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10 Cards in this Set

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In what animals does Chediak Higashi syndrome occur? What cells are affected? How do we diagnose it?
CHEDIAK HIGASHI SYNDROME
-Hereford cattle & blue smoke Persian cats
-abnormally large granules in neutrophils, monocytes, eosinophils, platelets, and elarged melanin granules
-the enlarged granules are melanosomes (melanocytes), lysosomes (many cel types), cytoplasmic granules (fused primary and secondary granules in neutrophils)
-the abnormal granules are more fragile rupturing spontaneously and causing tissue damage
-affected leukocytes don't function normally
-animals are more susceptible to tumors and infections
-bleeding tendency and ocular abnormalities

DIAGNOSIS
-examine hair shafts (enlarged melanin granules)
-blood smear
What is Pelger Huet anaomly? Is it clinically significant?
PELGER HUET ANAMOLY
-failure of granulocyte nuclei to segment into lobes
-nuclei are large, plump hyposegmented
-animals have a persistent left shift
-no affect on health
What is Canine & Bovine Leukocyte deficiency caused by? What breeds?
CANINE LEUKOCYTE ADHESION DEFICIENCY (CLAD) and BOVINE LEUKOCYTE ADHESION DEFICIENCY
-autosomal recessive mutation in gene encoding for CD11/18 (β2 microglobulin), which mediated adhesion to the vascular endothelium for leukocytes to migrate out
-animals have recurrent infections & larger numbers of neutrophils in their blood stream
-Irish Wolfhounds and Holstein cows
-see impaired pus formation in dogs
What is Canine Cyclical haematopoiesis?
CANINE CYCLICAL HAEMATOPOIESIS
-affects collies (gray collie syndrome or cyclic neutropenia)
-trilineage cycling of blood cells with deficits more apparent in neutrophils (the other cell types have longer lifespans)
-loss of neutrophils every 11-12 days and lasts for about 3 days
-animals have increased susceptibility to infections
-cyclic refers to the appearance of neutropenia alternating with rebounding neutrophilia
-dilution of skin pigmentation (silver-grey color)
-puppies only survive a few days
What causes Severe Combined Immunodeficiency in horses? dogs? What breeds? What do we see histologically? What infections do we see in dogs?
SEVERE COMBINED IMMUNODEFICIENCY

A) HORSES
-Arabian horses
-mutation of gene DNA PKcs
-failure to produce functional T or B cells
-profound lymphopenia
-once maternal antibodies fade they cannot produce their own Ab so there is agammaglobulinemia
-die at 4-6 months of age
-spleen & lymph nodes lack germinal centers
-lymph node paracortex is depleted
-thymus is hypoplastic and difficult to find
-autosomal recessive

B) DOGS
-basset hounds and Corgi dogs
-at 6-8 weeks maternal antibody declines & animal develop infections
-common infections include canine distemper, parvovirus, staphylococci, and cryptosporidium
-mutation is in the gene encoding for IL-2R
-X-linked, only males
-decreased number of CD8+ T cells, normal B cells
What is agammaglobulinemia? What selective immunoglobulin deficiencies can occur?
AGAMMAGLOBULINEMIA
-rare
-thoroughbred, quarterhorse, standardbred
-only males, inheritance not known
-no identifiable B cells and very low levels of all immunoglobulins
-lymphoid tissue contains no germinal centers and plasma cells

SELECTIVE IMMUNOGLOBULIN DEFICIENCIES
-horses & dogs
-selective IgM and IgA deficiencies
-may not result in clinical signs until there is degradation of passively transferred maternal antibodies
What causes Feline Immunodeficiency Virus Disease? What are the stages? Why does cytopenia occur? What do we see on CBC? What are the clinical signs?
FELINE IMMUNODEFICIENCY VIRUS DISEASE
-retrovirus (RNA virus), Lentivirus
-depletion of CD4+ T Lymphocytes (Defect in cell mediated immunity)
-secondary infections
-transmitted by blood/saliva (bite wound, grooming), and can be transmitted in utero
-lifelong infection
-vaccination (doesn't work, because there are several strains)

STAGES:
1. Acute phase - some young cats die
-several weeks
-severity depends on age
-lymphadenopathy (immune response)
-slight increase in CD8 lymphocytes (leukocytosis)
-difficult to identify in this stage

2. Asymptomatic carrier
-months to years
-healthy
-not enough CD4+ lymphocytes depleted to notice clinical signs

3. Persistent generalized lymphadenopathy (submandibular, scapular, popliteal)
-non-specific signs of illness (weightloss, large lymph nodes, stomatitis, anemia, leukopenia)
-majority of cases are presented to vets when at this stage
-susceptible to secondary infections eg. respiratory infections, calcivirus, herpes

4. Terminal AIDS-like phase
-lasts <1 year
-opportunistic infections
-miscellaneous disorders including neoplasia

Peripheral BLOOD Cytopenia (leukopenia, anemia, thrombocytopenia, neutropenia):
Caused by:
-FIV infects hematopoietic precursors and bone marrow stromal cells
-stromal compartment of BM affected, so microenvironment for hematopoietic cells affected
-FIV related immune modulation --> immune mediated destruction of RBCs

CBC:
-anemia (+/-) non-regenerative
-mycoplasma haemofelis (+/-)
-leukocytsis (early stages), leukopenia (late stages)
-left shift (early stages), neutropenia (late stages)
-increased globulins (hyperglobulinemia in early stages), usually polyclonal

CLINICAL SIGNS:
-stomatitis gingivitis
-lymphoplasmic stomatitis --> most cases associated with FIV
-weightloss, ulceration of oral cavity, halitosis (calcivirus and certain bacterial infections)
-pool coat quality

TYPICAL SECONDARY/OPPORTUNISTIC INFECTIONS/CONDITIONS
-Stomatitis/gingivitis
-toxoplasma gondii (brain)
-cryptococcus sp.
-mycoplasma haemofelis (anemia)
-calcivirus
-herpes virus (URT infection)
-neurological disease
-lymphoma (B cell, extranodal)
What causes Feline Leukemia Virus Infection?
FELINE LEUKEMIA VIRUS (FeLV) INFECTION
-retrovirus (RNA virus), Lentivirus
-transmitted with blood/saliva (bite wound), direct contact, in utero
-lifelong infection, only 25% develop it
-the virus establishes a peristent infection of bone marrow cells, in particular T lymphocytes (virus requires rapidly diving cells or successful replication)
-non-regenerative anemia
What diseases are associated with FeLV infection?
-neoplasia (myelo- and lymphoproliferative diseases)
-anemia
-immunosuppression (secondary infections) ie. mycoplasma haemofelis, toxoplasma sp.

Thymic lymphoma:
-30% of FeLV+ cats will develop lymphoma or leukemia
-50% of thymic lymphomas are associated with FeLV
What causes secondary immunodeficiencies?
Malnutrition, irradiation, chemotherapy, corticosteroids, aging