Keratoconjunctivitis sicca (KCS), also known as dry eye syndrome, is an ocular surface disorder in dogs characterized by decreased production of the aqueous part of the tear film (quantitative) or by evaporative tear disorders (qualitative). 1 In dogs, most cases of qualitative KCS are due to immune-mediated disease in which the inflammatory process results in atrophy of the lacrimal glands, substitution of glandular structures for fibrous
RESUMO O objetivo deste estudo foi avaliar os efeitos do tacrolimo e da ciclosporina na produção lacrimal de cães com ceratoconjuntivite seca (CCS) durante 90 dias. Para tanto, foram utilizados colírios de tacrolimo 0,02% (TcL) e ciclosporina 0,1% (CsA) em 14 cães com CCS. Os animais foram distribuídos em dois grupos e avaliados antes do início do tratamento (T0) e aos 15 (T1), 30 (T2), 45 (T3), 60 (T4), 75 (T5) e 90 (T6) dias após o início do tratamento. Na avaliação clínica, observou-se maior redução da secreção ocular, da opacidade e do edema corneano e da vascularização conjuntival. no grupo tacrolimo. No teste de Schirmer, verificou-se produção basal de 6(4,07 e 5,86(2,85mm/min no TcL e CsA, respectivamente, com aumento significativo da produção lacrimal em ambos os grupos, contudo houve aumento significativo da produção lacrimal a partir dos 15 dias de tratamento no grupo TcL (17,88(5,51mm/min), mas apenas a partir dos 45 dias no grupo CsA (11,86(4,74mm/min). Conclui-se que o uso do colírio tacrolimo aumentou em 68,83% a produção lacrimal em 90 dias de tratamento, comparado com a ciclosporina (56,82%), além de diminuir as manifestações clínicas inerentes à CCS, quando comparado à terapia com ciclosporina.
The objective of this study was to evaluate the use of cyclosporine 1% alone or associated with oral mucosa transplantation (OMT) in dogs with dry keratoconjunctivitis (KCS). Schirmer Tear Test (STT-1) and Tear Film Osmolarity (TFO) were measured in both eyes of 30 adult dogs (before and 45 days after treatment. The animals were divided into three groups (10 dogs for group): control (normal dogs), group I (GI, treated with 1% cyclosporine alone), and group II (GII, treated with 1% cyclosporine and OMT). All STT-1 and TFO values were subjected to the Shapiro-Wilk normality test, and all were normally distributed. STT-1 and TFO values before and after treatment were subjected to the T-Student Test. The STT‐1 and TFO values of the right eye were subjected to Repeated Measures ANOVA followed by a Tukey Test for comparison between groups I and II. Means with a value of p≤0.05 were considered significant. There was a decreased osmolarity in both groups after treatment. Mean osmolarity in GII (322.60±16.56 mOsm/L) was significantly lower than GI (336.40±5.66 mOsm/L). The OMT associated with cyclosporine 1% improved the osmolarity of the tear film in dogs with KCS with a seeming synergism between the clinical and surgical treatments.
A mixed breed dog, six years old was referred, after an episode of thoracic trauma bite, with posterior swelling in the thoracic region, to perform chest radiographs due to dry cough after physical exertion or dorsal position. Through radiographs, pulmonary protrusion through the fifth left intercostal space was observed. Thoracotomy and resection of cranial portion of the left cranial pulmonary lobe and eventration repair were performed. Postoperative chest radiographs confirmed the normal expansion of the remaining left cranial lobe. The intercostal eventration should be considered a differential diagnosis in cases of increased thoracic volume and episodes of trauma.
Immune-mediated hemolytic anemia leads to the premature removal of erythrocytes. It is a type 2 hypersensitivity reaction in which erythrocytes are covered by antibodies or complement and are phagocytized in the spleen or lysed within the blood vessels. It is considered of primary origin when the causes of the onset of the disease are unknown, or regarded as secondary when resulting from external antigens. The diagnosis may be therapeutic or based on the direct positive Coombs test in conjunction with laboratory findings, such as moderate to severe variable regeneration anemia, polychromasia, spherocytosis, red blood cell agglutination, hyperbilirubinemia, and hemoglobinuria. Treatment is based on immunosuppressive doses of steroidal anti-inflammatory drugs such as prednisone. This paper reports the case of an acute onset in a dog diagnosed with primary immune-mediated hemolytic anemia, presenting apathy, dyspnea, pain upon abdominal palpation, splenomegaly and pale mucous membranes. Coombs direct test was positive. Treatment started with prednisone, but as the response was not favorable, other drugs were associated to it. Evolution was unfavorable and the owner opted for euthanasia due to poor prognosis.
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