄ0·01). Fifty-nine dogs (69·4%) responded successfully following multiple treatments. Clinical Significance : Treatment of mycotic rhinosinusitis remains challenging, and multiple treatments are frequently required for adequate treatment. Reasons for first treatment failure are likely multifactorial in origin, making it difficult to predict those dogs that are likely to have a superior prognosis, regardless of the treatment type used.     

Incidence of sarcoptic mange in buffaloes in India

Summary The incidence of sarcoptic mange in buffaloes with respect to age, sex, relative humidity and temperature was studied at veterinary clinics and breeding farms in Hisar, India. The disease is more common in animals below the age of one year (19·57%) and decreases with the advancement of age i.e. 3·4% at one to five years and 5·3% in the over five years group. Sex has no bearing on the incidence of the disease. Since female buffalo calves get more attention at the hands of small farmers they are presented more frequently at the veterinary clinics. Fluctuations in environmental temperature affect the incidence of the disease. However, relative humidity showed no correlation. Seasonal incidence at the organised farms was erratic due to the ad hoc treatment to control mange. There is an indication that the winter season is most conducive for the spread of the disease (51·0%), followed by postmonsoon (41·3%), summer (23·1%) and rainy season (11·1%).

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Resumen Se estudió la incidencia de sarna sarcóptica en búfalos con respecto a edad, sexo, humedad relativa y temperatura, en clínicas veterinarias y fincas. El estudio tuvo lugar en Hissar, India. La enfermedad es más comun en animales por debajo del a?o de edad (19·57%) y disminuye con la edad e.j. 3·4% de uno cinco a?os y 5·3% en el grupo por encima de cinco a?os. El sexo no tuvo importancia en la presentación de la enfermedad. Debido a que las hembras son mejor cuidadas, estas son llevadas con más frecuencia a la clínica veterinaria. Las fluctuaciones en temperatura ambiental afecta la incidencia de la enfermedad. Sin embargo, la humedad relativa no tuvo correlación. La estación del a?o no pudo evaluarse correctamente, debido a los tratamientos indiscriminados contra sarna. Sin embargo, parece que el invierno ayuda a la diseminación de la enfermedad (51·0%), seguido de la estación post monsónica (41·3%), verano (23·1%) y de la estación lluviosa (11·1%).

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Résumé On a étudié dans les cliniques vétérinaires et les fermes d’élevage de l’état d’Hisar en Inde, l’incidence de la gale sarcoptique des buffles en fonction de l’age, du sexe, de l’humidité relative et de la température. La maladie est plus fréquente (19,57 p. 100) chez les animaux de moins d’un an; elle décro?t avec l’age: 3,4 p. 100 de 1 à 5 ans et 5,3 p. 100 dans le groupe agé de plus de 5 ans. Le sexe n’a pas d’influence. Etant donné que les jeunes bufflesses recoivent plus d’attentions de la part des petits propriétaires, ce sont elles qui sont plus volontiers présentées aux cliniques vétérinaires. Les fluctuations de la température ambinate ont une influence sur l’incidence de la maladie. Cependant, il n’y a pas de corrélation avec l’humidité relative. L’incidence saisonnière dans les fermes organisées est négligeable par suite des traitements prophylactiques ad hoc. Il y a quelques indications montrant que l’hiver est plus favorable à la transmission de la maladie (51,0 p. 100), suivi de la saison d’après la mousson (41,3 p. 100), l’été (23,1 p. 100) et la saison des pluies (11,1 p. 100).

     

Prevalence of subclinical infectious bursal disease and its significance in India

Summary From a total of 32 poultry flocks 1,176 serum samples were screened by the agar gel precipitation test and 314 (26·7%) were positive for antibodies to infectious bursal disease virus (IBDV). Prevalence of infection on the farms ranged from 8·88 to 53·84 per cent. The prevalence was highest (61·82%) in chickens between 7 and 11 weeks old and lowest (3·92%) in those above 22 weeks of age. In commercial broilers and layers 51·61 and 17·78% respectively were seropositive reactors. The high prevalence of subclinical IBD and its economic significance are discussed.

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Resumen Un mil ciento setenta y seis sueros (1.176), fueron procesados mediante la prueba de precipitación en agar gel y 314 (26·7%) fueron positivos a anticuerpos de bursitis infecciosa (BI). La prevalencia de la infección en granjas avícolas varió entre 8·88 y 53·84 por ciento. La prevalencia fue más alta en pollos entre siete y 11 semanas de edad, siendo baja (3·92%) en aquellos por encima de 22 semanas. En pollos de engorde y ponedoras, los reactores seropositivos fueron 51·61 y 17·78%, respectivamente. Se discute la alta prevalencia de la BI y su significado económico.

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Résumé Sur un total de 32 élevages de volailles, 1176 échantillons de sérums ont été examinés au moyen du test de précipitation en gélose; 314 (26,7 p. 100) étaient positifs vis-à-vis de la maladie de Gumboro (bursite infectieuse). La prévalence de cette infection en milieu fermier allait de 8,88 à 53,84 p. 100. Elle était plus élevée chez les poulets (61,82 p. 100) agés de 7 à 11 semaines et moins prononcée (3,29 p. 100) chez ceux agés de plus de 22 semaines. Dans les élevages commerciaux et chez les pondeuses 51,61 et 17,78 p. 100, respectivement, ont réagi positivement. Les auteurs discutent de l'importance de la bursite infectieuse subclinique et de sa répercussion économique.

     

Validation of a client-based clinical metrology instrument for the evaluation of canine elbow osteoarthritis

Objective : To validate a disease‐specific client‐based clinical metrology instrument (questionnaire) for dogs with chronic osteoarthritis of the elbow joint. Materials and Methods : This was a prospective cohort study involving 26 dogs with chronic osteoarthritis of the elbow with 24 associated clients. Validity (face and criterion), reliability and responsiveness of the metrology instrument (named “Liverpool Osteoarthritis in Dogs [elbow]”) were tested in a sequence of studies. Face validity involved use of international peer review. Reliability was assessed using a test‐retest scenario with a two week interval; peak vertical force as measured by a force platform was used as an external standard measure. Responsiveness was tested with a two week, single‐blinded placebo‐controlled intervention using a licensed non‐steroidal anti‐inflammatory drug. Results : The reliability of Liverpool Osteoarthritis in Dogs (elbow) in the test‐retest scenario was good; intraclass correlation coefficient is 0·89, 95 per cent confidence interval 0·75 to 0·95, compared with intraclass correlation coefficient 0·92, 95 per cent confidence interval 0·74 to 0·98, for peak vertical force. Responsiveness testing indicated that the “net” effect size (allowing for placebo effect) for Liverpool Osteoarthritis in Dogs (elbow) was 0·13 compared with (?)0·18 for the force platform. Criterion validity for Liverpool Osteoarthritis in Dogs (elbow) against peak vertical force was poor; Spearman’s rank correlation is ?0·24 (P=0·30). Clinical Significance : Liverpool Osteoarthritis in Dogs (elbow) was considered reliable with satisfactory responsiveness. The poor criterion validity suggests a mismatch between force platform peak vertical force and client perceptions of lameness. This instrument requires further validation in larger studies with alternative client groups and alternative therapeutic interventions, but this initial validation suggests that Liverpool Osteoarthritis in Dogs (elbow) is worthy of continued investigation.     

Performances of different diagnostic tests for feline infectious peritonitis in challenging clinical cases

Objectives : Feline infectious peritonitis (FIP) can be difficult to diagnose. Histopathology is considered the gold standard test but immunohistochemistry (IHC) is mandatory to confirm/exclude the disease. This study aimed to assess the performances of tests carried out in vivo or at postmortem examination in challenging cases in which FIP was confirmed or excluded based on IHC or on adequate follow‐up. Methods : Twelve cases (four without FIP, eight with FIP) were retrospectively studied. Clinical findings, serum protein electrophoresis (SPE), analysis of the effusions (AE), antifeline coronavirus serology, serum concentration of α1‐acid glycoprotein (AGP) and histopathology were classified as consistent, doubtful or non‐consistent with FIP. Sensitivity, specificity and concordance (κ) with the final diagnosis were calculated. Results : Concordance was absent for serology (κ=?0·08) and AE (κ=?0·52), poor for histopathology (κ=0·09), fair for SPE (κ=0·25) and perfect for AGP (κ=1·00). Sensitivity was high for AGP (100%) and low for AE (50%), SPE (37·5%) and histopathology (37·5%). Specificity was high for AGP or histopathology (100%) and low for SPE (50%) and AE (0%). Clinical Significance : IHC must always be performed to confirm FIP. If this is not possible, when histopathology is controversial, elevated AGP concentrations may support the diagnosis of FIP.