A. Tarducci

Serum Values of Cardiac Troponin-T in Normal and Cardiomyopathic Dogs

Together with tropomyosin, the troponin complex participates in the contraction of skeletal and cardiac muscles. Troponin is composed of three subunits, namely troponin C (TnC), troponin I (TnI), and troponin T (TnT), which binds tropomyosin. There are three different isoforms of TnT and TnI, two of which are specific for skeletal muscle, while the third is specific for the myocardium (cTnT and cTnI). As the homology between troponins is about 95% among mammals, commercial diagnostic kits designed for use in humans also provide excellent results in other animals. (O’Brien et al., 1997). In human medicine, the measurement of cTnT or cTnI levels is now used together with measurement of the levels of creatine kinase (CK) and lactate dehydrogenase (LDH) and their isozymes for assessment of myocardial damage. For diagnostic purposes, one advantage is that these proteins are normally absent in blood in subjects without myocardial damage. Even minimal increases in the serum levels of these proteins are indicative of myocardial damage and, in the case of cTnT, it is detectable in serum from 2 h to 14 days following the onset of myocardial damage. Moreover, in contrast to the isozymes of CK and LDH, the results are not influenced by use of different clinical samples (hemolytic, lipemic, bile samples). The degree of increase in the level of cTnT is relatively proportional to the degree of myocardial damage, with prognostic implications as well. At the same time, the extreme sensitivity of this technique also allows for its use in other nonischemic pathologies including chronic cardiac insufficiency, pulmonary emboli, acute myocarditis, systemic hypertension, arrhythmias, and toxicity from doxorubicin (De Francesco, 2002). In veterinary medicine, O’Brien et al. (1997) have demonstrated the utility of measuring the levels of cTnT in the diagnosis of experimentally induced myocardial damage.

Bilateral juvenile renal dysplasia in a Norwegian Forest Cat

Renal dysplasia is defined as a condition of disorganised development of renal parenchyma due to abnormal differentiation. The case of a 5-month-old intact male Norwegian Forest Cat with a history of polyuria and polydipsia is reported. Ultrasonographic examination showed a slight enlargement of kidneys. Biochemical parameters, haematological examinations and clinical signs were compatible with chronic renal failure (CRF). Histological examination was correlated with a primary tubular disorganisation and modification of glomerular compartment. The clinical history together with the histological lesions is consistent with bilateral juvenile renal dysplasia in this cat. To our knowledge, feline renal dysplasia has been reported in fetal infections with panleukopenia virus; no reports indicate the idiopathic origin in feline dysplastic lesions.

Asymptomatic Dilated Cardiomyopathy in Great Danes: Clinical, Electrocardiographic, Echocardiographic and Echo-Doppler Features

Dilated cardiomyopathy (DCM) is a frequent cardiac disease in Great Danes, characterized by chronic and progressive primary systolic dysfunction. The disease produces a progressive ventricular dilation (usually on the left side) and eventually atrial dilation over time. These morphological and haemodynamic alterations are followed by the appearance of clinical cardiac insufficiency. In Newfoundlands and Irish Wolfhounds (Koch et al., 1996), as well as in Dobermans (Calvert et al., 1997; O’Grady and Horne, 1992), clinical manifestations of the disease may be preceded by a prolonged asymptomatic period. This phase may last for years, during which time normal haemodynamics are observed, at least during resting. However the preclinical DCM produces activation of mechanisms which compensate for systolic disfunction. Specific events (e.g., anaesthesia) may provoke a rapid worsening of the disease (Calvert et al., 1996).

Polymorphism Analysis of Ch1 and Ch2 Genes in the Siberian Cat

Cats are usually spreaders of allergens that are critical for sensitive people; the Siberian cat is a breed supposed to be low level allergenic, according to some breeders’ statements. The sequence of the two genes, namely Ch1 and Ch2, that code for the allergen Fel d 1, the major allergen responsible for outbreaks of allergy symptoms, is not yet known in the Siberian cat, and finding this was the aim of our investigation. Notably, our work is the first survey of the genetic structure of these genes in Siberian cats. The comparison of the sequences of Siberian cats, non-Siberian cats, and sequences present in the National Center for Biotechnology Information database revealed a considerable number of mutations; some of those detected in the Siberian cat, due to their position in exon regions, could affect the Fel d 1 allergenic properties. Therefore, further investigations are recommended to assess if the identified mutations can be responsible for a reduced-allergen synthesis and can be used as markers for selection of low level allergenic cats.

Ultrasonographic features of adrenal gland lesions in dogs can aid in diagnosis

BackgroundUltrasonography to visualize adrenal gland lesions and evaluate incidentally discovered adrenal masses in dogs has become more reliable with advances in imaging techniques. However, correlations between sonographic and histopathological changes have been elusive. The goal of our study was to investigate which ultrasound features of adrenal gland abnormalities could aid in discriminating between benign and malignant lesions. To this end, we compared diagnosis based on ultrasound appearance and histological findings and evaluated ultrasound criteria for predicting malignancy.ResultsClinical records of 119 dogs that had undergone ultrasound adrenal gland and histological examination were reviewed. Of these, 50 dogs had normal adrenal glands whereas 69 showed pathological ones. Lesions based on histology were classified as cortical adrenal hyperplasia (n = 67), adenocarcinoma (n = 17), pheochromocytoma (n = 10), metastases (n = 7), adrenal adenoma (n = 4), and adrenalitis (n = 4). Ultrasonographic examination showed high specificity (100%) but low sensitivity (63.7%) for identifying the adrenal lesions, which improved with increasing lesion size. Analysis of ultrasonographic predictive parameters showed a significant association between lesion size and malignant tumors. All adrenal gland lesions >20 mm in diameter were histologically confirmed as malignant neoplasms (pheochromocytoma and adenocarcinoma). Vascular invasion was a specific but not sensitive predictor of malignancy. As nodular shape was associated with benign lesions and irregular enlargement with malignant ones, this parameter could be used as diagnostic tool. Bilaterality of adrenal lesions was a useful ultrasonographic criterion for predicting benign lesions, as cortical hyperplasia.ConclusionsAbnormal appearance of structural features on ultrasound images (e.g., adrenal gland lesion size, shape, laterality, and echotexture) may aid in diagnosis, but these features alone were not pathognomic. Lesion size was the most direct ultrasound predictive criterion. Large and irregular masses seemed to be better predictors of malignant neoplasia and lesions <20 mm in diameter and nodular in shape were often identified as cortical hyperplastic nodules or adenomas.

Accuracy of Ultrasonographic Measurements of Adrenal Glands in Dogs: Comparison with Necroscopic Findings.

Ultrasonographic evaluation of the adrenal glands was performed in 85 dogs, followed by macroscopic and histopathological examination either post‐mortem or after adrenalectomy. This retrospective cross‐sectional study evaluated the difference between gross and ultrasonographic measurements to determine the diagnostic accuracy of ultrasonography in the evaluation of canine adrenal gland size. The differences were assessed for gland length, thickness at cranial, middle and caudal regions, and surface area. In our sample, ultrasound error accuracy ranged between 0% in measurement of the right adrenal gland surface area and 25.21% for left cranial pole thickness. The parameters with minor errors were caudal pole thickness (3.64% right side and 3.49% left side) and length (5.75% right side and 2.19% left side). The ultrasonographic measurements generally underestimated the actual size of the adrenal glands. No statistically significant differences were observed for measurement errors between normal and pathological adrenal glands. This study confirmed that the caudal pole of both glands is the best parameter for ultrasonographic evaluation of normal and pathological adrenal glands size in dog. Furthermore, the surface area could be considered as a dimensional parameter for better assessment of the complex shape and the global aspect of the adrenal glands, while standardize ultrasonographic projections are needed to measure the cranial pole of both adrenal glands.