Lethal Acrodermatitis in Bull Terriers: A Problem of Defective Zinc Metabolism

Abstract— Three bull terrier pups from a litter of six developed exfoliative, crusty areas of alopecia, particularly affecting the feet and head, by the time they were seven weeks of age. Biopsies from two of the affected pups revealed parakeratotic hyperkeratosis consistent with zinc deficiency, but the dogs did not respond to oral zinc supplements. The breed, history and dermatopathology were considered consistent with lethal acrodermatitis of bull terriers, a condition that appears to be familial and autosomally recessive. Whereas similar acrodermatitic conditions in humans (acrodermatitis enteropathica) and cattle (lethal trait A46 of Black Pied Danish cattle) respond to oral zinc supplements, this condition in bull terriers may be due to an error in zinc metabolism at the cellular level. Attempts to treat one of the pups parenterally with zinc resulted in death after the fourth injection. Résumé— 3 choits d'une portée de 6 Bull Terriers ont développéà l'âge de 7 semaines une dermite podale et faciale exfoliative, crouteuse et alopécique. Les biopsies cutanées pratiquées sur 2 chiots ont révélé une hyperkératose parakératosique compatible avec une carence en zinc, mais les animaux n'ont pas répondu à une supplémentation en zinc. La race, l'anamnèse et l'aspect histologique, sont compatibles avec une acrondermatite léthale du Bull Terrier, maladie familiale, transmise sur un mode autosomal récessif. Des acrodermatites similaires chez l'homme (acrodermatitis enteropatica) et les bovins (anomalie léthale A46 de la Pie Noire Danoise) répondant à une supplémentation en zinc, cette affection chez le Bull Terrier pourrait êtro à une erreur dans le métabolisme du zinc au niveau cellulaire. Un essai de traitement d'un des chiots par vole parcutérale avec du zinc a abouti à sa mort après la quatrième injection. Zusammenfassung— Drei von sechs Bullterrierwelpen aus einem Wurf entwickelten im Alter von 7 Wochen exfoliative, krustige und haarlose Bezirke, besonders an Pfoten und Kopf. Biopsien von zwei der betroffenen Welpen zeigten eine Parakeratose, die bei Zinkmangel auftritt. Die Tiere sprachen jedoch nicht auf orale Zinksubstitution an. Rasse, Anamnese und Befunde der Hautuntersuchung stimmen mit der letalen Akrodermatitis der Bullterrier überein, einem familiären, autosomal rezessiv erblichen Leiden. Während ähnliche akrodermatitische Erkrankungen beim Menschen (Akrodermatitis enteropathica) und beim Rind (Letalfaktor A46 beim schwarzgefleckten Dänischen Rind) auf orale Zinkgaben ansprechen, ist diese Krankheit beim Bullterrier wahrscheinlich auf eine Störung im Zinkmetabolismus auf zellulärer Ebene zurückzuführen. Der Versuch, einen der Welpen parenteral mit Zink zu behandeln, führte zum Tod des Tieres nach der vierten Injektion. Resumen Tres cachorros de Bull Terrier de una camada de seis desarrollaron areas de alopecia exfoliativa, particularmente afectando a los pies y la cabeza, para el momento en que tenian siete semanas de edad. Biopsias de dos de los cachorros afectados revelaron hiperqueratosis paraqueratótica con deficiencia de zinc, pero los perros no respondían a los suplementos de zinc oral. La raza, historia y dermatopatología se consideraron consistentes en acrodermatitis letal de Bull Terriers, una condición que parece ser familial y autosómica recesiva. Mientras que condiciones de acrodermatitis similares en humanos (acrodermatitis enteropética) y ganado (rasgo letal A46 del ganado Black Pied Danish) respondían a los suplementos de zinc oral, esta condición en los Bull Terriers puede ser debida a un error en el metabolismo del zinc a nivel celular. Intentos de trater uno de los cachorros, por vía parenteral con zinc resultaron con la muerte después de la cuarta inyección.     

Who killed Porthos? Genetic tracking of a gorilla death

We describe a novel application of “forensic” genetics to study a key demographic event in a population of wild gorillas. We used microsatellite genotyping and non‐invasively collected DNA samples to identify one individual western lowland gorilla as being most likely to have caused the death of another in Lopé National Park, Gabon. Data from relatively few genotypes permitted the identification of female transfer events and the interpretation of individual behavior that was previously impossible using observational methods, thus providing rare behavioral data on an elusive forest‐dwelling species. Importantly, this study highlights the need for future studies of dispersal and local population structuring in forest populations, and more accurate population census methods. Genetic studies focusing on individual identification may play a valuable role in future gorilla conservation efforts.     

Interannual spatial variability of krill (Euphausia superba) influences seabird foraging behavior near Elephant Island, Antarctica

We investigate the influence of krill (principally Euphausia superba ) patchiness on the foraging distributions of seabirds to understand how variation in krill influences patch dynamics between krill and birds. At sea-surveys were conducted near Elephant Island, Antarctica, for 3 yr (2004–2006) during the annual U.S. Antarctic Marine Living Resources (AMLR) program. Standardized strip-transect surveys were used to map seabirds, and a combination of acoustic and net surveys was used to map krill. We measured patch size of krill and seabirds and elucidated how krill patch dynamics influence foraging seabirds. The spatial association between krill and predators was influenced by the size and arrangement of krill patches. We found a negative relationship between abundance and patchiness of krill and predators, indicating that when krill is less abundant, its predators are less abundant and concentrated. We conclude that annual patch dynamics of krill strongly influences the local abundance and distribution of seabirds. Such information should be used to interpret potential interactions between seabirds and krill fisheries operating near Elephant Island.     

COMPUTED TOMOGRAPHIC CHARACTERISTICS OF INTRAPELVIC MASSES IN DOGS

In people, the computed tomography (CT) characteristics of intrapelvic masses can be used to distinguish a malignant from a benign mass. As prognosis varies greatly between malignant and benign intrapelvic masses, knowledge of their biological behavior can aid treatment planning before surgery. The purpose of this study was to determine if CT characteristics exist to help differentiate benign from malignant intrapelvic masses in dogs. The CT images of 14 dogs with a histopathologically confirmed intrapelvic mass were evaluated. Postcontrast internal heterogeneity of the mass was the only characteristic significantly associated with malignancy (P=0.005). Preoperative CT examination of intrapelvic masses in dogs can provide prognostic information before invasive surgical treatment.     

PROTON SPOT SCANNING RADIOTHERAPY OF SPONTANEOUS CANINE TUMORS

Thirty dogs with spontaneous tumors were irradiated with proton therapy using a novel spot scanning technique to evaluate the safety and efficacy of the system, and to study the acute and late radiation reactions. Nasal tumors, soft tissue sarcomas, and miscellaneous tumors of the head were treated with a median total dose of 52.5 Gy given in 3.5 Gy fractions. Acute effects, late effects, tumor response, and outcome were analyzed. No unexpected radiation reactions were seen, however two dogs did develop in-field osteosarcoma, and one dog developed in-field bone necrosis. Complete response to therapy was seen in 40% (12/30), partial response in 47% (14/30), and no response in 13% (4/30). Median survival for all dogs was 385 days (range of 14–4583 days). Dogs with nasal cavity tumors had a median survival of 385 days (range of 131–1851 days) and dogs with soft tissue sarcomas had a median survival time of 612 days (range of 65–4588 days). Treatment outcome was similar to historical controls. This new proton spot scanning technique proved to be safe and reliable.     

IMPROVED IDENTIFICATION OF THE PALMAR FIBROCARTILAGE OF THE NAVICULAR BONE WITH SALINE MAGNETIC RESONANCE BURSOGRAPHY

Fibrocartilage degeneration is the earliest pathologic finding in navicular disease but remains difficult to detect, even with magnetic resonance (MR) imaging. We hypothesized that injection of the navicular bursa with saline would improve accuracy of MR imaging evaluation of palmar fibrocartilage. Thoracic limbs were collected from 11 horses within 6 h of death. Imaging was performed with a 1.5 T magnet using sagittal 2D proton density and transverse 3D FLASH sequences with fat saturation. For the purpose of determining sensitivity and specificity of the MR images, fibrocartilage was classified as normal or abnormal, based on combination of the findings of gross and microscopic pathology. Thickness of fibrocartilage was measured on histologic sections and corresponding transverse FLASH MR images before and after injection of saline. A paired Student's t- test was used for comparison of measurements. Partial thickness fibrocartilage loss was present in 6 of 22 limbs. Sensitivity of precontrast MR images for detection of lesions was 100% while specificity was 6%. Saline MR arthrography resulted in both sensitivity and specificity of 100% based on consensus review. Mean histologic fibrocartilage thickness was 0.75±0.12 mm. Mean fibrocartilage thickness on precontrast transverse FLASH images was 0.93±0.065 and 0.73±0.09 mm on postsaline images. The histologic cartilage thickness was signficantly different from that in precontrast images ( P <0.001) but not in images acquired after saline injection ( P =0.716). Based on our results, and using pulse sequences as described herein, navicular fibrocartilage can only be evaluated reliably for the presence of partial thickness lesions after intrabursal injection of saline.     

MORPHOLOGY OF THE CAUDAL FOSSA IN CAVALIER KING CHARLES SPANIELS

Chiari malformations and syringohydromyelia are an important disease complex in Cavalier King Charles Spaniels. Although abnormalities in caudal fossa morphology are considered major contributors to the development of this disease, limited information exists on the range of morphologies in Cavalier King Charles Spaniels and on the relationship of these to clinically evident disease. Sixty-four Cavalier King Charles Spaniels were studied. Each underwent a neurologic examination and magnetic resonance imaging of the cervical spine and brain. T2-weighted sagittal images were used to determine both the morphologic characteristics and volume of the caudal fossa in each dog. This volume was also analyzed as a percentage of total cranial cavity volume. Each attribute was correlated with neurological grade and presence of syringohydromyelia. Fifteen dogs had neurologic signs, and 59 had morphologic abnormalities of the craniocervical junction. While 27 dogs had syringohydromyelia, 13 of these were clinically normal. Cerebellar herniation and occipital dysplasia were common findings but were not associated with syringohydromyelia. Dorsal compressive lesions were noted at the first and second cervical vertebral junction. Factors associated with the presence of neurologic signs included syringohydromyelia and the ratio of caudal fossa/total cranial cavity volume; dogs with signs had significantly larger syringohydromyelia than asymptomatic dogs. Caudal fossa size was not associated with syringohydromyelia. A positive association was identified between foramen magnum size and length of cerebellar herniation. The prevalence of craniocervical junction abnormalities is high in Cavalier King Charles Spaniels. While several factors are associated with neurologic signs, occipital hypoplasia appears to be the most important factor.     

Resection of Subvalvular Aortic Stenosis Surgical and Perioperative Management in Seven Dogs

Open heart surgery was performed during cardiopulmonary bypass (CPB) to surgically correct subvalvular aortic stenosis in seven dogs. After initiation of total CPB, cardiac arrest was induced by antegrade and retrograde administration of blood cardioplegia. The subvalvular fibrous stenosis was resected through a transverse aortotomy. Intraoperatively and postop-eratively, dobutamine, nitroprusside, lidocaine, blood(-products), and crystalloid solutions were used to manage hypotension and optimize cardiac index.
Aortic cross-clamp time varied from 73 to 166 minutes, and duration of CPB varied from 130 to 210 minutes, latrogenic incision into the mitral valve in two dogs was the most significant introperative complication. Postoperative complications included: hypoproteinemia (n = 7), premature ventricular depolarization (n = 6), increased systemic vascular resistance index (n = 5), increased O₂ extraction (n = 3), pulmonary edema (n = 2), and decreased cardiac index (n = 1). All seven dogs were discharged alive and in stable condition. Six dogs are alive and in stable condition after a mean follow up of 15.8 months.
This is the first detailed report of CPB in a series of clinical veterinary patients. Using the techniques described in this paper, open heart surgery of considerable duration can be performed successfully in dogs with significant myocardial hypertrophy and endomyocardial fibrosis secondary to subvalvular aortic stenosis.     

Comparison of serum and renal gentamicin concentrations with fractional urinary excretion tests as indicators of nephrotoxicity

Gentamicin was given to six sheep at a dosage rate of 80 mg/kg/day divided into three daily doses to cause nephrotoxicity. Peak serum gentamicin concentrations rose significantly throughout dosing (P less than 0.05), but trough serum gentamicin concentrations increased dramatically (P less than 0.01) from initial concentrations of 3.2-9.1 micrograms/ml to final trough concentrations of 31.5-195 micrograms/ml by 6-10 days on gentamicin. The serum gentamicin elimination half-life (t1/2) was doubled in each animal by approximately 6 days on therapy, with the sheep that were the most clinically affected by the nephrotoxic effects of gentamicin showing increases in t1/2 earlier than those sheep that remained less intoxicated. These changes occurred before many other clinical indicators of nephrotoxicity, with only urinary enzyme excretions preceding the changes in gentamicin elimination. Thus, alterations in the elimination of gentamicin may be one of the first clinical indicators of the occurrence of gentamicin-induced nephrotoxicity.     

Transcatheter Thoracic Duct Embolization in the Dog An Experimental Study

Thoracic duct embolization was created by injecting an isobutyl 2-cyanoacrylate/iophendylate (IBCA) mixture through a cannulated mesenteric lymphatic vessel in eight normal dogs. Aqueous contrast lymphangiography was repeated at minute 10 and week 6. Six dogs were euthanatized at week 6 and two dogs at month 6. Embolization with 1.5 to 3.9 ml of the mixture resulted in complete obstruction of the thoracic duct in all eight dogs. Results of lymphangiography in six dogs at week 6 showed a persistent, complete obstruction of the thoracic duct in six dogs and alternate lymphaticovenous anastomoses in four dogs. Histologically, there were a sclerosing granulomatous response surrounding the lymphatic embolus, mild congestive changes in the mesenteric lymph nodes, and mild lacteal dilatation in the jejunum. The procedure was well tolerated with only a few complications. One dog suffered partial thrombosis of the cranial vena cava by the injected material with later dislodgement and embolization of a pulmonary artery branch. Modifications have been made in the injection procedure to avoid this complication. This technique for occlusion of the thoracic duct shows potential for clinical use in the management of canine chylothorax. The obstruction appears to be complete and permanent, and surgical/anesthetic time is decreased greatly from previously described procedures.