Lung Injury L e a d i n g t o R e s p i r a t o r y D i s t r e s s S y n d r o m e in Young D a l m a t i a n DogsAnna-Kaisa Jarvinen, Elise Saario, Erik Andresen, lrmeli Happonen, S e p p o Saari, and Minna Rajamaki A progressive pulmonary disease resulting in severe respiratory failure and death in an average of 3 weeks was diagnosed in 11 young Dalmatian dogs. The dogs were from 4 litters, all genetically related by a common ancestor. The initial clinical signs were tachypnea and noisy respiration. Respiratory distress developed shortly before death and was characterized by strenuous and rapid respirations, along with cyanosis and vomiting. On blood gas analysis, there were severe arterial hypoxemia, hypercapnia, and marked alveolar-arterial oxygen difference. Radiographically, a diffuse pattern of alveolar, interstitial, and peribronchial densities was observed in the lungs. Most dogs developed pneumomediastinum and gastroesophageal intussusception in the terminal phase of the disease. There was no response to treatment with antibiotics, corticosteroids. diuretics, or oxygen. At necropsy, the lungs were wet, heavy, and relatively airless. Absence of 1 kidney in 2 dogs and severe internal hydrocephalus in 2 dogs were dult respiratory distress syndrome (ARDS) is a multi-A factorial acute life-threatening clinical condition that may result in an acute lung injury pattern. It is a well-known entity in humans' and has recently been described in anim a l~.~-~ Clinically, the syndrome is characterized by acute progressive tachypnea and dyspnea, respiratory failure with cyanosis, refractory hypoxemia, and diffuse pulmonary infiltrates. At necropsy, the lungs are airless and stiff, and fail to collapse. Edema and inflammatory reaction with prominent hyaline membrane formation, and squamous metaplasia and atypia ofthe alveolar and bronchiolar epithelium are the typical histopathological findings. In the dog, ARDS has been reported in association with paraquat t~x i c i t y ,~ after trauma,6 and as a result of secondary bacterial infection in fatal parvoviral disea~e.~ Experimentally, it can be induced by the administration of endotoxin.' In the present report, we describe an ARDS-like syndrome with histopathological findings suggestive of acute lung injury in 1 1 closely related young Dalmatian dogs in which no etiologic factor could be identified.
Materials and MethodsEleven Dalmatian dogs from 4 litters with similar respiratory signs unresponsive to therapy were referred to the Small Animal