1. Presumptive hemophagocytic syndrome associated with immune-mediated anemia in two Miniature Dachshunds
- Author
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Masaharu Hisasue, Makoto Akiyoshi, Sakurako Neo, and Masami Akiyoshi
- Subjects
Hemolytic anemia ,medicine.medical_specialty ,Evans syndrome ,Clinical Pathology ,040301 veterinary sciences ,Anemia ,medicine.medical_treatment ,Splenectomy ,autoimmune-associated hemophagocytic syndrome ,thrombocytopenia ,Gastroenterology ,Lymphohistiocytosis, Hemophagocytic ,0403 veterinary science ,03 medical and health sciences ,Immune system ,Dogs ,Refractory ,Internal medicine ,hemic and lymphatic diseases ,Medicine ,Animals ,immune-mediated hemolytic anemia ,Dog Diseases ,030304 developmental biology ,0303 health sciences ,hemophagocytosis ,General Veterinary ,business.industry ,04 agricultural and veterinary sciences ,medicine.disease ,Note ,eye diseases ,evans’ syndrome ,Anemia, Hemolytic, Autoimmune ,Differential diagnosis ,Hemophagocytosis ,business - Abstract
This report describes the cases of two Miniature Dachshunds who were suspected to have immune-mediated hemolytic anemia (IMHA) and were treated with immunosuppressive therapy. However, progression of anemia, increases in C-reactive protein (CRP) and total-bilirubin (T-Bil) levels, splenomegaly, transition to nonregenerative anemia, and thrombocytopenia occurred after the treatment. Splenectomy and bone-marrow aspirations were performed subsequently. Both dogs were diagnosed with hemophagocytic syndrome (HPS) associated with IMHA. Unfortunately, they died 9 and 6 days later. These findings indicate that some cases of refractory IMHA have the pathogenicity of HPS. HPS should be included as a differential diagnosis of refractory IMHA concurrent with thrombocytopenia. Continuously elevated CRP and T-Bil levels may be helpful indicators in the detection of HPS associated with IMHA.
- Published
- 2021