Monoclonal immunoglobulin G cryoglobulinemia and multiple myeloma in a domestic shorthair cat

A 13-year-old castrated domestic shorthair cat was examined because of fever, anorexia, and dermatologic lesions. Crusting, erythema, and well-demarcated purple discoloration of the foot pads and the tips of the pinnae, nose, and tail were seen. A white flocculent precipitate was detected in cooled serum. This precipitate dissolved upon rewarming, consistent with a cryoglobulin. Hypercalcemia, high alanine and aspartate aminotransferase activities, thrombocytopenia, and a monoclonal IgG gammopathy were found. Numerous hepatic nodules were detected by means of abdominal ultrasonography. Cytologic evaluation of fine-needle aspirates of the liver and spleen revealed numerous plasma cells, and evaluation of a bone marrow aspirate revealed plasmacytosis. A diagnosis of multiple myeloma and monoclonal IgG cryoglobulinemia was made, and the cat was euthanatized.     

Ultracytochemical demonstration of glycoproteins in the eccrine glands of the digital pads of the North American raccoon (Procyon lotor)

In the eccrine glands of the digital pads of the North American raccoon (Procyon lotor), ultrastructural localization of glycoproteins with various saccharide residues was studied using preferably lectin cytochemical methods. Secretory granules observed in the dark cells exhibited glycoproteins with different terminal sugars (alpha-D-mannose, beta-D-galactose, beta-N-acetyl-D-glucosamine and sialic acid). The cytoplasm of the clear cells contained numerous glycogen particles. Several sugars were also detectable in the surface coat of the plasma membrane of the secretory cells. The results obtained could be helpful in understanding secretion production and cell related secretion functions of the eccrine glands of the raccoon digital foot pads.     

Evaluation of foot pad health of laying hens in small group housing systems and furnished cages

Foot pad health was examined in a total of 648 Lohmann Selected Leghorn (LSL) in two trials and in 216 Lohmann Brown (LB) laying hens in one trial kept in small group housing systems and furnished cages. The effects of housing system, strain, month of laying period, rearing method, group size and body weight were tested for significance by using analysis of variance. The assessment of foot pads was performed each three months during the laying period. The alterations of foot pads were classified in severity on a scale from 1 (no hyperkeratosis, no epithelial lesions, no swelling of foot pads) to 5 (severe hyperkeratosis and/or deep and large epithelial lesions and/or moderate or high-grade swelling of foot pads). In addition to the macroscopic findings, foot pads were histologically examined. Pathological alterations of foot pads were found in 86.1% of the laying hens, whereas 57.4% of the examined animals showed mild hyperkeratosis (degree 2). Modest hyperkeratosis and/or superficial lesions of the epithelium (degree 3) were detected in 21.0% of the laying hens examined. Severe hyperkeratosis and/or deep epithelial lesions and/or mild swelling of the foot pads (degree 4) as well as very severe hyperkeratosis and/or deep and large epithelial lesions and/or moderate or high-grade swelling of foot pads (degree 5) occurred with frequencies of 5.9% and 1.9% respectively. LB laying hens' food pads were more frequently affected by hyperkeratosis, whereas epithelial lesions were more frequently found in LSL laying hens. The prevalence of pathological alterations in foot pads was significantly influenced by housing system and month of laying period. The results of this study showed that laying hens kept in small group housing systems and furnished cages develop proliferative hyperkeratosis in foot pads due to increased mechanical compression load, caused by the use of perches and staying on wire floor.     

Macroscopic and histopathological alterations of foot pads of laying hens kept in small group housing systems and furnished cages

1. Foot pad health was determined macroscopically and histologically in two trials with Lohmann Selected Leghorn (LSL, white layer strain) and Lohmann Brown (LB) laying hens kept in a small group housing system (40 and 60 hens) and two types of furnished cages (10 and 20 hens). 2. A total of 864 foot pads (648 LSL and 216 LB) were examined macroscopically and classified according to severity of pathological alterations; of these, 180 metatarsal pads and 180 toe pads were also examined histologically for hyperkeratosis, acanthosis, elongation of rete folds, development of secondary papillae, erosion, ulceration, cellular infiltration and bacterial colonisation of the epidermal surface. 3. As for the macroscopic examinations, pathological alterations of foot pads were found in 86.1% of the hens, while 57.4% of the birds examined showed mild hyperkeratosis. Macroscopically moderate hyperkeratosis and/or superficial lesions of the epithelium were detected in 21% of the laying hens examined. Severe hyperkeratosis and/or deep epithelial lesions and/or mild swelling of the foot pads were found in 5.9% of the hens, and very severe hyperkeratosis and/or deep and large epithelial lesions and/or moderate or high-grade swelling of foot pads were found in 1.9%. 4. The histopathological examinations showed that the macroscopically determined thickening of the epidermis was due not only to hyperkeratosis, but also often to acanthosis. In addition, perivascular infiltrations of lymphocytes were also detected. Furthermore, the degree of hyperkeratosis in metatarsal pads was shown to correlate with the other histopathological traits except for ulceration, and the degree of hyperkeratosis in toe pads was related to the development of secondary papillae and cellular infiltration with lymphocytes. 5. The results of the macroscopic and histological examinations showed that the use of perches and the grasping of wire floor may have resulted in a permanent increased mechanical compression load leading to proliferative hyperkeratosis.     

Bilateral proliferative keratitis in a Domestic Long-haired cat

A 9-year-old, female spayed, Domestic Long-haired cat was presented with bilateral, progressive, pink-white corneal opacities. The referring veterinarian had diagnosed feline herpesvirus-1 (FHV-1) keratitis though diagnostics for FHV-1 had not been performed and treatment with antibiotics and antivirals did not improve the condition. Histopathology showed neutrophils, plasma cells and lymphocytes, but no eosinophils or mast cells. Routine diagnostics did not find an underlying cause, but Southern blot analysis for FHV-1 was positive. The cat responded to topical corticosteroids and cyclosporine when used consistently.     

Erythrophagocytic multiple myeloma in a cat

A 7-year-old neutered male domestic shorthair cat was presented to the Veterinary Medical Teaching Hospital at the University of Georgia for further evaluation of a suspected osteolytic lesion of the left 10th rib. Results of a CBC and biochemistry profile revealed mild nonregenerative anemia, hyperproteinemia, hyperglobulinemia, and hypercalcemia. Serum protein electrophoresis was consistent with a monoclonal gammopathy. Marked proteinuria with an increased urine protein to creatinine ratio was found. Cytologic examination of the liver, spleen, and bone marrow revealed numerous plasma cells, many of which were erythrophagocytic. Within the bone marrow, the plasma cells contained phagocytosed metarubricytes in addition to phagocytosed erythrocytes. A diagnosis of erythrophagocytic multiple myeloma was made and treatment with prednisone and melphalan was begun. Four weeks after presentation, the cat was euthanized due to clinical deterioration. A complete necropsy was performed. The distal one-third of the left 10th rib was completely absent. Histologically, there was no evidence for osteolysis or neoplastic cells in the remaining portion of the rib. However, large sheets of plasma cells were found infiltrating the spleen and bone marrow. Moderate erythrophagocytosis by the plasma cells was observed in both organs. The plasma cells, including the erythrophagocytic cells, were positive for CD79alpha by immunohistochemical staining. Erythrophagocytosis by plasma cells as a cause of anemia is uncommon in people with multiple myeloma and is rare in animals. To our knowledge, this is the first report of erythrophagocytic plasma cells in a cat with multiple myeloma.     

Detection of biclonal gammopathy by capillary zone electrophoresis in a cat and a dog with plasma cell neoplasia

Gammopathies associated with plasma cell neoplasms in a 15-year-old female spayed domestic shorthaired cat and a 9-year-old female spayed Rottweiler dog were evaluated by serum protein electrophoresis. In the cat, the plasma cell neoplasm was found in the liver and spleen, and an evaluable sample of bone marrow was not obtained. Some of the plasma cells had the morphologic appearance of flame cells. The paraprotein was confirmed as IgG based on agar gel immunodiffusion precipitation and both immunocytochemical and immunohistochemical staining. The dog had multiple myeloma with production of IgG and IgA paraproteins. In both cases, serum proteins were evaluated by 2 methods of protein electrophoresis: cellulose acetate electrophoresis (CAE) and capillary zone electrophoresis (CZE). In the cat and the dog, CAE showed a single large oligoclonal-like peak, which occurred in the γ-region in the cat and the β-γ-region in the dog, whereas CZE showed a biclonal gammopathy with 2 very close narrow spikes in the γ- and β-γ-regions in the cat and dog, respectively. In selected cases, CZE may be more effective than routine CAE in distinguishing oligoclonal from monoclonal or biclonal paraproteinemia.     

Oropharyngeal stick injury in a Bengal cat

A 16 month old cat presented with a history of acute onset oral pain and hypersalivation. Oral examination revealed a wooden stick that protruded from the right sublingual region. Lateral cervical radiography showed retro pharyngeal gas lucencies. An 11 cm wooden stick was removed per os and the resulting tract was endoscopically explored. There were no post-operative complications and the cat remains disease free four months after presentation. In contrast to dogs, where oropharyngeal stick injuries are an uncommon albeit well recognised condition, there have been no previous case reports of oropharyngeal stick injuries in the cat. This case report describes the presentation, diagnosis and treatment of an oropharyngeal stick injury in a cat.     

Degenerative myelopathy associated with cobalamin deficiency in a cat

A severe myelopathy was observed in a 9-year-old neutered male cat with a clinical history of chronic pancreatitis associated with deficiency of serum cobalamin and folates concentrations, and progressive spinal ataxia. The spinal cord lesions mainly involved the dorsal columns of the caudal cervical and cervico-thoracic segments, and were characterized by diffuse vacuolated myelin sheaths and axonal degeneration, marked gliosis, fibrosis and presence of gitter cells. The pancreas showed severe atrophy of the exocrine tissue, periductular fibrosis and infiltration of inflammatory cells, consistent with chronic interstitial pancreatitis. This condition can be accountable for cobalamin deficiency, as the pancreas is the only source of intrinsic factor in cats. The spinal cord lesions in the cat of this report resembled the subacute combined degeneration of the spinal cord described in human beings with cobalamin deficiency and hence a similar pathogenetic mechanism is hypothesized.     

Abnormal skin fragility in a cat with cnolangio-carcinoma

An eight-year-old shorthaired cat which presented with a five-month history of bouts of anorexia and vomiting, developed a large spontaneous skin tear over the left shoulder when manipulated for clinical workup. The cat had no previous history of abnormal skin fragility and clinical examination of the skin revealed a general thinning but no scarring or hyperextensibility. After one day of hospitalisation the animal was euthanased because of its poor condition and on post mortem examination a cholangiocarcinoma with distant metastasis was identified. The skin biopsy specimens obtained from different sites revealed dermal atrophic changes, characterised in electron microscopy by disorganisation in the packing of both collagen fibrils and fibres, and by collagen fibrils with an abnormally wide range of diameters and with an irregular shape in cross section. Although no specific cause of the dermal lesions was suggested, this case differed greatly from the fragile skin conditions previously described in the cat.     

Intraocular ALλ amyloidoma with plasma cell neoplasia in a cat

An 11-year-old, neutered male domestic short-hair cat was presented with buphthalmos of the right eye and diagnosed with advanced glaucoma. Sonographic examination revealed an iridial thickening. Neoplasia was suspected and an enucleation was performed. Histopathology of the enucleated eye revealed abundant amyloid deposition predominantly in the anterior uveal tract accompanied by few to moderate numbers of well-differentiated plasma cells. The amyloid deposits were identified by staining with Congo red and showing green birefringence under polarized light. Immunohistochemically, amyloid and plasma cells stained intensely only with anti-ALλ antibody, supporting the amyloid tumor being an immunoglobulin-λ-light chain origin. Additional abnormalities included narrowing of the filtration angle and collapse of the ciliary cleft, and trabecular meshwork. One year post-enucleation, the cat was still healthy without signs of systemic amyloidosis or apparent metastatic disease. This is the first report of a cat with noncutaneous extramedullary plasmacytoma originating in the anterior uveal tract with resulting local amyloid.     

Validation of 2 techniques for electrocardiographic recording in dogs and cats

BACKGROUND: Standard electrocardiographic (ECG) recording in the dog and cat is commonly performed in right lateral recumbency, by connecting the ECG leads to the skin of the patient via metallic alligator clips. The jaws of the alligator clips are usually filed or flattened to reduce their uncomfortable pressure on the patient's skin. However, filed and flattened alligator clips can occasionally lose their grip to the skin, causing lead detachment during standard ECG recording. HYPOTHESIS: The aim of the study was to validate two novel ECG recording techniques ("gel" and "pads"). ANIMALS: Six-lead standard ECG recording was obtained from 42 dogs and 40 cats using the standard technique, as well as the two novel methods. METHODS: Measurements were taken of the amplitude and duration of P waves and QRS complexes, duration of PQ and QT intervals, and mean electrical axis (MEA). In each recording, five representative complexes were measured, and the results were averaged for each parameter. RESULTS: A good quality ECG recording was obtained with all the three different techniques, although a degree of wandering trace was observed in one third of cats with the "pads" technique. Bland-Altman analysis showed good agreement between the ECG values recorded with the two novel techniques and those recorded with the standard traditional technique. Furthermore, the observed differences were not clinically relevant, except for the R wave amplitude recorded with the "pads" method in cats (-0.35 to 0.37 mV). CONCLUSIONS AND CLINICAL IMPORTANCE: In conclusion, this study supports the reliability and clinical validity of the "gel" and "pads" techniques for ECG recording both in the dog and the cat, with some limitations for the "pads" technique in cats.     

Tumoral calcinosis in a dog with chronic renal failure

A 2-year-old male German shepherd dog in poor bodily condition was evaluated for thoracic limb lameness due to a large, firm mass medial to the left cranial scapula. Radiography revealed several large cauliflower-like mineralized masses in the craniomedial left scapula musculature, pectoral region and bilaterally in the biceps tendon sheaths. Urinalysis, haematology and serum biochemistry showed that the dog was severely anaemic, hyperphosphataemic and in chronic renal failure. The dog was euthanased and a full post mortem performed. A diagnosis of chronic renal failure with secondary hyperparathyroidism was confirmed. The mineralised masses were grossly and histopathologically consistent with a diagnosis of tumoral calcinosis. Tumoral calcinosis associated with chronic renal failure that does not involve the foot pads is rarely seen.     

A Clinical, Pathological and I mmunopathological Study of Vitiligo in a Siamese Cat

Abstract— The clinical, histopathological and ultrastructural features of a spayed female Siamese cat with a three-and-a-half year history of progressive cutaneous depigmentation are described. Clinically the condition was characterised by progressive leukoderma of the nose, pinna and footpad skin, and multifocal leukotrichia involving the whole body. Histopathological and ultrastructural studies confirmed the absence of melanocytes and melanin in the epidermis and hair follicles of affected areas. Immunohistochemical study revealed areas with absence of immune response to anti-vimentin antiserum, which was interpreted as a loss of dendritic cells, especially melanocytes. Diagnosis of vitiligo was based on the clinical signs and pathological features. This study adds a new case of this uncommon condition in the cat, and documents some previously non-reported features of feline vitiligo, such as the chronic progressive and generalised nature of the skin lesions, and its reversible character with partial lentiginous repigmentation on the pinna.     

High dietary concentrations of biotin did not prevent foot pad dermatitis in growing turkeys and external scores were poor indicators of histopathological lesions

1. A randomised block experiment was conducted to determine the effects of increasing dietary biotin supplementation (0, 200, 800 and 1600 microg/kg) on macroscopic and histological changes associated with the development of foot pad dermatitis (FPD) in growing turkeys. 2. Each treatment was replicated in 4 pens containing 36 birds at the start of the experiment. The birds were weighed and external foot pads were scored at 2-week intervals from 2 to 14 weeks of age. A blood sample was obtained at the same ages from two birds in each pen and tissue from one foot pad was processed for histological examination. Liver samples were obtained for determination of fat content. 3. Increasing dietary biotin supplementation was associated with higher initial plasma concentrations of biotin but there was no effect on external scores or histopathology of foot pad lesions. FPD increased rapidly from 2 to 6 weeks and remained similar thereafter. There was no effect of dietary biotin on liver fat content. 4. The correlations between external foot pad scores at different ages were all less than 0.4. The correlation between external and histopathological scores was 0.56 and the respective correlations with body weight were 0.52 and 0.65. There were no differences between the body weights of birds with different external scores but high histopathological scores were associated with lower body weights. 5. It was concluded that current recommendations for biotin in wheat-soy rations for growing turkeys are adequate for normal growth and development and that higher supplements of biotin in these experimental conditions did not prevent the occurrence of FPD.     

Sinonasal plasmacytoma in a cat.

A 13-year-old female spayed Domestic Shorthair cat presented with a history of right-sided mucopurulent nasal discharge for 18 months. Computed tomography revealed a mass within the right nasal cavity and the right frontal sinus. The animal was euthanized, and a postmortem examination was performed. On macroscopic examination, the right nasal cavity and the right frontal sinus were partially occluded by a soft whitish mass. Microscopically, the mass was composed of well-differentiated plasma cells that were immunopositive for immunoglobulin G and lambda light chains. These findings were consistent with a mature-type sinonasal plasmacytoma. In addition, there was right-sided mucopurulent rhinitis and sinusitis caused by a Pasteurella infection, which probably developed secondary to the sinonasal plasmacytoma. To the authors' knowledge, this is the first report of a sinonasal plasmacytoma in a cat. The present communication shows that feline sinonasal plasmacytomas should be included in the differential diagnosis for tumors located in the upper respiratory tract of cats.     

A case of feline gastrointestinal eosinophilic sclerosing fibroplasia limited to the mesentery

An entire, female, mixed-breed cat of unknown age was presented with a 6-week history of lethargy, anorexia and vomiting. There was an increase in the number of white blood cells in the blood, including neutrophils and eosinophils; moderate anaemia; ascites; and possible mesenteric peritonitis. Exploratory laparotomy revealed firm, multifocal small nodules in the mesentery. As the nodules were surgically unresectable, they were biopsied. Histologically, the nodules were composed of thin trabeculae of dense collagen fibres mixed with plump fibroblasts and numerous eosinophils, consistent with feline gastrointestinal eosinophilic sclerosing fibroplasia. Bacteria were not detected on histological examination of the nodules and cytology of the ascites. Remission of disease occurred following treatment with prednisolone and ciclosporin A for 22 days and antibiotics for 40 days. After remission, ciclosporin A was administered for 236 days and then discontinued. Eosinophilia also resolved after treatment with ciclosporin A. The cat is still alive and in good condition on day 689. This report describes what may be an atypical case of feline gastrointestinal eosinophilic sclerosing fibroplasia, lacking involvement of the gastrointestinal tract, and was apparently cured by treatment that involved ciclosporin A.     

Primary aldosteronism (Conn's syndrome) in a cat; a case report and review of comparative aspects

An aged cat was presented with a history of chronic relapsing weakness and depression. Profound hypokalaemia was detected in association with increased serum aldosterone levels and marginally subnormal plasma renin activity. A diagnosis of primary aldosteronism (Conn's syndrome) was made and the cat was successfully treated for 2 ½ months with spironolactone. When renal failure developed, the cat was destroyed and at autopsy a large adrenal cortical adenocarcinoma was found.     

Use of abdominal ultrasonography in the diagnosis of primary hyperaldosteronism in a cat

A 13-year-old castrated male cat was examined because of a 2-week history of weakness, cervical ventroflexion, and dysphagia. Clinicopathologic abnormalities included hypokalemia and high serum creatine kinase activity. Abdominal ultrasonography revealed a 15-mm spherical mass in the area of the left adrenal gland. Plasma aldosterone concentration was high, and plasma renin activity was low. Findings were diagnostic of primary hyperaldosteronism. The cat responded well to intravenous and oral potassium supplementation while in the hospital. The owner declined surgery; therefore, repeated follow-up abdominal ultrasonography was recommended. The cat did well clinically with medical management alone until day 334, when it was lost to follow-up.