Lupus-Type "Anticoagulant" in a Dog With Hemolysis and Thrombosis

A circulating anticoagulant was detected in a 2-year-old Chesapeake Bay Retriever with hemolytic anemia, nephrotic syndrome, thrombocytopenia, polyarthropathy, and pulmonary thromboembolism. A persistent prolongation of the activated partial thromboplastin time (aPTT) was detected, and it did not correct with repeated administration of fresh frozen plasma. The aPTT was still prolonged, with a 1:1 mixture of patient's plasma and normal dog plasma in vitro, suggesting the presence of a circulating inhibitor. Results of assays to characterize the inhibitor were compatible with those described for the lupus anticoagulant in human patients with systemic lupus erythematosus. Paradoxically, patients having the lupus anticoagulant are at increased risk for thrombosis. Pulmonary thromboembolism has been described as a frequent complication of immune-mediated hemolytic anemia in the dog, and the presence of a circulating anticoagulant should be considered as a potential mechanism.     

Corneal sequestrum in the cat. Repair using a tarso-conjunctival pedicle flap

Corneal sequestrum was diagnosed upon clinical examination of 12 cats. The cornea of seven were examined histologically and had focal necrosis and inflammation of the stroma and epithelium. As the simple excision of the corneal lesions had been unsuccessful in two of the cats, repair of these was effected by construction of a tarso-conjunctival pedicle flap after the excision of the sequestrum.     

Myophosphorylase deficiency (glycogen storage disease Type V) in a herd of Charolais cattle in New Zealand: Confirmation by PCR-RFLP testing

AIM: To describe a disease of muscle in Charolais calves and confirm the putative diagnosis of inherited myophosphorylase deficiency.

METHODS: Variously stained paraffin sections of muscle prepared from affected calves were used to describe the lesions. A polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) test was developed and applied to affected calves, their sires, dams and other individuals.

RESULTS: The lesions were those of rhabdomyolysis of skeletal muscles and sub-sarcolemmal spaces in normal fibres. The PCR-RFLP test confirmed the expected mutation for phosphorylase deficiency of Charolais cattle in two affected calves. In addition, sires, dams and other closely-related individuals of four affected calves tested as heterozygous for the mutation. Other apparently unrelated animals also tested as heterozygous.

CONCLUSIONS: The diagnosis of myophosphorylase deficiency was confirmed. The PCR-RFLP test is suitable for use in controlling this recessively-inherited disorder as it can diagnose heterozygous individuals that are otherwise clinically normal.     

The effect of blanket bog drainage on habitat condition and on sheep grazing, evidence from a Welsh upland bog

There has been increasing interest in potential benefits to be gained by restoring damaged peatlands, with the majority of funding currently being driven by the recovery of protected habitats. However, few data are available linking vegetation community declines with peatland drainage, and so the potential for recovery remains difficult to predict. Surprisingly, there is a similar paucity of research demonstrating the extent of drainage impacts on grazing conditions for livestock, despite this being a priority amongst land managers. We attempt to address these two knowledge gaps, first by investigating whether ditches in blanket bog habitat have improved or increased grazing for sheep, and second by assessing the impact of ditches on the condition of vegetation communities. At an extensively drained upland blanket bog in Wales, currently undergoing ditch blocking restoration, we collected vegetation and sheep occurrence data across five catchments and over 2 years. We present evidence that drained areas had remained relatively wet and were less preferred by sheep. Furthermore, our results show that while sheep preferred graminoid-rich areas, drainage did not increase the abundance of this species group. Drainage at the site has, however, resulted in some degradation in blanket bog vegetation adjacent to ditches; although at the landscape scale, historic high grazing levels appear to explain much of the current poor ecological condition of the site. We conclude that drain-blocking restoration should not reduce sheep grazing conditions beyond their current relatively poor state, and thus in this respect may not represent a threat to hill farming productivity.     

Observations on hypoglycaemia associated with a hepatoma in a cat

Disorientation, muscle fasciculations and weakness seen in a 12-year-old neutered female domestic shorthaired cat were attributed to hypoglycaemia associated with a large hepatoma. Glucagon tolerance tests on this cat and a healthy cat showed that their plasma glucose concentrations increased and decreased at about the same rate. Plasma insulin concentrations in the healthy cat increased and decreased in parallel with the plasma glucose concentration. In the affected cat, plasma insulin concentrations increased initially but decreased more rapidly. Reflecting these observations, the amended insulin to glucose ratios in the affected cat were much lower than those of the healthy cat, until the 4-hour sample. Serum somatostatin, somatomedin and gastrin concentrations were measured but no conclusions as to pathogenesis of the hypoglycaemia could be made. The alterations in insulin secretion in the affected cat suggested that altered hormonal control of glucose homeostasis may have occurred with this tumour.     

Bovine and ovine mycoplasmal arthritis and synovitis (abstract)

The pathology of mycoplasmal gonitis in a Friesian cow aged 15 months, and polyarthritis in a 3-week-old East Friesian sheep was described. Both stifle joints of the cow, which was 1/63 calves that developed polyarthritis after being fed milk contaminated with Mycoplasma mycoides mycoides large colony type (MmmLC), were distended with yellow flocculent fluid. The capsular and synovial tissues and their associated tendon sheaths were greatly thickened due to chronic active fibrinopurulent inflammation with ulceration of synovial membranes and progressive organisation of the exudate by granulation tissue and fibrosis. Nodular aggregates of lymphocytes and plasma cells studded the membrane. Articular surfaces were unremarkable. Mycoides cluster organisms were demonstrated on polymerase chain reaction (PCR) analysis of the joint tissues and these were confirmed on culture as MmmLC. The lamb was the offspring of an agalactic ewe whose progeny of the previous 3 years developed polyarthritis. The carpal and hock joints had periarticular nodular swellings and there was mild haemarthrosis of all appendicular skeletal joints. Lesions were characterised as subacute active fibrinopurulent synovitis and periarthritis with haemorrhage. Articular surfaces were normal. Joint tissue was positive by PCR for the mycoides cluster of organisms. Mycoplasma was not isolated in culture.