Presumptive precursor-targeted immune-mediated anemia concurrent with gastrointestinal lymphoma in a cat |
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Authors: | Makoto AKIYOSHI Masaharu HISASUE Sakurako NEO Masami AKIYOSHI |
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Affiliation: | 1)Laboratory of Small Animal Internal Medicine, Azabu University, Sagamihara-shi, 1-17-71 Fuchinobe, Chuuku, Sagamihara-shi, Kanagawa 252-5201, Japan;2)Akiyoshi Animal Clinic, 5-4-26 Chuorinkannishi, Yamato-shi, Kanagawa 242-0008, Japan;3)Laboratory of Clinical Diagnosis, Azabu University, 1-17-71 Fuchinobe, Chuoku, Sagamihara-shi, Kanagawa 252-5201, Japan |
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Abstract: | A 10-year-old spayed female mixed-breed cat presented with progressive nonregenerative anemia. Clinicopathological abnormalities included severe nonregenerative anemia (packed cell volume [PCV]: 7%, aggregate reticulocytes: 1.12 × 103/µl) and a hypoechogenic mass well-localized in the stomach. Bone marrow (BM) smears revealed increased particle hematopoietic cellularity with decreased myeloid:erythroid (M:E) ratios, no dysplasia of any lineage, and presence of erythroid precursors phagocytized by macrophages. The cat was diagnosed with presumptive precursor-targeted immune-mediated anemia (PIMA). The stomach mass was consistent with CD 20 positive T-cell lymphoma. The lymphoma was completely resected via surgery, and the PIMA was cured by immunosuppressive therapy. On day 410, both diseases have not recurred without medications. This is the first report of feline PIMA and concurrent gastrointestinal lymphoma. |
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Keywords: | bone marrow CD20 positive T-cell lymphoma phagocytosis stomach transmural lymphoma |
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