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Thoracic and paraspinal extramedullary hematopoiesis in a cat withchronic non-regenerative anemia

机译:猫的胸和椎旁髓外造血功能慢性非再生性贫血

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摘要

Case summaryA 6-year-old neutered male domestic shorthair cat presented with non-regenerative macrocytic anemia of 2 years’ duration and minimally ambulatory paraparesis. Neurologic examination suggested an upper motor neuron paresis or T3–L3 myelopathy. The cat was positive for feline immunodeficiency virus (FIV), neutropenic, had polyclonal gammopathy and was euthanized following a hemolytic crisis. At autopsy, multifocal bilateral dark red masses were observed subpleurally around the costochondral junctions, extradurally and paraspinally in the spinal canal, and paravertebrally, on the lateral and ventral subpleural surfaces of the T4–11 vertebrae. Histologic examination of the masses revealed extramedullary hematopoietic tissue composed primarily of erythroid precursors and megakaryocytes, with occasional myeloid precursors and blood-filled sinuses. Bone marrow findings supported ineffective granulopoiesis, and decreased erythropoiesis and megakaryopoiesis, with probable myelodysplasia as the underlying cause of the hematologic abnormalities.
机译:病例摘要:一只6岁的绝育男性短毛猫,表现为持续2年的非再生性大红细胞性贫血和极少的门诊偏瘫。神经系统检查提示上运动神经元轻瘫或T3-L3脊髓病。这只猫的猫免疫缺陷病毒(FIV),中性粒细胞减少症呈阳性,患有多克隆性丙种病,在溶血危机后被安乐死。尸检时,在T4-11椎骨的胸膜外侧和腹侧下表面,在肋软骨交界处,胸膜外和脊柱旁,椎旁和椎旁旁可见多灶性双侧暗红色肿块。肿块的组织学检查显示,髓外造血组织主要由类红细胞前体和巨核细胞组成,偶有髓样前体和充血的鼻窦。骨髓发现支持无效的粒细胞生成,并减少了红细胞生成和巨核细胞生成,而骨髓增生异常可能是血液学异常的根本原因。

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