Cirrose hepática em cães: 80 casos (1965-2003) Hepatic cirrhosis in dogs: 80 cases (1965-2003)

• Main Authors: Marcia C. Silva, Rafael A. Fighera, Juliana S. Brum, Dominguita L. Graça, Glaucia D. Kommers, Luiz F. Irigoyen, Claudio S.L. Barros
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Patologia Animal (CBPA) 2007-11-01
• Series: Pesquisa Veterinária Brasileira
• Subjects: Doenças de cães; cirrose; fibrose; regeneração nodular; patologia; doenças do fígado; Diseases of dogs; cirrhosis; fibrosis; nodular regeneration; pathology; diseases of the liver
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-736X2007001100005

Foi realizado um estudo retrospectivo de 80 casos de cirrose em cães no Laboratório de Patologia Veterinária da Universidade Federal de Santa Maria, Rio Grande do Sul. Dos cães em que o sexo e a idade constavam dos protocolos de necropsia, 53,8% eram machos e 46,2% eram fêmeas; 50,0% foram incluídos como idosos, 48,6% como adultos e 1,4% como filhote. Os principais sinais clínicos observados incluíram: ascite (39/80 [48,8%]), icterícia (19/80 [23,8%]), anorexia (13/80 [16,2%]), distúrbios neurológicos (12/80 [15,0%]), dispnéia (12/80 [15,0%]) e edema subcutâneo (10/80 [12,5%]). Dos 63 cães em que a descrição macroscópica constava dos protocolos de necropsia, 76,2% tinham cirrose macronodular e 23,8% tinham cirrose micronodular. Nos 14 cães em que as lesões histológicas foram revistas pode-se observar diferentes graus de fibrose (leve [57,2%], moderada [21,4%] ou acentuada [21,4%]) e nenhuma relação entre as intensidades da fibrose e das outras lesões histológicas observadas (degeneração gordurosa, proliferação de ductos biliares, inflamação, bilestase, hemossiderose e necrose aleatória de hepatócitos). As alterações macro e microscópicas extra-hepáticas incluíram: ascite (39/63 [61,9%]), icterícia (19/63 [30,2%]), status spongiosus (15/63 [23,8%]), hidrotórax (12/63 [19,0%]), edema subcutâneo (10/63 [15,9%]), derivações portossistêmicas (11/63 [17,5%]), úlceras gástricas ou duodenais (11/63 [17,5%]) e nefrose colêmica (4/63 [6,3%]).<br>A retrospective study in 80 cases of canine hepatic cirrhosis was carried out at the Veterinary Pathology Laboratory of the Federal University of Santa Maria, Rio Grande do Sul, Brazil. Considering those cases in which the sex and age of the dogs were informed in the necropsy reports, males comprised 53.8% of the cases and 46.2% were females; while 50.0% of these dogs were aged, 48.6% were adults and 1.4% were puppies. The main observed clinical signs include ascites (39/80 [48.8%]), icterus (19/80 [23.8%]), anorexia (13/80 [16.2%]), neurological disturbances (12/80 [15.0%]), dyspnea (12/80 [15.0%]) and subcutaneous edema (10/80 [12.5%]). In 63 dogs for which there was a description of gross morphology in the necropsy reports, 76.2% had macronodular and 23.8% had micronodular cirrhosis. In 14 cases in which the histopathology of the liver was reviewed different degrees of fibrosis were observed: mild in 57.2%, moderate in 21.4%, or marked in 21.4%; in these cases there were no correlation with the degree of fibrosis and other associated histological changes such as lipidosis, biliary ducts hyperplasia, inflammation, bilestasis, hemosiderosis and random hepatocellular necrosis. Extra hepatic changes included ascites (39/63 [61.9%]), icterus (19/63 [30.2%]), status spongiosus (15/63 [23.8%]), hydrothorax (12/63 [19.0%]), subcutaneous edema (10/63 [15.9%]), portosystemic shunts (11/63 [17.5%]), gastric our duodenal ulceration (11/63 [17.5%]) and cholemic nephrosis (4/63 [6.3%]).