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1.
BMC Vet Res ; 20(1): 124, 2024 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-38539145

RESUMEN

BACKGROUND: The objective of this study was to examine the inter-relationships between pig farm management and facilities (as assessed by questionnaire) and post-mortem lung lesion (lung score assesment), which are the result of respiratory infections. The relationships between carcass characteristics and post-mortem lung lesion scores were also investigated. RESULTS: Questionnaire responses were collected from 22 self-selecting pig farmers about their farm facilities/management and health condition of the respiratory system of pigs, including the occurrence of clinical respiratory signs, results of laboratory testing for respiratory pathogens, and the use of respiratory vaccines. When fatteners were sent to the abattoir, their carcasses (n = 1,976) were examined for evidence of respiratory disease by lung lesion (pleuritis pneumonia-like (PP-like) and enzootic pneumonia-like (EP-like) lesions) scoring and the Actinobacillus pleuropneumoniae Index (APPI) was calculated. Carcass characteristics were recorded and, retrospectively, the prevalence of cachectic pigs was calculated. Using these variables, the relationships between farm facilities/management and lung lesions scores and the relationships between the latter and carcass characteristics and cachexia were explored. The key findings relating farm facilities and management to lung lesions were: slatted floors were associated with significantly higher EP-like lesions scores than litter bedding in weaners, single-stage fattening in the same building was associated with significantly higher EP-like lesions scores than two-stage fattening, but herd size, stocking density, use of all-in/all-out (AIAO) rule, technological break duration and variation in daily temperature did not affect lung lesions scores. The key findings relating lung lesion scores to carcass characteristics were: a significant, negative correlation between EP-like scores and carcass weight but not with other carcass characteristics, a significant positive correlation between PP-like scores and carcass meat content and prevalence of cachectic carcasses and a significant positive correlation between lung APPI and prevalence of cachectic carcasses. CONCLUSIONS: It can be concluded that both farm facilities and management affect lung lesions scores and that the latter affect carcass characteristics. Lung lesion scoring is an inexpensive technique suitable for rapid monitoring of large numbers of carcasses that can be performed after animal slaughter. It provides useful information to inform producers about possible deficits in farm facilities or management and is a predictor of economic loss due to poorer quality carcasses.


Asunto(s)
Neumonía , Enfermedades de los Porcinos , Porcinos , Animales , Granjas , Estudios Retrospectivos , Pulmón/patología , Enfermedades de los Porcinos/epidemiología , Enfermedades de los Porcinos/patología , Neumonía/patología , Neumonía/veterinaria
2.
Clin Exp Dermatol ; 2024 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-39387486

RESUMEN

BACKGROUND: Epidermolysis bullosa acquisita (EBA) is a chronic mucocutaneous disease that is mediated by antibodies that bind collagen VII. The treatment of EBA can be challenging and often multiple immunomodulatory drugs are required. Rituximab has been reported to be an effective treatment for recalcitrant EBA, although its evidence base is limited to case reports and case series. This study therefore aimed to evaluate the efficacy of rituximab in patients with EBA. METHODS: EBA patients treated with rituximab were identified by searching electronic medical records. Diagnostic criteria for EBA were as follows; mechanobullous skin lesions and / or mucosal ulceration, indirect immunofluorescence localising to the base of salt split skin and positive collagen VII antibodies. Clinical disease activity, collagen VII antibody levels and serum immunoglobulins were recorded at each follow up visit over 600 day period. Treatment responses were classified as follows; complete remission (CR) as the absence of new or established lesions on minimal therapy for 2 months, partial remission (PR) as transient lesions that heal within 1 week on minimal therapy and active disease (AD) as the development of new lesions. RESULTS: 14 patients with EBA were treated with rituximab. CR or PR was observed in 11 patients, and the duration of response varied between 4 and 24 months. A reduction in collagen VII antibody levels was observed in all patients. No significant adverse events were reported. CONCLUSIONS: Rituximab is a safe and effective treatment for patients with recalcitrant EBA although there was significant heterogeneity in the disease response.

3.
J Dairy Sci ; 107(9): 7138-7152, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38670338

RESUMEN

Bovine respiratory disease (BRD) presents a challenge to farmers all over the globe, not only because it can have significant impacts on welfare and productivity, but also because diagnosis can prove challenging. Several clinical scoring systems have been developed to aid farmers in making consistent early diagnosis, 2 examples being the Wisconsin (WCS) and the California (CALIF) systems. Neither of these systems were developed in or for use in a temperate environment. As environment may lead to changes in BRD presentation, the weightings and cutoffs designed for one environmental presentation of BRD may not be appropriate when used in a temperate climate. Additionally, the interpretation of the scores recorded varies between studies; this may also influence conclusions. Hence, the objective of this work was to investigate the sensitivity (Se) and specificity (Sp) of these tests in a temperate climate and investigate the influence of varying the interpretation on the performance of the WCS. In this prospective study, 98 commercial spring-calving dairy farms were recruited (40 randomly, 58 targeted) and visited. Thoracic ultrasound and WCS were performed on 20 randomly sampled calves between 4 and 6 wk of age on each farm. On a subset of 32 farms, the CALIF score was also undertaken. The data were then used in a hierarchical Bayesian latent class model to estimate the Se and Sp of 5 different interpretations of the Wisconsin clinical score and 1 interpretation of the California clinical score. In total, 1,936 calves were examined. The Se of the Wisconsin score varied from 0.336 to 0.577 depending on the interpretation used, and the Sp varied from 0.943 to 0.977. The Se of the California score was 0.563 (95% Bayesian credible interval [BCI]: 0.452, 0.681) and the Sp was 0.919 (95% BCI: 0.899, 0.937). In conclusion, the performances of the clinical scores in a temperate environment were similar to previously published work from more extreme climates; however, the performance varied widely depending on the score interpretation. Authors should justify their use of a particular clinical score interpretation to improve clarity in publications.


Asunto(s)
Teorema de Bayes , Enfermedades de los Bovinos , Análisis de Clases Latentes , Animales , Bovinos , Enfermedades de los Bovinos/diagnóstico , Estudios Prospectivos , Clima , Industria Lechera , Sensibilidad y Especificidad , Complejo Respiratorio Bovino/diagnóstico
4.
Reprod Domest Anim ; 59(1): e14507, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37970750

RESUMEN

Consensus on optimal calving management is difficult to achieve among veterinarians. Some of this discordance may stem from asymmetry between the literature written by subject matter experts (SME) and the knowledge, attitude and practice (KAP) of non-SMEs and veterinary practitioners. Hence, the objective of this study was to assess how veterinary practitioners KAPs in calving management compared with the findings in the literature. An online questionnaire survey was conducted prior to a World Buiatrics Congress by delegates (n = 80) who attended a workshop on calving management at which the outcomes of the latter were recorded. The responses from the questionnaire and the consensus from the workshop were compared and these were compared with the literature on calving management, specifically, prediction of calving, assistance at calving and farmer training in calving management. In general, there was good agreement between the aggregated individual responses to the questionnaire and the consensuses from the workshop. The suggested methods of predicting calving were well aligned between practitioners and those researched in the literature but practitioners tended to emphasize more practical aspects of prediction while the literature tends to focus more on the effectiveness of various predictor devices. Practitioners tended to recommend a later time of calving assistance than that recommended in the recent literature though they did also emphasize the importance of calving progress. The majority of practitioners conducted informal (at calving) calving training focusing on time of intervention, welfare-friendly intervention and delivery of a live healthy calf. However, the educational literature recommends a formal training approach as being more effective. These findings indicate that practitioners may benefit from continuing professional education on the scientific merits/demerits of calving prediction devices, current best practice on intervention timing during calving and formal methods of farmer training on calving management.


Asunto(s)
Veterinarios , Animales , Humanos , Encuestas y Cuestionarios , Industria Lechera/métodos
5.
Anim Genet ; 54(2): 104-112, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36639915

RESUMEN

Intestinal atresia is an under-diagnosed congenital defect in cattle. It results in complete occlusion of the intestinal lumen and, unless surgically corrected, results in death or euthanasia of the affected calf. There is limited information on the incidence of this condition or on risk factors, including predisposing alleles, associated with the defect. In this study, active surveillance of 39 dairy farms over 8 years identified 197 cases of intestinal atresia among 56 454 calves born, an incidence of 0.35%. The majority of cases (83%) had occlusion of the jejunum, although cases with blockage of the colon (14%) or anus (4%) were also identified. The defect was twice as common in male as in female calves (p < 0.0001), and was more common in progeny of older cows than in progeny of first or second lactation cows (p < 0.001). Year and farm of birth were also significantly associated with incidence (p < 0.05). The incidence of intestinal atresia was highest among the progeny of three related Jersey sires, suggesting that a gene for intestinal atresia was segregating within this family. Linkage analysis utilising 28 affected progeny of two half-sib putative carrier sires identified two putative quantitative trait loci associated with the defect, on chromosomes 14 and 26, although no clear candidate genes were identified. There was no evidence of a sire-effect among the progeny of Holstein-Friesian sires. However, a case-control genome-wide association study involving 91 cases and 375 healthy controls, identified 31 SNP in 18 loci as associated with the defect in this breed. These data suggest that intestinal atresia in dairy calves is not a simple Mendelian trait as previously reported but a complex multigenic disorder.


Asunto(s)
Atresia Intestinal , Embarazo , Animales , Bovinos/genética , Femenino , Masculino , Atresia Intestinal/genética , Atresia Intestinal/veterinaria , Estudio de Asociación del Genoma Completo , Parto , Factores de Riesgo , Lactancia
6.
Anim Genet ; 54(2): 93-103, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36504456

RESUMEN

Swyer syndrome is where an individual has the karyotype of a typical male yet is phenotypically a female. The lack of a (functional) SRY gene located on the Y-chromosome is implicated in some cases of the Swyer syndrome, although many Swyer individuals with an apparently fully functional SRY gene have also been documented. The present study undertook whole genome sequence analyses of eight cattle with suspected Swyer syndrome and compared their genome to that of both a control male and female. Sequence analyses coupled with female phenotypes confirmed that all eight individuals had the 60,XY sex reversal Swyer syndrome. Seven of the eight Swyer syndrome individuals had a deletion on the Y chromosome encompassing the SRY gene (i.e., SRY-). The eighth individual had no obvious mutation in the SRY gene (SRY+) or indeed in any reported gene associated with sex reversal in mammals; a necropsy was performed on this individual. No testicles were detected during the necropsy. Histological examination of the reproductive tract revealed an immature uterine body and horns with inactive glandular tissue of normal histological appearance; both gonads were elongated, a characteristic of most reported cases of Swyer in mammals. The flanking sequence of 11 single nucleotide polymorphisms within 10 kb of the SRY gene are provided to help diagnose some cases of Swyer syndrome. These single nucleotide polymorphisms will not, however, detect all cases of Swyer syndrome since, as evidenced from the present study (and other studies), some individuals with the Swyer condition still contain the SRY gene (i.e., SRY+).


Asunto(s)
Enfermedades de los Bovinos , Disgenesia Gonadal 46 XY , Masculino , Bovinos/genética , Femenino , Animales , Disgenesia Gonadal 46 XY/genética , Mutación , Genes sry , Cromosoma Y/genética , Testículo , Proteína de la Región Y Determinante del Sexo/genética , Mamíferos/genética , Enfermedades de los Bovinos/genética
7.
J Dairy Sci ; 106(7): 4966-4977, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37225580

RESUMEN

Postnatal mortality among replacement stock has a detrimental effect on the social, economic, and environmental sustainability of dairy production. Calf mortality rates vary between countries and show differences in temporal trends; most, however, are characterized by high levels of between-farm variability. Explaining this variation can be difficult because herd-level information on management practices relevant to calf health is often not available. The Irish Johne's Control Programme (IJCP) contains a substantial on-farm monitoring program called the Veterinary Risk Assessment and Management Plan (VRAMP). Although this risk assessment is largely focused on factors relevant to the transmission of paratuberculosis, many of its principles are good practice biocontainment policies that are also advocated for the protection of calf health. The objectives of this study were (1) to quantify mortality in ear-tagged Irish dairy calves between 2016 and 2020 using both survival and risk approaches, (2) to determine risk factors for 100-d cumulative mortality hazard in ear-tagged Irish dairy calves between 2016 and 2020, (3) to determine whether 100-d cumulative mortality hazard was higher in ear-tagged calves within herds registered in the IJCP versus those that were not registered in the IJCP and whether there were differences between these cohorts over time, and (4) within IJCP herds, to determine whether VRAMP score or changes in VRAMP score were associated with 100-d cumulative mortality hazard. Excluding perinatal mortality, the overall 100-d cumulative mortality hazard was 4.1%. Calf mortality was consistently underestimated using risk approaches that did not account for calf censoring. Cox proportional hazards models showed that cumulative mortality hazard was greater in male calves; particularly, calves born to Jersey breed dams and those with a beef breed sire. Mortality hazard increased with increasing herd size, was highest in calves born in herds that contract-reared heifers, and lowest in those born in mixed dairy-beef enterprises. Mortality hazard decreased over time with the mortality hazard in 2020 being 0.83 times that of 2016. Mortality hazard was higher in IJCP-registered herds than nonregistered herds (hazard ratio 1.06, 95% CI 1.01-1.12), likely reflecting differences in herds that enrolled in the national program. However, we detected a significant interaction between IJCP status (enrolled vs. not enrolled) and year (hazard ratio 0.96, 95% CI 0.92-1.00), indicating that the decrease in mortality hazard between 2016 and 2020 was greater in IJCP herds versus non-IJCP herds. Finally, increasing VRAMP scores (indicating higher risk for paratuberculosis transmission) were positively associated with increased calf mortality hazard. Postnatal calf mortality rates in Irish dairy herds declined between 2016 and 2020. Our study suggests that implementation of recommended biocontainment practices to control paratuberculosis in IJCP herds was associated with a reduction in calf mortality hazard.


Asunto(s)
Enfermedades de los Bovinos , Paratuberculosis , Embarazo , Animales , Bovinos , Femenino , Masculino , Paratuberculosis/prevención & control , Granjas , Bioaseguramiento , Enfermedades de los Bovinos/prevención & control , Industria Lechera
8.
Reprod Domest Anim ; 58 Suppl 2: 23-33, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37186386

RESUMEN

The true incidence of bovine abortion (42-260 days of gestation) is unknown because of under-reporting. This is particularly true of the first half of gestation when most abortions occur. From research studies, it is estimated that the animal-level incidence of abortion between day 45 and term is approximately 10%, being lower in suckler than in dairy cows. While wide variation exists in herd-level incidence, up to 30%, it is estimated that less than 5% of farmers report high (>5%) observed abortion rates. Given these figures, veterinary practitioners and farmers tend to use investigation thresholds close to these values, ≥5 and ≥3%, respectively. Most of the risk factors for abortion are animal-level factors (e.g. parity), but there are also herd-level factors (e.g. enterprise type). Of the many risk factors for bovine abortion, only a small number are modifiable. While the causes of bovine abortion are often classified as noninfectious or infectious, in reality, this means diagnosis not reached (DNR) or infectious. Approximately 40% of abortions are diagnosed as infectious and the remaining 60% as DNR; DNR includes both infectious and noninfectious causes not diagnosed. Increasingly, genetic causes are being diagnosed and changes to current national genetic selection indices may be warranted. Of the infectious causes, Neospora caninum is now the most commonly diagnosed abortifacient internationally, followed by Trueperella pyogenes, BVDv and fungi. Both national eradication programmes and effective vaccination programmes can reduce the burden of some infectious abortifacients, but the control of sporadic, noninfectious and Neospora-associated abortions remains challenging.


Asunto(s)
Enfermedades de los Bovinos , Coccidiosis , Neospora , Embarazo , Femenino , Bovinos , Animales , Enfermedades de los Bovinos/epidemiología , Enfermedades de los Bovinos/etiología , Enfermedades de los Bovinos/diagnóstico , Incidencia , Aborto Veterinario/epidemiología , Aborto Veterinario/etiología , Coccidiosis/veterinaria , Factores de Riesgo , Anticuerpos Antiprotozoarios
10.
Clin Exp Dermatol ; 47(7): 1346-1349, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35080258

RESUMEN

Epidermolysis bullosa acquisita is a highly uncommon condition in the paediatric population. This article describes three children with this disease, different clinical presentation and management. It also reviews the most relevant articles on this topic.


Asunto(s)
Epidermólisis Ampollosa Adquirida , Epidermólisis Ampollosa , Niño , Epidermólisis Ampollosa Adquirida/diagnóstico , Epidermólisis Ampollosa Adquirida/tratamiento farmacológico , Humanos
11.
Ophthalmology ; 128(3): 372-382, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-32745569

RESUMEN

PURPOSE: To assess whether a panel of serum pemphigoid autoantibody tests could be used to confirm an immunopathologic diagnosis of mucous membrane pemphigoid (MMP) in direct immunofluorescent negative (DIF-) MMP patients. DESIGN: Prospective cross-sectional study. PARTICIPANTS: Seventy-six patients with multisite MMP with 45 matched control participants. METHODS: Enzyme-linked immunosorbent assays (ELISAs) for BP180 and BP230 (MBL International), immunoglobulin A (IgA) A and immunoglobulin G indirect immunofluorescence (IIF) on human salt-split skin and the keratinocyte footprint assay for anti-laminin 332 antibodies. MAIN OUTCOME MEASURES: Sensitivity and specificity of autoantibody detection and significant differences for individual tests and test combinations for MMP involving different sites. RESULTS: All DIF- patients (24/73 [31.8%]) had either ocular-only disease or ocular involvement in multisite disease. Serum pemphigoid autoantibodies were detected in 29 of 76 MMP patients (38.2%) compared with 3 of 45 control participants (6.7%). Autoantibody reactivity detected by any 1 or more of the tests was present in 6 of 24 DIF- patients (25%) compared with 22 of 49 DIF positive (DIF+) patients (44.9%). Ocular-only MMP serum reactivity was not significantly different for any test or test combination compared with control participants, whereas DIF- multisite ocular MMP differed for 1 ELISA and 3 of 7 test combinations. By contrast, for DIF+ nonocular MMP patients, all the individual tests, apart from IgA IIF, and all test combinations were significantly different compared with those for control participants. For the entire MMP cohort, the sensitivity of all individual tests was low, having a maximum of 21.05% for BP180 reactivity but increasing to 38.16% for an optimal test combination. Disease activity was associated strongly with positive serologic findings. CONCLUSIONS: Pemphigoid serum autoantibody tests did not provide immunopathologic evidence of MMP in ocular-only MMP patients but showed limited value in DIF- multisite ocular MMP patients. The requirement for immunopathologic confirmation of MMP by autoantibody detection is inappropriate for DIF- ocular-only MMP patients, resulting in missed diagnoses, delayed therapy, and poor outcomes. Alternative diagnostic criteria for ocular-only MMP are required to exclude the other causes of scarring conjunctivitis until more sensitive and specific immunopathologic tests become available.


Asunto(s)
Autoanticuerpos/sangre , Autoantígenos/inmunología , Enfermedades de la Conjuntiva/diagnóstico , Penfigoide Benigno de la Membrana Mucosa/diagnóstico , Penfigoide Ampolloso/inmunología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades de la Conjuntiva/inmunología , Estudios Transversales , Ensayo de Inmunoadsorción Enzimática , Femenino , Técnica del Anticuerpo Fluorescente Directa , Humanos , Masculino , Persona de Mediana Edad , Penfigoide Benigno de la Membrana Mucosa/inmunología , Estudios Prospectivos , Sensibilidad y Especificidad , Adulto Joven
12.
J Dairy Sci ; 104(10): 11165-11175, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34275625

RESUMEN

Bovine respiratory disease (BRD) in dairy calves is a multifactorial condition, involving environmental, host, and pathogen factors. Thoracic ultrasound scoring (TUS) has recently been validated as an accurate method of detecting BRD-related lung pathology in dairy calves. Previous studies investigating the use of TUS in preweaned dairy calves have largely been based on cross-sectional data from all-year production systems. The objectives of this longitudinal observational study were to characterize the temporal transitions in TUS scores in dairy calves from pasture-based, seasonal-calving herds using sequential examinations during the preweaning period, and to investigate the relationship between the presence and temporal pattern of BRD, diagnosed by TUS or clinical respiratory scoring (CRS), and average daily gain (ADG). In spring of 2019, 317 preweaned calves from 7 commercial dairy farms were recruited at less than 4 wk old (ranging from 1-27 d of age). Each farm was examined on at least 3 occasions at 20- to 28-d intervals and housed indoors in group or individual pens. At each visit TUS scores, CRS scores based on the University of Wisconsin Calf Respiratory Score Chart (https://www.vetmed.wisc.edu/fapm/wp-content/uploads/2020/01/calf_respiratory_scoring_chart.pdf), and live weight using a dairy breed-specific weigh band were recorded. All data were recorded by the same 2 veterinarians over the course of the study. The final data set consisted of 966 TUS and CRS scores collected from 317 calves over a period of approximately 6 wk from 7 farms. The data were analyzed in multivariable, mixed effects, linear regression models, with separate models constructed for TUS and CRS scores. Random effects (intercepts) were included for calf, farm, and visit week. Additionally, a random slope was included for age at sampling by farm. Median farm TUS score ranged from 0 to 2.5 over the 3 visits (possible range: 0-5). The percentage of calves with a TUS score ≥3 (consolidation of the full thickness of 1 lung lobe), on each farm ranged from 0 to 50%. The median CRS in calves on individual farms ranged from 1 to 3 over the 3 visits (possible range: 0-12). The percentage of calves on each farm with a CRS score ≥5 (possible range: 0-12) ranged from 0 to 26%. The TUS and CRS scores were weakly correlated. The TUS was associated with reduced ADG. Calves with TUS scores ≥3 grew at 126 g/d less than unaffected calves over the 3-wk period before examination. The predicted effect on ADG was dependent on the age and duration over which the animal was affected. Calves affected later (i.e., between visits 2 and 3) had lower predicted weights at 63 d compared with calves with increased TUS scores earlier in the study period. Calves with a TUS score ≥3 at each of the 3 sampling points had the lowest weight at 63 d of age. There was no association of CRS with ADG. This study showed that in contrast to CRS, higher TUS scores are associated with lower ADG, with weight loss being more pronounced in chronic cases.


Asunto(s)
Enfermedades de los Bovinos , Enfermedades Respiratorias , Animales , Bovinos , Enfermedades de los Bovinos/diagnóstico por imagen , Estudios Transversales , Pulmón/diagnóstico por imagen , Enfermedades Respiratorias/diagnóstico por imagen , Enfermedades Respiratorias/veterinaria , Ultrasonografía/veterinaria
13.
J Am Acad Dermatol ; 83(2): 447-454, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31786163

RESUMEN

BACKGROUND: Recessive dystrophic epidermolysis bullosa (RDEB) is a hereditary blistering disorder due to a lack of type VII collagen. At present, treatment is mainly supportive. OBJECTIVES: To determine whether intravenous allogeneic bone marrow-derived mesenchymal stromal/stem cells (BM-MSCs) are safe in RDEB adults and if the cells improve wound healing and quality of life. METHODS: We conducted a prospective, phase I/II, open-label study recruiting 10 RDEB adults to receive 2 intravenous infusions of BM-MSCs (on day 0 and day 14; each dose 2-4 × 106 cells/kg). RESULTS: BM-MSCs were well tolerated with no serious adverse events to 12 months. Regarding efficacy, there was a transient reduction in disease activity scores (8/10 subjects) and a significant reduction in itch. One individual showed a transient increase in type VII collagen. LIMITATIONS: Open-label trial with no placebo. CONCLUSIONS: MSC infusion is safe in RDEB adults and can have clinical benefits for at least 2 months.


Asunto(s)
Epidermólisis Ampollosa Distrófica/terapia , Trasplante de Células Madre Mesenquimatosas/métodos , Prurito/terapia , Adolescente , Adulto , Anciano , Epidermólisis Ampollosa Distrófica/complicaciones , Epidermólisis Ampollosa Distrófica/diagnóstico , Femenino , Humanos , Infusiones Intravenosas , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Prurito/diagnóstico , Prurito/etiología , Calidad de Vida , Índice de Severidad de la Enfermedad , Trasplante Homólogo/métodos , Resultado del Tratamiento , Cicatrización de Heridas , Adulto Joven
14.
Ir Vet J ; 73: 20, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32944225

RESUMEN

This pracademic paper reviews current bovine foetopathy (abortion and stillbirth) case definitions, reporting and triage, and causes and time-of-death and proposes veterinary practitioner-focused investigative standard operating procedures (SOPs). Issues of under- and over-triage and intra-institutional SOP harmonisation are also discussed. It is proposed that an 'observable abortion' (120-260 days of gestation) is a more practitioner-friendly definition of abortion for reporting and benchmarking purposes and that the term 'peristillbirth' can replace stillbirth and perinatal mortality. Diagnosis of bovine foetopathy involves an investigative triad of the farmer, veterinary practitioner and the veterinary diagnostic laboratory. However, the poor sensitivity of abortion reporting undermines the value of currently adopted scanning/passive surveillance; parallel active surveillance/sentinel herd models should also be employed. The approach to abortion investigation differs from that of peristillbirth. The former should include collecting a herd and case history, examination and sampling of dam and cohorts and sampling of the foetus and placenta. A sample selection decision tree is provided to assist test selection. In peristillbirths, non-infectious and periparturient causes-of-death are more important hence the anamnesis must focus on peristillbirth risk factors and calving management. The foetopsy, while including the sampling menu appropriate to aborted foetuses, must also include a detailed internal and external examination of the carcass for lesions indicative of periparturient causes-of-death. In addition, for aborted foetuses the time-of-death is not important as the foetus is generally not viable; however, for the peristillbirth the time-of-death is critical as it provides useful information for the farmer to address modifiable risk factors and to alter their perinatal management. Reporting of the ultimate cause-of-death is more useful to prevent future abortions and peristillbirths though the proximate cause-of-death is often reported in the absence of a complete clinical anamnesis. Finally, the common reasons for diagnosis not reached (DNR) and the limitations of current investigative approaches are discussed.

17.
Am J Dermatopathol ; 41(11): e144-e147, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31145106

RESUMEN

Lichen planus pemphigoides (LPP) is an immunobullous disorder characterized by a combination of lesions resembling bullous pemphigoid and lichen planus (LP). Immunofluorescence studies typically show linear deposition of IgG and C3 along the basement membrane zone and circulating antibodies to the hemidesmosome protein BP180 also known as type XVII collagen. It is now recognized that drug-induced linear IgA disease may present with lesions mimicking toxic epidermal necrolysis (TEN). However, to date, there have been no reported cases of LPP presenting with TEN-like lesions. This report describes a 70-year-old woman with LPP who presented with extensive erosions mimicking TEN. This case also highlights the need to consider important etiologies such as drug-induced and paraneoplastic LPP.


Asunto(s)
Liquen Plano/patología , Penfigoide Ampolloso/patología , Anciano , Autoanticuerpos/inmunología , Autoantígenos/inmunología , Diagnóstico Diferencial , Femenino , Humanos , Liquen Plano/diagnóstico , Liquen Plano/inmunología , Colágenos no Fibrilares/inmunología , Penfigoide Ampolloso/diagnóstico , Penfigoide Ampolloso/inmunología , Síndrome de Stevens-Johnson/diagnóstico , Síndrome de Stevens-Johnson/patología , Colágeno Tipo XVII
18.
Ir Vet J ; 72: 9, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31624588

RESUMEN

In Autumn 2011, nonspecific clinical signs of pyrexia, diarrhoea, and drop in milk yield were observed in dairy cattle near the German town of Schmallenberg at the Dutch/German border. Targeted veterinary diagnostic investigations for classical endemic and emerging viruses could not identify a causal agent. Blood samples were collected from animals with clinical signs and subjected to metagenomic analysis; a novel orthobunyavirus was identified and named Schmallenberg virus (SBV). In late 2011/early 2012, an epidemic of abortions and congenital malformations in calves, lambs and goat kids, characterised by arthrogryposis and hydranencephaly were reported in continental Europe. Subsequently, SBV RNA was confirmed in both aborted and congenitally malformed foetuses and also in Culicoides species biting midges. It soon became evident that SBV was an arthropod-borne teratogenic virus affecting domestic ruminants. SBV rapidly achieved a pan-European distribution with most countries confirming SBV infection within a year or two of the initial emergence. The first Irish case of SBV was confirmed in the south of the country in late 2012 in a bovine foetus. Since SBV was first identified in 2011, a considerable body of scientific research has been conducted internationally describing this novel emerging virus. The aim of this systematic review is to provide a comprehensive synopsis of the most up-to-date scientific literature regarding the origin of SBV and the spread of the Schmallenberg epidemic, in addition to describing the species affected, clinical signs, pathogenesis, transmission, risk factors, impact, diagnostics, surveillance methods and control measures. This review also highlights current knowledge gaps in the scientific literature regarding SBV, most notably the requirement for further research to determine if, and to what extent, SBV circulation occurred in Europe and internationally during 2017 and 2018. Moreover, recommendations are also made regarding future arbovirus surveillance in Europe, specifically the establishment of a European-wide sentinel herd surveillance program, which incorporates bovine serology and Culicoides entomology and virology studies, at national and international level to monitor for the emergence and re-emergence of arboviruses such as SBV, bluetongue virus and other novel Culicoides-borne arboviruses.

19.
BMC Vet Res ; 14(1): 322, 2018 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-30382887

RESUMEN

BACKGROUND: It is known that the bovine fetus can mount an immune and inflammatory reaction to infection, but it is not known whether there is a contemporaneous maternal response. Nor is it known whether the response of calves which die perinatally, with or without infection, differs from that of live perinates. Hence, the objective of this study was to determine if acute phase reactant and immunoglobulin concentrations differed between calves (and their dams) in three groups: live calves (CC; n = 21) and dead calves with (PM INF+; n = 22) or without (PM INF-; n = 89) in utero infection. In calf plasma, serum amyloid A, haptoglobin, immunoglobulins M, G1 and G2 and interleukin-6 were measured. In dam serum, SAA and Hp was measured and in amniotic and abomasal fluid, IL-6 was measured. RESULTS: Live calves had higher plasma concentrations of SAA and IL-6 than dead calves with (PM INF+) or without (PM INF-) in utero infection. Calves in the PM INF-, but not PM INF+ group, had higher Hp concentrations than calves in the CC group. Calves in the PM INF+ group had higher IgG1 concentrations than calves in the PM INF- and CC groups. Except for higher IgG1 and IgG2 concentrations, biomarker values did not differ significantly between dead calves with or without in utero infection. Live calves had higher IL-6 concentrations in abomasal fluid compared to PM INF- calves. There were no significant differences in blood biomarker concentrations between dams of the three groups of calves. Amniotic fluid IL-6 concentrations were higher from the dams of control calves than the dams of uninfected calves. CONCLUSIONS: Differences in biomarkers (higher Hp and IgG1; lower SAA and IL-6) between perinatal mortalities and live perinates probably reflect differences between these two groups in age at sampling (SAA and IL-6) and in utero infection (IgG1). Out of the six analytes measured in calves, only IgG1 and IgG2 were biomarkers of (chronic) in utero infection.


Asunto(s)
Enfermedades de los Bovinos/embriología , Inflamación/veterinaria , Abomaso/química , Abomaso/inmunología , Líquido Amniótico/química , Líquido Amniótico/inmunología , Animales , Animales Recién Nacidos/inmunología , Biomarcadores/análisis , Biomarcadores/sangre , Bovinos , Enfermedades de los Bovinos/inmunología , Enfermedades de los Bovinos/mortalidad , Femenino , Haptoglobinas/análisis , Inmunidad/inmunología , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Infecciones/embriología , Infecciones/inmunología , Infecciones/veterinaria , Inflamación/embriología , Inflamación/inmunología , Interleucina-6/sangre , Embarazo , Proteína Amiloide A Sérica/análisis , Mortinato/veterinaria
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